12005-2008 Strategic Planning Retreat Fontenelle Forest Nature Center Friday, March 25, 20057:30 a.m. – 3:00 p.m.
2Staying Competitive in the Global Health Care Market Rubens J. Pamies, M.D., FACPModeratorMr. Nizar Mandani Executive directorSheila Ryan, PhDProfessor, CON-Parent-Child, Admin Ed & ScienceRodney S. Markin, M.D.Associate Dean, COMMr. Joe B. GrahamChief Operating OfficerNebraska Medical CenterPanelist
3American International Health Alliance advancing global health through professional, volunteer, peer-to-peer partnershipsBoard of DirectorsDennisP. Andrulis, MPH, PhDResearch Professor Department of Preventive Medicine at the State University of New York Health Science Center/BrooklynSheilaA. Ryan, PhD, RNProfessorUniversity of NebraskaMedical CenterCollege of NursingDonaldW. Fisher, PhDChairmanPresident and CEOAmerican Medical GroupAssociation (AMGA)RogerJ. Bulger, MDSecretaryPresident and CEOAssociation of Academic Health Centers (AHC)Daniel P. Bourque, MBASenior Vice President, System OperationsVHA Inc.LouisW. Sullivan, MDPresident-EmeritusMorehouseSchool of MedicineLarryS. Gage, JDPast ChairmanPresidentNational Association of Public Hospitals and Health Systems (NAPH),and a partner atPowell, Goldstein, Frazer & Murphy, LLPHenryA. Fernandez, JDVice President and CEONew York State Historical Association & the Farmers' Museum in CooperstownAlanWeinstein, MBAConsultantto healthcare companies
4Tel: (402) 559-2924 / Fax: (402) 559-2923 firstname.lastname@example.org International Health Medical Education ConsortiumSara E. Pirtle, MBAUpdate Co-Editors International Studies and Programs University of Nebraska Medical Center Nebraska Medical Center Omaha, NE Tel: (402) / Fax: (402)
5GLOBAL INVOLVEMENT OF AHC’s AHC’s is Growing Rapidly ColumbiaBen Gurion UniversityN.Y.U.SacklerCornellQuatarDukeSingaporeHarvard Macy InstituteMultiple countries including GermanyDartmouthCopenhagenJohn’s HopkinsSeveral Asian countriesUniversity of Minnesota SONCentral Asia RepublicSome recent examples include:And many more . . .
6collaborative partnerships with medical institutions in 25 countries GLOBAL HEALTH/PARTNERSHIPUNMC , NMC, UNeMed, IMA46collaborative partnershipswith medical institutions in25countries
7Commerce Department Export Administration Regulation Export Control RegulationsCommerce Department Export Administration Regulation
8in our global presence… Next Stepsin our global presence…Where are we now?Where do we want to be in the future?
9STAYING COMPETITIVE IN THE GLOBAL HEALTH CARE MARKET Mr. Nizar G. MamdaniExecutive Director of International HealthcareNebraska Medical Center
10GLOBAL HEALTHCARE REALITIES 1. The revolution in communications technologies has raised our hopes that earth's current patchwork of countries may yet become a true global community. The growing globalization of businesses and enterprises has already begun2. One major arena that stands to gain the greatest benefit from globalization is healthcare3. Key components of understanding the dynamics of global health systems are: policy, financing, education, organization, leadership, and management4. Regardless of the country, the health sector generally responds to the same political, social and financial pressures as other industries
11US GOVERNMENT POSITION The US Government, NIH, AHC, WHO, World Bank – all deliver the same message that the Global Health Care is vital to the growth and stability of the countries and that the developed nation have a social and sometimes a selfish reason to help in the promotion of decent healthcareUSAID Director Natsio’s speech in Spain this month reinforced US’s committed $16 billion to country stabilization programs
12What Other US Medical Institutions Are Doing 1. Realizing the in inevitable progression and opportunities in the Global Healthcare Markets, most major medical institutions have substantial commitments to their international programs2. Some institutions have also already taken their programs overseas in light of the post 9/11 situation about visa in the US:John Hopkins in Singapore, Thailand, Panama, ChinaHarvard in India, United Arab Emirates, JapanCornell in QatarEmory University in India3. GLOBAL-HEALTH is a reality today-UNMC needs to make a move now to secure a prominent position in this important market place and attain a long-term global presence
13Current Handling of International Initiatives at UNMC 1. Several departments at UNMC are pursuing internationalactivities in a variety of ways - there are no cohesive institutional policies or objectives2. There is no ongoing sustainable follow up3. Counter-productive to pursue international programs without adequate planning and follow up4. International programs are discouraging because they take a longer time to mature - can only be effectively achieved through institutional commitment, persistence and support
