Annual State of the College Address August 12, 2016
We are the state’s public medical school…
MCG at Augusta University ● State of the College Address ● August 12, 2016
Brooks A. Keel, PhD President, Augusta University CEO, AU Health System
• Native Augustan • Extensive experience and accomplishments • Engaging and empowering leadership style • Faculty-focused • 2016 Presidential Inauguration
…“Georgia is our campus.” MCG at Augusta University ● State of the College Address ● August 12, 2016
Our Mission Lead Georgia and the nation to better health through excellence in biomedical education, discovery, patient care, and service. Our Values Collegiality • Compassion • Excellence • Inclusivity • Innovation • Integrity • Leadership • Loyalty MCG at Augusta University ● State of the College Address ● August 12, 2016
Medical Student Diversity: Creating a Diverse Physician Workforce for Georgia Student Admissions Gender
Diversity Groups
Class of: 2016 2017 2018 2019
Percent increase
Men
143
128
133
110
-
Women
87
102
97
120
38%
AA
9
27
24
37
311%
Hispanic
11
9
15
23
109%
URM Total
20
36
39
60
200%
MUA/ MUP
211
215
210
209
-
SE
15
16
15
21
40%
19
25
34
21
11%
34
41
49
42
24%
Underserved SW Georgia
SE + SW
Total 230 230 230 230
-
MCG at Augusta University ● State of the College Address ● August 12, 2016
MCG at Augusta University:
2016 Snapshot
Our Students
• 2,913 faculty • 22 academic departments 615
• 3 centers/institutes
30 MD/PhD students 117 PhD students 3,092 applicants 13.4 to 1 acceptance ratio 200 percent increase in
• 534 residents and fellows in 45 programs
class diversity 2010-15
3.72 overall GPA
above national average
• 144 postdoctoral fellows
30.7 mean MCAT
at national average
• FY 2016 Budget
$306,030,654
64% of students
participate in research
MCG at Augusta University ● State of the College Address ● August 12, 2016
Our Statewide Educational Portfolio and Workforce Development • We are the 9th largest in the nation for total enrollment with 230 students admitted each year. • Campus locations throughout the state in Albany, Athens, Augusta, Brunswick, Rome, and Savannah. • Partnerships with more than 200 clinical teaching sites across GA. • 18% of this year’s class is remaining with us and our affiliates for residency training. • 28% of this year’s class is remaining in Georgia. • 48% of this year’s class is pursuing primary care. • Supporting 400 new residency positions statewide.
Community Advocacy Award
Mark F. Ellison, M.D. MCG at Augusta University â—? State of the College Address â—? August 12, 2016
MCG at Augusta University ● State of the College Address ● August 12, 2016
5-Year Strategic Plan for MCG • Provide exceptional for physicians in training and other advanced-degree health sciences professionals. • Generate transdisciplinary, translational, basic, clinical, population, and community. based • Develop an enhanced
to complex care.
• Maximize our .
of
and
with
at all levels through
• Create a that supports the needs and opportunities of faculty, students, residents, and staff. philanthropy and communications.
by advancing MCG growth through MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 1: Education Provide exceptional futureoriented learning experiences for physicians in training and other advanced-degree health sciences professionals. Education: Tactic Status
• 4 goals • 12 tactics
1
3
9 tactics are in process or ongoing 3 tactics have made little progress or have had delays
3 1
2 Goal 1.1
2
Goal 1.2
Completed Delays/Little Progress
Goal 1.3
Goal 1.4
In Process/Ongoing Not Started/Resources Needed
MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 1: Education • CQI
Are we headed in the right direction with Education?
