Medical Faculty Senate J. Larry Jameson, MD, PhD October 21, 2015 - - PowerPoint PPT Presentation

Medical Faculty Senate

• J. Larry Jameson, MD, PhD

October 21, 2015

National and Regional Recognition

• PSOM ranked among top five medical schools in the country (#5)
• HUP and PPMC ranked among the top 10 hospitals in the nation
• HUP-PPMC ranked #1 in Pennsylvania and Philadelphia Region
• Pennsylvania Hospital and Chester County Hospital tied for 8th in the region
• CHOP ranked #2 children’s hospital in the nation
• Penn Medicine Hospitals named Leaders in LGBT Healthcare Equality by the Human Rights

Campaign 2

Leadership Recruitment

Jason Moore, PhD Director, Institute for Biomedical Informatics Glen Gaulton, PhD Vice Dean and Director, Center for Global Health Jonathan Epstein, MD Executive Vice Dean and Penn Medicine Chief Scientific Officer Frederic Bushman, PhD Chair, Department of Microbiology James Metz, MD Chair, Department of Radiation oncology Nancy A. Speck, PhD Chair, Department of Cell & Developmental Biology Chyke Doubeni, MD, MPH Chair, Department of Family Medicine & Community Health

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Faculty Recognition

Jean Bennett Paul Offit

2015 Academy of Master Clinician Inductees

Frances Jensen

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Sean Hennessy Dennis Discher Josep Dalmau Gary Gilliland

Medical Education

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Penn Medicine (41) 25%

• HUP (31)
• CHOP (7)
• Scheie (2)

Harvard Programs (17) 10%

• Brigham (9)
• Children’s (0)
• MGH (7)
• Mass Eye (1)
• Beth Israel (0)

Other University Programs (100) 61%

• California (19): UCSF, UCLA, Stanford, UC Davis, UC San

Diego; New York (12): NYU, Columbia, Cornell, Mt. Sinai, Einstein; Yale (5), Jefferson (6); John Hopkins (7); Michigan (2); Univ of Washington (3); all Others (46) Major Community Hospitals (7) 4% Consulting (1)

Residency Choices for 2015 PSOM Graduates (165)

Research Impact

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Excellence in research continues with over 290 publications in the top 20 most cited scientific journals, including 22 in Nature and 25 in the New England Journal of Medicine.

221 225 245 240 292 FY11 FY12 FY13 FY14 FY15

Number of Top Tier Journal Articles

Continual Programmatic Innovation

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Expanding our Clinical Footprint

48.0% 49.0% 50.0% 51.0% 52.0% 53.0% 54.0% 55.0% 50,000 70,000 90,000 110,000 130,000 150,000 170,000 FY11 FY12 FY13 FY14 FY15 Adjusted Admissions Admissions Outpatient Revenue - % of Total

FY15 Clinical Program Growth

CCH CCH CCH CCH

The ongoing growth in outpatient services and increased acuity of remaining inpatient activity has driven growth in adjusted admissions despite flat or declining inpatient admissions during the same period. 9

Reducing Mortality and Saving Lives

The reduction in risk adjusted mortality ratio from .84 in FY12 to .66 in FY15 translates into an increasing number of lives saved, which now totals 1,551 over the most recent four years. This calculation is derived by comparing the projected number of deaths for UPHS if our risk adjusted mortality was as expected at 1.0 against the actual scores on the graph in red below. Declining risk adjusted mortality Increasing number of lives saved

226 277 451 597 0.84 0.81 0.72 0.66 0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 100 200 300 400 500 600 700 FY12 FY12 FY14 FY15 through May 2015 UHC Mortality Index UPHS Lives Saved (n) UPHS Lives Saved UPHS O/E

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$921 $857 $922 $921 $933 $845 $842 $844 $888 $889 $800 $850 $900 $950 $1,000

Expense Revenue

(in millions)

$76 $15 $79 $33 $44 $(20) $- $20 $40 $60 $80 $100 FY 2011 FY 2012 FY 2013 FY 2014 FY 2015

Fiscal Year Performance

Year End Performance (All funds)

Note: Detail may not sum to totals due to rounding.

