State of the College Address September 9, 2013 Etta D. Pisano, MD Vice President for Medical Affairs Dean, College of Medicine.

State of the College Address

September 9, 2013

Etta D. Pisano, MDVice President for Medical Affairs

Dean, College of Medicine

Annual Report• MUSC Health/Medical Affairs• Education• Research• Other Progress

Strategic Plan ~ Mission 20152015

Vision: MUSC will be nationally recognized as a premier academic medical center

Intent: Top 25 among academic medical centers for reputation, quality, service, efficiency and financial performance by 2015

MUSC Health/Medical Affairs

STRATEGIC INTENT:

Top 25 among academic medical centers for reputation, quality, service, efficiency and financial

performance by 2015.• UHC Quality and Accountability Study

• US News & World Report

MUSC Health/Medical Affairs

Clinical Affairs - Accomplishments

• Nationally Ranked Specialties• Ear, Nose & Throat• Nephrology• Rheumatology• Pediatrics: Cardiology & Heart Surgery• Pediatrics: Gastroenterology• Pediatrics: Nephrology

Clinical Affairs - Accomplishments• High Performers

• Cancer• Cardiology & Heart Surgery• Diabetes & Endocrinology• Gastroenterology• Geriatrics• Gynecology• Neurology & Neurosurgery• Orthopaedics• Pulmonology• Urology

South Carolina Rankings

Hospital SC Ranking # Nationally Ranked Specialties

# High Performers

MUSC #1 6 10

Greenville #2 0 10

Spartanburg #2 0 10

Roper #4 0 8

AnMed #5 0 8

Bon Secours St. Francis #6 0 4

McLeod Health #7 0 2

Mary Black Memorial Hospital

#8 0 1

Clinical Affairs - Accomplishments

Clinical Affairs - Accomplishments

Dr. Jonathan Edwards

Dr. Alex Vandergrift

Clinical Affairs - Accomplishments

• Georgetown Health System– External legal counsel engaged; drafting

partnership agreement– Draft Joint Operating structure completed– Site visit for MUSC faculty; LINAC and Waccamaw

Hospital Tues., Aug. 6th

Clinical Affairs – Progress in Affiliations

• Surgical Care Affiliates (SCA)– MUSC legal team finalized Co-Development

Agreement– Co-Development Agreement signed by all entities– Ambulatory surgery center selected– External legal counsel engaged; drafting Joint Venture

documents

Clinical Affairs – Progress in Affiliations

Clinical Affairs – Progress in Affiliations

• Onsite visits by Drs. Pisano, Cawley and Feussner

• Met with C-Suite members & selected Board members

• Preliminary discussion of joint mission and driving strategies

• External consultant engaged (The Beckham Company)

• Negotiating with BMH on consulting contract

Dr. Jack Feussner

Dr. Pat Cawley

• FY 13 Goal: 2% • Q 1 & Q2 Results: 4%

2012 2013 Growth 2012 2013 Growth 2012 2013 GrowthOutpt/Office 51,909 55,213 6% 434,686 452,256 4% 486,595 507,469 4%

Campus 31,075 30,936 0% 286,670 294,196 3% 317,745 325,132 2%Outreach 18,490 20,226 9% 118,241 121,502 3% 136,731 141,728 4%

Carolina Family Care 2,344 4,051 73% 29,775 36,558 23% 32,119 40,609 26%

New Visits Established Visits Total Visits

Clinical Affairs - GrowthFY 13 Visit Counts by Place of Service Q1 & Q2

MUSC Marketing Department Data

Clinical Affairs – Access Wins!

“Just say, ‘Yes’!”Peter Zwerner, MD

• Department of Neurology – Opened new patient ACCESS Clinics.– Decrease in New Patient Appointment Lag by 42%.– Added an additional 576 new patient appointments.

• The Division of Cardiology – Plans to expanded clinical capacity by standardizing. – The division added 2.0 FTE of clinical activity

(without hiring any additional faculty).– Added an additional 1800 new patient

appointments.

Education – Accomplishments• Achieved Liaison Committee on Medical

Education (LCME) reaccreditation.• Strengths-

– Curriculum.– Career and advising system.– Research opportunities for students.– Diversity.

