In our previous column in this series (see the Operations and Strategy column in the January/February 2015 issue of JHM), we describe the scale imperative for academic medical centers (AMCs) if they wish to remain viable in a healthcare landscape characterized by consolidation, increasingly closed systems, new reimbursement models, decreased funding, and other challenges. In addition, we describe AMCs' approaches to achieving adequate scale in terms of our five-category framework. The framework, with additional examples, is revisited in the sidebar on page 87 of this issue.
Here, we discuss the case of one AMC—UW Health—that has embarked on the journey to developing scale. It hopes to leverage scale in shoring up its ability to support its missions of research and education.