LEADER 01400oas 2200433 450 001 9910711998703321 005 20190412151059.0 035 $a(CKB)5470000002488100 035 $a(OCoLC)1087497791 035 $a(EXLCZ)995470000002488100 100 $a20190222b201u2016 ua 101 0 $aeng 135 $aur||||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aQuarterly climate impacts and outlook$iAlaska region 210 1$a[Silver Spring, Md.] :$cU.S. Department of Commerce, National Oceanic and Atmospheric Administration,$d-2016. 215 $a1 online resource (volumes) 517 1 $aAlaska region quarterly climate impacts and outlook 606 $aClimatic changes$zAlaska$vPeriodicals 606 $aClimatic changes$2fast 607 $aAlaska$xClimate$xForecasting$vPeriodicals 607 $aAlaska$2fast 608 $aPeriodicals.$2fast 615 0$aClimatic changes 615 7$aClimatic changes. 712 02$aUnited States.$bNational Oceanic and Atmospheric Administration, 712 02$aAlaska Center for Climate Assessment and Policy (U.S.), 801 0$bGPO 801 1$bGPO 801 2$bMERUC 801 2$bOCLCF 801 2$bZQP 801 2$bGPO 906 $aDOCUMENT 912 $a9910711998703321 996 $aQuarterly climate impacts and outlook$93435529 997 $aUNINA LEADER 03907nam 2200709Ia 450 001 9910965682903321 005 20251017110110.0 010 $a9786610179916 010 $a9780309167833 010 $a0309167833 010 $a9781280179914 010 $a1280179910 010 $a9780309505352 010 $a0309505356 035 $a(CKB)111069351132900 035 $a(EBL)3564043 035 $a(SSID)ssj0000276614 035 $a(PQKBManifestationID)11219863 035 $a(PQKBTitleCode)TC0000276614 035 $a(PQKBWorkID)10226780 035 $a(PQKB)11182787 035 $a(MiAaPQ)EBC3564043 035 $a(Au-PeEL)EBL3564043 035 $a(CaPaEBR)ebr10060367 035 $a(CaONFJC)MIL17991 035 $a(OCoLC)70748862 035 $a(Perlego)4731276 035 $a(DNLM)1204834 035 $a(BIP)9952141 035 $a(EXLCZ)99111069351132900 100 $a20040129d2004 my 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aAcademic health centers $eleading change in the 21st century /$fCommittee on the Roles of Academic Health Centers in the 21st Century ; Linda T. Kohn, editor 205 $a1st ed. 210 $aWashington, DC $cNational Academies Press$d2004 215 $a1 online resource (216 p.) 300 $aDescription based upon print version of record. 311 08$a9780309088930 311 08$a0309088933 320 $aIncludes bibliographical references and index. 327 $aFront Matter. Reviewers. 327 $aPREFACE ACKNOWLEDGMENTS ; CONTENTS EXECUTIVE SUMMARY 2 FORCES FOR CHANGE 3 THE ACADEMIC HEALTH CENTER AS A REFORMER: THE EDUCATION ROLE 4 THE ACADEMIC HEALTH CENTER AS A MODELER: THE PATIENT CARE ROLE 5 THE ACADEMIC HEALTH CENTER AS A TRANSLATOR OF SCIENCE: THE RESEARCH ROLE 6 THE CONSEQUENCES OF CURRENT FINANCING METHODS FOR THE FUTURE ROLES OF AHCS$aCES APPENDIXES 327 $a1 INTRODUCTION. 330 $aAcademic health centers are currently facing enormous changes that will impact their roles in education, research, and patient care. The aging and diversity of the population will create new health care needs and demands, while rapid advances in technology will fundamentally alter the health care systems (TM) capabilities. Pressures on health care costs, growth of the uninsured, and evidence of quality problems in health care will create a challenging environment that demands change. Academic Health Centers explores how AHCs will need to consider how to redirect each of their roles so they are able to meet the burgeoning challenges of health care and improve the health of the people they serve. The methods and approaches used in preparing health professionals, the relationship among the variety of their research programs and the design of clinical care will all need examination if they are to meet the changing demands of the coming decades. Policymakers will need to create incentives to support innovation and change in AHCs. In response, AHCs will need to increase the level of coordination and integration across their roles and the individual organizations that comprise the AHC if they are to successfully undertake the types of changes needed. Academic Health Centers lays out a strategy to start a continuing and long-term process of change. 606 $aAcademic medical centers$zUnited States 606 $aMedical centers$zUnited States 615 0$aAcademic medical centers 615 0$aMedical centers 676 $a362.12 701 $aKohn$b Linda T$01155966 712 02$aInstitute of Medicine (U.S.).$bCommittee on the Roles of Academic Health Centers in the 21st Century. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910965682903321 996 $aAcademic health centers$94366349 997 $aUNINA