Presentation to the
L
i l ti
B d
t B
d
Legislative Budget Board
and the Governor’s Office
f B d
t Pl
i
d P li
of Budget, Planning and Policy
William L. Henrich, M.D., MACP, President September 27 2010
September 27, 2010
Mission
To serve the needs of the citizens of Texas, the nation, and the world through programs committed to excellence and designed to: • educate a diverse student body to become
excellent health care providers and scientists • engage in biomedical research focused on
seeking information fundamental to the
prevention diagnosis and treatment of disease prevention, diagnosis and treatment of disease • provide compassionate and culturally competent
state of the art clinical care
• enhance community health awareness,
education and practices thereby improving the wellness of the citizenry
Positive
Growth in
Education Enterprise
Education Enterprise
3,223 students educated each year
1,094 residents and fellows trained annually
,
y
25,856 graduates
95 Distinguished Teaching Professors
5 490 faculty and staff
5,490 faculty and staff
Regional Impact
eg o a
pact
Joe R. and Teresa Lozano Long (Central) Campus
Medical Arts and Research Center Campus
Cancer Therapy and Research Center Campus
Texas Research Park Campus Greehey (North) Campus
Regional Campus in Laredo
•
Physician assistant studies
•
Dietetics and nutrition
Dietetics and nutrition
•
2 Dental student rotations
•
5 Dental residencies
•
MedEd program for middle high school and college students
MedEd program for middle, high school and college students
•
Dental School Early Admissions Program (DEAP)
Growth of Regional Academic Health Center
(RAHC) Harlingen and Edinburg Campuses
(RAHC) Harlingen and Edinburg Campuses
• 120 paid faculty
193 l t f lt • 193 volunteer faculty • 131 students annually • 16 current residents
• 120 new residency slot commitments • 120 new residency slot commitments • 895 students trained since 2002
• 32 residents trained since 2002 • 100% pass rate on internal medicine
Harlingen
100% pass rate on internal medicine residency board exams
• 12 labs
• 37 faculty/staff • 5 post-doc fellows
• Located on campus of UT Pan Am
Clinical Enterprise
MARC
Opened Fall 2009
140,167 patients seen
CTRC
1 of 4 NCI-designated
centers in Texas
Full complement of specialty areas
Ambulatory surgery center
centers in Texas
$28.9 m cancer-related
grant funding
$119 6
l
t d
$119.6 m annual uncompensated care:
Extensive Regional
University South Texas Veterans
Hospital/Clinical
University Health System
South Texas Veterans Health Care System
Partnerships
Baptist Health System Methodist
Healthcare System
CHRISTUS Santa Rosa Health Care System
Robust Research Enterprise
$259 m research and other sponsored program activity in 2009,
resulting in a $491 m economic impact in Bexar County alone
South Texas Research Facility
$60 m TRB
resulting in a $491 m economic impact in Bexar County alone.
$40 m PUF
$50 m Philanthropic Gifts
$150 m Total Facility Cost
$
y
190,000 sq ft; completion Fall 2011
Five main thematic areas:
Adult cancer, Neuroscience,
Diabetes and Metabolic Biology
Diabetes and Metabolic Biology,
Regenerative Medicine and
Center for Healthy Aging
Growth in Research Enterprise
R
esearch Enterprise, continued
Barshop Institute
p
• 90% NIH grant supported
• Only 8% university
supported
• #1 in NIA funding for basic
biology of aging studies
• 90% NIH grant supported
O l 8%
i
it
t d
Funding:
$6 m PUF
The Sam and Ann Barshop Institute for Longevity and Aging Studies
• Rapamycin life extension
discovery
• Only 8% university supported
• #1 in NIA funding for basic
biology of aging studies
$6 m PUF
$2.4 m Grants
$10.8 m Gifts
• Rapamycin life-extension
discovery
$19.2 m Total Construction Cost
UT Health Science Center’s Funding
Priorities 82
nd
Texas Legislature
Exceptional Item Funding Priorities
82
nd
Texas Legislature
Priorities 82
nd
Texas Legislature
1. San Antonio Life Sciences Institute
$5 m
82
nd
Texas Legislature
Current Enhanced Total
(SALSI)
2. Regional Campus in Laredo (RCL)
3 Regional Academic Health Center
$8 m
1 San Antonio Life Sciences Institute (SALSI) $4 m $1 m $5 m
(All of current funding is ARRA)
2 Regional Campus in Laredo (RCL) $10.1 m $8 m $18.1 m
3. Regional Academic Health Center
(RAHC)
4 TRB – Academic Learning and
$38.6 m
3 Regional Academic Health Center (RAHC) $30.6 m $30.9 m $61.5 m
($6.5 m of current funding is ARRA)
4 TRB – Academic Learning and Teaching Center
4. TRB Academic Learning and
$0 $9 6 m $9 6 mTeaching Center
5. TRB – Diabetes Institute of South
$55 m
4 TRB Academic Learning and Teaching Center $0 $9.6 m $9.6 m
($55 m bonding authority request)
5 TRB – Diabetes Institute of South Texas $0 $1.1 m $1.1 m
($6 m bonding authority request)
Texas
6. Barshop Institute for Longevity and
A i
St di
$6 m
$4
($6 m bonding authority request)
6 Barshop Institute for Longevity & Aging Studies $0 $4 m $4 m
TOTAL $44.7 m $54.6 m
*
$99.3 mAging Studies
$4 m
14
*
- Does not include sustainment of $11.7 mSan Antonio Life Sciences
Institute (SALSI) $5 m
Institute (SALSI) $5 m
• $4 m current funding level
100% ARRA A
i t d th
h A ti l XII
– 100% ARRA, Appropriated through Article XII
– $4 m to sustain current programs, $1 m to grow programs
•
171 8%
171.8%
ROI of funding for investigators
ROI of funding for investigators
