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IT IS A PLEASURE to be back among Surgical Chairmen. Bill Kelley and I are each going to outline our approaches to the matter of setting up academic health system networks, with an academic center at the core. Our approaches as we went into this are somewhat different, but I think we will come out about the same. We started the New York Hospital/Cornell network about 5 to 6 years ago. We were just coming out of a major financial crisis that frightened us badly; the hospital had lost $1 million a week for about 18 months. We survived that crisis, and we are committed to an $840 million project for the upgrading of our hospital.
We approached the future by looking around the country at what was going on in California, Michigan, and Minneapolis. In 1989, we decided that for the academic medical center to survive, as the country
Skinner DB. Managed Care: Two Plans: New York Hospital/Cornell Network. Arch Surg. 1995;130(9):932–933. doi:10.1001/archsurg.1995.01430090018006
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