Mission To promote global understanding and collaborative action for improving health and medical care Established February 2007
The Center for Global Health and Medical Diplomacy is thankful for the generous contributions and continued support of our sponsors. FOUNDING SPONSORS Alice and T. O’Neal Douglas Isabelle and Robert Davis University of North Florida UNF Brooks College of Health Baptist Health CHAMPIONS Alice and T. O’Neal Douglas Isabelle and Robert Davis Blanche and Luther Coggin Jim Winston CORPORATIONS Jacksonville Regional Chamber of Commerce Pfizer Medical Humanities Initiative PSS World Medical WJCT Public Broadcasting Station
FOUNDATIONS The Arthur Vining Davis Foundations Blue Cross and Blue Shield of Florida The Cascone Family Foundation The Delores Kesler Foundation The DuBow Family Foundation The Riverside Hospital Foundation The Schultz Foundation INSTITUTIONS The University of North Florida Brooks College of Health at UNF Baptist Health Brooks Health System Duval County Medical Society Mayo Clinic St. Vincent’s HealthCare UF & Shands
www.unf.edu/brooks/center
2010 ECONOMIC IMPACT STUDY • The direct impact of Healthcare, Bioscience, and related industries on the economy was $24.5 billion. • One in five employees (19%) in Jacksonville work in Healthcare, Bioscience, or related industries.
• The average wage in the Health Care and Bioscience Industry is higher than the Jacksonville average by $5,000. • Preliminary 2008 data implies that the 9.1% growth from 2005 to 2006 was followed by 8.5% growth from 2006 through 2008.
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NORTHEAST FLORIDA CORRIDOR
* Baptist Nassau - Fernandina
1. 2. 3. 4. 5. 6. 7. 8. 9.
Center for Global Health and Medical Diplomacy Mayo Clinic & Hospital Blue Cross Blue Shield Vistakon Medtronic St. Luke’s Hospital Orange Park Medical Center Naval Hospital Memorial Hospital
10. 11. 12. 13. 14. 15. 16. 17. 18.
Brooks Rehab Nemours Baptist – Downtown Baptist – Beaches Baptist – South Wolfson St. Vincent’s VA Clinic UF & Shands
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CONSOLIDATED RECOMMENDATIONS to Enhance the Individual and Economic Health of Northeast Florida Improve Health and Patient Care Enhancing medical quality, increasing access to care, decreasing health disparities, advancing medical informatics and improving wellness
Enhance Medical Education and Research in Jacksonville Supporting our academic health science centers, and ensuring an ample workforce of physicians, health professionals and qualified researchers to build our reputation as a center of medical excellence---the premier regional medical referral center for the Southeastern United States
Foster the Healthcare and Bioscience Industry Attracting research funding and bioscience technology industries to Northeast Florida, creating jobs, improving economic conditions and quality of life in Northeast Florida 4
Council Members Susan Black * Carl Cannon Mike Cascone, Vice-chair * Yank Coble, Chair * Luther Coggin Marshall Criser T. O’Neal Douglas * Lawrence DuBow * Hugh Greene Bob Harmon Adam Herbert Mac McGriff Robert Nuss Carol Thompson, Vice-chair * Floyd Willis Art Wotiz
Emeritus Members Preston Haskell Jim Winston
Ex-Officio Members President John A. Delaney University of North Florida President Bernard Machen University of Florida Interim President Nat Glover Edward Waters College Jacksonville Mayor John Peyton President Kerry D. Romesburg Jacksonville University †The Honorable Frederick H. Schultz
*Academic Health Science Centers Workgroup Members
President Steven R. Wallace Florida State College at Jacksonville
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PATIENT CENTERED CARING COMMUNICATION INITIATIVE September 27 – 28 & October 26 -28, 2010 Jacksonville, FL The Center for Global Health and Medical Diplomacy thanks its generous sponsors and partners for their support of the North Florida Caring Community Initiative and the Patient Centered Caring Communication Course.
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RESEARCH Total research expenditures is increasing in the Jacksonville MSA and Northeast Florida region. A survey by the CGH&MD indicated the following partial list of Jacksonville 2010 research expenditures: Jacksonville Research Expenditures 2010 Mayo Florida $52 million UF/Shands Jacksonville $18.5 million UNF $17 million Nemours Jacksonville $12 million Total $99.5 million The Center for Measuring University Performance http://mup.asu.edu/ provides the following comparisons:
Northeast Florida and I-4 Corridor Research Northeast Florida Total 2007 Research (Millions) University of Florida $592 Jacksonville (from Center survey) $80 Total $672
I-4 Technology Corridor USF UCF Total
$272.6 $111.5 $384
The University of Florida ranks 15th among the top American Research Universities in the US in 2006 in total 7 research dollars. The UF total in the table above was reduced by the $8 million in Jacksonville.