• Student environment and support • Curriculum: public health, IPE • Double degree programs • Education faculty recruitment
Scale
Votes
% of Votes
5
17
22%
4
46
58%
3
12
15%
2
4
5%
1
0
0%
Average:
4
• Facilities • Instructional technology • Simulation • LCME MCG at Augusta University ● State of the College Address ● August 12, 2016
Overview of LCME • Organized by AMA and AAMC in 1942
LCME Severe Action Decisions 33%
35%
• Accredits medical school educational programs in US and Canada • Without accreditation, students not eligible – For federal financial aid (>90% of ours receive) or – To take USMLE licensing exams
• Stringent new standards enacted
28%
30% 25% 20% 15%
15%
13%
10% 5% 0%
1%
4%
Changed Probation Term / Status Warning Status
Total Severe Action Decisions
AY 1993-1999 inclusive (n=143 full survey reports) AY 2005-2012 inclusive (n=138 full survey reports)
MCG at Augusta University ● State of the College Address ● August 12, 2016
Recent LCME Reviews Resulting in Probation Status • • • • • • • • • • •
McGill University Faculty of Medicine (2015) Wayne State Medical School (2015) Baylor College of Medicine (2014) University of Louisville School of Medicine (2014) University of Saskatchewan College of Medicine (2013) State University of New York Upstate Medical University (2012) Marshall University Joan C. Edwards School of Medicine (2011) University of Texas School of Medicine, San Antonio (2011) Commonwealth Medical College (2011) Ponce School of Medicine and Health Sciences (2011) San Juan Bautista School of Medicine (2011) MCG at Augusta University ● State of the College Address ● August 12, 2016
Predictors of Adverse Decisions… We ‘Hit a Home Run’ Predictors of severe action decisions based on binary logistic regression. Severe action decisions become more likely with more predictors present.
1.
Total non-compliances
2.
Element 8.7: Comparability of Education /Assessment (Formerly ED-8)
3.
Element 8.1: Curricular Management (Formerly ED-33)
4.
Chronic noncompliance [Financial Aid/Debt Management (SM)]
5.
Insufficient response to the requirements of the Data Collection Instrument/Self-study MCG at Augusta University ● State of the College Address ● August 12, 2016
Most Commonly Cited Elements… Another ‘Home Run’ • 8.1 Curricular Management • 8.7 Comparability of Education/Assessment • 8.3 Curricular Design, Review, Revision/ Content Monitoring • 6.3 Self-Directed and Life-Long Learning • 6.2 Required Clinical Experiences • 9.7 Formative Assessment and Feedback • 9.1 Preparation of Resident and Non-Faculty Instructors • 9.8 Fair and Timely Summative Assessment (SM) • 9.5 Narrative Assessment • 3.5 Learning Environment/Professionalism • 3.6 Student Mistreatment • 3.3 Diversity/Pipeline Programs and Partnerships • 7.6 Cultural Competence/Health Care Disparities/Personal Bias MCG at Augusta University ● State of the College Address ● August 12, 2016
Our Preparation Was Relentless for 3.5 Years… and it Shows in the Results Areas for Improvement Locus
Individual to Manage
Element
Outcome
Comment
1
University
University/BOR
10.2
U
BOR policy regarding appeal of admissions decisions
2
University
University/Barron
12.1
SM
Financial Aid and Debt Management
3
Bylaws/Regs
Bollag/Wallach
1.3
U
Communication about process for faculty committee appointments
4
Bylaws/Regs
Bollag/Slaughter/ Wallach
9.9
U
Promotions committee is advisory to vice dean vs separate appellate level
University
University/Student Health and Counseling
12.3
SM
Student Affairs
Loomer
6
Student Affairs
Loomer
11.1
U
Academic Advising
7
Student Affairs
Loomer
11.2
SM
Career Advising
8
Curriculum Office
Albritton
2.4
SM
Awareness of and responsiveness to Student Concerns by Curriculum Dean
9
Curriculum Office
Albritton
7.9
SM
Inter-professional education
10
Curriculum Office
Albritton
9.8
SM
Clerkship grades due within 6 weeks
5
Personal Counseling/Wellbeing Wellbeing/Personal Counseling
MCG at Augusta University ● State of the College Address ● August 12, 2016
