UNIVERS IT Y OF IOWA HEA LTH C ARE
2020 ANNUAL REPORT
OUR MISSION
OUR VISION
Changing medicine. Changing lives.®
To be a destination academic medical center for Iowa and the world.
UNIVERSITY OF IOWA HEALTH CARE IS IOWA’S ONLY COMPREHENSIVE ACADEMIC HEALTH SYSTEM. IT INCLUDES:
UI Hospitals & Clinics, which includes UI Stead Family Children’s Hospital
UI Roy J. and Lucille A. Carver College of Medicine
UI Physicians
THROUGH COMMUNICATION, COORDINATION, AND TEAMWORK, UI HEALTH CARE:
Educates and trains the next generation of physicians and health care professionals
Fosters collaborations with health systems and providers across Iowa and the region
Provides life-changing primary and specialty care and expertise to patients, families, and communities
Conducts research that advances biomedical science, leading to improved treatments and therapies
On the cover, from left: Brandy Faybik, RN, staff nurse at UI Stead Family Children’s Hospital; Rhanda Darville, MD, fellow physician in pediatric gastroenterology; Stanley Perlman, MD, PhD, professor of microbiology and immunology
OUR VALUES Innovation. Collaboration. Accountability. Respect. Excellence.
HIGHLIGHTS FROM 2020:
“We Stand Together,” a statement that symbolizes our resiliency and response to the COVID-19 pandemic and galvanizes our organization, our community, and our state
Hundreds of UI Health Care faculty, staff, and students participate in “White Coats for Black Lives,” a national, medical student-led observance calling for racial equality and social justice in medicine and communities nationwide
A yearlong sesquicentennial celebration for the Roy J. and Lucille A. Carver College of Medicine marks 150 years of medicine on the UI campus
The Sesquicentennial Distinguished Lecture by David Skorton, MD, president and CEO of the Association of American Medical Colleges, former president of the UI, and former faculty member in the Carver College of Medicine
The opening of the 40-bed UI Health Network Rehabilitation Hospital in Coralville, Iowa
David Skorton, MD
UNIVE RSIT Y OF IOWA HE ALTH CARE | 2020 ANNUAL R EP ORT |
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COVID-19
MARCH n n
It was a year unlike any other. n
Altered by a coronavirus pandemic that brought more than 81 million cases worldwide, including 19.2 million cases in the U.S. and 275,000 cases in Iowa, the year 2020 reshaped the way University of Iowa Health Care pursued its tripartite mission of medical education, research, and patient care.
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First patient with COVID-19 is admitted to UI Hospitals & Clinics. Video visits are offered for patients who may have COVID-19; suspected patients are directed to a special Respiratory Illness Clinic. The UI suspends in-person instruction and moves to virtual learning. Visitor restrictions are implemented, and screenings begin at facility entrances. Elective and non-urgent surgeries and clinical outreach services are suspended; ambulatory clinics are postponed or transitioned to virtual visits.
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UI scientists cease or curtail research activities.
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Medical student clinical rotations are suspended.
APRIL n
The year was extraordinary in terms of the preparation and changes required to care for patients with COVID-19 in addition to those with other health care needs. It was disruptive in that traditional ways of conducting research or teaching students and trainees were modified. It was remarkable in that every person associated with UI Health Care rose to the challenge—for their colleagues, their families and communities, and their fellow Iowans. And it was hopeful in that vaccines arrived in December, signaling the beginning of the end of the pandemic.
UI Health Care hospitalists launch the Home Treatment Team, which provides follow-up calls and “virtual hospital” kits for COVID-19 patients.
MAY n
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Elective surgical procedures resume on a gradual basis at UI Hospitals & Clinics. Limited clinical trials and basic science research resumes on campus.
JUNE n
Many challenges still remain, but there is hope and renewed optimism. As we did throughout 2020, we will continue to work together to change medicine and change lives in Iowa and beyond. Brooks Jackson, MD, MBA Vice President for Medical Affairs and the Tyrone D. Artz Dean, Carver College of Medicine
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Third- and fourth-year medical students resume their core clinical clerkships and clinical clerkship electives. First- and second-year students continue to learn primarily via virtual instruction. UI Health Care becomes the first health system in Iowa, and one of the first in the nation, to establish a dedicated, post-COVID-19 Respiratory Illness Follow-Up Clinic.
