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 8 th 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 Jonathan Epstein, MD Jason Moore, PhD Chyke Doubeni, MD, MPH Executive Vice Dean and Director, Institute for Chair, Department of Penn Medicine Chief Biomedical Informatics Family Medicine & Scientific Officer Community Health James Metz, MD Nancy A. Speck, PhD Frederic Bushman, PhD Glen Gaulton, PhD Chair, Department of Chair, Department of Chair, Department of Vice Dean and Director, Center Radiation oncology Cell & Developmental Biology Microbiology for Global Health 3

Faculty Recognition Jean Bennett Paul Offit Frances Jensen Sean Hennessy 2015 Academy of Master Clinician Inductees Gary Gilliland Josep Dalmau Dennis Discher 4

Medical Education Residency Choices for 2015 PSOM Graduates (165) 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) 5

Research Impact 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 . 292 Number of Top Tier Journal Articles 245 240 225 221 FY11 FY12 FY13 FY14 FY15 6

Continual Programmatic Innovation 7

Expanding our Clinical Footprint 8

FY15 Clinical Program Growth 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. 170,000 55.0% 54.0% 150,000 CCH 53.0% CCH 130,000 52.0% 110,000 51.0% 90,000 50.0% CCH CCH 70,000 49.0% 50,000 48.0% FY11 FY12 FY13 FY14 FY15 9 Adjusted Admissions Admissions Outpatient Revenue - % of Total

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. 700 0.90 0.84 Declining risk adjusted mortality 0.81 0.80 597 600 0.72 0.66 0.70 500 451 0.60 UPHS Lives Saved (n) UHC Mortality Index Increasing number of lives saved 400 0.50 0.40 300 277 226 0.30 200 0.20 100 0.10 0 0.00 FY12 FY12 FY14 FY15 through May 2015 UPHS Lives Saved UPHS O/E 10

Historical Trends: PSOM Revenue and Expense (in millions) Fiscal Year Performance $1,000 Revenue $950 $933 $922 $921 $921 $900 $857 $888 $889 $850 Expense $845 $844 $842 $800 $100 Year End Performance $79 $76 (All funds) $80 $60 $44 $33 $40 $15 $20 $- $(20) FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 11 Note: Detail may not sum to totals due to rounding.

PSOM Research Funding 37% Excludes ARRA; Includes Novartis 37% 36% 36% 35% PSOM Effective Rate (in millions) $700 $612 $598 $587 $587 $583 Univ. $19 $600 $18 ICR $29 $30 $30 $147 $140 $500 $124 $125 $123 PSOM ICR $400 $300 Direct Cost $446 $439 $433 $434 $430 $200 $100 $- FY 2011 FY 2012 FY 2013 FY 2014 FY 2015 12

Philanthropic Support to Penn Medicine Goal FY End $180 $167M $157M $156M $156M $160 Goal: $150M $160M $140 $138M $130M $130M $120 $100 $80 $60 $40 $20 $0 FY2012 FY2013 FY2014 FY2015 FY2016 13

Capital Investment: Innovation & Impact Richards Building Stemmler Hall Stemmler Hall 14

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Annual MFS Update Medical Faculty Senate Semi Annual Meeting October 2015

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 17 17

Primary Care Portal  PCAM primary care practice for faculty  Will focus on access for faculty with busy schedules, health and wellness programs, population health 18 18

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 19 19

Faculty Well Being Index 20 20

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). 21 21

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 %. 22 22

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 on 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

January Association� of� Senior� and� Emeritus� Faculty� of� the� Perelman� School� of� 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.

February

March 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 offers 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.

April