Georgia Health Sciences University and Health System: The Big Picture

Georgia Health Sciences University and Health System: The Big Picture GDEcD 12/7/11

Georgia Health Sciences is Georgia’s Public Academic Health Center • One of ~15 freestanding Health Sciences Universities • One of ~80 Academic Health Centers (AHC)

Georgia’s only Public Academic Health Center

• One of only two vertically & horizontally integrated AHCs in GA 2

Georgia Health Sciences University Mission To lead Georgia and the world to better health, by providing excellence in biomedical education, discovery, and service

Vision To be a leading research university‌ and academic health center‌ while transforming the institution and region into a health care and biomedical research destination 3

Academic Health Centers (AHCs): Much More Than a University!

Tomorrow’s Diverse Workforce

Highly Specialized & Quality Care Clinical care

Education

Scientific Discoveries & New Therapies Research 4

Academic Health Center • Hubs of innovation including: – Education & Training – Research & Discovery – Clinical Care & Service

• An AHC is critical to the: – Quality of medical and health care professions education & training – Degree of economic impact of the enterprise – Ability to generate translational research – Ability to offer advanced cutting-edge health care 5

Georgia Health Sciences A Critical Benefit to Georgia • Our Health System: – 472 bed acute care adult hospital (GHS Medical Center) – 160 bed Children's Medical Center (CMC) – 400+ physician multi-specialty group – Various outpatient facilities – In Georgia: • • • •

2nd largest children’s hospital The region’s only Level I trauma center The region’s largest dedicated Cancer Care facility 2nd largest Medicaid provider 6

Georgia Health Sciences A Critical Benefit to Georgia • Our Health System: – Trains ~450 medical and ~50 dental residents • ~20% of all GME and 75% of all GDE slots in GA – GHSU administers facilities and provides care to special populations in Georgia: • Manage the GA War Veterans Nursing Home, for GA DVS • Manage East Central GA Regional Hospital, for GA DBHDD • Manage the care of GA’s 45K inmates for GA DOC

– Provides ~half a million patient visits annually • >50% of all patients are of minority populations • >30% are outside MSA

– Provide >$100 million in uncompensated care/yr – >$90 million of medical tourism dollars in 2009 7

Georgia Health Sciences A Critical Benefit to Georgia • Our University • Five Colleges with more than 2,400 students, includes • Nation’s 13th oldest & 6th largest medical school • GA’s only College of Dental Medicine • GA’s largest advanced Nursing degree program • GA’s largest Allied Health Professions program

• 800 clinical training sites throughout GA • Branch campuses located throughout GA, with various partners • MCG: Albany, Athens, Savannah & Brunswick, and Rome • CON: Athens and Columbus 8

Georgia Health Sciences A Critical Benefit to Georgia • Our University • Trains 1 in 5 Physicians in GA • Produces the largest number of 1ary care MDs in GA • Trains 1 in 4 Dentists in GA • Our University produces highly competitive students • 2011 Freshman class entrance scores are above the national average • 2011 National examinations (USMLE) student pass rate of 99.5% are above national average (93%) 9

GHSU: A Decade of Research Growth GHSU NIH funding (in $millions) +89% increase

50 44 38 32

20 01 20 02 20 03 20 04 20 05 20 06 20 07 20 08 20 09 20 10

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NIH Budget (in $billions) +53% increase

Increase in GHSU medical school ranking based on NIH funding (Blue Ridge Institute for Medical Research)

20 01 20 02 20 03 20 04 20 05 20 06 20 07 20 08 20 09 20 10

26

65 69 73 77 81 85

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Georgia Health Sciences A Critical Benefit to Georgia • For FY10 - $63M in NIH funding & $90M in total research funding • 25% increase in sponsored activity funding over last 4 years • GHSU was the first in GA to offer Phase 1 and Phase 2 clinical trials • Major research centers in the areas of: – – – – – –

