THE UNIVERSITY OF TEXAS
THE UNIVERSITY OF TEXAS
SOUTHWESTERN MEDICAL CENTER
SOUTHWESTERN MEDICAL CENTER
AT DALLAS
SPACE DEFICITS AT HEALTH INSTITUTIONS
SPACE DEFICITS AT HEALTH INSTITUTIONS
(Coordinating Board Analysis – March, 2006)
(Coordinating Board Analysis – March, 2006)
UT Southwestern
UT Southwestern
UTHSC San Antonio UTMB Galveston UTHSC Houston Texas A&M HSC UNTHSC – Ft. Worth UTHSC – Tyler (sq. ft.) Space Deficit* 714,772 714,772 366,483 320,727 311,857 238,256 105,283 15,880 UT MD Anderson 568,731 Texas Tech HSC 0
Education
- Post-graduate Students (residents and fellows) - Continuing Medical Education
Research
- Basic Biomedical Research - Clinical Research
- Biotechnology
Clinical Care
- Indigent Patients
- Referred Fee-for-Service Patients
Community Service
- Special Health Programs
- Shared Clinical, Health, Educational, and Research Expertise - Basis for Economical Development
HEALTH SCIENCE CENTER MISSIONS
HEALTH SCIENCE CENTER MISSIONS
IN ADDITION TO EDUCATING ENROLLED STUDENTS IN ADDITION TO EDUCATING ENROLLED STUDENTSTEXAS MEDICAL SCHOOL
TEXAS MEDICAL SCHOOL
ENTERING CLASSES – 2006*
ENTERING CLASSES – 2006*
Underrepresented Minorities
Underrepresented Minorities
Hispanic American African American Indian Total UT Southwestern UT Southwestern UTMB - Galveston UT San Antonio UT Houston Texas Tech Texas A&MUNT – Fort Worth
46 46 39 35 27 11 14 8 19 19 17 7 6 4 4 2 0 0 1 3 3 1 0 1 65 65 57 45 36 16 18 11 *As of August 30, 2006
GRADUATE MEDICAL EDUCATION IN TEXAS
GRADUATE MEDICAL EDUCATION IN TEXAS
Number of Residents in Training at State-funded Institutions
Number of Residents in Training at State-funded Institutions
PositionsTotal 2005 UT Southwestern UT Southwestern 1,1281,128 UT Tyler 23 UNT 123 UT Houston 756 UT Galveston 555 UT MD Anderson 100 UT San Antonio 637 Texas Tech 469 Texas A&M 425 Baylor Medical College 1,126
PATIENTS BY STATE MEDICAL CENTER FACULTY
PATIENTS BY STATE MEDICAL CENTER FACULTY
2004-05 $ (millions) UT Southwestern UT Southwestern $ 324.4$ 324.4 UT Tyler 8.7 UNT 7.2 UT Houston 172.2 UT Galveston 114.7 UT MD Anderson 50.6 UT San Antonio 98.5 Texas Tech 83.8 Texas A&M 0.5
UNCOMPENSATED CARE DELIVERED TO INDIGENT
UNCOMPENSATED CARE DELIVERED TO INDIGENT
Baylor Medical College 196.4
Examples of Areas of Research Preeminence
Examples of Areas of Research Preeminence
UT SOUTHWESTERN
UT SOUTHWESTERN
Molecular Basis for Diseases
Cholesterol, Metabolism, and Diabetes Advanced Medical Imaging
Emergency Medicine and Preparedness Cellular Signaling
Heart Disease and Stroke
Neurologic Diseases and Mental Illness Birth Defects and Genetic Diseases
Gulf War Syndrome Drug Addiction
Members elected from Texas since 1979
Members elected from Texas since 1979
NATIONAL ACADEMY OF SCIENCES
NATIONAL ACADEMY OF SCIENCES
GENERAL ACADEMIC INSTITUTIONS MEDICAL INSTITUTIONS Rice University – Houston
Curl, R.F. Kinsey, J. Smalley, R.E.