LCME Results: A Clean Bill of Health • Progressive statewide campus model affirmed • SOM mission and leadership affirmed • New Harrison Commons and campus facilities are exemplary • Partnerships with hospitals and clinicians to teach Georgia’s future doctors are effective • Fundamentals of medical education endorsed
Many thanks to ALL
MCG at Augusta University ● State of the College Address ● August 12, 2016
Building On Our Positive Momentum • Continuous Quality Improvement – Address areas under consideration – Build on our successes – Continue functional integration – Seek additional improvements
• Update to LCME in 1 year • Campuswide –maturation • Renewed focus on allied missions – Residents – Research
MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 2: Research Generate outstanding transdisciplinary, translational, basic, clinical, population, community-based, and educational research. • 5 goals • 17 tactics
Research: Tactic Status
6 tactics are in process or ongoing
1
5 tactics have made little progress or have had delays 5 tactics are in early stages
(between “in progress” and “delayed”)
4 1
2 1
2 1
1 3 1
Goal 2.1 Goal 2.2 Goal 2.3 Goal 2.4 Goal 2.5
1 tactic has not yet started MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 2: Research • Implementation of IRBNet • Implementation of Clinicards for subject reimbursement • Implementation of OnCore Clinical Trial Data Management System • Implementation of registry, data management system • Implementation of public website for clinical trials • Funding of pilot programs • Updates to Animal Care facilities • Expansion of Research Compliance and Training Programs • Launched GRA Eminent Scholar search committee
Are we headed in the right direction with Research? Scale
Votes
Percentage of Votes
5
8
10%
4
36
46%
3
24
31%
2
8
10%
1
2
3%
Average:
3.5
MCG at Augusta University ● State of the College Address ● August 12, 2016
Research & Rankings • $96.4 million in total grants and contracts in FY2016
• 48% increase in funding from all sources over the last 10 years • 20th in research productivity among 58 medical schools surveyed by AAMC • $564.8 million in total sponsored awards from FY2011-FY2016 • Approximately $1 billion in total sponsored awards over past decade
FY2011 – FY2016
$100 $90
$90
$95
$96 $99 $96 $88
$80 $70 $60 $50 $40 $30
$58
$49
$20
(Federal Sequestration)
• 70th nationally in NIH grants according to the Blue Ridge Institute for Medical Research
MCG Total Sponsored Awards*
Millions
• Over $45 million in NIH funding
$51
$44
$51
$45
$10 $0
2011
2012
2013
2014
2015
2016
NIH *Awards include new projects, non-competing renewals, competing renewals, transfers, amendments or supplements. MCG at Augusta University ● State of the College Address ● August 12, 2016
Building On Our UGA Collaborations: AU-UGA Seed Grant Program • Bollag, Wendy
• Hess, David
• Browning, Darren
• Mei, Lin
• Cowell, John
• Nilsson, Kent
• Hamrick, Mark
• Schroeder, Carsten
• Hao, Zhonglin
• Thompson, Stuart
• He, Yukai
• Tsien, Joe
Wound healing Colon cancer
Cancer suppression Regenerative medicine Lung cancer
Immune suppression
Dementia prevention Schizophrenia studies Cardiac electrophysiology Lung cancer
Gastric cancer Memory
MCG at Augusta University ● State of the College Address ● August 12, 2016
Working with Our Summerville Colleagues: Research Collaboration Across Campuses • Pilot study of how/why music effects cardiovascular responses to stressors • Collaborative research initiative: - Medical College of Georgia Georgia Prevention Institute - Pamplin College of Arts, Humanities, & Social Sciences Department of Communication Department of Music - Office of Vice President for Research
MCG at Augusta University ● State of the College Address ● August 12, 2016
Georgia Cannabidiol Study • Georgia’s initiative was the first active state sponsored research program providing access to Cannabidiol • Oil supported by GW Pharmaceuticals • Study access at 3 sites in GA - Augusta University - Memorial Health University Hospital, Savannah - Pediatric, Adolescent Neurology Developmental Associates, Atlanta
