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1 The following definition is provided by the AAMC Department of Clinical Services: DEFINITION OF AN ACADEMIC MEDICAL CENTER, HEALTH CENTER OR ACADEMIC MEDICINE Document from the collections of the AAMC Not to be reproduced without permission Use of the terms listed above are not interchangeable. Academic health centers refers to one or more health professions schools (the medical school plus one other and a hospital). An academic medical center is the medical school and a hospital (university-based), and academic medicine includes both these types plus the affiliated community hospitals.

2 4c ASSMIATION OF AMERICAN MEDICAL COLLEGES 2450 N STREET NW WASHINGTON, DC PHONE FAX Revised Version January 1997 Integrated Academic Medical Center Hospitals (Non-Federal, Short-Stay, General) This list of hospitals was originally developed in September 1986 to classify the membership of the Council of Teaching Hospitals and Health Systems (COTH) for purposes of a policy impact research project supported by The Commonwealth Fund. The list was updated in January 1997 to reflect current COTH membership. Membership in COTH is voluntary. Membership applications to COTH are reviewed by the COTH Administrative Board which serves as the AAMC's membership committee for hospital participation. Membership in COTH requires the hospital to: have a documented affiliation agreement with a medical school accredited by the Liaison Committee on Medical Education (LCME); sponsor, or significantly participate in, at least four approved, active residency programs. At least two of the approved programs must be in medicine, surgery, obstetrics/gynecology, pediatrics, family practice, or psychiatry; and present a letter recommending membership from the affiliated medical school dean. As of January 1997, 116 COTH members were classified as integrated academic medical center hospitals. Four criteria are used to identify integrated academic medical center hospitals. The hospital must: be a non-federal member of the AAMC's Council of Teaching Hospitals and Health Systems; be under common ownership with a college of medicine or have the majority of medical school department chairmen as the hospital chiefs of service, or have the chairman responsible for appointing the hospital chief of service; and provide a short-stay, general hospital service.

3 Document from the collections of the AAMC Not to be reproduced without peithission Within the criteria described above, eight sub-categories of integrated academic medical center hospitals were constructed, based on ownership: I. hospitals having common ownership with a college of medicine in a comprehensive, public university; IL hospitals having common ownership with a college of medicine in a public, health science university; EL hospitals having common ownership with a college of medicine in a comprehensive, private university; IV. hospitals having common ownership with a college of medicine in a private, health science university; V. non-profit hospitals owned separately from a college of medicine but in which the majority of medical school chairmen and the hospital chiefs of service are the same individuals; VI. non-profit hospitals previously having common ownership with a college of medicine; VII. for-profit hospitals in which the majority of medical school chairmen and hospital chiefs of service are the same individuals; and vra. governmental hospitals owned separately from a college of medicine but in which the majority of medical school chairmen and hospital chiefs of service are the same individuals. Page 2

