Mission To promote global understanding and collaborative action

for improving health and medical care

Established February 2007

The Center for Global Health and Medical Diplomacy is thankful for the generous contributions and continued support of our sponsors.

FOUNDING SPONSORS Alice and T. O’Neal Douglas Isabelle and Robert Davis

University of North Florida UNF Brooks College of Health

Baptist Health

CHAMPIONS Alice and T. O’Neal Douglas Isabelle and Robert Davis

Blanche and Luther Coggin Jim Winston

FOUNDATIONS The Arthur Vining Davis Foundations Blue Cross and Blue Shield of Florida

The Cascone Family Foundation The Delores Kesler Foundation The DuBow Family Foundation

The Riverside Hospital Foundation The Schultz Foundation

INSTITUTIONS The University of North Florida Brooks College of Health at UNF

Baptist Health Brooks Health System

Duval County Medical Society Mayo Clinic

St. Vincent’s HealthCare UF & Shands

CORPORATIONS Jacksonville Regional Chamber of Commerce

Pfizer Medical Humanities Initiative PSS World Medical

WJCT Public Broadcasting Station

www.unf.edu/brooks/center

2010 ECONOMIC IMPACT STUDY

• The direct impact of Healthcare, Bioscience, and

related industries on the economy was $24.5 billion.

• One in five employees (19%) in Jacksonville work in Healthcare, Bioscience, or related industries.

• The average wage in the Health Care and Bioscience Industry is higher than the Jacksonville average by $5,000.

• Preliminary 2008 data implies that the 9.1% growth from 2005 to 2006 was followed by 8.5% growth from 2006 through 2008.

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NORTHEAST FLORIDA CORRIDOR

1. Center for Global Health and Medical Diplomacy

2. Mayo Clinic & Hospital 3. Blue Cross Blue Shield 4. Vistakon 5. Medtronic 6. St. Luke’s Hospital 7. Orange Park Medical Center 8. Naval Hospital 9. Memorial Hospital

10. Brooks Rehab 11. Nemours 12. Baptist – Downtown 13. Baptist – Beaches 14. Baptist – South 15. Wolfson 16. St. Vincent’s 17. VA Clinic 18. UF & Shands

* Baptist Nassau - Fernandina

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CONSOLIDATED RECOMMENDATIONS to Enhance the Individual and Economic Health

of Northeast Florida

Improve Health and Patient Care Enhancing medical quality, increasing access to care, decreasing health disparities, advancing medical informatics and improving wellness

Enhance Medical Education and Research in Jacksonville

Supporting our academic health science centers, and ensuring an ample workforce of physicians, health professionals and qualified researchers to build our reputation as a center of medical excellence---the premier regional medical referral center for the Southeastern United States Foster the Healthcare and Bioscience Industry Attracting research funding and bioscience technology industries to Northeast Florida, creating jobs, improving economic conditions and quality of life in Northeast Florida

Council Members Susan Black * Carl Cannon Mike Cascone, Vice-chair * Yank Coble, Chair * Luther Coggin Marshall Criser T. O’Neal Douglas * Lawrence DuBow * Hugh Greene Bob Harmon Adam Herbert Mac McGriff Robert Nuss Carol Thompson, Vice-chair * Floyd Willis Art Wotiz

Emeritus Members Preston Haskell Jim Winston Ex-Officio Members President John A. Delaney University of North Florida

President Bernard Machen University of Florida

Interim President Nat Glover Edward Waters College

Jacksonville Mayor John Peyton

President Kerry D. Romesburg Jacksonville University

† The Honorable Frederick H. Schultz

President Steven R. Wallace Florida State College at Jacksonville

*Academic Health Science Centers Workgroup Members

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PATIENT CENTERED

CARING COMMUNICATION INITIATIVE September 27 – 28 & October 26 -28, 2010

Jacksonville, FL

The Center for Global Health and Medical Diplomacy thanks its generous sponsors and

partners for their support of the North Florida Caring Community Initiative and the

Patient Centered Caring Communication Course.

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RESEARCH

Jacksonville Research Expenditures 2010

Mayo Florida $52 million

UF/Shands Jacksonville $18.5 million

UNF $17 million

Nemours Jacksonville $12 million

Total $99.5 million

Total research expenditures is increasing in the Jacksonville MSA and Northeast Florida region. A survey by the CGH&MD indicated the following partial list of Jacksonville 2010 research expenditures:

The Center for Measuring University Performance http://mup.asu.edu/ provides the following comparisons:

Northeast Florida and I-4 Corridor Research

Northeast Florida Total 2007 Research (Millions)

University of Florida $592

Jacksonville (from Center survey) $80

Total $672

I-4 Technology Corridor

USF $272.6

UCF $111.5

Total $384

The University of Florida ranks 15th among the top American Research Universities in the US in 2006 in total research dollars. The UF total in the table above was reduced by the $8 million in Jacksonville.