• 52 children aged1-18 enrolled • Leadership and expertise solicited for development of programs in other states MCG at Augusta University ● State of the College Address ● August 12, 2016
The Fight Against Cancer
MCG at Augusta University ● State of the College Address ● August 12, 2016
PURE: MCG Research Network Over the Past 5 Years
MCG at Augusta University ● State of the College Address ● August 12, 2016
Sustained Increase in Medical Student Research: Thanks to ALL of Our Mentors Medical Student Research 2010-2016 160
140
120
100
American Heart Summer Fellowship National Externship/Fellowship Child Health Scholars Dean's Medical Scholars - Athens Dean's Medical Scholars - Augusta
80
60
40
20
0
2010
2011
2012
2013
2014
2015
2016* MCG at Augusta University â—? State of the College Address â—? August 12, 2016
MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 3: Clinical Care Develop an efficient health care system of quality and value with enhanced access to complex care. • 4 goals
Clinical Care: Tactic Status
• 17 tactics
1 2
1 tactic completed
2
1 2 2
5 tactics are in process or ongoing 7 tactics have made little progress or have had delays 4 tactics have not yet started
2
3
Goal 3.1
Goal 3.2
Completed Little Progress/Some Delays
1
1
Goal 3.3
Goal 3.4
In Process/Ongoing Not Started/Resources Needed
MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 3: Clinical Care • Improve financial performance • Improved operations – enhance patient and staff satisfaction • Clarify partnerships and strategic planning • Conduct clinical master plan including Columbia County Initiative • Complete Hospital CEO and Practice Plan/MCG Senior Associate Dean for Administration and Finances leadership searches
Are we headed in the right direction with Clinical Care? Scale
Votes
Percentage of Votes
5
2
3%
4
30
38%
3
31
39%
2
14
18%
1
2
3%
Average:
3.2
• Be Joint Commission ready MCG at Augusta University ● State of the College Address ● August 12, 2016
What the American Public Thinks About Medical Schools/Teaching Hospitals • Drive innovation (latest treatments, cures) • The place to be when the worst happens • Provide complex care (best doctors, equipment) • Where it all comes together (intersection of patient care, learning, and discovery) AAMC Public Opinion Survey, 2015
MCG at Augusta University ● State of the College Address ● August 12, 2016
New Nursing Professionals
Building on Our Strengths
• 2016 Strategic Imperatives • RN New Hires: 248 (Target 200)
Total RNs & Nurses Hired FY 2013-16 1600
1343
1400
1218
1194
1200
1393
1000 800
• New Graduate Nurses Hired: 113
600 400 200
• Recruited 26 Nurse Externs
145
274
179 44
51
95
FY 2013
FY 2014
FY 2015
248 113
0
RNs Hired
Graduate Nurses Hired
FY 2016 Total RNs
MCG at Augusta University ● State of the College Address ● August 12, 2016
Improving Quality and Safety • Moving toward top quartile performance in many areas • Incrementally increasing in others • Improving ‘closing the loop’ on RCA’s and Safety reports • Continued training and education, e.g. EQIP, Lean, STEPPS New central line training initiative, led by Matt Lyon, to improve hospital safety kicks off next month. MCG at Augusta University ● State of the College Address ● August 12, 2016
Many Major Initiatives “Set the Stage” and Complement Macro Environmental Analysis Major Initiatives
Progress/Outcomes
Single Medical Staff Clinical Growth / Throughput Quarterly Budget Reviews
Unprecedented, strategic integration Sustained; additional beds 8-South Sustained and refined
Hire Nurses
Yes, balancing retention, still OT/Temps in OR
Hire Physician Liaisons
Yes, utilizing outreach feedback
Implement Quality Plan
Sustained unprecedented progress
Implement Philips Initiative
Driving throughput; remarkable $7M equipment turnover
Implement Cerner Initiative
Continued opportunities
Develop Warm Springs
Increased clinical presence, major renovations secured $25.8M
Practice Plans Alignment
Opportunities in play
Cancer Care Alignment
Growth opportunities, community outreach
West Wheeler Road
Above budget performance, continued opportunities
OR Expansion
Unprecedented, University Hospital ASC collaboration