14Take Advantage of International Assets at UNMC Partnerships with 76 medical institutions in 28 countriesOver 400 professional researchers/students from 40 countriesProvide training to 100s of international professionalsHundreds of international patients have come to the Medical Center for their treatmentsHave created a dynamic 2nd opinion consultation program, currently being utilized by over a dozen global institutionsHave signed significant cooperative agreements with key institutions in Japan, India and China for educational and research initiativesHave people with great international contacts and networkProven viability - have generated millions of dollars for the Medical Center in patient billings
15Possible Areas of Global Opportunities for UNMC UNMC's Research program expansion in key countriesFoster strong relationships for UNMC's Biotech initiatives/marketsPromote UNMC CON's RN to BSN programs internationallyCreate a Telehealth Center of Excellence in collaboration with the Peter Kiewit Institute of Technology & UNMC's Allied Health Dept.Take advantage of USAID’s new Country Stabilization programs, especially in Haiti, Somalia, Iraq and AfghanistanTake advantage of professionals on our campus who have very valuable relationships and networks to help us achieve our goals
16Benefits to UNMC Make UNMC's global presence a REALITY Research collaboration opportunitiesInitiate BioMed programs to enhance international reputation and revenueStrong international presence will enhance UNMC’s reputation, help attract top researchers/professionals to our institution6. Establish UNMC's Educational and TeleMed Programs globally7. Be a pioneer to take up the much needed standardization of the international medical education accreditation8. Opportunities for UNMC faculty, physicians, healthcare professionals, researchers and students to experience medical diversities in other countries9. Faculty and students exchange programs in over two dozen countries10. Build professional and personal international relationships11. Fulfilling a social commitment to help the less fortunate countries through training and assistance programs and participating in Federal programs12. Will be financially quite lucrative
17CONCLUSION Global healthcare has become a reality to reckon with UNMC has the assets and the stature to have a positive impact in the Healthcare GlobalizationPriority must be given to developing a viable infrastructure at UNMC that can follow through on international developments on a sustained basisImportant to embark on a coherent program to fulfill the social needs of helping the less fortunate nations – will also give us an opportunity to closely work with international NGO’s and Federal programsThe program will significantly raise UNMC’s standing and reputation in the US and Global healthcare arenaA well conceived international program will be self-sustaining, revenue generating and gratifying undertaking for UNMC
18Global and International Healthcare Sheila Ryan, PhDProfessor, CON-Parent-ChildAdministration Education & Science
19The Globalization Of Society Places Increasing Demands On Us To Understand differing perspectives, traditions, religions, politics, cultures, health behaviors and health systems.
20NURSING, as the largest health workforce, is essential to add value to global partnerships Collaborate with international research to promote health and well being and better manage chronic care for allExamine lessons of emerging and remerging threats to international healthReduce burden of disease and disability
21UNMC - CON as The Global Leader in International Nursing Education Leader in distance educationLeader in instructional technologyLeader in online course accessLeader with international “connections”
23Leader in Online Program Access RN-BSNBSNMSN8 specialties, 2 with combined and integrated areasCE models
24Benefits to UNMC Increase cultural sensitivity of faculty/students Internationalize our curriculumIncrease faculty and student exchangesGlobal classroom model for global outreachAdd to research site and samplesMultidisciplinary international doctoral programAdditional international students to all programs
25Profitable and Cost-Effective Online Tele-education By 2010Increase enrollment by 1500/year from five countryNew financial models: Cost plusHigh Revenue Product with Low Cost RiskPartner with international societies and organizations
27Leading Infectious Causes of Death Worldwide, 2001 RankEstimated Number of DeathsRespiratory infections13,871,000HIV/AIDS22,866,000Diarrheal diseases32,001,000Tuberculosis41,644,000Malaria51,124,000Measles6745,000Periussis7285,000Tetanus8282,000Meningitis9173,000Syphilis10167,000SOURCE: WHO, 2002b
28Global Partnerships of dialogue, collaboration and shared planning can: Decrease international nursing shortageIncrease professional standards and stature of nursingPrepare nurse leaders for emerging healthcare roles
29International Business Strategic Fit Mr. Joe B. GrahamChief Operating OfficerNebraska Medical Center
30International Business How does it advance our mission Strategic FitHow does it advance our missionForEducation?Research?Service?Outreach?
31International Business can advance the Mission(s) at the margin. As positioned todayInternational Business can advance theMission(s) at the margin.If embraced more fully, it has the potentialto be a separator in all of our missions.