Southern Methodist University – Dallas Binford, L.R.
Wendorf, D.F.
Texas A&M University – College Station Adkisson, P.L. Scully, M.O. Summers, M.D. Womack, J.E. University of Houston Amundson, N.R. Chu, P.C.W.
University of Texas - Austin Amsel, A. Bard, A.J. Butzer, K.W. DeVancouleurs, G.H. Dewar, M.J. DeWitt, B.S. Fox, M.A. Sclater, J.G. Swinney, H.L.
Baylor Medical College – Houston
Elledge, S.J. O’Malley, B.W. Wakil, S.J. UTHSC - Houston Knobil, E.H. Murad, F. UT MD Anderson - Houston Lennarz, W.J. UT Southwestern - Dallas UT Southwestern - Dallas Brown, M.S. Deisenhofer, J. Estabrook, R.W. Garbers, D.L. Gilman, A.G. Goldstein, J.L. Hudspeth, A.J. McCann, S.M. Olson, E.N. Südhof, T.C. Uhr, J.W. Unger, R.H. Vitetta, E. Wilson, J.D. Caskey, C.T. Yanagisawa, M. Lambowitz, A.M. Zoghbi, H.Y. Wang, X. Barbara, P.F. Cobb, M.H. Russell, D.W.
0 75 150 225 300 375 1985 1990 1995 2000 2005
UT SOUTHWESTERN
UT SOUTHWESTERN
Research Expenditures
Research Expenditures
94.7 140.4 206.2 340.2*Includes State, VA, and HHMI
Fiscal Year
Dollars (millions)*
FEDERAL AND PRIVATE R&D EXPENDITURES
FEDERAL AND PRIVATE R&D EXPENDITURES
AT STATE MEDICAL CENTERS
AT STATE MEDICAL CENTERS
UT Southwestern UT Southwestern 284.8284.8 UT Houston UT Galveston UT San Antonio Texas A&M UNT - Ft. Worth Texas Tech UT MD Anderson UT Tyler
*Excludes VA and HHMI
139.3 137.9 119.6 50.5 20.8 9.2 230.8 5.8 (millions)* 2004-05 $ $ $ $
EXTERNAL RESEARCH FUNDS COMPARED TO STATE APPROPRIATIONS
EXTERNAL RESEARCH FUNDS COMPARED TO STATE APPROPRIATIONS
LEVERAGE OF STATE APPROPRIATIONS
LEVERAGE OF STATE APPROPRIATIONS
UT Southwestern UT Southwestern UT Houston UT Galveston UT San Antonio Texas A&M UNT - Ft. Worth Texas Tech UT MD Anderson UT Tyler UT Austin Texas A&M U Houston Texas Tech
*Excludes VA & HHMI
2004-05 Federal
and Private Funds* Appropriations2004-05 State A/B
B $284.8 $284.8 $100.8$100.8 2.832.83 139.3 126.5 1.10 137.9 228.9 .60 119.6 126.5 .95 50.5 57.1 .88 20.8 43.8 .47 9.2 91.6 .10 230.8 139.9 1.65 5.8 33.9 .17 333.6 242.7 1.37 251.6 337.3 .75 51.9 129.9 .40 31.0 111.9 .28 m m mm UT El Paso UT Dallas 26.1 58.2 .45 24.7 55.0 .45 UT Arlington 21.3 80.0 .27 A UT San Antonio 17.3 67.2 .26 UNT 10.6 92.1 .12
TECHNOLOGY TRANSFER INCOME
TECHNOLOGY TRANSFER INCOME
AT STATE HEALTH INSTITUTIONS
AT STATE HEALTH INSTITUTIONS
UT Southwestern
UT Southwestern 12.212.2
Revenue FY 2004
12.1
All State general universities 14.0
$
$
$
$ All other State health institutions
AND UNIVERSITIES
AND UNIVERSITIES
9.8 9.8 Net Income FY 2004 3.5 8.3 $ $ $ $ m m mm m m m m0 325 650 975 1300 1985 1990 1995 2000 2005
UT SOUTHWESTERN
UT SOUTHWESTERN
Sources of Funds
Sources of Funds
283.3 429.6 628.0 1,112.2 23% 23% 23% 20% 29% 21% 25% 18% 14% 22% 14% 16% Fiscal Year Dollars (millions)Other Sources (incl. contracts for services)
Faculty clinical earnings
Direct state general revenue Philanthropy Federal grants 19% 10% 17% 26% 12% 18% 24% 7% 34% 21% 17%5% 23% 182.5 19%