ICD-10 Implementation
MD efforts appreciated
Columbia County CON
Appeals ruling in our favor MCG at Augusta University ● State of the College Address ● August 12, 2016
Columbia County Hospital • Secured CON, academic preference • Upheld in appeals and legal reviews thus far • Now strategically factoring into consideration - Community/ academic balance - Size and configuration - Presence in advance
• Many thanks to Shawn Vincent and team MCG at Augusta University ● State of the College Address ● August 12, 2016
Cultivating Innovative Partnerships: More than Just ‘Clinical’ Opportunities • Cerner and Philips partnership • Chief Innovation Officer, Priya Devapriya, joins us August 15 • Technological superiority and resources • Large group trainees • Joint Venture/Partnership with University Hospital, Ambulatory Surgery Center • Multidisciplinary teams MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 4: People & Process Excellence • Maximize our leadership capacity at all levels through professional growth. • 4 goals
People & Process Excellence: Tactic Status
• 9 tactics
2
1 1
5 tactics are in process or ongoing
2
4 tactics have made little progress or have had delays
Goal 4.1
2 1
Goal 4.2
Completed Little Progress/Some Delays
Goal 4.3
Goal 4.4
In Process/Ongoing Not Started/Resources Needed
MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 4: People and Process Excellence • Improved hiring and onboarding processes • Establishment of Faculty Academic Development Plan (FADP) • Standardized annual evaluation process in collaboration with Human Resources • Improved satisfaction/survey results • Increased interaction with MCG faculty and other AU colleges/campuses
Are we headed in the right direction with People & Process Excellence? Scale Votes Percentage of Votes 5 4 5% 4 33 42% 3 35 44% 2 6 8% 1 1 1%
Average:
3.4
• Enhanced faculty development opportunities • Greater financial transparency MCG at Augusta University ● State of the College Address ● August 12, 2016
New Leaders Bring New Opportunities • AU-UGA Medical Partnership Campus Dean Shelley A. Nuss • Department Chair, Biochemistry & Molecular Biology Vinata B. Lokeshwar • GRA and Endowed chair/ professorship positions • Senior Associate Dean for Finance and Administration
• Department Chair, Radiation Oncology • Associate Dean for Faculty Development Ralph Gillies • Harrison Distinguished Chair positions Alan Herline Bal Lokeshwar Michael Hocker • CEO AU Medical Center
MCG at Augusta University ● State of the College Address ● August 12, 2016
New CEO for AU Medical Center Lee Ann Liska, MBA, FACHE • Prior CEO experience at Cincinnati University Hospital • Extensive experience in health systems’ management with proven high-energy focus on: - Patient experience improvement - Safety and quality care - Length of stay improvements - Decreased readmissions - Employee engagement and innovative staffing solutions • Substantial community involvement MCG at Augusta University ● State of the College Address ● August 12, 2016
MCG Endowed Chair Positions • 59 endowed chair/professorship positions - 47 filled - 12 vacant
• 30 positions filled since 2010 - External recruits - Faculty retention
• Several under development - William S. Hagler, M.D. Chair in Ophthalmology - Kenna S. Given, MD Chair in Plastic Surgery
• Reestablishment of time-honored Charbonnier Chairs MCG at Augusta University ● State of the College Address ● August 12, 2016
MCG Endowed Chair Appointments July 2010-July 2016
MCG at Augusta University ● State of the College Address ● August 12, 2016
We Are Committed to Career Development • Ongoing support of opportunities and programs designed to develop and enhance leadership skills • Participation in national programs: - Executive Leadership in Academic Medicine (ELAM) - AAMC Executive Development Seminar for Aspiring Leaders - AAMC Minority Faculty Development Program • Opportunities across the state: - USG Executive Leadership Institute - MAG Georgia Physicians Leadership Academy • Resources at home: - MCG Office of Faculty Development - AU Office of Leadership Development MCG at Augusta University ● State of the College Address ● August 12, 2016
