and the Governor s Office

Transcription

1 Presentation to the Legislative Budget Board and the Governor s Office of fbudget, Planning and dpolicy William L. Henrich, M.D., MACP, President September 27,

2 Mission To serve the needs of the citizens of Texas, the nation, and the world through programs committed to excellence and designed to: educate a diverse student body to become excellent health care providers and scientists engage in biomedical research focused on seeking information fundamental to the prevention, diagnosis and treatment of disease provide compassionate and culturally competent state of the art clinical care enhance community health awareness, education and practices thereby improving the wellness of the citizenry 2

3 Five Schools School of Medicine Dental School School of Nursing Graduate School of Biomedical Sciences School of Health Professions 3

4 Positive Growth in Education Enterprise 3,223 students educated each year 1,094 residents and fellows trained annually 25,856 graduates 95 Distinguished Teaching Professors 5,490 faculty and staff 4

5 Regional Impact 5

6 Joe R. and Teresa Lozano Long (Central) Campus Cancer Therapy and Research Center Campus Medical Arts and Research Center Campus Texas Research Park Campus Greehey (North) Campus 6

7 Campuses in South Texas Regional Campus- Laredo (RCL) Regional Academic Health Center (RAHC)- Harlingen Regional Academic Health Center (RAHC)- Edinburg 7

8 Regional Campus in Laredo Physician assistant studies Dietetics and nutrition 2 Dental student rotations 5 Dental residencies MedEd program for middle, high school and college students Dental School Early Admissions Program (DEAP) South Texas Environmental Education Research (STEER) 8

9 Growth of Regional Academic Health Center (RAHC) Harlingen and Edinburg Campuses Harlingen 120 paid faculty 193 volunteer faculty 131 students annually 16 current residents 120 new residency slot commitments 895 students trained since residents trained since % pass rate on internal medicine residency board exams 12 labs 37 faculty/staff 5 post-doc fellows Located on campus of UT Pan Am Edinburg 9

10 Clinical Enterprise MARC Opened Fall ,167 patients seen Full complement of specialty areas Ambulatory surgery center CTRC 1 of 4 NCI-designated centers in Texas $28.9 m cancer-related grant funding $119 6 l t d $119.6 m annual uncompensated care: 1/3 of Bexar County s uninsured/underinsured 10

11 University Health System Extensive Regional Hospital/Clinical Partnerships South Texas Veterans Health Care System Methodist Healthcare System Baptist Health System CHRISTUS Santa Rosa Health Care System Valley Baptist Health System Doctor s Hospital Laredo Gateway Community Health Center Su Clinica Familiar Doctor s Hospital 11 at Renaissance

12 Robust Research Enterprise $259 m research and other sponsored program activity in 2009, resulting in a $491 m economic impact in Bexar County alone. South Texas Research Facility $60 m TRB $40 m PUF $50 m Philanthropic Gifts $150 m Total Facility Cost 190,000 sq ft; completion Fall 2011 Five main thematic areas: Adult cancer, Neuroscience, Diabetes and Metabolic Biology, Regenerative Medicine and Center for Healthy Aging Projected new researchers 12 and 180 new full time employees

13 Growth in Research Enterprise Research Enterprise, continued Funding: $6 m PUF $2.4 m Grants $10.8 m Gifts $19.2 m Total Construction Cost Barshop Institute 90% NIH grant supported Only 8% university supported The Sam and Ann Barshop Institute for Longevity and Aging Studies #1 in NIA funding for basic 90% biology NIH grant of aging supported studies Only 8% university it supported #1 in Rapamycin NIA funding life for extension basic biology discovery of aging studies Rapamycin life-extension discovery 13

14 UT Exceptional Health Science Item Funding Center s Priorities Funding Priorities 82 nd Texas 82 nd Texas Legislature Legislature 1. San Antonio Life Sciences Institute Current Enhanced $5 mtotal (SALSI) (All of current funding is ARRA) 2. Regional Campus in Laredo (RCL) $8 m 3. Regional Academic Health Center ($6.5 (RAHC) m of current funding is ARRA) $38.6 m 4. TRB Academic Learning and ($55 m bonding authority request) Teaching Center $55 m 5. TRB Diabetes Institute of South ($6 m bonding authority request) Texas $6 m 6. Barshop Institute for Longevity and Aging Studies $4 m 1 San Antonio Life Sciences Institute (SALSI) $4 m $1 m $5 m 2 Regional Campus in Laredo (RCL) $10.1 m $8 m $18.1 m 3 Regional Academic Health Center (RAHC) $30.6 m $30.9 m $61.5 m 4 TRB Academic Learning and Teaching Center $0 $9.6 6m $9.6 6m 5 TRB Diabetes Institute of South Texas $0 $1.1 m $1.1 m 6 Barshop Institute for Longevity & Aging Studies $0 $4 m $4 m TOTAL $44.7 m $54.6 m* $99.3 m * - Does not include sustainment of $11.7 m of ARRA or 5% Budget Reductions 14