Cancer Neuroscience & Behavioral Medicine Cardiovascular Biology Genomics & Molecular Medicine Regenerative & Reparative Medicine Disease Prevention

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GHSHS/GHSU $1.1 B Enterprise: 2010 Funding Sources (Operating and Non-Operating Revenue, Excluding Inter-Company Transfers)

University/Academic Sources of Funding

Stimulus 6%

Health System Sources of Funding State Appropriatons to GHS Health System 6%

Other 6%

Other 3%

Clinical 38%

State Appropriations to GHSU: Education & Research 27%

Education Grants Tuition & Fees 3% 7%

Research 13%

Clinical 91%

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AHCs and GHSU • Like GHSU – Has more schools than 72% of AAHC* members – Has more employees than 80% of AHCs – Provides more uncompensated care than 86% of AHCs – Is integrated with its medical center, more than 50% of AHCs – Similarly to the average AAHC institutions it has ~600 patient beds *The Association of Academic Health Centers (AAHC) represents more than 100 institutions nationwide

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Georgia Health Sciences: Enormous Economic Impact • Among the top 20 Georgia employers – Directly employs approximately 10,000 employees – Generates ~50,000 other jobs statewide

• $2.1 billion direct annual economic impact – $14 for $1 of State appropriations

• >$8 billion direct annual economic impact state-wide – Including the impact of its workforce, industry and affiliated providers

Workforce Bio-Science Economic Development Growth Health Care Provider Growth Commercialization of Research Health Sciences Program Growth Regional MD Expansion

GHSU

Source: Tripp Umbach

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US and GA Investment in R&D • ~$350 billion was invested in R&D in the US in 2006 - ~$100 billion from government • For overall publically funded R&D, Georgia ranked 21 in the US, behind AL, NC, and TN • But, for R&D performed by universities & colleges, Georgia ranks 12th in total publicallyfunded R&D (2006) and 16th in NIH funding (2010) 15

US Production of Scientists: Falling Short

Olefsky. J Clin Invest. 2007; 117: 270–276 16

The Ultimate Weapon Against Cancer: GHSU’s Cancer Research Center • Research areas include: – – – –

Cancer immunology & immunotherapy Developmental therapeutics Molecular oncology Cancer prevention & control

• Hosts Georgia’s only Tumor Tissue Bank • Participates in over 150 clinical trials

• Cancer Clinical Trials Unit – Moving discoveries from the lab to the bedside – For many patients, their only remaining treatment option 17

GHSU Research Spotlight GHSU Cancer Center • How combining a vaccine with a drug can make our own immune system attack cancer cells • Developing immunotherapy strategies that enhance the efficacy of conventional cancer therapies • Testing a new compound that may be able to make brain tumors more susceptible to radiation and chemotherapy • Using state-of-the-art DNA sequencing technology to discover the genetic basis of early-onset breast and colon cancer in African Americans • Developing new multi-drug strategies for the treatment of the most lethal types of leukemia 18

GHSU Research Spotlight Neurobiology: Brain Mapping Project Joe Z. Tsien, Ph.D. Professor, Neurology GRA Eminent Scholar in Cognitive & Systems Neurobiology

1999 Time magazine cover story on the creation of genetically engineered smart mice

2009 Special Edition of US News and World Report on memory discovery

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GHSU Research Spotlight Vascular Biology Center • GHSU ranks #1 in the SE #6 nationally in American Heart Association (AHA) funding • Diagnosis, prevention and therapy of kidney disease and hypertension • Discovery of gender-dependent differences in vascular function • Prevention and repair of microvascular disease associated with acute lung injury and ARDS • Identification of new targets in obesityand diabetes-induced vascular disease 20

GHSU Research Spotlight Center for Biotechnology & Genomic Medicine • ~$70 million federal funding since creation in 2002 ($12M in 2010) • World’s largest database and biorepository for Type 1 diabetes • Successfully spun off biotechnology companies (e.g. Jinfiniti Biosciences and ImmunoReg) • Extensive free health services 21