Historical Trends: PSOM Revenue and Expense

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35% 36% 36% 37% 37% PSOM Effective Rate

(in millions)

$433 $434 $430 $439 $446 $125 $124 $123 $140 $147 $29 $30 $30 $18 $19 $587 $587 $583 $598 $612

$- $100 $200 $300 $400 $500 $600 $700

FY 2011 FY 2012 FY 2013 FY 2014 FY 2015

Excludes ARRA; Includes Novartis

Direct Cost PSOM ICR Univ. ICR

PSOM Research Funding

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$130M $130M $138M $150M Goal: $160M $156M $167M $157M $156M $0 $20 $40 $60 $80 $100 $120 $140 $160 $180 FY2012 FY2013 FY2014 FY2015 FY2016

Goal FY End

Philanthropic Support to Penn Medicine

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Capital Investment: Innovation & Impact

Richards Building Stemmler Hall Stemmler Hall

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Annual MFS Update

Medical Faculty Senate Semi Annual Meeting October 2015

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Faculty Health and Wellness

Creation of the Primary Care Portal for faculty Creation of a wellness center Big Idea tournament Implementation of a Behavioral Wellness Tool

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Primary Care Portal

 PCAM primary care practice for faculty  Will focus on access for faculty with busy schedules, health and wellness programs, population health

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Big Idea Tournament

Penn Center for Innovation Tournament Goals:

• Engage and excite faculty around wellness

center

• Ensure that the design and content of the

space is meeting the needs

• Identify the programming priorities

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Faculty Well Being Index

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Faculty Well Being Index

Goals:

• stratify physician well-being in several important

dimensions (mental quality of life [QOL], fatigue, suicidal ideation)

• identify physicians whose degree of distress may

negatively impact their practice (career satisfaction, intent to leave current position, medical errors).

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Physician Well Being Index

 Have you felt burned out from you work?  Have you worried that your work is hardening you emotionally?  Have you often been bothered by feeling down, depressed, or hopeless?  Have you fallen asleep while stopped in traffic or driving?  Have you felt that all things you had to do were piling up so high that you could not overcome them?  Have you been bothered by emotional problems (such as feeling anxious, depressed, or irritable)?  Has your physical health interfered with your ability to do your daily work at home and/or away from home

At a threshold score of ≥ 4, the PWBI’s sensitivity for identifying physicians with low mental QOL is 73.3 % with a specificity of 81.0 %.

Association of Senior & Emeritus Faculty of the Perelman School of Medicine ASEF–PSOM University of Pennsylvania

Jeanne C. Myers, Ph.D ASEF-PSOM President 2014-2016

ASEF was established in 2004.

PSOM faculty become members at age 55. ASEF currently consists of ~900 members.

ASEF Missions

To organize programs and provide information that help with decisions related to retirement. To arrange activities / events that encourage to remain connected to the school of medicine and their colleagues.

ASEF Executive Council 2015-16 19 Members Representing

12 Clinical and Basic Science Departments

Working Committees:

Service, Programs, Communications Seminars, Space/Facilities, Past-presidents

Programs and Activities

• Sponsors programs and provides material for senior faculty
• n issues/options related to retirement
• Organizes several seminar series with PSOM/university

faculty speakers

• Identifies service opportunities and initiates projects

benefiting the school, community and ASEF members

• Created and supports a comprehensive website
• Maintains an office-meeting room, which is available to all

ASEF members

• Promotes fellowship and social interaction among emeriti

and campus faculty

Highlights of ASEF-PSOM events in 2015

• Past January to June

[The 2014-15 Annual Report is on the ASEF homepage.]

• October to December

Association

• f

Senior and Emeritus Faculty

• f

the Perelman School

• f

Medicine

• ASEF-PSOM

LUNCHEON SEMINAR

• 12-1

PM Tuesday, January 20, 2015

• Autism

Spectrum Disorders and their Genetic Basis

• Dr. Maya Bucan

Professor of Genetics, Perelman School of Medicine

The past decade has brought major advances in our understanding of the genetic basis of Autism Spectrum Disorders that affect about 1:68 infants born in the U.S. each year. In the majority of cases, individuals harbor many, not a single, genetic defect in neural development. Dr. Bucan will speak about the essential genes in autism and how testing in mice and humans reveals genetic variation. The seminar is held at the University Club, Inn at Penn, 36th & Walnut.

