William J. Roper, MD, MPH Vice Chancellor, Medical Affairs CEO, UNC Health Care

1. UNC-Chapel Hill Faculty CouncilSeptember 14A brief introduction to UNC Health Care and the UNC School of Medicine William J. Roper, MD, MPH Vice Chancellor, Medical Affairs CEO, UNC Health Care Dean, UNC School of Medicine

2. Vision: UNC Health Care System • To be the Nation’s Leading Public Academic Health Care System • National recognition • Public mission • Academic institution • Leading, Teaching, Caring.

3. Our Guiding Principles • Deliver excellent care and operate leading programs • Engage with people to meet their health challenges • Maintain a stable financial foundation

5. UNC Health Care System • 1,500 UNC faculty physicians and residents • World-class academic medical center • Top-ranked public medical school • Four modern hospitals • Nationally recognized centers of clinical excellence

6. UNC Health Care System • Network of UNC-owned community medical practices across central North Carolina. • Home health agency and hospice program. • ER and urgent care facilities in Chapel Hill • Air and ground patient transportation system

7. UNC Hospitals at a Glance • 708 Licensed beds • 6.4 days, Average length of stay • 5,768 Employees (paid FTE) • 1,188 Attending physicians • 714 House staff (residents) • 31,934 Discharges (not newborns) • 741,980 Clinic visits • 61,200 ER visits • 22,347 Surgical Cases • 279 Transplant Cases • 4,000 Births (deliveries) • 61,797 Volunteer Hours • Gary, Park, President, UNC Hospitals

8. UNC Hospitals’ Uncompensated Care vs. State Support * Amounts in Millions of Dollars

9. Uncompensated Care • $500,000/per day • More than 800 patients per day receive uncompensated care • Approximately, one-third of all daily admissions receive financial assistance.

10. Rex Healthcare • Acquired by UNC in 2000 • 394-bed hospital in Raleigh • Rex Family Birth Center, Rex Surgery Center • Rex Heart & Vascular Center • Rex Cancer Center, Rex Convalescent Care Center • Rex Surgery Center of Cary • Rex Rehabilitation & Nursing Care Center of Apex • Rex Family Practice of Wakefield • Rex Wellness Centers of Cary, Raleigh and Garner • Rex Senior Health Center in southeast Raleigh

11. UNC Physicians & Associates • 900 primary and specialty care physicians • 17 clinical departments • Ambulatory Care Center • Outpatient Clinics in Community • Marshall Runge, Vice Dean for Clinical Affairs, School of Medicine

12. Vision: UNC School of Medicine • To be the Nation’s Leading Public School of Medicine • Aspiration for top national status • Public academic institution • Etta Pisano, Vice Dean for Academic Affairs, School of Medicine.

13. UNC School of Medicine • 160 students in each first year class • Class of 2010 • 23.9 years old (average age) • 73 females (46%) • 87 males (54%) • 88% North Carolina residents

14. Basic Science Compensation Plan • Two components to salary: • Academic Salary – cannot be reduced; at start of plan, faculty salary became the academic salary • Variable component - negotiated each year with the chair - typically $5-15K not formula driven. Based on salary recovery from grants, outstanding teaching, special service • Academic salaries increase with state increase • Variable component can go up or down, but not intended to change rapidly with new grant applications • Total salary cannot go down more than 15% in one year. • Existing faculty can opt out of this, but all new faculty must participate.

15. Clinical Compensation Plan • Three components to salary: • Academic Base Salary – 7 year average of the AAUP Faculty Salary Survey published in Academe. • Productivity component - negotiated initially and is reviewed each year with the chair and can be adjusted up or down based on Clinical Duties, RVU’s and salary recovery from grants, outstanding teaching, special service • Contingent supplemental payments - can be paid out Quarterly, or Semi-Annually, or Annually depending on the faculty’s member’s clinical productivity based on measurable criteria and the department’s financial stability. • Variable component can go up or down, but not intended to change rapidly. • Total salary cannot go down more than 15% in one year due to the financial condition of the department.

16. NC Area Health Education Centers (AHEC) • Goal: to meet primary health care needs of NC • 9 AHECs statewide: • Community-based health science student rotations in Medicine, Nursing, Pharmacy and Dentistry • Partnership provides high-quality, easily accessible education for health professionals in all 100 counties • Provides access to good health care

17. Research • $298.6 million in medical research in FY 2007 • Nearly 50% of total campus research • Interdisciplinary collaborations across campus • NIH “Roadmap for Medical Research Grants” • UNC top recipient of roadmap grants • 8 in 2005 • 11 in 2006 • Translational Research • NIH Clinical Translational Science Awards

18. Growth and Opportunity • Genetic Medicine Building • The largest and most sophisticated research building ever built at UNC – Chapel Hill • North Carolina Cancer Hospital • Future home of UNC Lineberger Comprehensive Cancer Center

19. Growth and Opportunity • Chatham Hospital • Management agreement • New facility construction • School of Medicine Expansion • Partnership with Carolinas Healthcare System • 160 – 210 students • Bed Tower & Operating Rooms • Finishing plans • Need space right away

20. Growth and Opportunity • The University Cancer Research Fund • The UNC Institute for Global Health and Infectious Disease • Commitment to Caring

21. Thank You