JULY n
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UN IV E R S IT Y O F IO WA HEALTH C AR E | 2 0 20 ANNUAL R EPORT
More than 1,400 UI Health Care staff nurses complete cross-training to respond to future surges in COVID-19 cases. Clinical trials for the Pfizer-BioNTech vaccine for COVID-19 begin at Iowa, with UI Health Care researchers participating as part of a national, multicenter study.
AUGUST n
COVID-19 TOTALS AT UI HOSPITALS & CLINICS
A combination of in-person classes and virtual learning marks the start of the fall 2020 semester.
THROUGH DEC. 31, 2020:
1,235
SEPTEMBER n
COVID-19 cases increase in Iowa, following the start of fall courses on university and college campuses and the opening of community school districts across the state.
ADULT INPATIENTS
70
NOVEMBER n
PEDIATRIC INPATIENTS
Phase I of a plan to respond to a continued surge in COVID-19 patients begins with an expansion of ICU beds; increased coronavirus testing capabilities; additional staff to respond to increases in patient call volumes; and adjustment of surgical and clinical procedures.
575 PATIENTS TRANSFERRED FROM OTHER HOSPITALS
DECEMBER n
n
Vaccinations begin for UI Health Care staff following the arrival of the Pfizer-BioNTech COVID-19 vaccine. Deactivation of the Phase I surge plan begins, marking the beginning of a gradual return to pre-pandemic patient care services.
87,195 TELEHEALTH SCREENINGS
112,244 RESPIRATORY ILLNESS CLINIC VISITS
Allison Wynes, DNP, ARNP, ACNP-BC, advanced practice provider in the Medical Intensive Care Unit
UNIVE RSIT Y OF IOWA HE ALTH CARE | 2020 ANN UAL R EP ORT |
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MEDICAL EDUCATION AND TRAINING Changing the future of health care through innovation, integration, and individualization
152 153 152 153 66 FIRST-YEAR MD STUDENTS
GRADUATING MD STUDENTS WHO
(2020-21 ACADEMIC YEAR)
PARTICIPATED IN THE NATIONAL
RESIDENCY MATCHING PROGRAM
70% 48% 41% 32%
(SPRING 2020) Iowa residents
female students
are graduates of Iowa’s public universities
are an ethnic minority or underrepresented in medicine
51%
chose primary care specialties for residency training
28%
matched with residency programs in Iowa
21%
matched with UI Hospitals & Clinics
EDUCATION/TRAINING PROGRAMS NATIONALLY RANKED BY U.S.
NEWS & WORLD REPORT (“BEST GRADUATE SCHOOLS 2021”)
#1 #4
Physician assistant Physical therapy
#15
Family medicine
#20
Primary care
#29
Internal medicine
#34
Research
6 REGIONAL MEDICAL EDUCATION CENTERS ACROSS IOWA
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UN IV E R S IT Y O F IO WA HEALTH C AR E | 2 0 20 ANNUAL R EPORT
1,371 FACULTY MEMBERS
605 MEDICAL STUDENTS
73 PHYSICIAN ASSISTANT STUDENTS
129 PHYSICAL THERAPY STUDENTS
779 RESIDENTS, FELLOWS, AND DENTISTS IN TRAINING
300+ GRADUATE STUDENTS
As in-person classes and students’ clinical rotations were suspended in March 2020 due to the coronavirus pandemic, preparations were underway for alternative learning opportunities. With start of the fall 2020-21 academic year, small-group classes for pre-clinical students were held in person, while largegroup lectures were conducted virtually. Clinical clerkships returned to in-person activities, while the interview cycle for prospective students transitioned to an online platform. Pictured above: Joyce Wahba, fourth-yer medical student. Pictured on opposite page, from left: Donna D’Alessandro, MD, professor of pediatrics; Nolan Mattingly, second-year medical student; and Michael Haugsdal, MD, clinical assistant professor of obstetrics and gynecology, with fourth-year medical students Anne Nora and Michael Klemme.