4 Category I Integrated Academic Medical Center Hospitals Having Common Ownership with a College of Medicine in a Comprehensive, Public University (N =29) City State Document from the collections of the AAMC Not to be reproduced without permission University of Alabama Hospitals University of South Alabama Medical Center The University Hospital of Arkansas University of, Los Angeles, Medical Center University of, Irvine, Medical Center University of, Davis, Medical Center University of, San Diego, Medical Center The Medical Center at the University of, San Francisco John Dempsey Hospital, University of Connecticut Health Center University of Illinois Hospital Consolidated Health Group, Indiana University Medical Center University of Iowa Hospitals and Clinics University of Kansas Hospital University Hospital, University of Kentucky Medical Center Louisiana State University Hospital University of Hospital University of Michigan Hospitals University Hospital, University of Mississippi Medical Center University of Missouri Hospital and Clinics University of Nebraska Hospital University Hospital University of Cincinnati Hospital The Ohio State University Hospital PennState University Hospital, The Milton S. Hershey MeJical Center University of Utah Hospital University of Virginia Hospitals Medical College of Virginia Hospitals University of Washington Medical Center University of Wisconsin Hospital and Clinics Birmingham Mobile Little Rock Los Angeles Orange Sacramento San Diego San Francisco Farmington Chicago Indianapolis Iowa City Kansas City Lexington Shreveport Worcester Ann Arbor Jackson Columbia Omaha Stony Brook Cincinnati Columbus Hershey Salt Lake City Charlottesville Richmond Seattle Madison Alabama Alabama Arkansas Connecticut Illinois Indiana Iowa Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Ohio Ohio Pennsylvania Utah Virginia Virginia Washington Wisconsin Category II Integrated Academic Medical Center Hospitals Having Common Ownership with a College of Medicine in a Public, Health Science University (N = 8) City State Medical College of Georgia Hospital and Clinics University of Medicine and Dentistry of NJ, University Hospital University Hospital of Brooklyn SUNY Health Science Center University Hospital, SUNY Health Science Center, Syracuse Medical College of Ohio Hospital Oregon Health Sciences University Hospital Medical University Hospital The University of Medical Branch Hospitals at Galveston Page 3 Augusta Newark Brooklyn Syracuse Toledo Portland Charleston Galveston Georgia New Jersey Ohio Oregon South Carolina

5 Category ifi Integrated Academic Medical Center Hospitals Having Common Ownership with a College of Medicine in a Comprehensive, Private University (N = 14) City State Stanford University Hospital Stanford Howard University Hospital Washington D.C. The George Washington University Hospital Washington D.C. Georgetown University Hospital Washington D.C. Crawford Long Hospital of Emory University Atlanta Georgia Emory University Hospital Atlanta Georgia Loyola University Medical Center Maywood Illinois St. Louis University Hospital St. Louis Missouri Tisch Hospital, University Medical Center Strong Memorial Hospital Rochester Duke University Hospital Durham North Carolina Hospital of the University of Pennsylvania Philadelphia Pennsylvania Temple University Hospital Philadelphia Pennsylvania Vanderbilt University Hospital Nashville Tennessee Category IV Integrated Academic Medical Center Hospitals Having Common Ownership with a College of Medicine in a Private, Health Science University =7) City State Rush-Presbyterian-St. Luke's Medical Center Chicago Illinois Saint Marys Hospital Rochester Minnesota Albany Medical Center Hospital Albany Allegheny University Hospitals - Center City Philadelphia Pennsylvania Allegheny University Hospitals - East Falls Philadelphia Pennsylvania Thomas Jefferson University Hospital Philadelphia Pennsylvania Allegheny General Hospital Pittsburgh Pennsylvania Page 4

6 Category V Non-Profit Hospitals Owned Separately from a College of Medicine but in which the Majority of the Medical School Chairmen and Hospital Chiefs of Service are the Same Individual =30) University of Southern University Hospital Yale-New Haven Hospital Northwestern Memorial Hospital University of Louisville Hospital The Johns Hopkins Hospital Brigham and Women's Hospital New England Medical Center, Inc. Beth Israel-Deaconess Hospital Medical Center General Hospital Harper Hospital Grace Hospital Barnes Hospital Mary Hitchcock Memorial Hospital Robert Wood Johnson University Hospital Montefiore Medical Center Buffalo General Hospital The Hospital Presbyterian Hospital in the City of The Mount Sinai Hospital North Carolina Baptist Hospitals, Inc. University Hospitals of Cleveland The University of Pittsburgh Medical Center Rhode Island Hospital Zale Lipshy University Hospital Hermann Hospital The Methodist Hospital Scott and White Memorial Hospital Fletcher Allen Health Care Froedtert Memorial Lutheran Hospital City Los Angeles New Haven Chicago Louisville Baltimore Detroit Detroit St. Louis Hanover New Brunswick Bronx Buffalo Winston-Salem Cleveland Pittsburgh Providence Dallas Houston Houston Temple Burlington Milwaukee State Connecticut Illinois Kentucky Maryland Michigan Michigan Missouri New Hampshire New Jersey North Carolina Ohio Pennsylvania Rhode Island Vermont Wisconsin Category VI Non-Profit Academic Medical Center Hospitals Previously Having Common Ownership with a College of Medicine (N = 8) University Medical Center Loma Linda University Medical Center University Hospital Shands Hospital University of Chicago Hospitals University of Maryland Medical System The University of Minnesota Hospital and Clinics West Virginia University Hospitals, Inc. City Tucson Loma Linda Denver Gainesville Chicago Baltimore Minneapolis Morgantown State Arizona Colorado Florida Illinois Maryland Minnesota West Virginia Page 5

