University of California, San Diego

August 6, 1999
SUBJECT: UCSD Healthcare Organizational Changes
As I begin in the position of Interim Vice Chancellor for Health Sciences and Dean of the School of Medicine, I want to share with you some of my initial thoughts about our institution, its many strengths and its promise, and also let you know about some of the changes that I am implementing in our organization.
In only a few decades, we have achieved preeminence as a center for innovative research, advanced care and medical education. Our accomplishments to date are quite remarkable, and underscore the importance of building bridges between disciplines and working collaboratively as a community of common interests to advance all of our missions. This is the spirit that has positioned us as one of the nation's top 25 medical schools, despite our youth, and this will be the theme I will promote during my tenure in this office.
An important and immediate priority, with our strategic plan as a guide, is to improve UCSD's clinical delivery system and take the steps necessary to achieve excellence in our clinical mission on par with our world-class research and teaching programs, for the benefit of our institution as a whole. I am committed to working with our faculty leadership and administrative team to continue our momentum on this front. I believe strongly that our success depends upon collaboration and communication, so I would like to share with you some initial decisions I have made about the organization and structure of the UCSD Healthcare administration. These changes are being made to simplify the reporting structure, give our physician leadership a stronger role as part of the executive team, and position us to move forward with a number of important initiatives. Beginning August 1, the three senior UCSD Healthcare officials reporting directly to me as Vice Chancellor are Sumiyo Kastelic, the Director of Hospitals and Clinics; Jan Radke, M.D., the new Chief Medical Officer for UCSD Healthcare, and David Sakai, Chief Financial Officer, who will continue to report directly to the Vice Chancellor as before. In addition, the UCSD Medical Group, through its chair, David Hoyt, M.D., will report directly to me.
As part of this restructuring, the Chief Executive Officer position for UCSD Healthcare will be eliminated. I make this decision with appreciation for the contributions of Kent B. Sherwood, who has served since 1997 as CEO, entering the position at a challenging time for UCSD's medical centers and health system. We are grateful to Mr. Sherwood for his leadership. Our organization today is strong financially, and he was instrumental in the recruitment of several key leaders who have helped us achieve better coordination of our hospitals, medical group and business activities. With gratitude for the important role he has played at this pivotal time in our evolution, I wish him success in his future endeavors. I look forward to working with you during this interim period to advance our institution. Our strength is in the synergy we achieve when our missions are well integrated and when we function as a united community, with each of us as working toward common goals. The decisions we make together will enhance and secure our important role as a vital contributor to the health of our region and beyond.
David N. Bailey, M.D.
Interim Vice Chancellor-Health Sciences
Dean, School of Medicine