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

Annual Report MUSC Health/Medical Affairs Education Research Other Progress

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

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.

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

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.

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

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

Clinical Affairs - Accomplishments

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.

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

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

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.

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

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.

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%

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

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

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.

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

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%.

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.

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.

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

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.

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

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.

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

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

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

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

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

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

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

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

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

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

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.

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.

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.

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