1. State of the College Address
September 9, 2013
Etta D. Pisano, MD
Vice President for Medical Affairs
Dean, College of Medicine

2. Annual Report MUSC Health/Medical Affairs Education Research
Other Progress

3. Strategic Plan ~ Mission 2015
MUSC Health/Medical Affairs
2015
Strategic Plan ~ Mission 2015
Vision: MUSC will be nationally recognized as a premier academic medical center
Intent: Top 25 among academic medical centers for reputation, quality, service, efficiency and financial performance by 2015

4. MUSC Health/Medical Affairs
STRATEGIC INTENT:
Top 25 among academic medical centers for reputation, quality, service, efficiency and financial performance by 2015.
UHC Quality and Accountability Study
US News & World Report
UHC's distinctive Quality and Accountability Study was designed to help AMCs identify structures and processes associated with high performance in quality and safety across a broad spectrum of patient care activity. The Institute of Medicine's 6 domains of care — mortality, effectiveness, safety, equity, patient centeredness, and efficiency — are used as a guide in structuring the study.
US News & World Report Rankings-
Based on surveys sent to nearly 10,000 specialists and data for approximately 5,000 hospitals to rank the best in 16 adult specialties
Only 147 hospitals were nationally ranked in one or more specialties.
U.S. News surveyed 179 pediatric centers to obtain clinical data in 10 pediatric specialties and asked 150 pediatric specialists in each specialty where they would send the sickest children.
87 children’s hospitals ranked in at least one specialty.

5. Clinical Affairs - Accomplishments
Nationally Ranked Specialties
Ear, Nose & Throat
Nephrology
Rheumatology
Pediatrics: Cardiology & Heart Surgery
Pediatrics: Gastroenterology
Pediatrics: Nephrology
Dr. Paul Lambert – Chair, Department of Otolaryngology
Dr. Michael Ullian – Chief, Nephrology
Dr. Rick Silver – Chief, Rheumatology
Dr. Andy Atz – Chief, Pediatric Cardiology
Dr. Scott Bradley – Chief of Pediatric Cardiac Surgery
Dr. Antonio Quiros – Chief, Pediatric Gastroenterology
Dr. Ibrahim Shatat – Chief, Pediatric Nephrology

6. Clinical Affairs - Accomplishments
High Performers
Cancer
Cardiology & Heart Surgery
Diabetes & Endocrinology
Gastroenterology
Geriatrics
Gynecology
Neurology & Neurosurgery
Orthopaedics
Pulmonology
Urology
Hospitals with scores that fell within the top 25 percent of the range in a given specialty are recognized as high-performing in the specialty.

7. South Carolina Rankings
Clinical Affairs - Accomplishments
South Carolina Rankings
Hospital
SC Ranking
# Nationally Ranked Specialties
# High Performers
MUSC #1 6 10
Greenville #2
Spartanburg
Roper #4 8
AnMed #5
Bon Secours St. Francis #6 4
McLeod Health #7 2
Mary Black Memorial Hospital #8 1

8. Clinical Affairs - Accomplishments
Dr. Jonathan Edwards
Dr. Alex Vandergrift

9. Clinical Affairs - Accomplishments

10. Clinical Affairs – Progress in Affiliations
Georgetown Health System
External legal counsel engaged; drafting partnership agreement
Draft Joint Operating structure completed
Site visit for MUSC faculty; LINAC and Waccamaw Hospital Tues., Aug. 6th
The meeting in Georgetown on Aug. 6 was to bring the Oncology physicians from MUSC to Georgetown to meet the Georgetown physicians and leadership. This is more of a social opportunity as much as a logistical opportunity to sit down and discuss expectations, etc.

11. Clinical Affairs – Progress in Affiliations
Surgical Care Affiliates (SCA)
MUSC legal team finalized Co-Development Agreement
Co-Development Agreement signed by all entities
Ambulatory surgery center selected
External legal counsel engaged; drafting Joint Venture documents

12. Clinical Affairs – Progress in Affiliations
Onsite visits by Drs. Pisano, Cawley and Feussner
Met with C-Suite members & selected Board members
Preliminary discussion of joint mission and driving strategies
External consultant engaged (The Beckham Company)
Negotiating with BMH on consulting contract
Dr. Jack Feussner
Dr. Pat Cawley

13. Talking Points:
23 Primary Care Sites
No additional new sites planned at the moment.
Primary Care Physician Headcount: 83
Added 2 sites during FY13, but also removed 2 sites. Growth in the network was by adding physicians to existing sites.

