At the same time, the scope and scope of funding agreements between university medical schools and their associated hospitals and health systems continue to increase. As a percentage of total sales, medical school funding more than doubled from 7 percent in 1981 to 18 percent in 2017. (a) In addition to the important advisory role of the members` commission, many organizations are taking steps to create reasonable opportunities to participate in their respective governance structures, usually by appointing seats on the boards of directors and/or boards of directors of the other (for example. B of a university`s public health committee). The number of seats is, to a large extent, determined by the existing structure of the board of directors or committee, including legal or regulatory considerations (for example. B in cases where the board members are political members), but the overall degree of influence should be the same for both parties and correspond to the extent of membership and the character of the overall partnership. In all cases, the intent of this cross-representation is to ensure that the impact on the AMC partnership is taken into account in decision-making at the highest levels of both organizations. Membership agreements should be designed to promote strategic and financial direction between organizations in the areas of mission, while recognizing that individual and reciprocal objectives will develop over time. A highly functional membership committee, made up of executive management from each organization, is essential to deal with these changes. Joint planning and development parameters should be a central element of any important membership agreement, including clearly defined exclusivity conditions. Mutual exclusivity between two parties allows for maximum cooperation, transparency and joint decision-making. However, this is not possible immediately for many member STATES (for example.
B for universities that depend on multiple partners in the health system to train medical students and residents, or geographically distributed health systems, with important relationships with private medical diseases in certain markets). In these cases, the parties may opt for the grandfather in existing relationships and/or limit exclusivity to certain departments/programs or within certain geographical boundaries (for example. B the health system is an exclusive academic partner and a place of training in a pre-defined service area).