UNIVE RSIT Y OF IOWA HE ALTH CARE | 2020 ANN UAL R EP ORT |
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RESEARCH AND DISCOVERY Changing medicine through multidisciplinary biomedical science, leading to new understanding, new collaborations, and new treatments
12
MEMBERS OF THE NATIONAL ACADEMY OF MEDICINE
335
NATIONAL ACADEMY OF SCIENCES
177
TOTAL NIH GRANTS
$245.6M
2
MEMBERS OF THE
RESEARCH PROJECT (R01) GRANTS
21
national ranking in NIH funding among public medical schools
43
national ranking in NIH funding
IN EXTERNAL RESEARCH FUNDING IN FY 2020
$138.7M IN NIH FUNDING
$232.2M IN FY19 $224.2M IN FY18
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HOWARD HUGHES MEDICAL INSTITUTE INVESTIGATORS
The drive to provide safe, effective vaccines against COVID-19 brought unprecedented levels of collaboration and urgency in vaccine development, testing, and approval. In July 2020, UI Health Care investigators began participating in the clinical trial for the Pfizer-BioNTech vaccine, enrolling approximately 270 of the more than 43,000 study participants worldwide. As 2020 drew to a close, UI Health Care researchers joined the clinical trial for a new COVID-19 vaccine produced by Novavax. Pictured: Michael Russell, PharmD, staff member in the Vaccine Research Office.
30+ MAJOR RESEARCH CENTERS, INSTITUTES, AND PROGRAMS, INCLUDING: ■
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Abboud Cardiovascular Research Center Carver Family Center for Macular Degeneration Center for Auditory Regeneration and Deafness Cystic Fibrosis Research Center Fraternal Order of Eagles Diabetes Research Center Helen C. Levitt Center for Viral Pathogenesis and Disease Holden Comprehensive Cancer Center Institute for Clinical and Translational Science Institute for Vision Research Iowa Institute of Human Genetics Iowa Neuroscience Institute Pappajohn Biomedical Institute Wellstone Muscular Dystrophy Cooperative Research Center
UNIVE RSIT Y OF IOWA HE ALTH CARE | 2020 ANN UAL R EP ORT |
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ADULT AND PEDIATRIC CARE SPECIALTIES RANKED
BY U.S. NEWS & WORLD
REPORT (“BEST HOSPITALS”
AND “BEST CHILDREN’S HOSPITALS,” 2020-21)
#6
Ophthalmology
#7
Ear, Nose, and Throat
#32
Neonatology
#34
Gynecology
#37
Pediatric Orthopedics
#38
Pediatric Diabetes and Endocrinology
#41
Cancer
#42
Pediatric Nephrology
#49
Pediatric Neurology and Neurosurgery
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UN IV E R S IT Y O F IO WA HEALTH C AR E | 2 0 20 ANNUAL R EPORT
PATIENT CARE AND SERVICE Changing lives through comprehensive, compassionate care
SERVING PATIENTS FROM ALL OF IOWA’S 99 COUNTIES
860
INPATIENT BEDS, INCLUDING 190 PEDIATRIC BEDS AT UI STEAD FAMILY CHILDREN’S HOSPITAL
10,747 In early March 2020, as the first cases of COVID-19 were confirmed in Iowa, preparations were already underway in anticipation of patients with COVID-19. UI Hospitals & Clinics epidemiologists had been monitoring the global spread of the novel coronavirus for weeks. Numerous safety measures—including refresher training on best clinical practices, acquisition and conservation of personal protective equipment, and planning for surges in inpatient and outpatient cases—were put into place. A specially designated respiratory illness clinic, which offered pre-clinic video visits for patients suspected of having COVID-19, was established. Hospital visitor restrictions and health screenings (including temperature and symptom checks) also were implemented. With the arrival of the first patients with COVID-19—and as more patients with COVID-19 arrived at our facilities, many of whom were transferred from other hospitals across Iowa—our medical teams were ready to safely provide the care patients needed. Pictured: Kim Staffey, MD, cardiologist and clinical associate professor of internal medicine.