• Collaboration between UTSA and the Health
Science Center:
Science Center:
– 7 joint education programs initiated (including biomedical
engineering, applied statistics, communication disorders)
– 120 joint research publications
– Stimulation of the biomedical and biotechnology industries in
San Antonio and South Texas
– Fostering commercialization of intellectual property
Regional Campus in Laredo
(RCL) $8 m
(RCL) $8 m
• $10.1 m current GR funding level
– Requested at 95% ($9.6 m) for FY 2012-13
$
• $8 m to grow programs
– $5.4 m for dental education services
– $2.1 m for health professions degree programs$ p g p g
– $500 k to jump start operations of the Diabetes Institute
• Meet the needs of a dental health professional shortage
d
di
ll
d
d
th
h
and a medically underserved area through:
– Enhanced health professional training and educational programs, specifically: dental, physician assistant studies, dietetics and nutrition
C ll b ti ith T A&M I t ti l th Ph i i A i t t St di – Collaboration with Texas A&M International on the Physician Assistant Studies
program (six year collaborative degree)
– TAMIU Bachelor of Science degree and a Health Science Center Master of Physician Assistant (MPA)
Master of Physician Assistant (MPA)
– Seven students currently enrolled in Laredo (30 accepted per year)
Regional Academic Health Center
(RAHC)
$38 6 m
(RAHC)
$38.6 m
• $61.5 m
$
total cost of RAHC Expansion Plan
p
• $30.6 m current GR funding level
– $22.9 m (95%) base line request for FY 2012-13
$
– $6.5 m sustain ARRA
– $1.2 m restore 5% Budget Reduction
• $30.9 m
$30.9 m
new funding to address Expansion Plan
new funding to address Expansion Plan
– Expand undergraduate ($16.4 m) and graduate medical education ($2 m) and research ($12.5 m)
– Recruit basic science and clinical faculty – Recruit basic science and clinical faculty
– Build infrastructure to support medical education in both San Antonio and the Rio Grande Valley
TRB for Academic Learning and
Teaching Center $9 6 m
Teaching Center $9.6 m
• New Bonding Authority Request of $55 m
g
y
q
$
– $9.6 m Debt Service Requirement
• Construct a 125,000 sq ft building at Health Science Center
i
i S
A t
i f
t
hi
d l
i
main campus in San Antonio for teaching and learning space
to address enrollment growth in all schools, particularly among
medical and nursing schools
• Accommodate the need for increasing the number
of medical students for RAHC expansion
C iti
l i
f RAHC E
i
Pl
• Critical piece of RAHC Expansion Plan
– 50 new medical students per year, 30 to RAHC
TRB for Diabetes Institute
of South Texas $1 1 m
of South Texas $1.1 m
• New Bonding Authority Request of $6 m
New Bonding Authority Request of $6 m
– $1.1 m Debt Service Requirement
• Construct 15,000 sq ft building on
Regional Campus in Laredo
Regional Campus in Laredo
• Provide diabetes and nutrition education
• Provide diabetes and nutrition education
to diabetes-prevalent area
Barshop Institute for Longevity
and Aging Studies $4 m
and Aging Studies $4 m
• No current General Revenue funding
No current General Revenue funding
• Recruit outstanding faculty in basic biomedical
research and clinical care; train physicians
research and clinical care; train physicians
in geriatric medicine
• Search for therapeutic/drug targets to improve
quality of life
• Support core research laboratories
Leverage state funds with community support
• Leverage state funds with community support
Exceptional Item Funding Priorities
82
nd
Texas Legislature
82
nd
Texas Legislature
TOTAL
1 San Antonio Life Sciences Institute (SALSI) $ 5.0 m
($4 m to replace ARRA)
2 Regional Campus in Laredo (RCL) $ 8 0 m 2 Regional Campus in Laredo (RCL) $ 8.0 m 3 Regional Academic Health Center (RAHC) $38.6 m
($6.5 m to replace ARRA)
4 TRB – Academic Learning and Teaching Center $ 9.6 m
($55 m bonding authority request)
5 TRB – Diabetes Institute of South Texas $ 1 1 m 5 TRB Diabetes Institute of South Texas $ 1.1 m
($6 m bonding authority request)
6 Barshop Institute for Longevity & Aging Studies $ 4.0 m
TOTAL $66.3 m
Budget Reductions
g
(Formula and Non-formula)
• FY 2010-11 – 5% reduction $15 5 m biennial
FY 2010 11 5% reduction $15.5 m biennial
• FY 2012 13
5% reduction $15 2 m biennial
• FY 2012-13 – 5% reduction $15.2 m biennial
-or-FY 2012 13
10%
d
ti
$30 4
bi
i l
• FY 2012-13 – 10% reduction $30.4 m biennial
• Total of 15% Reduction – $45.9 m biennial
Effect of Reductions
• Significant reductions to faculty and staff
• Closure of academic programs
• Reduction in student enrollments
• Hamper our ability to educate health care providers for
future of Texas
• Compromise competitiveness for extramural funding
• Compromise competitiveness for extramural funding
• Loss of clinical and sponsored research revenues
• Decline in clinical care to medically underserved
Decline in clinical care to medically underserved
• Added difficultly recruiting and retaining faculty and
staff
Formula Funding Priorities
g
• Fund formulas at levels recommended by THECB
Fund formulas at levels recommended by THECB
– Restore funding to 2001-02 formula levels
• Replace ARRA formula GR in 2012-13
–
$8.7 m
– Supports Undergraduate Medical (UME - $6.4 m) and Graduate Medical Education (GME $2 3 m) Strategies – Graduate Medical Education (GME - $2.3 m) Strategies