Board of Regents Strategic Planning Meeting. Tedd L. Mitchell, MD Texas Tech University Health Sciences Center February 23, 2017

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Board of Regents Strategic Planning Meeting Tedd L. Mitchell, MD Texas Tech University Health Sciences Center February 23, 2017

TTUHSC Mission Statement The mission of Texas Tech University Health Sciences Center is to improve the health of people by providing high quality educational opportunities to students and health care professionals, advancing knowledge through scholarship and research, and providing patient care and service. 2

TTUHSC Vision Statement Texas Tech University Health Sciences Center will become a nationally recognized health sciences university 3

Criteria students use for determining which HRI they attend Accreditation (SACS, LCME, CCNE, ACPE, etc.) Certification Exam Pass Rates (USMLE, NBME, NCLEX, NAPLEX, etc.) Clinical Rotations/Facilities/Hospital and Clinic Affiliations Faculty Cost Student specialty interests (Biomedical Research, Primary Care, Specialty Care, etc.) Acceptance to the program Location, location, location Reputation 4

TTUHSC Historical Positives Accreditation Certification Pass Rates Faculty Cost Student Specialty Interests Historical Negatives Location Clinical Rotations and hospitals Acceptance to Program Reputation 5

TTUHSC School of Medicine The Joint Commission is pleased to grant your organization an accreditation decision of Accredited for all services surveyed February 13, 2017 6

TTUHSC Office of Compliance Association of American Medical Colleges (AAMC) Executive Summary of 2016 on-site audit: The overall assessment is that of a well-run and effective Compliance and Privacy Program. The Compliance Officer and the office itself are held in high regard by leadership and key stakeholder colleagues. The current reporting structure to the President of the TTUHSC is ideal and appears to be working well. The Compliance Office structure and resources are appropriately sized for the TTUHSC campuses. The Compliance and Privacy/Security Training Programs are robust and comprehensive. Physician billing and coding training is done in person for all new providers and is required to be completed before a provider is allowed to bill. The TTUHSC Research Integrity team is experienced in research compliance and enthusiastic about collaborating with the Compliance Office on developing a more robust Research Billing Compliance Program which would provide oversight for research billing. The Compliance Program recently launched a conflict of interest (COI) disclosure process for providers and employees. 7

TTUHSC upcoming accreditation visits Liaison Committee on Medical Education (March 2017) Southern Association of Colleges and Schools (March 2019) 8

TTUHSC School of Medicine TTUHSC is among most affordable public medical schools in U.S. $17,737 tuition and fees ranks #3 for least expensive public medical school in nation (for instate students) Source: USNWR; 10 Most Affordable Public Medical Schools for In-State Students; August 2016 9

Medical schools tackle primary-care shortages Texas Tech's admissions officers look for students for the Family Medicine Accelerated Track who eventually want to practice in small towns, which face a shortage of qualified doctors willing to locate in their communities. The FMAT program has graduated 31 students since its inception in 2011. November 5, 2016 10

Because location is a challenge, facilities, scholarships, rich training and reputation must make up the difference Challenges Aging Infrastructure & Space limitations for growth Limited endowment for mission Clinical Rotations/Hospitals (patient care experiences) Solutions Tuition Revenue Bonds Projects Campaign for Your Life, Our Purpose Strategic expansion in current communities (i.e. VA clinic in Lubbock) 11

Missions: TTUHSC vs. Partnering Hospitals TTUHSC: Education, Research, Service Hospital: Service, Profit, Market Share, +/- Education 12

TTUHSC School of Pharmacy Top 30% of U.S. schools of pharmacy (36 of 125) 2017 US News and World Report - 2017 13

TTUHSC School of Nursing Top 1% of U.S. universities in graduates obtaining nursing degrees Integrated Postsecondary Education Data System (IPEDS) College Factual 2017 14

TTUHSC School of Nursing Top 5% of U.S. universities in graduates obtaining online nursing degrees Integrated Postsecondary Education Data System (IPEDS) College Factual 2017 15

TTUHSC School of Health Professions Top 1% of U.S. universities in graduates obtaining health professions degrees Integrated Postsecondary Education Data System (IPEDS) College Factual 2017 16

TTUHSC School of Health Professions Top 5% of U.S. universities in graduates obtaining online health professions degrees Integrated Postsecondary Education Data System (IPEDS) College Factual 2017 17

TTUHSC School of Medicine Association of American Medical Colleges Faculty Forward Survey* SOM Faculty ranked best in nation amongst our peers for faculty satisfaction (82% vs. 65%) *Survey covered such things as mission, governance, supervisor, culture, growth opportunities, collegiality, and compensation. 18

TTUHSC Ranked #1 in Nation Top U.S. university with graduate health programs for student satisfaction Graduate Programs.com - 2016 19

