PT - JOURNAL ARTICLE AU - Peter Noble AU - Fiona O'Neill AU - Andrew Kirk AU - Edward Hillhouse TI - Academic health centres: managing the transition from good to great AID - 10.7861/clinmedicine.10-1-16 DP - 2010 Feb 01 TA - Clinical Medicine PG - 16--19 VI - 10 IP - 1 4099 - http://www.rcpjournals.org/content/10/1/16.short 4100 - http://www.rcpjournals.org/content/10/1/16.full SO - Clin Med2010 Feb 01; 10 AB - Academic health centres (AHCs) bring significant economic and health benefits to a community. This study focuses on four integrated AHCs in the USA. They are described as the ‘traditional great’ or ‘transformational great’, where a number of common characteristics have been identified on how these organisations have demonstrated superior performance over time. The conceptual framework of ‘good to great’ provides a structure to explore key factors that support enhanced performance.