Dr. Deborah Deas

Education – Accomplishments• LCME reaccreditation - things to work on-

– Indebtedness of our students.– Debt counseling for our students.

Education – Accomplishments• U.S. News and World Report top 10 most

popular medical schools.• 3,558 total applicants

– 6% of applicants were offered admission– Of those offered admission, 78% accepted– Average GPA of admitted class – 3.7– Average MCAT of admitted class – 29– 40% female, 60% male, 17% underrepresented

in medicine students

Education – Accomplishments• We improved our Step 1 Board Prep

Program over the past year.• Our USMLE Step 1 first-time pass rate

increased from 91% to 93%, with a second attempt pass rate of 100%.

• Our USMLE Step 2CK pass rate increased from 96% to 99%, and we maintained a USMLE Step 2CS pass rate of 96%.

Education – Accomplishments• Match Assistance Program – 98% of students

matched initially, with 100% of our students eventually matching.

• Of the 157 students who matched, 42 (27%) are staying in S.C. for their residency training.

Education – Accomplishments• Our Student Satisfaction Survey reveals that

our students are highly satisfied with their education-– 94% of students responding believe they have

received a high quality education at MUSC;– 94% believe they made the right choice in

selecting MUSC for their training; and– 93% indicate they would recommend MUSC to a

prospective student.

Education – Accomplishments• The Academy of Medical Educators

(established in June 2012)-– 25 faculty members have joined to date

Dr. Leonie Gordon Dr. Paul McDermott Dr. Debra Hazen-Martin

Education – Ongoing Efforts • Potential secondary medical education

campuses under development/consideration.

Research – Accomplishments

• Department of Public Health Sciences.• Center for Genomic Medicine.• Infrastructure Committee.• Biorepository Committee.• Enhanced support for SCTR.

Dr. Craig Crosson

Research - Accomplishments

• Bridge funding program– 17 faculty funded for a total investment

of $840,000.– Those 17 faculty have since received

over $10 million in extramural funding.

• Top 50 in NIH rankings for medical schools.

Research – Ongoing Efforts• A Clinical Research Task Force was

convened this spring to improve our competitiveness and efficiency and promote best practices in conducting clinical trials.

• Initial areas being targeted for review and improvement include developing systems to improve financial monitoring of trials, staff training, IRB, and space utilization.

Dr. Kathleen Brady

Dr. Patrick Flume

Research – Ongoing Efforts

• NCI renewal for Hollings Cancer Center – renewal application was submitted in May, and site visit takes place September 24.

Dr. Andrew Kraft

Leadership Recruitments

Dr. Don Rockey, Chair of Medicine

Leadership Recruitments

Dr. Vincent Pellegrini, Chair of Orthopaedics

Leadership Recruitments

Dr. Donna Johnson, Chair of Obstetrics and Gynecology

Leadership Recruitments

Dr. Bruce Ovbiagele, Co-Chair of Neurosciences (Neurology)

Leadership Recruitments

Dr. Philip Howe, Chair of Biochemistry and Molecular Biology

Leadership Recruitments

Dr. Yuko Palesch, Interim Chair, Department of Public Health Sciences

Leadership Recruitments

Dr. Steven Ethier, Interim Director, Center for Genomic Medicine

Ongoing Recruitment Efforts

• Chair, Department of Family Medicine• Chair, Department of Pathology• Chair, Department of Public Health Sciences• Chair, Department of Regenerative Medicine

Administrative Accomplishments

• Continued implementation of University-wide Funds Flow Process.

• Continued implementation of Basic Science Department funding model.

Administrative Accomplishments• Implementation of new Clinical Faculty

Compensation Framework.– Tracks productivity.– Balancing all missions.– Transparent, fair, unified.– Adapts to new delivery metrics (quality and

safety).– Flexible depending on clinical service needs.– Shadow system through implementation in July

2014.

Administrative Accomplishments• Continued assessment and improved utilization of

space assigned to the college.– COM is currently subsidizing the cost of academic,

research and office space by ~ $11 million/year.– COM has set a goal of reducing unfunded space cost by at

least 25% over the next two years.– COM has established departmental benchmarks for

average IDC rates for grant funding, effective July 1, 2013.• Continued implementation of Faculty Affairs

Roundtables and COM Leadership School.

Questions?