The Future is Now - University of Colorado Denve€¢Whether or not the “fiscal cliff” is avoided, ... federal budget cuts are inevitable that will stress our ability to meet our

www.medschool.ucdenver.edu

State of the School

University of Colorado School of Medicine December 12, 2012

The Future is Now 12/12/12

Richard D. Krugman, MD

Dean, School of Medicine

Vice Chancellor for Health Affairs


Deceased Faculty 2011-2012

George Eisenbarth, MD,PhD

Executive Director

Barbara Davis Diabetes Center

Ben Eiseman, MD

Professor Emeritus

Department of Surgery

John Ford, III, MD

Associate Clinical Professor

Department of Family Medicine

Frank Frerman, PhD

Professor, Pediatrics and Cell

& Developmental Biology

Professor, School of Pharmacy

Lloyd M. Kozloff, PhD

Department Chair of

Microbiology

William McCaw, MD

Associate Clinical Professor

Department of Psychiatry

JoAnne Mizner, MD

Clinical Instructor


John Sbarbaro, MD, MPH

Professor, Department of

Medicine

Medical Director, University

Physicians, Inc.

James Sewell, MD

Senior Instructor


John M. Stewart, PhD

Professor, Biochemistry and

Molecular Genetics

In 2011-2012 we said goodbye to some dear friends and colleagues.


Retired Faculty 2011-2012

Roger A. Mattison, MD

Anesthesiology

Michael Bertz, DDS

Anesthesiology

Frederick J. Larke, MS, DABR

Radiology

Marvin Pomerantz, MD

Surgery

Philippe A. Walravens, MD

Barbara Davis Center

Robert W. Schrier, MD

Medicine - Renal Diseases &

Hypertension

James M. Falko, MD

Medicine – Endocrinology,

Metabolism and Diabetes


AWARDS

• MacArthur Foundation “Genius” Award – Eric Coleman, MD

“Care Transitions Interventions”

• Academy of Arts and Sciences – Mark Johnston, PhD

• National Academy of Sciences – Kurt Beam, PhD.


AWARDS

• Presentation of Joseph Addison Sewell Award

– Richard B. Johnston Jr, MD


School of Medicine

Sources of Revenue 1982 – 2012


School of Medicine

Academic Enrichment Funds


CU Foundation School of Medicine

FY 2013

FY 2012

FY 2011

$ 30,447,469 to date

$ 34,847,456

$ 35,388,592

FY 2010 $ 32,474,787

FY 2009 $ 26,515,097

FY 2008 $ 20,807,034

FY 2007 $ 49,872,618

FY 2006 $ 18,904,770

FY 2005 $ 17,506,961


Personnel Highlights of the Last Year

• New Chair Appointments

Richard D. Zane, MD

Chair, Department of Emergency Medicine

Richard Schulick, MD, MBA, FACS Chair, Department of Surgery


School of Medicine

Research Funding FY 12

UCD Grants and Contracts - $429 million

• Downtown Campus $22.3 million

• AMC Campus $407 million of which……

SCHOOL OF MEDICINE $332.8 M 102% of previous FY


AEF SIRC Funding Results

2006 - 2012

SIRC: Strategic Infrastructure for Research Committee

51 AEF awards to date

$10.2M investment

6 Additional 2-5 year AEF awards from the 2009 Research retreat

$7.3M investment


AEF Bridge Funding Results

2006 – 2012

Bridge Funding $4.63 M to 79 faculty in 95

awards thru April 2012:

71 faculty received $3.88 million thru November

2011. 49 of the 71 (69%) have received

$43.7 million in new total research funding a

>10-fold return

41 faculty received 81 major grants >$100,000

(32 RO1 and 10 R21)


University Physicians, Inc.