“INCREASE MEDICAL RESIDENCIES” INSTITUTION
ACGME* Positions 2008
ACGME* Positions 2010
University of Florida College of Medicine – Jax ** 293
319
University of Florida - Gainesville
666
Naval Hospital, Jacksonville
28
35
St. Vincent’s HealthCare
30
31
Mayo Clinic **
150
161
TOTAL
501
1212
* Accreditation Council for Graduate Medical Education (ACGME) ** Baptist/Wolfson and Nemours Included in UF COM Jacksonville and Mayo Clinic Numbers 8
NATIONAL PHYSICIAN WORKFORCE DATA Year
Physician Supply (All Specialties)
Physician Demand (All Specialties)
Physician Shortage (All Specialties*)
2008
699,100
706,500
7,400
2010
709,700
723,400
13,700
2015
735,600
798,500
62,900
2020
759,800
851,300
91,500
2025
785,400
916,000
130,600
* Total includes primary care, surgical and medical specialties. Source: “Physician Shortage to Worsen Without Increases in Residency Training” AAMC Center for Workforce Studies, June 2010 Analysis
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REASONS FOR SERIOUS PHYSICIAN SHORTAGE IN FLORIDA • Aging Population & Increasing Chronic Disease Burden • Physicians Average Age Older than National Average • Physicians Retiring Younger • Fewer Residents & Medical Students per 100,000 Population • Reduced Work Hours per Physician • ACGME reduction of work hours for Physicians in training • Medical Liability Environment
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GRADUATE MEDICAL EDUCATION 18 35 Source: JAMA Graduate Medical Education, 2009-2010, September 29, 2010 a Aggregate number of resident physicians per 100 000 population. b 2009 State population is from Table 1: Annual Estimates of the Population for the United States, Regions, States, and Puerto Rico: April 1, 2000, to July 1, 2009 (NST-EST200901). Source: Population Division, US Census Bureau. December 2009 (http://www.census.gov/popest/states/NST-ann-est.html; accessed June 2, 2010). Total population numbers include the District of Columbia and Puerto Rico. c Total number of US graduate medical education (GME) programs accredited by the Accreditation Council for Graduate Medical
Education and combined specialty programs, as of December 31, 2009, surveyed by the National GME Census during 2009. d Includes resident physicians on duty as of December 31, 2009, reported through the 2009 National GME Census. A total of 203
programs (2.3%) did not provide updated information on residents by March 1, 2010. For these non-responding programs, resident physicians reported from the last received survey were moved into their next year in the program or graduated, and new residents were added from the 2009 National Resident Matching Program when available. 11
FLORIDA UNDERGRADUATE MEDICAL EDUCATION Medical Schools in the United States, 2009-2010
* * ** TOTAL
2281
TOTAL with FIU and UCF students not yet enrolled (250)
2531
* First Class Admitted 2009 * * Includes Total Students in 4 Year Regional Campus at Florida Atlantic University (FAU). FAU became independent of University of Miami July 2010 and awaiting LCME 12 accreditation.
UNDERGRADUATE MEDICAL EDUCATION Medical Schools in the United States, 2009-2010
12.3 23.5 a Includes states with MD-granting medical schools, the District of Columbia, and Puerto Rico. b State population as of July 2009 from the US Census Bureau, State Rankings-Statistical Abstract of the United States (http://www.census.gov/compendia/statab/2010/ranks/rank01.html accessed May 27, 2009).
c Includes Liaison Committee on Medical Education–accredited medical schools with students enrolled during 20092010.
d Aggregate number of medical students enrolled in the state per 100 000 state population. e In Florida, Pennsylvania, and Texas, there were 1 or more developing medical schools that only enrolled students in the first year of the curriculum. 13
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2008 ECONOMIC IMPACT AAMC MEDICAL SCHOOLS & TEACHING HOSPITALS US: $512 Billion *FL: $19.4 Billion = $4.85 Billion per school US: 3.3 Million Full-Time Jobs *FL: 147,000 Full-Time Jobs = 36,000 + Jobs US: $22 Billion State Tax Revenue *FL: $980 Million State Tax Revenue = $235 Million per school * Four Medical Schools & Teaching Hospitals
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www.unf.edu/brooks/center