Lunch is available for a modest cost.

January

February

ASEF-PSOM presents the new series “Healthy Aging”.

The first talk will take place at 12:00 p.m. Thursday, March 26, 2014 in Room 1412 of the Biomedical Research Building (BRB) II/III.

Lunch will be provided.

Sarah Hope Kagan, PhD, RN, FAAN, Lucy Walker Honorary Term

Professor of Gerontological Nursing will speak on the topic:

"Skip the Checklist - Aim to Age Well"

What are we to make of the current societal discourse on healthy aging? Is healthy aging a useful metric for an aging society? For individual lives? Dr. Kagan

• ffers aging well as a response to fundamental flaws made in the assumptions of

healthy aging and proposes parameters for aging well. Come join us for a dialogue about aging, health, and well being.

March

April

ASEF- PSOM MOVING ANNOUNCEMENT

We have moved from 21 Penn Tower to Room 236 Anatomy Chemistry Building until our room in the John Morgan Building is ready. ASEF members are encouraged to use the room for small meetings, work, and getting together with

• colleagues. The computer and phone are operative;

a microwave, snacks and cold beverages are on hand.

June

ASEF-PSOM 2015 Fall Events

Association of Senior and Emeritus Faculty of the Perelman School of Medicine ASEF-PSOM LUNCHEON SEMINAR

12-1 PM Tuesday, October 13, 2015

• Dr. Charles L. Nelson:

Future Prospects of Hip and Knee Surgery

Charles L. Nelson, M.D., is Chief of the Joint Replacement Service and an Associate Professor of Orthopaedic Surgery at the Hospital of the University of Pennsylvania. He is a graduate of the University of Pennsylvania School of Medicine, where he also served his residency. In addition, he was a recipient of a fellowship for Special Surgery.

• Dr. Nelson was recognized by Best Doctors in America in 2013-2014.

The lecture will be held in the Hourglass Room of the University Club, Inn at Penn at 36th and Walnut Streets. Lunch is available for a modest cost.

October

Association

• f

Senior and Emeritus Faculty

• f

the Perelman School

• f

Medicine

• ASEF-PSOM

LUNCHEON SEMINAR

• 12-1

PM Tuesday, November 10, 2015

• Dr. Edward E. Morrisey

“Regenerative

medicine in the cardiopulmonary system”

• Pulmonary

disease is the third leading cause

• f

morbidity and mortality. Classic developmental biology studies have

• utlined

many major aspects

• f

lung develop- ment. Recent studies have begun to also elucidate the regenerative response in the lung.

• The

talk will focus

• n

new insights in the molecular and cellular basis for development and regeneration

• f

the cardiopulmonary system.

• Dr.

Morrisey is the Robinette Foundation Professor

• f

Cardiovascular Medicine In the Perelman School

• f

Medicine.

• The lecture will be held in the Hourglass Room of the

University Club, Inn at Penn at 36th and Walnut Streets.

Lunch is available for a modest cost.

November

Association

• f

Senior and Emeritus Faculty

• f

the Perelman School

• f

Medicine

• ASEF-PSOM

LUNCHEON SEMINAR

• 12-1

PM Thursday, December 3, 2015

• Dr. David J. Casarett
• "Medical

Uses

• f

Marijuana"

• David J. Casarett, M.D., is Professor of Medicine in the Division of

Geriatrics at the University of Pennsylvania. He is a graduate of Case Western Reserve University and further trained at the University of

• Chicago. Dr. Casarett was a recipient of the Presidential Early Career

Award for Scientists and Engineers, and is the author of the recent book: “Stoned: A Doctor’s Case for Medical Marijuana.”

The lecture will be held in the Hourglass Room of the University Club, Inn at Penn at 36th and Walnut Streets.

Lunch is available for a modest cost.

December

December

Join Us on Nov.4th and Please RSVP

Thank you