• Clinical revenue remains strong

– 12% revenue growth; 4% volume growth (wRVU’s)

• Market growth in partnership with UC Health

– Lone Tree facility

• Lone Tree Health Center – opened 12-4/12

• Lone Tree Surgical Center – opens midwinter

– Boulder facility – Fall 2014


Preparing for New Models of

Care Delivery and Reimbursement

• King Soopers/Little Clinic/Affiliation

– Medicine, Nursing, Pharmacy

• Accepted for CMS Bundled Payment Project

with UCH – congestive heart failure

• Participating in RCCO (Regional Care

Collaboration Organization)

• Medicaid Accountable Care Organization


Learn More…

UPI Annual Meeting

Tuesday, January 29, 2013

Reception 5:00

Meeting 6:00

Trivisible Room, RC-2


Strategic Planning

What I asked last year…….

• Given our current faculty, facilities, revenues and affiliations, are we organized in a way to assure that we can be as great as we want to be in all our missions – teaching, clinical practice, research and community engagement?


Strategic Planning Process Overview

The planning process extends in two phases from June 2012 to June 2013


Community Task Force

Work Group Co-Chairs

Frank deGruy, MD - Chair

• Mark Deutchman, MD

• Marc Ringel, MD

• Jack Westfall, MD

Statewide

• Robert McGranaghan, MPH

• Gary Melton, PhD

• Mark Earnest, MD

Local

• Ben Honigman, MD

Workforce


Community Engagement:

Top Issues

• Work with our community partners and to learn

their health and healthcare needs.

• Develop a structure and resources for an

enduring local neighborhood health partnership.

• Integrate community initiatives into all other

SOM missions.

• Coordinate these activities with other schools on

campus and Chancellor’s Office.


Education Task Force


Celia Kaye, MD, PhD

Carol Rumack, MD

Stephen Wolf, MD

• Lindsey Lane, BM, BCh

• Amy Collins Davis

Business Issues

• Eva Aagaard, MD

• Matthew Leroue

Learner Life

• Jennifer Soep, MD

• Matthew Rustici, MD

Curricular Design

• Mark Earnest, MD

• Andy Bradford, PhD

Organizational Strategy

• Jonathan Bowser, MS PA-C

• Jeffrey Glasheen, MD

• Tai Lockspeiser, MD

Educational Innovations

• David Gaspar, MD

• Andy Brandenburg, MD

Regional Programs & Workforce

• Robin Michaels, PhD

• Margaret Schenkman, PhD

Teachers


Suggested Strategies for

Educational Excellence

• Align educational programs in the SOM

and University at large

• Align educational programs with evolving

clinical priorities (e.g. quality improvement)

• Explore opportunities for further innovation

(on-line learning, simulation, wellness

programs)


Research Task Force


E. Chester Ridgway, MD – Chair

Heide Ford, PhD – Co-Chair

Wendy Macklin, PhD – Co-Chair

• David Schwartz, MD

Bioinformatics/Personalized

Medicine

• Jane Reusch, MD

Career Development

• Andrew Thorburn, PhD

• Heide Ford, PhD

Cancer

• Mark Geraci, MD

• Peter Buttrick, MD

• Kurt Stenmark, MD

Cardiology/Pulmonary

• Fred Suchy, MD

Child Health

• Mark Johnston, PhD

Emerging Science

• Laura Simon, MD

• Ron Sokol, MD

Funding Strategies

• David West, PhD

• Allison Kempe, MD

Health Care Delivery Science

• Sean Colgan, PhD

Immunology

• Maggie Wierman, MD

• Mark Geraci, MD

Infrastructure

• James Hill, PhD

• Marian Rewers, MD, PhD

Metabolism/Obesity/Wellness • Wendy Macklin, PhD

Neuroscience

• Judy Regensteiner, PhD

Women’s Health


Research Task Force Themes

• Re-engineer G&C and COMIRB to quality of a

Top Ten Research Institution

• Focus on interdisciplinary TEAM SCIENCE and

INNOVATION– consider reorganization of units

to accelerate collaboration (e.g. Cancer Biology

Department or Neuroscience Institute).

