Johns Hopkins Medicine The Bigger Picture. Paul Rothman, M.D. Dean of the Medical Faculty and CEO of Johns Hopkins Medicine

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Johns Hopkins Medicine The Bigger Picture Paul Rothman, M.D. Dean of the Medical Faculty and CEO of Johns Hopkins Medicine

First Impressions The people of Johns Hopkins Medicine conquer challenges, push boundaries, and lead in innovation. 2

A Legacy of Greatness Johns Hopkins John Billings Mary Elizabeth Garrett William Welch William Halsted William Osler Howard Kelly Peter Agre Carol Greider 3

Milestones and Awards 4

Milestones and Awards Opening of the Sheikh Zayed Tower and The Charlotte R. Bloomberg Children's Center 5

Milestones and Awards 6

Milestones and Awards Institute of Medicine Inductees Gregg Semenza Larry Appel National Academy of Sciences Paul Englund Rachel Green Se-Jin Lee Sol Snyder King-Wai Yau

Milestones and Awards Hal Dietz Jef Boeke Catherine DeAngelis Linzhao Cheng Svetlana Lutsenko Duojia Pan University of Michigan Taubman Prize for Excellence in Translational Medical Research American Academy of Arts & Sciences Lifetime Achievement Award from the Association of American Medical Colleges American Association for the Advancement of Science 8

Current State of Johns Hopkins Medicine 9

Sources of Revenue Johns Hopkins Medicine FY 2012 Managed Care 17% Other* 12% Hospital Services 45% Clinical / Research Faculty / Physician 26% * Other includes International, Home Care, Johns Hopkins Health System 10

Fundraising Johns Hopkins Medicine (Amounts in Millions) 11

State of Education Our Students 12

State of Education First-Year Medical Students 5,805 applicants to our School of Medicine this year 119 new students: 51 women and 68 men One returning student, making this a class of 120 27 members come from minority groups underrepresented in medicine Average MCAT score: 11.75 per section Average GPA: 3.82 Students from 9 countries, 28 U.S. states, and from 61 undergraduate schools, including the U.S. Naval Academy 13

State of Education Innovation in Medical Education The Aliki Initiative Know the patient as a person C. Rand, Ph.D. R. Ziegelstein, M.D. Increase opportunities, expectations to know the patient Improve patient outcomes Resident visiting patient at home 14

State of Education International Perdana University Graduate School of Medicine and Perdana University Hospital (Malaysia) Strategic collaboration agreement in 2010 Malaysia s first private American-style graduate medical school and fully integrated private teaching hospital Hopkins experts guide academic development in alignment with Genes to Society curriculum Medical school opened in 2011

State of Education New Residency Program All Children s Hospital 12 Residents in July 2014 16

State of Research Basic Research Ribosomes & the RNA World Regulation of Brain Neuronal Receptors Rachel Green, Ph.D., Professor of Molecular Biology & Genetics. Member of the National Academy Of Science Richard Huganir, Ph.D., Professor and Director of Neuroscience. Member of the National Academy Of Science 17

State of Research From Bench to Bedside Cellular Use of Oxygen Epigenetics and Behavior Gregg Semenza, M.D., Ph.D., C. Michael Armstrong Professor of Pediatrics. Member of Institutes of Cell Engineering and Genetic Medicine Andrew Feinberg, M.D., M.P.H., King Fahd Professor of Molecular Medicine, Department of Medicine, Department of Oncology and Department of Molecular Biology & Genetics 8/20/2013 18

New Institutes and Programs Armstrong Institute for Patient Safety and Quality Military & Veterans Health Institute Institute of Excellence in Education Johns Hopkins Individualized Health Initiative or inhealth Johns Hopkins Diabetes Initiative 19