HOSPITAL STAFF
1,076
3,184
759
physicians and dentists
nurses
resident and fellow physicians
1,039,681 32,872
CLINIC VISITS
PATIENT ADMISSIONS
32,807
151,815
554
major surgical operations
minor surgical procedures
organ and tissue transplants
50,468
EMERGENCY DEPARTMENT VISITS
UNIVE RSIT Y OF IOWA HE ALTH CARE | 2020 ANN UAL R EP ORT |
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NURSING, CARE COORDINATION, REHABILITATION
8
ADULT AND PEDIATRIC UNITS RECOGNIZED WITH GOLD OR SILVER BEACON AWARDS FOR EXCELLENCE™ FROM THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES
17 ACTIVE NURSE-LED RESEARCH STUDIES
25 PUBLICATIONS
47
88
333
ACTIVE NURSE-LED EVIDENCE-BASED PRACTICE PROJECTS
ORAL AND POSTER PRESENTATIONS TO REGIONAL, NATIONAL, OR INTERNATIONAL AUDIENCES
CONTINUING EDUCATION EVENTS
800+
4,639+
5,500+
CITATIONS AND 8,400+ REQUESTS FROM 54 COUNTRIES FOR THE IOWA MODEL OF EVIDENCE-BASED PRACTICE
ADULT AND PEDIATRIC VENTILATOR INITIATIONS
EMPLOYEES
130,000+ INPATIENT AND OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY CONSULTS EACH MONTH
10 |
EXPERIENCED NURSE FELLOWSHIP PROGRAM, ACCREDITED BY ANCC PRACTICE TRANSITION ACCREDITATION PROGRAM IN 2020
1st
accredited program in Iowa
6th accredited program in the world
UN IV E R S IT Y O F IO WA HEALTH C AR E | 2 0 20 ANNUAL R EPORT
Early in 2020, the critical demand for flexible staffing to meet emerging patient care needs in the midst of a pandemic was recognized. Nurses and social workers shifted to establish a home care team to coordinate communication and care services. The care team, including nurses, nursing assistants, physical therapists, occupational therapists, respiratory therapists, respiratory assistants, advanced practice providers and many others, expanded their skills and training through online courses, simulation labs, and cross-training to different care settings. This proactive preparation was critical for successful implementation of surge plans to meet fluctuating patient volumes and patient care needs. Pictured at right: Nick Klein, BSN, RN, CCRN, staff nurse in the Medical Intensive Care Unit. Pictured at left: Cynthia West, LISW, OSW-C, social worker in the Holden Comprehensive Cancer Center.
THERAPIES, RESPIRATORY CARE
4
consecutive Magnet® designations for nursing excellence from the American Nurses Credentialing Center
UNIVE RSIT Y OF IOWA HE ALTH CARE | 2020 ANN UAL R EP ORT |
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OUTREACH AND ENGAGEMENT Changing lives through service to Iowans and their communities
1,585
155
5,010
CARVER COLLEGE OF MEDICINE
IN-PERSON AND 31 VIRTUAL PROGRAMS IN
PEOPLE FROM 83 COUNTIES
ALUMNI PRACTICE IN 78
STEM EDUCATION, ADULT-BASED COMMUNITY
PARTICIPATED IN CONTINUING
OF IOWA’S 99 COUNTIES
EDUCATION, AND PROVIDER RELATIONS
MEDICAL EDUCATION PROGRAMS
CONTENT DELIVERED IN FY 2020
$352,000,000+ IN COMMUNITY BENEFIT SERVICES AND PROGRAMS
864,000+
PEOPLE SERVED BY COMMUNITY BENEFIT PROGRAMS AND SERVICES
79 10 13 12 |
ADULT SPECIALTY CARE CLINICS IN 18 IOWA COMMUNITIES
PEDIATRIC SPECIALTY CARE CLINICS IN 8 IOWA COMMUNITIES
IOWA COMMUNITIES HAVE CHILD HEALTH SPECIALTY CLINICS
TELEMEDICINE SITES ACROSS IOWA: 14
UI locations
13
Child Health Specialty Clinic centers
7
UI outreach clinic locations
15
non-UI locations
UN IV E R S IT Y O F IO WA HEALTH C AR E | 2 0 20 ANNUAL R EPORT
9,011 STUDENTS FROM 191 IOWA SCHOOLS TOOK PART IN 157 ON-CAMPUS, VIRTUAL, AND SCHOOL-HOSTED UI HEALTH CARE STEM (SCIENCE, TECHNOLOGY, ENGINEERING, AND MATH) PROGRAMS IN FY 2020
Before the coronavirus pandemic halted in-person learning programs in fiscal year 2020, UI Health Care STEM Education had hosted 144 on-campus and off-campus programs for Iowa K-12 students. When inperson sessions stopped, online opportunities arose. UI Health Care STEM Education hosted 13 virtual programs, which generated over 71,500 virtual program views and 2,200 page views on a new STEM resources webpage. Pictured: Brittaney Sharp, MSN, RN, CNOR, nursing practice leader in the Main Operating Room, leads a handson activity during a Girls Go STEM event.