14. All the After Hours clinics were established in FY13.
(The West Ashley After Hours clinic is planned for FY14.)

15. The State legislature voted this past June to award MUHA $12
The State legislature voted this past June to award MUHA $12.4 million to expand our telemedicine offerings.
Special thanks to Bo Faulkner and Mark Sweatman for their efforts.

16. Clinical Affairs - Growth
FY 13 Visit Counts by Place of Service Q1 & Q2
MUSC Marketing Department Data
FY 13 Goal: 2%
Q 1 & Q2 Results: 4%

17. Clinical Affairs – Access Wins!
Department of Neurology
Opened new patient ACCESS Clinics.
Decrease in New Patient Appointment Lag by 42%.
Added an additional 576 new patient appointments.
The Division of Cardiology
Plans to expanded clinical capacity by standardizing.
The division added 2.0 FTE of clinical activity (without hiring any additional faculty).
Added an additional 1800 new patient appointments.
Peter Zwerner, MD
“Just say, ‘Yes’!”
Patients scheduled within 7 days
Standardize and reduce appointment types
Establish a formal process when an appointment cannot be made
Protocols for late, pre-scheduling, and new patients after hours
Focus on Supply & Demand: Reengineer
Increase New Patients
Standardize Metrics
Develop Master Scheduling System

18. Education – Accomplishments
Achieved Liaison Committee on Medical Education (LCME) reaccreditation.
Strengths-
Curriculum.
Career and advising system.
Research opportunities for students.
Diversity.
Dr. Deborah Deas

19. Education – Accomplishments
LCME reaccreditation - things to work on-
Indebtedness of our students.
Debt counseling for our students.
We are not increasing tuition this year as originally approved by the BOT.
More scholarships are being provided to our students thanks to approval of Mark Sothmann.
Fundraising campaign underway to increase scholarships.

20. Education – Accomplishments
U.S. News and World Report top 10 most popular medical schools.
3,558 total applicants
6% of applicants were offered admission
Of those offered admission, 78% accepted
Average GPA of admitted class – 3.7
Average MCAT of admitted class – 29
40% female, 60% male, 17% underrepresented in medicine students

21. Education – Accomplishments
We improved our Step 1 Board Prep Program over the past year.
Our USMLE Step 1 first-time pass rate increased from 91% to 93%, with a second attempt pass rate of 100%.
Our USMLE Step 2CK pass rate increased from 96% to 99%, and we maintained a USMLE Step 2CS pass rate of 96%.

22. Education – Accomplishments
Match Assistance Program – 98% of students matched initially, with 100% of our students eventually matching.
Of the 157 students who matched, 42 (27%) are staying in S.C. for their residency training.

23. Education – Accomplishments
Our Student Satisfaction Survey reveals that our students are highly satisfied with their education-
94% of students responding believe they have received a high quality education at MUSC;
94% believe they made the right choice in selecting MUSC for their training; and
93% indicate they would recommend MUSC to a prospective student.

24. Education – Accomplishments
The Academy of Medical Educators (established in June 2012)-
25 faculty members have joined to date
Established in June 2012 to provide a forum for higher levels of participation, training and recognition of faculty educators-
25 faculty members have joined to date
Several events have been held including “Pearls for Medical Educators”, “The Future of Health Disparities in the Age of Healthcare Reform”, “Developing Innovative Strategies for Active Learning and Medical Education”, and “Integrating Clinical and Translational Research into Medical Education”.
Dr. Leonie Gordon
Dr. Paul McDermott
Dr. Debra Hazen-Martin

25. Education – Ongoing Efforts
Potential secondary medical education campuses under development/consideration.
We plan to present potential options to BOT at the February 2014 meeting, possibly sooner if plans develop faster.

