UNC-Chapel Hill UNC-Chapel Hill Faculty CouncilFaculty CouncilSeptember 14September 14

A brief introduction to UNC Health Care A brief introduction to UNC Health Care and the UNC School of Medicineand the UNC School of Medicine

William J. Roper, MD, MPHVice Chancellor, Medical Affairs

CEO, UNC Health CareDean, UNC School of Medicine

Vision: UNC Health Care Vision: UNC Health Care SystemSystem

• To be the Nation’s Leading Public Academic Health Care System

» National recognition

» Public mission

» Academic institution

• Leading, Teaching, Caring.

Our Guiding PrinciplesOur 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 SystemUNC 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 SystemUNC 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 GlanceUNC Hospitals at a Glance

• 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

$189

$111

$46$39$0

$20$40$60$80

$100$120$140$160$180$200

2001

2002

2003

2004

2005

2006

2007

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UNC Hospitals’UNC Hospitals’Uncompensated Care vs.Uncompensated Care vs.

State SupportState Support

* Amounts in Millions of Dollars

Uncompensated CareUncompensated 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 HealthcareRex 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

• 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 & UNC Physicians & AssociatesAssociates

• 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 Vision: UNC School of MedicineMedicine

• 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 MedicineUNC School of Medicine

• 160 students in each first year class

• Class of 2010 » 23.9 years old (average age)» 73 females (46%)» 87 males (54%)» 88% North Carolina residents

Basic Science Compensation Basic Science Compensation PlanPlan

• 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 PlanClinical 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 NC Area Health Education Centers (AHEC)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

ResearchResearch

• $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 OpportunityGrowth 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 OpportunityGrowth 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 OpportunityGrowth and Opportunity

• The University Cancer Research Fund

• The UNC Institute for Global Health and Infectious Disease

• Commitment to Caring

Thank YouThank You