Harmonizing the Missions of the Academic Health Center



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Transcription:

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

Penn State Hershey Medical Center Hershey, Pennsylvania

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

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

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

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

Penn State Hershey Children s Hospital

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

Four Missions Research Education Patient Care Community Outreach

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

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

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) 2006 2007 2008 2009 2010 2011 2012 2013 2014 LPN to RN Program (2009) Regional Medical Campus University Park (2010) MD/MBA (2012) PhD in Biostatistics (2012) Acute Care Nurse Practitioner (2012)

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

Research Funding Penn State Hershey Research 120 100 80 60 40 20 95,4 Dollar Value of Awards Received (in millions) 98,5 98,5 98,4 100,2 105,4 106,9 81,6 30.000 25.000 20.000 15.000 10.000 5.000 Total NIH Research Budget 0 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13 0

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

Growth in Clinical Activity Admissions, Surgeries, and ED Visits 70.000 65.000 60.000 55.000 50.000 45.000 40.000 35.000 30.000 25.000 Hospital Admissions Surgical Cases ED Visits Outpatient Clinic Visits 1.000.000 950.000 900.000 850.000 800.000 750.000 Outpatient Visits 20.000 2006 2007 2008 2009 2010 2011 2012 2013 700.000 Fiscal Year

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

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.

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

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

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

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

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

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

Questions