Harmonizing the Missions of the Academic Health Center

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1 Harmonizing the Missions of the Academic Health Center Penn State Hershey Medical Center and Health System Harold L. Paz, M.D., M.S. Chief Executive Officer, Penn State Hershey Medical Center and Health System Senior Vice President for Health Affairs, Penn State University Dean, Penn State College of Medicine

2 Penn State Hershey Medical Center Hershey, Pennsylvania

3 Penn State University Vital Statistics 98,000 + students 6,192 full-time, 2,784 part-time faculty - 44,000 total employees $4.3 billion annual operating budget $848.2 million in total research support $535 million (federal) $103.6 million (industry & private) 24 campuses o o o 160+ baccalaureate degree programs 90+ associate degree programs 150+ graduate degree programs Over 750,000 degrees conferred since founding Largest dues paying alumni network worldwide

4 Penn State Hershey Vital Statistics 1,700+ students and trainees Over $81 million in funded research and a Clinical and Translational Science Award (CTSA) 24 departments and 5 major institutes 437-bed University Hospital 114-bed Children s Hospital 74-bed Psychiatric Hospital 98-bed Rehabilitation Hospital o 30,000+ hospital admissions o 950,000+ outpatient clinic visits o 67,000+ emergency room visits 64 outpatient clinic sites 17 affiliated hospitals 10,000 employees 1,100 clinician medical group

5 Penn State Hershey Health System Evangelical Community Hospital Moses Taylor Hospital Wilkes-Barre General Hospital Regional Hospital of Scranton University Park Mount Nittany Medical Center Hershey Endoscopy Center Lebanon VA Hershey Outpatient Surgery Center Pennsylvania Psychiatric Institute Medical Center Good St. Joseph Pinnacle Health Samaritan Medical Center Reading Hospital Holy Spirit Health System Carlisle Regional Medical Center Hanover Hospital Penn State Hershey Rehabilitation Hospital Hershey Heart of Lancaster WellSpan (York Hospital) Horizon Home Infusion Lancaster General Health Lancaster Regional Medical Center Memorial Hospital of York

6 Major New Facilities Penn State Hershey Cancer Institute Penn State Hershey Heart & Vascular Institute East Health Campus 30 Hope Drive Penn State Hershey Rehabilitation Hospital PA Psychiatric Institute

7 Penn State Hershey Children s Hospital

8 Organizational Structure The Pennsylvania State University Penn State Hershey Medical Center Board of Directors CEO/ Sr. VP for Health Affairs/ Dean Graduate School College of Medicine College of Nursing Penn State Hershey Medical Center Penn State Hershey Health System Graduate Programs MS, MPH, PhD Medical Education MD, PA Penn State Hershey Medical Group University Hospital Children s Hospital Horizon Home Infusion Hershey Endoscopy Center Penn State Hershey Rehabilitation Hospital Pennsylvania Psychiatric Institute Hershey Outpatient Surgery Center

9 Four Missions Research Education Patient Care Community Outreach

10 Our Five Strategic Imperatives Achieve the highest level of quality, safety and value Educate and invest in our people for personal and professional success Create an extraordinary patient experience Create innovation through research Develop and differentiate our regional integrated academic healthcare system

11 Harmonizing our Four Missions Research Translational Research Clinical Trials Education Cutting-Edge Academic Programs Next Generation of Health Care State-of-the-Art Patient Care Patient Care Educate and Improve Health Community

12 Growth in Academic Programs Master of Homeland Security (2007) PhD in Integrated Biomedical Sciences (2011) Master of Public Health (2011) Accelerated 2 nd Degree BSN (2011) Physician Assistant Program (2014) LPN to RN Program (2009) Regional Medical Campus University Park (2010) MD/MBA (2012) PhD in Biostatistics (2012) Acute Care Nurse Practitioner (2012)

13 Education Medical Students Nursing Students Physician Assistant Students Public Health Students Graduate Students Interprofessional Education Simulation Training Health Systems Education Educational Pipeline Continuum Community Health Education Global Health

14 Research Funding Penn State Hershey Research ,4 Dollar Value of Awards Received (in millions) 98,5 98,5 98,4 100,2 105,4 106,9 81, Total NIH Research Budget 0 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13 0

15 Research 516 grants $81 million in external research funding 24 departments and 5 institutes Translational research Clinical and Translational Science Institute Institutional partnerships Personalized medicine Center for Integrated Healthcare Delivery Systems Technology transfer and economic growth

16 Growth in Clinical Activity Admissions, Surgeries, and ED Visits Hospital Admissions Surgical Cases ED Visits Outpatient Clinic Visits Outpatient Visits Fiscal Year

17 Patient Care Hospitals Clinics Faculty Practice Preventive / community health Patient-centered medical home (13) Ambulatory care sites (63) Post-acute care Highmark (Blue Cross) partnership Electronic Health Records Telemedicine

18 The Determinants of Health Proportional Contribution to Premature Death Genetic predisposition 30% Social circumstances 15% Health care 10% Environmental exposure 5% Behavioral patterns 40% Source: McGinnis et al, Health Affairs 21(2): 2002; cited in Schroeder, NEJM 357(12): 2007.

19 Community Outreach Lion Care free student-run clinic United Way Civic volunteerism Farmers Market Community Garden PRO Wellness Center Community health education and screenings Partnerships with schools and community groups

20 Penn State Hershey Historical Revenues $1.600 College of Medicine Millions $1.400 $1.200 $1.000 $800 $600 $400 $181 $869 Medical Center $199 $939 $215 $1.024 $225 $1.158 $238 $1.251 $241 $1.353 $200 $0 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013

21 Penn State Hershey Academic Support Payments Millionen $70,0 $60,0 $50,0 $40,0 $30,0 $50,4 $60,7 $56,2 $20,0 $10,0 $29,4 $28,4 $33,5 $0,0 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012 FY 2013

22 Financing our Four Missions Research - $22 M Education - $32 M Patient Care + $56 M Community Outreach - $2 M

23 Philanthropic Support Millions $45 $40 $35 $30 $25 $20 $15 $10 $5 $0 Gifts to Penn State Hershey $40,1 $42,1 $40,7 $33,4 $31,3 $21,9 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013

24 Philanthropy Total FY13 Giving to Penn State Hershey Gifts to Penn State Hershey by Source, FY 2013 $40.7 million from 119,766 donors Increase of $9.4 million and 6,593 donors over FY12 $3.5M $17.7M $7.0M $6.8M $5.7M Alumni Friends Corporations Foundations Organizations

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