The Clinical MissionThe Clinical MissionNew Faculty Orientation   New Faculty Orientation   

FY 2012FY 2012FY 2012FY 2012

“ Improve the lives we touch through medical education, innovations, research and quality 

healthcare.”

ObjectivesObjectives

• Educate Educate the next generationthe next generation

•• Advance clinical knowledge Advance clinical knowledge through through research and research and scholarly activityscholarly activity

•• Support Support the the communitycommunity

Clinical GoalsClinical Goals

•• Revenue Generation Revenue Generation (fuels the engine)(fuels the engine)(f g )(f g )

•• Service to our communityService to our community­­safety safety net/city contractnet/city contractnet/city contractnet/city contract

(statutory obligations)(statutory obligations)

•• Teaching/research/scholarly activityTeaching/research/scholarly activity(commitment to medicine)(commitment to medicine)

Funding SourcesFunding Sources

Clinical

Non-clinical

Revenue GenerationRevenue Generation

•• Provide cost effective, quality careProvide cost effective, quality care•• Innovations Innovations •• PayorPayor mixmix•• PayorPayor mixmix•• EMREMR•• VBPVBP

Departments and Clinical Departments and Clinical ServicesServicesServicesServices

AnesthesiologyAnesthesiologyPain ManagementPain Management

Community Health and Family Medicine Community Health and Family Medicine Care Care for acute minor illnessesfor acute minor illnessesContinuityContinuity of care for chronic illnessesof care for chronic illnessesContinuity Continuity of care for chronic illnessesof care for chronic illnessesEndEnd­­ofof­­life life care and palliative medicine for care and palliative medicine for lifelife­­threatening threatening or lifeor life­­limiting illnesseslimiting illnessesGeriatric Geriatric carecareHealth Health promotion/disease preventionpromotion/disease preventionImmunizations Immunizations (adult and pediatric)(adult and pediatric)Minor Minor traumatrauma

EmergencyEmergency MedicineMedicineEmergency Emergency MedicineMedicineCDUCDUChest Pain CenterChest Pain CenterFast TrackFast TrackICUICU EDEDICUICU­­EDEDPediatricsPediatricsTraumaTrauma

MedicineMedicineCardiology Cardiology Endocrinology, Diabetes & Metabolism Endocrinology, Diabetes & Metabolism Gastroenterology Gastroenterology General Internal MedicineGeneral Internal MedicineGeneral Internal Medicine General Internal Medicine Hematology & Medical Oncology Hematology & Medical Oncology Infectious Disease Infectious Disease Nephrology & Hypertension Nephrology & Hypertension Pulmonary, Critical Care & Sleep Medicine Pulmonary, Critical Care & Sleep Medicine Rheumatology & Clinical Immunology Rheumatology & Clinical Immunology 

NeurologyNeurologyEpilepsyEpilepsyEpilepsyEpilepsyMovement Disorders and Parkinson’sMovement Disorders and Parkinson’sMultiple SclerosisMultiple SclerosisNeuromuscular DiseaseNeuromuscular DiseaseNeuropsychologyNeuropsychologySleep DisordersSleep DisordersStrokeStroke

NeurosurgeryNeurosurgeryPediatric NeurosurgeryPediatric NeurosurgeryPediatric NeurosurgeryPediatric Neurosurgery

Obstetrics/GynecologyObstetrics/GynecologyGeneral Obstetrics and GynecologyGeneral Obstetrics and GynecologyGynecologic Gynecologic OncologyOncologyMaternal and Fetal Maternal and Fetal MedicineMedicineUrogynecology Urogynecology and and pelvic reconstructionpelvic reconstruction

OphthalmologyOphthalmologyCornea and External Eye DiseaseCornea and External Eye DiseaseCornea and External Eye DiseaseCornea and External Eye DiseaseGeneral OphthalmologyGeneral OphthalmologyCataractsCataractsOcular Diagnostic ServicesOcular Diagnostic ServicesVision ServicesVision Services

GlaucomaGlaucomaNeuroNeuro­­OphthalmologyOphthalmologyOcular OncologyOcular OncologyOcular OncologyOcular OncologyOculoplastics and OrbitOculoplastics and OrbitRefractive SurgeryRefractive SurgeryRetina and Posterior Segment DiseaseRetina and Posterior Segment DiseaseM l D iM l D iMacular DegenerationMacular DegenerationUveitisUveitis

Oral and Maxillofacial SurgeryOral and Maxillofacial SurgeryOral and Maxillofacial SurgeryOral and Maxillofacial SurgeryMaxillofacial Trauma SurgeryMaxillofacial Trauma SurgeryMaxillofacial Trauma SurgeryMaxillofacial Trauma SurgeryCranioCranio­­Maxillofacial Surgery (Pediatric)Maxillofacial Surgery (Pediatric)Facial Aesthetic SurgeryFacial Aesthetic SurgeryOncology (Head and Neck Cancer)Oncology (Head and Neck Cancer)

Orthopaedic Surgery and RehabilitationOrthopaedic Surgery and RehabilitationAdult ReconstructionAdult ReconstructionHand & Upper ExtremityHand & Upper ExtremityMusculoskeletal OncologyMusculoskeletal OncologyMusculoskeletal OncologyMusculoskeletal OncologyFoot & AnkleFoot & AnkleOrthopaedic Trauma SurgeryOrthopaedic Trauma SurgerySpineSpine

ddSports MedicineSports Medicine

Pathology and Laboratory MedicinePathology and Laboratory MedicineAnatomic PathologyAnatomic PathologyAutopsy ServicesAutopsy ServicesBone and Soft Tissue PathologyBone and Soft Tissue PathologyClinical LaboratoryClinical LaboratoryClinical LaboratoryClinical LaboratoryCytopathologyCytopathologyFlow Cytometry and Flow Cytometry and HematopathologyHematopathologyNeuropathologyNeuropathologyO t h L b t iO t h L b t iOutreach LaboratoriesOutreach LaboratoriesPersonalized Breast Health and Second Opinion ServicesPersonalized Breast Health and Second Opinion ServicesTumor AnalysisTumor Analysis