7 Category VII For-Profit Hospitals in which the Majority of Medical School Chairmen and Hospital Chiefs of Service are the Same Individuals (N =2) Tulane Medical Center Hospital St. Joseph Hospital City State New Orleans Louisiana Omaha Nebraska Category VIII Governmental Hospitals Owned Separately from a College of Medicine but in which the Majority of the Medical School Chairmen and Hospital Chiefs of Service are the Same Individual (N = 18) City State Los Angeles County-USC Medical Center Los Angeles Jackson Memorial Hospital Miami Florida Tampa General Hospital Tampa Florida Grady Memorial Hospital Atlanta Georgia William N. Wishard Memorial Hospital Indianapolis Indiana Medical Center of Louisiana New Orleans Louisiana Truman Medical Center Kansas City Missouri University of New Mexico Hospital Albuquerque New Mexico Westchester County Medical Center Valhalla The North Carolina Memorial Hospital Chapel Hill North Carolina Pitt County Memorial Hospital Greenville North Carolina Metrohealth Medical Center Cleveland Ohio Oklahoma Medical Center Oklahoma City Oklahoma Regional Medical Center at Memphis Memphis Tennessee Dallas County Hospital District, Parkland Memorial Hospital Dallas Harris County Hospital District Houston Bexar County Hospital District San Antonio University of Washington Hospitals, Harborview Medical Center Seattle Washington Page 6

8 G. NOTE CONCERNING TEACHING HOSPITALS Aigec 4oto Erot The AAMC Division of Health Care Affairs, which houses the Council of Teaching Hospitals and Health Systems (COTH), Group on Faculty Practice and the Section for Resident Education, provides policy analysis on graduate medical education financing and other hospital and physician issues. The data in this Section include the findings from the COTH Survey of Housestaff Stipends, Benefits, and Funding and the American Hospital Association (AHA) Annual Survey of Hospitals as analyzed by the AAMC Division of Health Care Affairs. For purposes of the tables in this section, a hospital is considered a teaching hospital if it meets at least one of the following criteria: o a medical school affiliation reported to the American Medical Association; o a residency program accredited by the Accreditation Council of Graduate Medical Education; o an internship approved by the American Osteopathic Association (AOA); or o a residency approved by the AOA. All members of the COTH are considered academic medical center (AMC) hospitals. There are three categories of AMC hospitals: Integrated. Integrated AMC hospital refers to a short-stay, general service, non-federal hospital which has a signed affiliation agreement with a college of medicine accredited by the Liaison Committee on Medical Education (LCME). The hospital must be under common ownership with a college of medicine or have the majority of medical school department chairmen serve as the hospital chiefs of service, or have the chairman responsible for appointing the hospital chief of service. Independent. Independent AMC hospital refers to a short-stay, general service, non-federal hospital which has a signed affiliation agreement with a LCME accredited college of medicine and sponsors or significantly participates in graduate medical education. VA/Children's/Specialty. VA/Children's/Specialty AMC hospital refers to a federal or non-federal hospital that is not a short-stay, general service hospital, but has a documented affiliation agreement with a college of medicine accredited by the LCME. Questions regarding the AAMC data for Housestaff Stipends, Benefits and Funding should be directed to Ingrid Philibert, Staff Associate, Division of Health Care Affairs, at (202) Questions regarding hospital operational and financial data should be directed to Kevin Serrin, Research Associate, Division of Health Care Affairs, at (202)

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