Hospital Merger

forces," says William B. Kerr, executive vice president and chief operating officer for the new UCSF Stanford Health Care.

Merging the hospitals and clinics into a precedent-setting, $870 million corporation took two years of painstaking and sometimes acrimonious talks before the Stanford Board of Trustees and the UC Board of Regents reached an agreement last fall. It seemed a bureaucratic miracle when the UCSF Stanford Health Care opened its joint doors on Nov. 1, 1997.

"Can you imagine what we've undertaken?" asks Peter Van Etten, president and chief executive officer for the center. "By combining these two facilities, we are ensuring support for a $250 million research enterprise, one that spawned the biotechnology industry."

The new entity brings together Stanford University Hospital, Lucile Packard Children's Hospital at Stanford, UCSF Medical Center, UCSF/Mount Zion and the clinical practices of the faculties of both medical schools. It is the first merger in the nation of private and public university medical centers. Last year, the two centers admitted a total of 60,000 inpatients, and treated another 980,000 as outpatients. With a combined staff of more than 1,748 full-time faculty involved in patient care, 6,981 community physicians with admitting privileges and 2,608 registered nurses, UCSF Stanford Health Care hopes to maintain the two institutions' reputations as world-class research and treatment centers while pushing for new patients in the Bay Area and beyond.

Yet the union is not total. The two medical schools are not part of the merger. Faculty members, residents and postdoctoral fellows who care for patients and conduct research at UCSF Stanford Health Care will remain employees of their separate medical schools, and officials hope that healthy competition will continue to fuel research and development of new treatments.

"This unprecedented partnership of private and public university medical centers offers long-term potential not just for outstanding patient care, but for joint projects," Stanford University President Gerhard Casper said when he signed the merger accord. "With closer coordination and cooperation in teaching, training and research, we can strengthen even further our ability to move new medical treatments from the laboratory bench to the bedside."

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MARCH/APRIL 1998

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