State of Patient Care A Full Spectrum of Care Johns Hopkins Green Spring Station Johns Hopkins White Marsh The Johns Hopkins Hospital Howard County General Hospital Johns Hopkins Bayview Johns Hopkins Bethesda Suburban Hospital Sibley Memorial Hospital Johns Hopkins Odenton All Children s Hospital (FL) 20

State of Patient Care Outpatient: Health Care & Surgery Centers Green Spring Station FY12 Volume: 270,350 White Marsh FY12 Volume: 133,750 Odenton FY12 Volume: 84,900 Odenton Expansion Opened December 10 th, 2012 Johns Hopkins Bethesda (Suburban Outpatient Medical Center) 21

State of Patient Care Hospital Care The Johns Hopkins Hospital FY12 Admissions: 46,673 Johns Hopkins Bayview FY12 Admissions: 20,766 All Children s Hospital FY12 Admissions: 8,830 Howard County General Hospital FY12 Admissions: 15,667 Suburban Hospital FY12 Admissions: 14,171 Sibley Memorial Hospital FY12 Admissions: 10,807 22

Our Reputation Provides the Highest Quality Care % of respondents selecting Johns Hopkins Hospital 23

Local and National Outreach FY13 Out-of-State Consumer Outreach Pennsylvania Delaware CNN Physicians Network Markets CNN Airport Network and Southwest Airlines In-Flight Markets Google Search Ads and JH Health Newsletter Markets Current marketing campaign reaching more than 109 million people, primarily through targeted online advertising and search engine marketing. 24

Out of State Growth The Johns Hopkins Hospital Out of State Volume Trend Discharges: Out of State Outpatient Visits: Out of State 11k 150k 140k 10k 130k 9k 120k 100k 8k 100k 25

Bridging Patient Care and Research Interdisciplinary Programs Multidisciplinary Lung Cancer Center Radiation Oncology Program with Suburban and Sibley Johns Hopkins Heart Surgery at All Children s Hospital Breast Center Program at Howard County General Hospital 26

Helping Our Local Community 27

Helping Our Local Community East Baltimore Development (Eager Park) Started in 2001 Redevelopment of 88 acres in East Baltimore Acquisition of 2,000 properties Relocation of 750 households Master Plan 1.1 million sq. ft. of commercial lab space, 2,000 housing units, 150,000 sq. ft. of retail space, open space, new public school 28

Johns Hopkins International Reaching a Global Community 29

Challenges and Opportunities 30

Challenges The Health Care Economy The Affordable Care Act is a reality Primary focus is a reduction in the cost of medical care Lower cost of care has many implications -- Reduced compensation for patient care -- Pressure to increase system efficiencies -- Increased emphasis on preventive measures -- Pressure to decrease inpatient stays and readmissions -- Greater emphasis on population health Health Care Waiver in Maryland is at risk Growth of federal funding of research is at risk 31

Aspirations Johns Hopkins Medicine must lead the change 32

Aspirations The Challenge Educational Reform Technology is changing the way we think of the classroom and how we teach. Our payers are asking us to become more efficient and to hold down the costs of education. 33

Aspirations The Opportunity Within five years We will have developed new and more efficient models to train our M.D.s and Ph.D.s. We will have developed more efficient models to train our med students, residents and physicians in the safest, most cost-effective and highest-quality care. 34

Aspirations The Challenge Discovery Scientific discovery is occurring at a blistering pace, driven by the development of new technologies. U.S. dominance of biomedical discovery will be challenged by other countries that are making huge investments as we face significant cutbacks. 35

Aspirations The Opportunity Within five years We will become the most effective center for advancing scientific discoveries to benefit the world. 36

Aspirations The Opportunity Within five years We will have a health care delivery and financing system that improves patient care and the health of populations while reducing the costs of health care and that also embraces the Hopkins tradition of innovation. We will partner with patients, families and communities in the development of this system and we will apply the same rigor to its development as we do to our basic science. We will provide the safest patient- and family-centered care alongside cutting-edge medical innovations. 37

Thank You 38