• Support the BEST SCIENCE, not all science –

strategic identification of areas with most

potential


Research Task Force Themes

• Develop system-wide BIOINFORMATICS, DATA

WAREHOUSING and PERSONALIZED MEDICINE

• Consolidate all HEALTH CARE DELIVERY SCIENCE

researchers to optimize collaboration

• Diversify base funding sources including aggressive

PHILANTHROPY, TECH TRANSFER, and SUSTAINED

HOSPITAL SUPPORT

• Create a MENTORING PROGRAM that ensures

success of all our students, residents and faculty


Clinical Task Force


M. Douglas Jones, Jr., MD – Co-Chair

Evalina Burger, MD – Co-Chair

Adel Younoszai, MD – Co-Chair

• Adel Younoszai, MD

• Gerald “Chip” Dodd, MD

Finance

• Colleen Conry, MD

• Richard Schulick, MD

Practice Model

• Evalina Burger, MD

• Richard Zane, MD

Quality

• Dennis Matthews, MD

• Jean Kutner, MD

Relationships


Clinical Case for Change

• A successful clinical enterprise is fundamental to

all School of Medicine missions.

• Clinical governance, funds flow and operations

must evolve to adapt to a healthcare market

moving away from fee-for-service

reimbursement to bundled reimbursement based

on shared outcomes.


Clinical Guiding Principles

• Practice governance that fosters integration of

clinical care across departments and with our

hospital partners

• Shared discipline of quality, safety and process

improvement enabled by shared governance

and resources and by shared data collection,

management and analysis.


Strategic Planning Process Overview

The planning process extends in two phases from June 2012 to June 2013


Some Interesting Ideas to Explore

• Can we create an endowment to allow our students to attend school at no or radically less tuition?

– Michigan has started this and is 25% there…

• Can we amass the resources to assure that every graduate student and PhD have the support they need to succeed?

• Can we have a clinical incentive plan that rewards quality, safety and academic success in addition to patient revenue?


“Opportunity is missed by some people

because it is dressed in overalls and

looks like work.”

Thomas Edison


Challenges: Cliffs, Curbs, Congress

• Whether or not the “fiscal cliff” is avoided, significant federal budget cuts are inevitable that will stress our ability to meet our missions.

– No resolution: NIH takes a big hit 8.2%

– Resolution: Medicare cut 2%

• IME, GME and Clinical reimbursement are in jeopardy as well

– State funding continuing uncertainty

– Maintaining >8% growth in clinical revenue to support everything else here, and that will not be easy.


Diversity

• SOM Admissions Office and SOM Office of Diversity and Inclusion have succeeded in increasing diversity in our medical school (with the assistance of President Benson):

39% of Class of 2016 underrepresented in medicine; 57% meet our definition of diversity

Resident URM:

• Pediatrics 13% last two years

• Medicine 10% last year


Professionalism and Respect

• We have a national reputation for collegiality and

collaboration in our professional endeavors – but

we still have work to do.

• The Council of Deans of the AAMC has taken on

the challenge of addressing the issue of Learner

mistreatment.

• We need to continue to promote professionalism

and respect in all our environments.

What I heard today at lunch


“Respect is a close relative of tolerance, and both go a long way to prevent and alleviate the negative interactions between and among people.” Joseph M. Marshall III, The Lakota Way: Stories and Lessons for Living

http://www.goodreads.com/author/show/18230.Joseph_M_Marshall_III



http://www.goodreads.com/work/quotes/296508

http://www.goodreads.com/work/quotes/296508


Thank You (not the last slide)

• To the hundreds of people who have participated in the Strategic Planning

so far!!! We know this additional expenditure of time does not come easily

for any of you!

• Senior Associate Deans, Associate, Assistant Deans and Dean’s Office Staff

for their wise counsel, oversight of programs and skill at operations.

• Chairs and Center Directors for their support and collaboration – this

school’s virtual Board.

• Hospital and Health System CEO’s for their support,

• CU Denver and Anschutz Medical Campus administration for their

continued efforts on behalf of our and the other health profession schools.

• UPI for its outstanding work.

• And especially, all our faculty, fellows, residents, students, staff and

administration who, even in the most difficult of times, make this School so

successful and a joy to work at.

We can meet these challenges

together….

And we have a good start.