• Theoretical Foundation – Authentic Leadership Development (761 employees reached in the past 6 months)
• 6 Research-based Leadership Competencies (aligned with AAMC) • Authentic Pipeline Programs (149 nominated; 96 participants to-date)
- Pipeline I: Leading Self - Pipeline II: Leading Others - Women Leaders: Leading Self & Within the Organization • 14 On the Road Courses – Faculty brings the session to you at no cost – Executive Media Training – Emotional Intelligence • Consulting Services (career, leadership and faculty development)
• Hay Group 360 Assessment with External Executive Coach (confidential and funded by the Office)
MCG at Augusta University ● State of the College Address ● August 12, 2016
Professionalism Award
Robert R. Nesbit, Jr., M.D., FACS MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 5: Cultural Transformation & Diversity Create a diverse, inclusive environment that supports faculty, students, residents, and staff. • 4 goals • 9 tactics 6 tactics have made little progress or have had delays 3 tactics have not yet started
Cultural Transformation & Diversity: Tactic Status
2
1
1
1
Goal 5.3
Goal 5.4
2
1 Goal 5.1
1
Goal 5.2
MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 5: Cultural Transformation & Diversity • Improvements to recruitment processes • Review by Dean’s Cabinet to assess diversity and glean best practices • Looking at mechanisms for faculty diversity activities as part of department/chairs review
Are we headed in the right direction with Cultural
Transformation & Diversity ? Scale 5 4 3 2 1
Votes 9 35 26 8 1
Average:
% of Votes 11% 44% 33% 10% 1%
3.5
• Promoting the work of our faculty and showcasing our diverse MCG community • Record number of URM students • Working to develop stronger relationships with expansion of pipeline programs MCG at Augusta University ● State of the College Address ● August 12, 2016
Pipelines and Outreach • Health Equity and Access Leaders (HEAL) Program • Pre-matriculation Program • Igniting the Dream of Medicine • Summer Bio-Medical Program • Student Educational Enrichment Programs (SEEP) in Augusta and Savannah - SEEP pre-college - SEEP college
SEEP • Has served approximately 2,400 students since 1978 • 84% of students served entered a health field • 292 SEEP alums have enrolled at AU - MCG: 151 - DCG: 75 • 591 SEEP alums enrolled at other health professions institutions, 311 entering other medical schools
MCG at Augusta University ● State of the College Address ● August 12, 2016
MD/OMFS
BS/MD
MD/MPH
HPE Certificate
MD/MBA
Humanities
Building Academic Collaborations
MD/ MS
Strategic Focus 6: External Affairs Engage our alumni and community by advancing MCG growth through philanthropy and communications. • 4 goals • 13 tactics
5 tactics are in process or ongoing 8 tactics have made little progress or have had delays
External Affairs: Tactic Status
1
1 3 2
2
3
1 Goal 6.1
Goal 6.2
Completed Little Progress/Some Delays
Goal 6.3
Goal 6.4
In Process/Ongoing Not Started/Resources Needed
MCG at Augusta University ● State of the College Address ● August 12, 2016
Strategic Focus 6: External Affairs • Increased communications efforts, e.g. magazines, letters, exhibits, news releases, MCG videos, etc. • Established social media presence • Increased engagement and participation in alumni activities/events • Increased visits/ meaningful contact with potential donors • Increased scholarships and endowed positions through maturation of Harrison Program
Are we headed in the right direction with External Affairs ? Scale
Votes
Percentage of Votes
5
9
12%
4
37
47%
3
27
35%
2
5
6%
1
0
0%
Average:
3.6
MCG at Augusta University ● State of the College Address ● August 12, 2016
Building On Our Positive Momentum % Graduates Satisfied/Very Satisfied with Overall Medical Education Program 96 94
MCG National
92 90 88 86 84 82 80
2010
2011
2012
2013
2014
2015
2016
MCG at Augusta University â—? State of the College Address â—? August 12, 2016
Annual State of the College Address August 12, 2016