TTUHSC Ranked #1 in Nation Texas Tech University Health Sciences Center is the top rated school on our list, with an incredibly high student satisfaction rating of 4.7. Many reviewers commented on the strong community and supportive professors. One reviewer wrote, Really enjoy the atmosphere, as it is collaborative and supportive. Another student highlights the great camaraderie among students and the faculty and staff invested in your success at Texas Tech University Health Sciences Center. Graduate Programs.com - 2016 20

Education 2000 1800 Degrees Awarded by Academic Year 1,650 1,846 1,871 1,887 1,998 1600 1400 1200 1,227 1,418 1000 2010 2011 2012 2013 2014 2015* 2016 Degrees Awarded *El Paso excluded beginning 2015

Education 60% 55% 50% 45% Precentage of Students Entering Primary Care Specialty 52% 51% 46% 56% 40% 38% 35% 30% 2012 2013 2014 2015 2016 Percentage of Students Target >45% 22

$70 M $60 M $60.6 M $61 M Research Expenditures and Awards Total Research Expenditures $50 M $40 M $37.8 M $40.1 M $39.9 M Total External Research Awards $30 M $20 M $10 M $ M $27.7 M $24 M $22.1 M $18.2 M $15.7 M $13.7 M $14.3 M $10.9 M $8.6 M $8 M $5.9 M $4 M $1.9 M $1.5 M $2 M 2012 2013 2014* 2015 2016 Total National Institute of Health (NIH) Awards Total Cancer Prevention Research Institute of Texas (CPRIT) Awards *El Paso excluded beginning 2014 23

Research Grants Submitted 300 250 261 230 254 276 Total External Grants Submitted 200 150 100 110 105 178 83 126 106 Total NIH Grants Submitted Excludes El Paso 50 2012 2013 2014 2015 2016 24

450 430 410 390 370 350 330 310 290 270 Research Number of Publications by TTUHSC Faculty (excludes El Paso) 411 396 341 343 426 250 2012 2013 2014 2015 2016 25

$900,000 Research Internal Seed Grants *El Paso excluded beginning 2014 $800,000 $700,000 $763,000 $600,000 $500,000 $400,000 $300,000 $459,000 $426,000 $541,000 $200,000 $198,000 $100,000 $0 2012 2013 2014* 2015 2016 26

Service Total Number of Outpatient Visits 800,000 772,984 772,243 765,380 750,000 700,000 650,000 600,000 550,000 500,000 450,000 400,000 530,889 540,150 2012 2013 2014 2015* 2016 *Excludes El Paso beginning 2015 27

Service 160 140 Number of Students Participating in Global Health Initiatives 143 140 143 120 100 80 60 40 20 78 64 0 2012 2013 2014 2015 2016 28

65000 60000 Service Students and Other Community Members who Participated in Health Career Promotion Activities 57,289 62,980 55000 50000 48,747 46,245 49,472 45000 40000 35000 30000 2012 2013 2014 2015 2016 29

Service 1800 1600 1400 1200 1000 800 600 400 200 0 Number of Patient Visits to the Student Run Free Clinic 1,547 1,650 1,538 1,305 2012 2013 2014 2015 30

Service Number of Patient Visits at Larry Combest Community Health & Wellness Center and Sunrise Canyon Combest Clinic (FQHCs) 30000 25000 20000 15000 14,373 13,440 15,073 21,256 26,477 *Includes Abilene Community Health Center beginning in 2015 10000 5000 0 2012 2013 2014 2015* 2016 31

Administration 6% Administrative Cost as Percentage of Total Expenditures 5% 4% 3% 2% 1% 4.31% 4.24% 5.27% 5.23% 4.47% 0% 2012 2013 2014 2015 2016 Target Administrative Cost as Percentage of Total Expenditures 32

Administration $350 M $300 M $250 M $200 M $150 M $100 M $50 M $266 M Total Endowment Assets (TTUS) $318.4 M $292 M $287 M $219.5 M $217.8 M $209.2 M $207.4 M $199.4 M $ M 2012 2013 2014 2015 2016 Target Total Endowment Assets (TTUS) 33

Administration 30% State Appropriated as a Percentage of Total Institutional Revenue 29% 28% 29.30% 27% 26% 26.81% 26.97% 26.62% 25% 25.50% 24% 23% 2012 2013 2014 2015 2016 34

Administration $45 M $40 M $35 M $30 M $25 M $20 M $15 M $10 M $5 M $ M Total Funds Raised Annually $40.04 M $38.73 M $11.08 M $12 M $11.79 M 2012 2013 2014 2015* 2016 *Launched the Your Life, Our Purpose Campaign in 2015 35

Board of Regents Strategic Planning Meeting Tedd L. Mitchell, MD Texas Tech University Health Sciences Center February 23, 2017