GHSU Research Spotlight Institute for Regenerative & Reparative Medicine

• Stimulating bone growth and repair after injury • Targeting brain repair after stroke • Developing partnerships with Wounded Warrior Project, Ft. Gordon, and Charlie Norwood VAMC

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Public Health Challenges in GA In the U.S., Georgia is negatively ranked in Public Health: • 31st for the % of adults who smoke • 39th for the % of adults who are obese • 41st for the % of adults with T2 DM • 40th for infant mortality rate • 41st for teen birth rate • 43rd & 45th for pre-term & low birthrate births • 47th for rates of TB, hepatitis and AIDS

30 counties in Georgia have lower life expectancy than the 3rd world countries of…

– Gaza Strip – El Salvador – Dominican Republic – Thailand

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GHSU Research Spotlight Georgia Prevention Institute • Internationally recognized multidisciplinary translational research institute – Over $74 million in NIH funding since its inception

• Unique 30 year research partnership with community, leading in research on: – Ethnic disparities in CVD and diabetes – Childhood obesity and its impact on the future health of children and adults – The genetic and environmental contributions to disease processes 24

Georgia Health Sciences Where are we going?

•

Formulating a clear Strategy to grow our research, clinical, and educational enterprises: –

Research growth will leverage current strengths and expand our clinical/translational/tech transfer capacity

–

Clinical growth will focus on expanding our footprint, ensuring that all Georgians have access to the specialized Health Care, and the health maintenance and prevention, they need

–

Educational growth will center on expanding our leadership in Advanced Degree Health Professions Training 25

Economic Impact of Research Growth at GHSU Adding 100 researchers to GHSU will…

• Increase extramural funding to ~100M/yr • Create 1600 – 2000 new jobs1 • Generate $8M - $10M in annual state and local tax revenues1 • Produce +200 patents and 1020 new spinoff companies2 1. Based on metrics provided by Bureau of Economic and Business Research, David Eccles School of Business, University of Utah (2009, vol. 69: num. 2).

2. Projection based on number of patents and new companies at current funding level.

GHSU Research and Bioscience Industry Economic Impact ($ millions) $445 $332 $200 2010

2015

2020

GHSU Research and Bioscience Industry Jobs Impact ($ millions) 1332

2213

2010

2015

2967

2020 26

Total Research Space: GHSU vs. 50th Ranked Institutions Research Square Footage 1,439,038

#54 UC Irvine

889,117

#49 U of Illinois

832,170

#48 U of Cincinnati

574,062

#47 MUSC

535,622

#52 UT San Antonio #50 UT Galveston

477,271

#53 UT Houston

465,173

#51 Case Western #70 GHSU

434,433 231,929

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Becoming a $3B Economic Engine Strategy

Growth Factor (FY10-20)

Increased Revenue

Increase in Patient Care Revenues

3% /yr

$250M

Increase in research/clinical scientists and research funding

100 FTE 10% productivity

$125M

Increased tuition revenue and state appropriations from increased enrollment

student enrollment 25%; 5% tuition/yr

$50M

Increased Tech Transfer

5X

$10M

Philanthropy

$15M

Increase in other revenue streams

$50M

Total Increased Revenue Total Direct Economic Impact

$500M

$3 Billion 28

Georgia Health Sciences Why will we succeed?

• We are one of only two vertically & horizontally integrated AHCs in GA, able to address: – The emerging challenges of the changing health care environment – The clinical & translational research needs of the future – The continuum of health professions education

• We have over 500 integrated Health Care providers • We already educate & develop tomorrow’s healthcare leaders • We have recognized areas of research & clinical care excellence • We have broad reach, including all of GA and portions of SC • We have demonstrated ability to sustain long-term partnerships with many communities, state & military agencies 29

And after all, we have been dedicated to the welfare of all Georgians for almost 200 years

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GHSU… Much More Than a University

Critical to Georgia’s Health Critical to Georgia’s Economy Critical to Georgia’s Future

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Thank You