“INCREASE MEDICAL RESIDENCIES”

INSTITUTION

ACGME*

Positions

2008

ACGME*

Positions

2010

University of Florida College of Medicine – Jax ** 293 319

University of Florida - Gainesville 666

Naval Hospital, Jacksonville 28 35

St. Vincent’s HealthCare 30 31

Mayo Clinic ** 150 161

TOTAL 501 1212

* Accreditation Council for Graduate Medical Education (ACGME) ** Baptist/Wolfson and Nemours Included in UF COM Jacksonville and Mayo Clinic Numbers

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NATIONAL PHYSICIAN WORKFORCE DATA

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Source: “Physician Shortage to Worsen Without Increases in Residency Training” AAMC Center for Workforce Studies, June 2010 Analysis

* Total includes primary care, surgical and medical specialties.

Year Physician Supply

(All Specialties)

Physician Demand

(All Specialties)

Physician Shortage

(All Specialties*)

2008 699,100 706,500 7,400

2010 709,700 723,400 13,700

2015 735,600 798,500 62,900

2020 759,800 851,300 91,500

2025 785,400 916,000 130,600

REASONS FOR SERIOUS PHYSICIAN SHORTAGE IN FLORIDA

• Aging Population & Increasing Chronic Disease Burden • Physicians Average Age Older than National Average • Physicians Retiring Younger • Fewer Residents & Medical Students per 100,000 Population • Reduced Work Hours per Physician • ACGME reduction of work hours for Physicians in training • Medical Liability Environment

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a Aggregate number of resident physicians per 100 000 population.

b 2009 State population is from Table 1: Annual Estimates of the Population for the United States, Regions, States, and Puerto Rico: April 1, 2000, to July 1, 2009 (NST-EST200901). Source: Population Division, US Census Bureau. December 2009 (http://www.census.gov/popest/states/NST-ann-est.html; accessed June 2, 2010). Total population numbers include the District of Columbia and Puerto Rico.

c Total number of US graduate medical education (GME) programs accredited by the Accreditation Council for Graduate Medical Education and combined specialty programs, as of December 31, 2009, surveyed by the National GME Census during 2009.

d Includes resident physicians on duty as of December 31, 2009, reported through the 2009 National GME Census. A total of 203 programs (2.3%) did not provide updated information on residents by March 1, 2010. For these non-responding programs, resident physicians reported from the last received survey were moved into their next year in the program or graduated, and new residents were added from the 2009 National Resident Matching Program when available.

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GRADUATE MEDICAL EDUCATION

Source: JAMA Graduate Medical Education, 2009-2010, September 29, 2010

FLORIDA UNDERGRADUATE MEDICAL EDUCATION Medical Schools in the United States, 2009-2010

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*

**

* First Class Admitted 2009

* * Includes Total Students in 4 Year Regional Campus at Florida Atlantic University (FAU). FAU became independent of University of Miami July 2010 and awaiting LCME accreditation.

*

TOTAL 2281

TOTAL with FIU and UCF students not yet enrolled (250) 2531

UNDERGRADUATE MEDICAL EDUCATION Medical Schools in the United States, 2009-2010

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a Includes states with MD-granting medical schools, the District of Columbia, and Puerto Rico. b State population as of July 2009 from the US Census Bureau, State Rankings-Statistical Abstract of the United States (http://www.census.gov/compendia/statab/2010/ranks/rank01.html accessed May 27, 2009). c Includes Liaison Committee on Medical Education–accredited medical schools with students enrolled during 20092010. d Aggregate number of medical students enrolled in the state per 100 000 state population. e In Florida, Pennsylvania, and Texas, there were 1 or more developing medical schools that only enrolled students in the first year of the curriculum.

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23.5

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2008 ECONOMIC IMPACT AAMC MEDICAL SCHOOLS & TEACHING HOSPITALS

US: $512 Billion *FL: $19.4 Billion = $4.85 Billion per school

US: 3.3 Million Full-Time Jobs *FL: 147,000 Full-Time Jobs = 36,000 + Jobs

US: $22 Billion State Tax Revenue *FL: $980 Million State Tax Revenue = $235 Million per school * Four Medical Schools & Teaching Hospitals

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www.unf.edu/brooks/center