Tuesday, March 8, 2011

A New Institution: The Academic Medicine Integrated Health Care System

From the ashes they will rise, institutions that we newly derive.

The Three-Body Agency Problem in Health Care


The Integrated Health System Model Solution

R-evolution: During the 20th Century, medicine evolved at The Johns Hopkins University School of Medicine into a science-based practice grounded in combining clinical care, research, and education all in one setting. Similarly, Kaiser Permanente revolutionized healthcare system organization by integrating the financing and delivery of medical services under the auspices of one accountable entity.

Thinkering: When you attend Dave Lull University (thx2DL), as I have done thankfully for nearly four years now, you start to value cross-pollinating, hybridizing, and other ways of combining thinking and tinkering synergistically--in essence, since I'm a golfer, Dave's like my caddy for thinkering.

Integration Iteration: In the 21st Century, given the ever-increasing complexity of medical science and the delivery of its sophisticated treatments and interventions, I suspect that the role of the academic medical center will grow exponentially. Specifically, I envision this transformation unfolding via the development of a new institution: The Academic Medicine Integrated Health Care System. Currently, The Johns Hopkins Hospital and Health System is coalescing to serve patients in this capacity, as noted in following:
In summing up the day, Ronald R. Peterson, president of The Johns Hopkins Hospital and Health System, made one point very clear: Hopkins is now managing the evolution of an academic medical center, with affiliates, to a true academic health system. 
“It is our steadfast commitment to mission-driven growth,” he said, “that will perpetuate transformational medicine that benefits human kind. This is ultimately what Johns Hopkins Medicine is all about.”
That is, Johns Hopkins is cross-pollinating with Kaiser Permanente.

It'll be fascinating to see the serendipity that springs from this hybridizing.

Luckily, starting in September, I'll be training at Hopkins as a medical student and will be blessed with the wonderful opportunity to study these dynamics in more depth.

I suspect, I'll be nudged to reflect.

To good health,



  1. I've become a member of DLU (Dave Lull University), as well. Love the rich honey fermenting on the cross-pollen!

  2. There are other students in our cohort as well:



    Now, all we need is a logo, a mascot, and, evidently, a fermentation chamber in order to make DLU a formal higher place of learning.



  3. PS. It looks like we have a mascot for DLU:

    "Dave Lull, the omnipresent Wisconsin librarian"


    "He is, in short, the OWL – Omnipresent Wisconsin Librarian."


    Now, we just need to ask Sarah Rebich to draft some logos of the DLU OWL like she did so nicely for Ancestry!