Chancellor Victor J. Dzau’s vision drives Duke Medicine. Here’s where he’s leading us.

Creating a Patient-centered System

One of Dzau's chief priorities as chancellor has been to better integrate the various components of Duke Medicine. “What I’d like to do is create a common vision and shared goals among all the components -- the School of Medicine, School of Nursing, health system, physician practice, and so forth -- to help them come together and see themselves as one," he said near the beginning of his chancellorship.

To that end, he engaged the entire institution in a strategic planning process which culminated with the adoption of a new mission, vision, and strategic plan for all of Duke Medicine in 2006.

“Together, we are creating a patient-centered system that delivers the right care at the right time in the right place," Dzau says. "We’re working to ensure the same high standards throughout the health system, focusing on areas from patient safety to information technology.”

At the same time, Duke will continue working to produce health care providers well-prepared to meet the challenges of the future and to provide cutting-edge health care that is “fueled by innovation,” as Dzau puts it. For this reason, a key component of the strategic plan is increased investment in translational research.

“We must capitalize on Duke’s inherent ability to think up new ideas and translate them into treatments and services that will improve people’s lives.”

Global Impact

While driving the evolution of Duke’s health enterprise, Dzau also helped launch a university-wide initiative to reduce inequalities in health care across the globe.

"Addressing health disparities is one of the defining issues of our time," Dzau says. "How can you have a country with such enormous wealth, such amazing technologies and medicines, and yet have so many people who don't have access to it? If you translate it to the rest of the world, the discrepancy becomes even more apparent.

"We have people across Duke who are already doing wonderful work to address disparities globally and locally. We have a health system, we have a medical school, we have resources, we have young people who are passionate and compassionate -- we ought to bring this all together and think about ways in which we can make a difference."

Health of the Community

The Raleigh/Durham/Chapel Hill area of North Carolina is a key focus of Duke’s health improvement initiative.

“We are committed to bringing better health to Durham and the Triangle,” Dzau says.

The medical center already operates a wide range of community outreach programs, he points out. “For example, we have a task force looking at mental health. We have set up health clinics in schools and community centers. But we can do more.

“We need to listen to the communities to find out what they need, and work with the city and county governments to provide for our citizens.”

Values Behind the Vision

As Dzau works to realize these goals, he believes it is important to make plain the values by which he will direct the future course of medicine at Duke.

"We do run a business," he says. "We don't have infinite resources, and we need to be efficient and look at the bottom line. But our decisions can't be driven by the bottom line itself. That's why we need to keep reminding ourselves why we're here -- which is the fundamental reason we went into medicine, to do the right thing for our patients.

"Health care may be a business, but it's a compassionate business."