PediatricsPediatricsAd l M di iAd l M di iAdolescent Medicine Adolescent Medicine Child Protection & Forensic Pediatrics Child Protection & Forensic Pediatrics Community & Societal Pediatrics Community & Societal Pediatrics Jacksonville Health & Transition Services Jacksonville Health & Transition Services JJPediatric Cleft Lip/Palate Pediatric Cleft Lip/Palate Developmental Pediatrics Developmental Pediatrics Center for Autism & Related Disabilities Center for Autism & Related Disabilities Early StepsEarly StepsEarly StepsEarly StepsFlorida Diagnostic & Learning Resources System Florida Diagnostic & Learning Resources System Pediatric Sickle Cell Pediatric Sickle Cell General Academic Pediatrics General Academic Pediatrics Hospital Pediatrics Hospital Pediatrics Neonatology Neonatology Pediatric Cardiology Pediatric Cardiology Pediatric Critical Care MedicinePediatric Critical Care MedicinePediatric Critical Care Medicine Pediatric Critical Care Medicine Pediatric Infectious Diseases & Immunology Pediatric Infectious Diseases & Immunology Center for HIV/AIDS Research, Education & Service Center for HIV/AIDS Research, Education & Service Pediatric Nephrology & Rheumatology Pediatric Nephrology & Rheumatology 

P hi tP hi tPsychiatryPsychiatryChild and Adolescent PsychiatryChild and Adolescent PsychiatryAdult PsychiatryAdult Psychiatry

Radiation OncologyRadiation OncologyRadiation OncologyRadiation OncologyProton Beam TherapyProton Beam Therapy

RadiologyRadiologyAbdominal & General Body ImagingAbdominal & General Body ImagingAbdominal & General Body ImagingAbdominal & General Body ImagingCardiovascular ImagingCardiovascular ImagingNeuroradiologyNeuroradiologyFunctional & Molecular Imaging Functional & Molecular Imaging G l R di lG l R di lGeneral Radiology General Radiology Musculoskeletal Imaging Musculoskeletal Imaging Pediatric Imaging Pediatric Imaging Vascular & Interventional Radiology Vascular & Interventional Radiology gygyWomen's Imaging Women's Imaging 

SurgerySurgeryAc te Care S rgerAc te Care S rgerAcute Care Surgery Acute Care Surgery Cardiothoracic Cardiothoracic Surgery Surgery General General Surgery Surgery Bariatric Bariatric Surgery Surgery g yg yMinimally Minimally Invasive Surgery Invasive Surgery 

Otolaryngology Otolaryngology Pediatric Pediatric Cardiothoracic Surgery Cardiothoracic Surgery PediatricPediatric SurgerySurgeryPediatric Pediatric Surgery Surgery Plastic Plastic & Reconstructive Surgery & Reconstructive Surgery Surgical Surgical Oncology Oncology Breast Breast Surgery Surgery 

Urology Urology Vascular Vascular Surgery Surgery 

Shands HealthCare Shands HealthCare Sh d J k ill M di l C tSh d J k ill M di l C tShands Jacksonville Medical CenterShands Jacksonville Medical CenterMount Sinai Medical Center Mount Sinai Medical Center Orlando Regional Medical CenterOrlando Regional Medical CenterT G l H it lT G l H it lTampa General HospitalTampa General HospitalJackson Health SystemJackson Health SystemAll Children’s HospitalAll Children’s HospitalHalifa Health S stemHalifa Health S stemHalifax Health System Halifax Health System Lee Memorial HospitalLee Memorial HospitalMemorial HealthcareMemorial HealthcareMiami Children’s HospitalMiami Children’s HospitalMiami Children s HospitalMiami Children s HospitalBroward Health SystemBroward Health SystemSarasota MemorialSarasota MemorialSacred Heart Health SystemSacred Heart Health SystemSacred Heart Health SystemSacred Heart Health System

Indigent CareIndigent Care JacksonvilleJacksonvilleIndigent Care Indigent Care Jacksonville Jacksonville All HospitalsAll Hospitals

FY 2009FY 2009FY 2009FY 2009

54%

11% 6%Shands Jax

HCA54%29%HCA

BMC

St. Vincents

l ll l 55Total Faculty:  Total Faculty:   385 FTE385 FTETotal Outpatient visits:Total Outpatient visits: 608,165608,165

On campus: On campus:  (PC + Specialty)(PC + Specialty) 236,157236,157Off campus:  Off campus:   (PC)(PC) 266,748266,748Off campus: Off campus:  (Specialty)(Specialty) 105,254105,254ff pff p ( p y)( p y) ,,

ER visits: ER visits:  (SJ only)(SJ only) 86,31286,312

2%

32%5%12%

2%4%

Medicare

Medicaid

Commercial

9%

Commercial

Self-pay

City Contract

37% Tricare

Workers Comp

Other

Members:Members: 11,000+11,000+

Outpatient visits:  Outpatient visits:   40,000+40,000+Inpatient admissions:  Inpatient admissions:   1,400+1,400+

Total Care ClinicTotal Care Clinic Opened 9/4/12Opened 9/4/12

Q ti ?Q ti ?Questions?Questions?