SLIDE SHOW PRECEDING

STATE OF THE SCHOOL 12/12/12


CU SOM Points of Pride

• Academy of Medical

Educators

SOM Education: Medical School (primary care): #5

Medical School (family medicine

specialty): #3

Medical School (pediatrics specialty):

#5



The Fulginiti Pavilion for

Bioethics and Humanities

on the Anschutz Medical

Campus opens 9/2012

Kempe Center for the Prevention and Treatment of

Child Abuse and Neglect – 40th Anniversary

http://www.ucdenver.edu/academics/colleges/medicalschool/centers/WomensHealth/Pages/WomensHealth.aspx



CHA/PA

Jonathan Bowser, MS, PA-C,

assistant professor, Pediatrics,

received the “Rising Star Award”

from the Physician Assistant

Education Association

Physical Therapy Program Students from the University of Colorado

Physical Therapy (PT) Program in the School of

Medicine are this year's recipients of the

Physical Therapy Association Student Advocacy

Challenge Award for the second consecutive

year.

PM&R ranked #5 in NIH funding for PM&R

Departments Nationally 2012

http://www.apta.org/uploadedFiles/APTAorg/Current_Students/Events_and_Activities/Advocacy/StudentAdvocacyChallengeInformation.pdf

http://www.apta.org/uploadedFiles/APTAorg/Current_Students/Events_and_Activities/Advocacy/StudentAdvocacyChallengeInformation.pdf

One of our alumni, Kjell Lindgren (MD, ’02), who went on to

become an astronaut, Kjell and his remarkable background

(Air Force Academy, a master’s in cardiovascular

physiology from Colorado State University, intense training)

was recently written up in the medical school magazine, CU

Medicine Today, in an article title “Lofty Ambitions.”

CU medical school graduate, F. Brent Keeler, (MD, ’77),

was elected President of the Colorado Medical Society.

CU Points of Pride

_______________________________

http://www.ucdenver.edu/academics/colleges/medicalschool/administration/alumni/CUMedToday/profiles/Pages/KjellLindgren.aspx






CU Points of Pride

Darrell Kirch, MD

Graduate ‘77 CU School of

Medicine – President and

Chief Executive Officer

AAMC

2012 Keynote Speaker SOM

Medical School Graduation &

AAMC Annual Meeting Denver

"Failure,” Kirch says, “is to not do our very best.”

Darrell and Deborah

Kirch

visit Darrell’s Roots!


Exceptional Clinical Environment!

CU School of Medicine

• UC Health System and CHCO

SOM joint ventures

– Maternal Fetal Medicine

• Anschutz Health and Wellness

Center Open 4/2012

• 5280 Magazine - 189 of 299

physicians of Top Docs are

CU faculty or clinical

volunteers

Our Partner Affiliates Top

Awards!

• University of Colorado Hospital

- #1 Academic Hospital per

UHSC

• Children’s Hospital Colorado -

#5 in US

• UCH and NJH #1 Respiratory

Hospitals

• DHHA received $19.8M

Innovation Award

5280 Magazine’s Top Docs

Edition The latest 5280 Magazine Top Docs edition lists 189 full-time and volunteer medical school faculty members among the best 299 physicians in the Denver metro area.

It’s a great compliment to the medical school and to all the hospitals the school works with, including University of Colorado Hospital, Children’s Hospital Colorado, National Jewish Health, the Veteran’s Administration Health Center and Denver Health.

A number of other members of our faculty at UCH and Children’s Hospital Colorado were singled out for recognition.


New programs in development

• CU SOM Colorado Springs Branch Campus

• Bioinformatics

• Personalized Medicine

• Office of Community Based Medical Education

• IHQSE Institute for Healthcare Quality, Safety &

Efficiency

• Maintenance of Certification

“When you think you have exhausted all possibilities, remember this:

you haven’t” Thomas Edison


School of Medicine

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The Future is Now - University of Colorado Denve€¢Whether or not the “fiscal cliff” is avoided, ... federal budget cuts are inevitable that will stress our ability to meet our