15 San Antonio Life Sciences Institute (SALSI) $5 m $4 m current funding level 100% ARRA, Appropriated through h Article XII $4 m to sustain current programs, $1 m to grow programs 171.8% ROI of funding for investigators Collaboration between UTSA and the Health Science Center: 7 joint education programs initiated (including biomedical engineering, applied statistics, communication disorders) 120 joint research publications Stimulation of the biomedical and biotechnology industries in San Antonio and South Texas Fostering commercialization of intellectual property 15

16 Regional Campus in Laredo (RCL) $8 m $10.1 m current GR funding level Requested at 95% ($9.6 m) for FY $8 m to grow programs $5.4 m for dental education services $2.1 m for health professions degree programs $500 k to jump start operations of the Diabetes Institute Meet the needs of a dental health professional shortage and a medically underserved d area through: h Enhanced health professional training and educational programs, specifically: dental, physician assistant studies, dietetics and nutrition Collaboration with Texas A&M International ti on the Physician i Assistant t Studies program (six year collaborative degree) TAMIU Bachelor of Science degree and a Health Science Center Master of Physician Assistant (MPA) Seven students currently enrolled in Laredo (30 accepted per year) 16

17 Regional Academic Health Center (RAHC) $386m $38.6 $61.5 m total cost of RAHC Expansion Plan $30.6 m current GR funding level $22.9 m (95%) base line request for FY $6.5 m sustain ARRA $1.2 m restore 5% Budget Reduction $30.9 m new funding to address Expansion Plan Expand undergraduate ($16.4 m) and graduate medical education ($2 m) and research ($12.5 m) Recruit basic science and clinical faculty Build infrastructure to support medical education in both San Antonio and the Rio Grande Valley 17

18 TRB for Academic Learning and Teaching Center $9.6 m New Bonding Authority Request of $55 m $9.6 m Debt Service Requirement Construct a 125,000 sq ft building at Health Science Center main campus in San Antonio for teaching and learning space to address enrollment growth in all schools, particularly among medical and nursing schools Accommodate the need for increasing the number of medical students for RAHC expansion Citi Critical piece of frahce Expansion Plan 50 new medical students per year, 30 to RAHC Complements residency expansions in South Texas to 120 Will address health care workforce shortage 18

19 TRB for Diabetes Institute of South Texas $1.1 1 m New Bonding Authority Request of $6 m $1.1 m Debt Service Requirement Construct 15,000 sq ft building on Regional Campus in Laredo Provide diabetes and nutrition education to diabetes-prevalent area 19

20 Barshop Institute for Longevity and Aging Studies $4 m No current General Revenue funding Recruit outstanding faculty in basic biomedical research and clinical care; train physicians in geriatric medicine Search for therapeutic/drug targets to improve quality of life Support core research laboratories Leverage state funds with community support 20

21 Exceptional Item Funding Priorities 82 nd Texas Legislature TOTAL 1 San Antonio Life Sciences Institute (SALSI) $ 5.0 m ($4 m to replace ARRA) 2 Regional Campus in Laredo (RCL) $ 8.0 m 3 Regional Academic Health Center (RAHC) $38.6 m ($6.5 m to replace ARRA) 4 TRB Academic Learning and Teaching Center $ 9.6 m ($55 m bonding authority request) 5 TRB Diabetes Institute of South Texas $ 1.11 m ($6 m bonding authority request) 6 Barshop Institute for Longevity & Aging Studies $ 4.0 m TOTAL $66.3 m 21

22 Budget Reductions (Formula and Non-formula) FY % reduction $ m biennial FY % reduction $15.2 m biennial -or- FY % reduction $30.4 m bienniali Total of 15% Reduction $45.9 m biennial 22

23 Effect of Reductions Significant reductions to faculty and staff Closure of academic programs Reduction in student enrollments Hamper our ability to educate health care providers for future of Texas Compromise competitiveness for extramural funding Loss of clinical and sponsored research revenues Decline in clinical care to medically underserved Added difficultly recruiting and retaining faculty and staff 23

24 Formula Funding Priorities Fund formulas at levels recommended by THECB Restore funding to formula levels Replace ARRA formula GR in $8.7 m Supports Undergraduate Medical (UME - $6.4 m) and Graduate Medical Education (GME - $2.3 m) Strategies Replace Article XII ARRA with GR in for existing Special Items $4 m for SALSI $6.5 m for RAHC Total ARRA sustainment is $19.2 m 24