Tham khảo tài liệu 'pursuing excellence in healthcare_12', kinh doanh - tiếp thị, quản trị kinh doanh phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | 248 Pursuing Excellence in Healthcare One might argue that a single AMC should be able to survive in its own market if it can provide excellence in patient care in all areas. This is true however only a relatively small group of AMCs can claim excellence in each area of clinical medicine. In most cases these are long-standing institutions or newer institutions that have emerged through a unique structure that provides an exceptional level of financial support. Indeed looking at the majority of hospitals Porter and Teisberg note 2 The current structure in which many local providers operate at modest scale in their home region is an artifact of history and has little logic in terms of patient value. Even if most services are provided locally services in each practice unit can be managed or supported by premier integrated national organizations. Again it is important to note that Porter and Teisberg based their assessment on the hospitals ability to provide outstanding patient care rather than on the financial aspects of the hospitals. Indeed three local mergers that have successfully taken place include Massachusetts General Hospital and the Brigham and Women s Hospital Beth Israel Hospital and Deaconess Hospital and New York Hospital and Columbia Presbyterian Hospital. However each of these six hospitals had very similar cultures Massachusetts General the Brigham and Women s Beth Israel and the Deaconess were all historic teaching hospitals of Harvard Medical School and most were among the haves of AMCs in terms of endowments research support and annual fundraising efforts. The hypothesis that local affiliations can work when they are based on the core principle of providing outstanding patient care is supported by the success of the partnership between Meharry Medical College and Vanderbilt University Medical Center 44 . The alliance encompassed three very different institutions all of which had existed in Nashville since the late 1800s Meharry Medical College was