UNIVE RSIT Y OF IOWA HE ALTH CARE | 2020 ANN UAL R EP ORT |
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UN IV E R S IT Y O F IO WA HEALTH C AR E | 2 0 20 ANNUAL R EPORT
PHILANTHROPY Changing medicine through generous commitments to our people and our programs
$91,000,000 IN PHILANTHROPIC SUPPORT TO UI HEALTH CARE IN FY 2020 THROUGH THE UI CENTER FOR ADVANCEMENT
30,925 PHILANTHROPIC GIFTS TO UI HEALTH CARE
27,538 PHILANTHROPIC CONTRIBUTORS TO UI HEALTH CARE
In addition to philanthropic gifts through the UI Center for Advancement, in-kind donations have been a steady, and much-appreciated, means of support for UI Health Care in its response to the coronavirus pandemic. From mid-March through the end of December 2020, nearly 98,000 items—face shields, surgical masks, N95 respirators, medical gloves and gowns, handmade face coverings, and more—have been donated by businesses, organizations, and individuals from across Iowa and around the country.
SOURCE OF GIFTS FY 2020 ALUMNUS (ALL AREAS) CORPORATIONS FOUNDATIONS NON-ALUMNUS ORGANIZATIONS OTHER
$32,812,234 $10,356,531 $12,707,120 $24,136,570 $11,017,800 $228
UNIVE RSIT Y OF IOWA HE ALTH CARE | 2020 ANNUAL R EP ORT |
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CONSOLIDATED FINANCIAL INFORMATION Fiscal year 2020 (July 1, 2019 through June 30, 2020) enterprise revenue and expenses.
FISCAL YEAR 2020 REVENUE
TOTAL $2,734,312,187
PATIENT CARE
$2,229,631,178
EXTRAMURAL FUNDING
$237,869,736
OTHER OPERATING REVENUE
$187,051,042
GENERAL EDUCATION FUNDS
$77,381,485
STATE APPROPRIATIONS TOTAL
$2,378,746 $2,734,312,187
FISCAL YEAR 2020 EXPENSES PERSONNEL
TOTAL $2,623,747,744
$1,481,776,636
SUPPLIES
$606,913,611
LICENSES, FEES & OTHER OPERATING EXPENSES
$161,978,141
DEPRECIATION AND AMORTIZATION
$112,775,695
REPAIRS & MAINTENANCE
$105,377,416
SERVICES (INSURANCE) OCCUPANCY, BILLING & OVERHEAD (ADMIN & MEDICAL) TOTAL
$28,899,184 $126,027,061 $2,623,747,744
FISCAL YEAR 2020 PERSONNEL EXPENSES FACULTY
TOTAL $1,481,776,637
SEIU
$367,869,082
P&S
$376,290,632
MERIT
$188,178,157
RESIDENTS, FELLOWS AND POST DOC
$77,535,311
OTHER TOTAL
$53,795,033
TOTAL
16 |
$418,108,422
UN IV E R S IT Y O F IO WA HEALTH C AR E | 2 0 20 ANNUAL R EPORT
$1,481,776,637
UNIVERSITY OF IOWA HEALTH CARE 2020 ANNUAL REPORT Produced by University of Iowa Health Care Marketing and Communications. All rights reserved. No part of this publication may be reproduced or transmitted in any way without written permission: Marketing and Communications University of Iowa Health Care 200 Hawkins Drive, W319 GH Iowa City, Iowa 52242
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CHANGING MEDICINE. CHANGING LIVES.®
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