Hospital Clinical Earnings
UT Southwestern UT Southwestern 1,1281,128 $324$324mm $284$284mm $12$12mm 1919 1616 44 UT M.D. Anderson UT Houston UT San Antonio UT Galveston Texas Tech Texas A&M UNT UT Tyler
KEY PERFORMANCE MEASURES FOR THE
KEY PERFORMANCE MEASURES FOR THE
NINE STATE HEALTH INSTITUTIONS
NINE STATE HEALTH INSTITUTIONS
756 637 555 469 425 123 100 23 172 99 115 84 1 7 51 9 139 120 138 9 51 21 231 6 3 2 1 <1 <1 <1 6 <1 6 2 1 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Institution (2005) Clinical Residents Number of (2004-05) Expenditures Private Research Federal and (2006) Members Medicine Institute of (2006) Winners Prize Nobel (2004-05) by Faculty Care Rendered Uncompensated (2003-04) Income Transfer (2006) Science Members Academy of National Technology
OBJECTIVE NATIONAL RANKINGS
OBJECTIVE NATIONAL RANKINGS
National Academy of Sciences Members per # of Faculty
Institute of Medicine Members per # of Faculty
Howard Hughes Investigators per # of Faculty
Association of American Physicians Members per # of Faculty
Number of Nobel Prize Winners
UT Southwestern UT Southwestern UT Southwestern UT Southwestern UT Southwestern
Impact of Scientific Publications
UT Southwestern #3 #4 #8 #5 #2 #1 Rank Rank
Texas Institutions Ranking in the Top 10
THE UNIVERSITY OF TEXAS
THE UNIVERSITY OF TEXAS
SOUTHWESTERN MEDICAL CENTER
SOUTHWESTERN MEDICAL CENTER
AT DALLAS AT DALLAS
LEGISLATIVE
LEGISLATIVE
APPROPRIATIONS REQUEST
APPROPRIATIONS REQUEST
(General Revenue including Employee Insurance, Tobacco & Lottery*)
(General Revenue including Employee Insurance, Tobacco & Lottery*)
UTMB Galveston
UTHSC San Antonio UTHSC Houston UT Southwestern UT Southwestern Texas Tech HSC Texas A&M HSC UNTHSC – Ft. Worth $271.6 150.9 144.5 142.0 142.0 123.8 67.7 54.0 UT MD Anderson 156.9 FY 2007
*Excludes contracts and fees from DCJ and other agencies.
Article III Support
Article III Support
for State Health Institutions
for State Health Institutions
m
0 50 100 150 200 250 300 1957 1967 1977 1987 1997 2007
STATE APPROPRIATIONS TO
STATE APPROPRIATIONS TO
HEALTH INSTITUTIONS
HEALTH INSTITUTIONS
Dollars (millions) UTSMC UTMB UTH UTSA UTMDA UNT Texas Tech UTT A&M Fiscal YearUT SOUTHWESTERN
UT SOUTHWESTERN
2007 STATEWIDE LEGISLATIVE PRIORITIES
2007 STATEWIDE LEGISLATIVE PRIORITIES
Fund TRB commitments
Provide appropriate formula increases for growth and inflation in Instruction and Operations Support and in Infrastructure Support
Maintain current support for existing Special Items
Fully fund Graduate Medical Education instruction costs Increase formula rate for Research Support
Adjust instruction formula rate for Biomedical Science and Nursing
Receive Add 60 Medical Residents
Recruit Faculty with
3,027,500 Receive Receive 144,180 3,133,260 ……..…………...… …..… Add 60 Medical Students
/yr /yr /yr
$175,000,000 /year in Research Grants
(increase class size by 15)
(add 15 new slots) ………....…...………..
