COVID-19: Financial Stress Test for Academic Medical Centers
Identifieur interne : 000570 ( Pmc/Checkpoint ); précédent : 000569; suivant : 000571COVID-19: Financial Stress Test for Academic Medical Centers
Auteurs : Christopher C. Colenda ; William B. Applegate ; Burton V. Reifler ; Dan G. BlazerSource :
- Academic Medicine [ 1040-2446 ] ; 2020.
Abstract
The coronavirus pandemic (COVID-19) is having profound effects on the lives and well-being of the world’s population. All levels of the nation’s public health and health care delivery systems are rapidly adjusting to secure the health infrastructure to manage the pandemic in the United States. As the nation’s safety net health care systems, academic medical centers (AMCs) are vital clinical and academic resources in managing the pandemic. COVID-19 may also risk the financial underpinnings of AMCs because their cost structures are high, and they may have incurred large amounts of debt over the last decade as they expanded their clinical operations and facilities. This Invited Commentary reviews existing data on AMC debt levels; summarizes relief provided in the Coronavirus Aid, Relief, and Economic Security Act; and suggests policy options to help mitigate risk.
Url:
DOI: 10.1097/ACM.0000000000003418
PubMed: 32287082
PubMed Central: 7179061
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">COVID-19: Financial Stress Test for Academic Medical Centers</title><author><name sortKey="Colenda, Christopher C" sort="Colenda, Christopher C" uniqKey="Colenda C" first="Christopher C." last="Colenda">Christopher C. Colenda</name><affiliation><nlm:aff id="aff1"><bold>C.C. Colenda</bold> is president emeritus, West Virginia University Health System, Morgantown, West Virginia, and dean emeritus, College of Medicine, Texas A&M University Health Sciences, Bryan, Texas.</nlm:aff><wicri:noCountry code="subfield">Texas.</wicri:noCountry></affiliation></author><author><name sortKey="Applegate, William B" sort="Applegate, William B" uniqKey="Applegate W" first="William B." last="Applegate">William B. Applegate</name><affiliation><nlm:aff id="aff2"><bold>W.B. Applegate</bold> is president and dean emeritus, Wake Forest University Health Sciences, and professor of medicine, geriatrics and gerontology, Wake Forest University School of Medicine, Winston-Salem, North Carolina.</nlm:aff><wicri:noCountry code="subfield">North Carolina.</wicri:noCountry></affiliation></author><author><name sortKey="Reifler, Burton V" sort="Reifler, Burton V" uniqKey="Reifler B" first="Burton V." last="Reifler">Burton V. Reifler</name><affiliation><nlm:aff id="aff3"><bold>B.V. Reifler</bold> is professor emeritus and former chair, Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina.</nlm:aff><wicri:noCountry code="subfield">North Carolina.</wicri:noCountry></affiliation></author><author><name sortKey="Blazer, Dan G" sort="Blazer, Dan G" uniqKey="Blazer D" first="Dan G." last="Blazer">Dan G. Blazer</name><affiliation><nlm:aff id="aff4"><bold>D.G. Blazer II</bold> is professor emeritus, Department of Psychiatry, and former dean of medical education, Duke University School of Medicine, Durham, North Carolina.</nlm:aff><wicri:noCountry code="subfield">North Carolina.</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32287082</idno><idno type="pmc">7179061</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7179061</idno><idno type="RBID">PMC:7179061</idno><idno type="doi">10.1097/ACM.0000000000003418</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000163</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000163</idno><idno type="wicri:Area/Pmc/Curation">000163</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000163</idno><idno type="wicri:Area/Pmc/Checkpoint">000570</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000570</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">COVID-19: Financial Stress Test for Academic Medical Centers</title><author><name sortKey="Colenda, Christopher C" sort="Colenda, Christopher C" uniqKey="Colenda C" first="Christopher C." last="Colenda">Christopher C. Colenda</name><affiliation><nlm:aff id="aff1"><bold>C.C. Colenda</bold> is president emeritus, West Virginia University Health System, Morgantown, West Virginia, and dean emeritus, College of Medicine, Texas A&M University Health Sciences, Bryan, Texas.</nlm:aff><wicri:noCountry code="subfield">Texas.</wicri:noCountry></affiliation></author><author><name sortKey="Applegate, William B" sort="Applegate, William B" uniqKey="Applegate W" first="William B." last="Applegate">William B. Applegate</name><affiliation><nlm:aff id="aff2"><bold>W.B. Applegate</bold> is president and dean emeritus, Wake Forest University Health Sciences, and professor of medicine, geriatrics and gerontology, Wake Forest University School of Medicine, Winston-Salem, North Carolina.</nlm:aff><wicri:noCountry code="subfield">North Carolina.</wicri:noCountry></affiliation></author><author><name sortKey="Reifler, Burton V" sort="Reifler, Burton V" uniqKey="Reifler B" first="Burton V." last="Reifler">Burton V. Reifler</name><affiliation><nlm:aff id="aff3"><bold>B.V. Reifler</bold> is professor emeritus and former chair, Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina.</nlm:aff><wicri:noCountry code="subfield">North Carolina.</wicri:noCountry></affiliation></author><author><name sortKey="Blazer, Dan G" sort="Blazer, Dan G" uniqKey="Blazer D" first="Dan G." last="Blazer">Dan G. Blazer</name><affiliation><nlm:aff id="aff4"><bold>D.G. Blazer II</bold> is professor emeritus, Department of Psychiatry, and former dean of medical education, Duke University School of Medicine, Durham, North Carolina.</nlm:aff><wicri:noCountry code="subfield">North Carolina.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Academic Medicine</title><idno type="ISSN">1040-2446</idno><idno type="eISSN">1938-808X</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The coronavirus pandemic (COVID-19) is having profound effects on the lives and well-being of the world’s population. All levels of the nation’s public health and health care delivery systems are rapidly adjusting to secure the health infrastructure to manage the pandemic in the United States. As the nation’s safety net health care systems, academic medical centers (AMCs) are vital clinical and academic resources in managing the pandemic. COVID-19 may also risk the financial underpinnings of AMCs because their cost structures are high, and they may have incurred large amounts of debt over the last decade as they expanded their clinical operations and facilities. This Invited Commentary reviews existing data on AMC debt levels; summarizes relief provided in the Coronavirus Aid, Relief, and Economic Security Act; and suggests policy options to help mitigate risk.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bacireddy, C" uniqKey="Bacireddy C">C Bacireddy</name></author><author><name sortKey="Chen, C" uniqKey="Chen C">C Chen</name></author><author><name sortKey="Dar, M" uniqKey="Dar M">M Dar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bauchner, H" uniqKey="Bauchner H">H Bauchner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Slavin, Pl" uniqKey="Slavin P">PL Slavin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johnston, Sc" uniqKey="Johnston S">SC Johnston</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, D" uniqKey="Lee D">D Lee</name></author><author><name sortKey="Steingart, D" uniqKey="Steingart D">D Steingart</name></author><author><name sortKey="Martin, L" uniqKey="Martin L">L Martin</name></author><author><name sortKey="Goldstein, L" uniqKey="Goldstein L">L Goldstein</name></author><author><name sortKey="Smith, Km" uniqKey="Smith K">KM Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walden, G" uniqKey="Walden G">G Walden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schwartz, Wb" uniqKey="Schwartz W">WB Schwartz</name></author><author><name sortKey="Newhouse, Jp" uniqKey="Newhouse J">JP Newhouse</name></author><author><name sortKey="Williams, Ap" uniqKey="Williams A">AP Williams</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Whitcomb, Me" uniqKey="Whitcomb M">ME Whitcomb</name></author><author><name sortKey="Cleverly, Wo" uniqKey="Cleverly W">WO Cleverly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Romano, M" uniqKey="Romano M">M Romano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schulman, Ka" uniqKey="Schulman K">KA Schulman</name></author><author><name sortKey="Milstein, A" uniqKey="Milstein A">A Milstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hertzel, Rl" uniqKey="Hertzel R">RL Hertzel</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Andrzejewski, A" uniqKey="Andrzejewski A">A Andrzejewski</name></author><author><name sortKey="Smith, Tw" uniqKey="Smith T">TW Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mccue, Mj" uniqKey="Mccue M">MJ McCue</name></author><author><name sortKey="Thompson, Jm" uniqKey="Thompson J">JM Thompson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Krane, Nk" uniqKey="Krane N">NK Krane</name></author><author><name sortKey="Dicarlo, Rp" uniqKey="Dicarlo R">RP DiCarlo</name></author><author><name sortKey="Kahn, Mj" uniqKey="Kahn M">MJ Kahn</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="article-commentary"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Acad Med</journal-id><journal-id journal-id-type="iso-abbrev">Acad