Transcript UNC Health Care

UNC-Chapel Hill
Faculty Council
September 14
A brief introduction to UNC Health Care
and the UNC School of Medicine
William J. Roper, MD, MPH
Vice Chancellor, Medical Affairs
CEO, UNC Health Care
Dean, UNC School of Medicine
Vision: UNC Health Care System
• To be the Nation’s Leading Public Academic
Health Care System
» National recognition
» Public mission
» Academic institution
• Leading, Teaching, Caring.
Our Guiding Principles
• Deliver excellent care and operate
leading programs
• Engage with people to meet their
health challenges
• Maintain a stable financial foundation
UNC Health Care System
• 1,500 UNC faculty physicians and residents
• World-class academic medical center
• Top-ranked public medical school
• Four modern hospitals
• Nationally recognized centers of clinical excellence
UNC Health Care System
• Network of UNC-owned community medical
practices across central North Carolina.
• Home health agency and hospice program.
• ER and urgent care facilities in Chapel Hill
• Air and ground patient transportation system
UNC Hospitals at a Glance
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708 Licensed beds
6.4 days, Average length of stay
5,768 Employees (paid FTE)
1,188 Attending physicians
714 House staff (residents)
31,934 Discharges (not newborns)
741,980 Clinic visits
61,200 ER visits
22,347 Surgical Cases
279 Transplant Cases
4,000 Births (deliveries)
61,797 Volunteer Hours
Gary, Park, President, UNC Hospitals
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UNC Hospitals’
Uncompensated Care vs.
State Support
* Amounts in Millions of Dollars
Uncompensated Care
• $500,000/per day
• More than 800 patients per day receive
uncompensated care
• Approximately, one-third of all daily admissions
receive financial assistance.
Rex Healthcare
• Acquired by UNC in 2000
• 394-bed hospital in Raleigh
» Rex Family Birth Center, Rex Surgery Center
» Rex Heart & Vascular Center
» Rex Cancer Center, Rex Convalescent Care Center
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Rex Surgery Center of Cary
Rex Rehabilitation & Nursing Care Center of Apex
Rex Family Practice of Wakefield
Rex Wellness Centers of Cary, Raleigh and Garner
Rex Senior Health Center in southeast Raleigh
UNC Physicians & Associates
• 900 primary and specialty care physicians
• 17 clinical departments
• Ambulatory Care Center
• Outpatient Clinics in Community
• Marshall Runge, Vice Dean for Clinical Affairs,
School of Medicine
Vision: UNC School of Medicine
• To be the Nation’s Leading Public School of
Medicine
» Aspiration for top national status
» Public academic institution
» Etta Pisano, Vice Dean for Academic Affairs, School
of Medicine.
UNC School of Medicine
• 160 students in each first year class
• Class of 2010
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23.9 years old (average age)
73 females (46%)
87 males (54%)
88% North Carolina residents
Basic Science Compensation Plan
• Two components to salary:
• Academic Salary – cannot be reduced; at start of plan,
faculty salary became the academic salary
• Variable component - negotiated each year with the
chair - typically $5-15K not formula driven. Based on
salary recovery from grants, outstanding teaching, special
service
• Academic salaries increase with state increase
• Variable component can go up or down, but not intended to
change rapidly with new grant applications
• Total salary cannot go down more than 15% in one year.
• Existing faculty can opt out of this, but all new faculty must
participate.
Clinical Compensation Plan
• Three components to salary:
• Academic Base Salary – 7 year average of the AAUP
Faculty Salary Survey published in Academe.
• Productivity component - negotiated initially and is
reviewed each year with the chair and can be adjusted up
or down based on Clinical Duties, RVU’s and salary
recovery from grants, outstanding teaching, special
service
• Contingent supplemental payments - can be paid out
Quarterly, or Semi-Annually, or Annually depending on
the faculty’s member’s clinical productivity based on
measurable criteria and the department’s financial
stability.
• Variable component can go up or down, but not intended to
change rapidly.
• Total salary cannot go down more than 15% in one year due
to the financial condition of the department.
NC Area Health Education Centers
(AHEC)
• Goal: to meet primary health care needs of NC
• 9 AHECs statewide:
• Community-based health science student rotations in
Medicine, Nursing, Pharmacy and Dentistry
• Partnership provides high-quality, easily accessible
education for health professionals in all 100 counties
• Provides access to good health care
Research
• $298.6 million in medical research in FY 2007
» Nearly 50% of total campus research
• Interdisciplinary collaborations across campus
• NIH “Roadmap for Medical Research Grants”
» UNC top recipient of roadmap grants
• 8 in 2005
• 11 in 2006
• Translational Research
» NIH Clinical Translational Science Awards
Growth and Opportunity
• Genetic Medicine Building
» The largest and most
sophisticated research
building ever built
at UNC – Chapel Hill
• North Carolina Cancer Hospital
» Future home of UNC Lineberger Comprehensive Cancer
Center
Growth and Opportunity
• Chatham Hospital
» Management agreement
» New facility construction
• School of Medicine Expansion
» Partnership with Carolinas Healthcare System
» 160 – 210 students
• Bed Tower & Operating Rooms
» Finishing plans
» Need space right away
Growth and Opportunity
• The University Cancer Research Fund
• The UNC Institute for Global Health and
Infectious Disease
• Commitment to Caring
Thank You