CURRENT FUNDING SYSTEM FOR HEALTH INSTITUTIONS:
CURRENT FUNDING SYSTEM FOR HEALTH INSTITUTIONS:
INCENTIVES IN FUNDING FORMULAS
INCENTIVES IN FUNDING FORMULAS
Generating $175 million in external research would be monumental, yet rewarded only as much as adding 15 medical students per class.
Adding 15 medical residents per year costs less than adding 15 medical students and yields more doctors who will practice in Texas, but cannot be afforded under the current formula.
Add 60 Dental Residents ………...….……..Receive 3,033,058/yr
$
$ $ $
Formula-Fund Faculty Costs of GME
Formula-Fund Faculty Costs of GME
GME is the best source of practicing doctors in Texas GME is a mandatory part of education, and the State funds virtually every other educational discipline on a cost basis
The State provides GR of over $288 million annually for ~5,400 medical students, compared to $12.5 million for an equivalent number of medical residents, and
$10 million for less than 200 dental residents
Funding faculty costs at $16,000 per resident (only 30% of the cost of training a medical student) would help secure the future of GME in Texas and ensure a reliable stream of excellently trained doctors for Texas
RECOMMENDED
RECOMMENDED
STATEWIDE PRIORITIES
Increase Formula Funding for Research
Increase Formula Funding for Research
To achieve the State’s goal of bringing hundreds of millions more in external grants to Texas, a
commitment to systematic seed funding is essential Increasing the HRI research formula rate has been a recommendation of the THECB since the inception of the formulas
The 2006-07 formula rate has decreased by 39% from
its original level in 2000-01
A substantial increase is essential to provide
incentives and to be nationally competitive to obtain external grants
RECOMMENDED
RECOMMENDED
STATEWIDE PRIORITIES
Adjust Formula Weight for Biomedical and
Graduate Nursing Students
Adjust Formula Weight for Biomedical and
Graduate Nursing Students
RECOMMENDED
RECOMMENDED
STATEWIDE PRIORITIES
STATEWIDE PRIORITIES
These adjustments are widely-supported longstanding recommendations by the Coordinating Board
Add 1 Ph.D. Biomedical Student… Receive
Spend for stipend Lose overall $11,195 ($22,500 ($11,315 ) )
UT SOUTHWESTERN
UT SOUTHWESTERN
NEW SPECIAL ITEM REQUESTS
NEW SPECIAL ITEM REQUESTS
Sickle Cell Disease Center
Sickle Cell Disease Center
$0.5 million annual increase (to a total of $1.5 million per year) to capitalize on recent groundbreaking
discoveries in this internationally-recognized Center and to propel it to #1 in combating this devastating disease
Center for Obesity, Diabetes and Metabolism
Research
Center for Obesity, Diabetes and Metabolism
Research
$9.0 million annually in operational funding for UT Southwestern’s team of scientists who are the nation’s most renowned leaders in this field, which is the most rapidly increasing major disease category in America
WHAT DOES $142 MILLION IN STATE DOLLARS
WHAT DOES $142 MILLION IN STATE DOLLARS
BUY AT UT SOUTHWESTERN?
BUY AT UT SOUTHWESTERN?
UT SOUTHWESTERN IS A GREAT INVESTMENT OF STATE DOLLARS
UT SOUTHWESTERN IS A GREAT INVESTMENT OF STATE DOLLARS
>2,000 new doctors: 900 medical students 1,100 medical residents
>1,100 biomedical researchers: 650 Ph.D. & Masters students 500 Post-doctoral fellows
~300 health professionals: 270 Masters & Bachelors students >10,000 practitioners in required Continuing Medical Education
$340 million worth of research
$320 million worth of indigent medical care Expert referral care for all
Preeminent expertise for business, philanthropic, and government entities Essential infrastructure for medical and biotechnology economic development Education for: