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Dr. Snyderman saw the need for strategic planning to meet the opportunities and challenges posed by changes in the external environment. This resulted in the first formal planning process by any major entity in Duke University and the development of a Long Range Plan. The Plan included a comprehensive analysis of threats and opportunities in all areas of the medical center, identified investment opportunities, set performance expectations, and developed resource priorities that transcended the interest of any single department or entity within the institution. Dr. Snyderman became increasingly aware that the medical center as a whole lacked a central operational system strong enough to create excellence and ensure future solvency. This required strengthening the management functions of the Chancellor’s office.

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