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Abstract

Health care reform has posed special challenges for departments of psychiatry in academic medical centers. This report describes one department's strategic responses to a marketplace with high penetration by managed care and provides examples of the kinds of faculty concerns that can arise when major departmental reorganizations are attempted. The department's successful adaptation to a radically altered professional environment is attributed to the following five initiatives: vertical integration and diversification of clinical programs, service line management, outcomes measurement, regional network development, and institutional managed care partnerships Although the authors did not design their adaptive efforts as a research study, they offer objective data to support their conclusion that the viability of their overall clinical enterprise has been sustained despite an external environment inhospitable to academic psychiatry.

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Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 236 - 239
PubMed: 12556606

History

Published online: 1 February 2003
Published in print: February 2003

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William R. Breakey, M.B., F.R.C.Psych.
Joseph M. Schwartz, M.D.
Michael R. Clark, M.D.
Michael J. Kaminsky, M.D., M.B.A.

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