Med</journal-id><journal-id journal-id-type="publisher-id">ACM</journal-id><journal-title-group><journal-title>Academic Medicine</journal-title></journal-title-group><issn pub-type="ppub">1040-2446</issn><issn pub-type="epub">1938-808X</issn><publisher><publisher-name>Published for the Association of American Medical Colleges by Lippincott Williams & Wilkins</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32287082</article-id><article-id pub-id-type="pmc">7179061</article-id><article-id pub-id-type="art-access-id">00004</article-id><article-id pub-id-type="doi">10.1097/ACM.0000000000003418</article-id><article-categories><subj-group subj-group-type="heading"><subject>Invited Commentary</subject></subj-group></article-categories><title-group><article-title>COVID-19: Financial Stress Test for Academic Medical Centers</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Colenda</surname><given-names>Christopher C.</given-names></name><degrees>MD, MPH</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Applegate</surname><given-names>William B.</given-names></name><degrees>MD, MPH</degrees><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Reifler</surname><given-names>Burton V.</given-names></name><degrees>MD, MPH</degrees><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Blazer</surname><given-names>Dan G.</given-names><suffix>II</suffix></name><degrees>MD, MPH, PhD</degrees><xref ref-type="aff" rid="aff4">4</xref></contrib><aff id="aff1"><label>1</label><bold>C.C. Colenda</bold> is president emeritus, West Virginia University Health System, Morgantown, West Virginia, and dean emeritus, College of Medicine, Texas A&M University Health Sciences, Bryan, Texas.</aff><aff id="aff2"><label>2</label><bold>W.B. Applegate</bold> is president and dean emeritus, Wake Forest University Health Sciences, and professor of medicine, geriatrics and gerontology, Wake Forest University School of Medicine, Winston-Salem, North Carolina.</aff><aff id="aff3"><label>3</label><bold>B.V. Reifler</bold> is professor emeritus and former chair, Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina.</aff><aff id="aff4"><label>4</label><bold>D.G. Blazer II</bold> is professor emeritus, Department of Psychiatry, and former dean of medical education, Duke University School of Medicine, Durham, North Carolina.</aff></contrib-group><author-notes><corresp id="c1">Correspondence should be addressed to Christopher C. Colenda; email: <email xlink:href="colendac@gmail.com">colendac@gmail.com</email>.</corresp></author-notes><pub-date pub-type="ppub"><day>22</day><month>4</month><year>2020</year></pub-date><pub-date pub-type="epub"><day>13</day><month>4</month><year>2020</year></pub-date><elocation-id>10.1097/ACM.0000000000003418</elocation-id><permissions><copyright-statement>Copyright © 2020 by the Association of American Medical Colleges</copyright-statement><copyright-year>2020</copyright-year><license license-type="NIH OGC"><license-p>This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="acm-publish_ahead_of_print-10.1097_acm.0000000000003418.pdf"></self-uri><abstract><p>The coronavirus pandemic (COVID-19) is having profound effects on the lives and well-being of the world’s population. All levels of the nation’s public health and health care delivery systems are rapidly adjusting to secure the health infrastructure to manage the pandemic in the United States. As the nation’s safety net health care systems, academic medical centers (AMCs) are vital clinical and academic resources in managing the pandemic. COVID-19 may also risk the financial underpinnings of AMCs because their cost structures are high, and they may have incurred large amounts of debt over the last decade as they expanded their clinical operations and facilities. This Invited Commentary reviews existing data on AMC debt levels; summarizes relief provided in the Coronavirus Aid, Relief, and Economic Security Act; and suggests policy options to help mitigate risk.</p></abstract></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Applegate, William B" sort="Applegate, William B" uniqKey="Applegate W" first="William B." last="Applegate">William B. Applegate</name><name sortKey="Blazer, Dan G" sort="Blazer, Dan G" uniqKey="Blazer D" first="Dan G." last="Blazer">Dan G. Blazer</name><name sortKey="Colenda, Christopher C" sort="Colenda, Christopher C" uniqKey="Colenda C" first="Christopher C." last="Colenda">Christopher C. Colenda</name><name sortKey="Reifler, Burton V" sort="Reifler, Burton V" uniqKey="Reifler B" first="Burton V." last="Reifler">Burton V. Reifler</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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