26. Research – Accomplishments
Department of Public Health Sciences.
Center for Genomic Medicine.
Infrastructure Committee.
Biorepository Committee.
Enhanced support for SCTR.
Continued implementation of Research Strategic Plan.
Department of Public Health Sciences – established January 1, 2013
Center for Genomic Medicine – established January 1, 2013
Infrastructure Committee conducting a comprehensive review of core facilities across the college – to identify a more robust financial model of support, recommend new cores as needed, and sunset cores no longer needed. The Committee has recommended and coordinated the implementation of the iLabs software system for managing core activities across the college.
Biorepository Committee working to establish best practices for sample procurement, storage, and use in research. Tissue Metrics adopted as the collection management software for all biorepository efforts in the College, and middleware developed to link collection samples to the MUSC clinical data warehouse.
Dr. Craig Crosson

27. Research - Accomplishments
Bridge funding program
17 faculty funded for a total investment of $840,000.
Those 17 faculty have since received over $10 million in extramural funding.
Top 50 in NIH rankings for medical schools.

28. Research – Ongoing Efforts
A Clinical Research Task Force was convened this spring to improve our competitiveness and efficiency and promote best practices in conducting clinical trials.
Initial areas being targeted for review and improvement include developing systems to improve financial monitoring of trials, staff training, IRB, and space utilization.
Dr. Kathleen Brady
Dr. Patrick Flume

29. Research – Ongoing Efforts
NCI renewal for Hollings Cancer Center – renewal application was submitted in May, and site visit takes place September 24.
We have partnered with the HCC on several recruitments for key members of the cancer center over the past year and will continue to assist with these recruitments going forward.
Dr. Andrew Kraft

30. Leadership Recruitments
Effective September 1, 2012
Joined us from UT-Southwestern
Dr. Don Rockey, Chair of Medicine

31. Leadership Recruitments
Effective April 1, 2013
Joined us from the University of Maryland School of Medicine
Dr. Vincent Pellegrini, Chair of Orthopaedics

32. Leadership Recruitments
Effective July 1, 2012
Has been on the faculty at MUSC since 1996
Dr. Donna Johnson, Chair of Obstetrics and Gynecology

33. Leadership Recruitments
Effective September 1, 2012
Joined us from UCSD
Dr. Bruce Ovbiagele, Co-Chair of Neurosciences (Neurology)

34. Leadership Recruitments
Effective October 1, 2012
MUSC faculty member since 2011, recruited to MUSC from Case Western Reserve University
Dr. Philip Howe, Chair of Biochemistry and Molecular Biology

35. Leadership Recruitments
Effective January 1, 2013
MUSC faculty member since 1991; previously served as Chief of the Division of Biostatistics and Epidemiology.
Recruitment for a permanent Chair is underway.
Dr. Yuko Palesch, Interim Chair, Department of Public Health Sciences

36. Leadership Recruitments
Effective January 1, 2013
MUSC faculty member since 2012, recruited to MUSC from Wayne State University to co-lead the Hollings Cancer Center’s Cancer Genetics and Molecular Regulation Program
Dr. Steven Ethier, Interim Director, Center for Genomic Medicine

37. Ongoing Recruitment Efforts
Chair, Department of Family Medicine
Chair, Department of Pathology
Chair, Department of Public Health Sciences
Chair, Department of Regenerative Medicine

38. Administrative Accomplishments
Continued implementation of University-wide Funds Flow Process.
Continued implementation of Basic Science Department funding model.
Continued implementation of University-wide Funds Flow Process. Will be delving into COM finances at the Town Hall Meeting on September 23, 4:00 p.m.
Continued implementation of Basic Science Department funding model.
Allows allocation of clinical revenue to support the research enterprise in a more logical and predictable manner.
Provides a stable funding methodology to basic science departments, allowing for better planning of growth and utilization of resources.
Maintains the current level of support and allows Chairs to create reserves for strategic investment.

39. Administrative Accomplishments
Implementation of new Clinical Faculty Compensation Framework.
Tracks productivity.
Balancing all missions.
Transparent, fair, unified.
Adapts to new delivery metrics (quality and safety).
Flexible depending on clinical service needs.
Shadow system through implementation in July 2014.

40. Administrative Accomplishments
Continued assessment and improved utilization of space assigned to the college.
COM is currently subsidizing the cost of academic, research and office space by ~ $11 million/year.
COM has set a goal of reducing unfunded space cost by at least 25% over the next two years.
COM has established departmental benchmarks for average IDC rates for grant funding, effective July 1, 2013.
Continued implementation of Faculty Affairs Roundtables and COM Leadership School.

41. Questions?