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The Town of Farmingtons Business and Breakfast Series


As you all are aware, a little over 12 months ago I stepped into a role ... challenges; challenges I prefer to characterize as opportunities that bode well ... – PowerPoint PPT presentation

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Title: The Town of Farmingtons Business and Breakfast Series

The Town of Farmingtons Business and Breakfast
  • The University of Connecticut Health Center A
    Time of Transformation Affiliation, A Vision
    of Excellence

Cato T. Laurencin, M.D., Ph.D. September 23, 2009
Thank you for inviting me
  • I am pleased to address the Town of Farmingtons
    Business and Breakfast meeting and to be asked to
    provide an update on the Health Centers
    activities and plans.
  • As you all are aware, a little over 12 months ago
    I stepped into a role containing an inherent set
    of challenges challenges I prefer to
    characterize as opportunities that bode well for
    our mutual future.
  • I look forward to a long and productive
    relationship with the Town of Farmington, its
    business community and the entire Farmington
  • Farmington and the Farmington Valley are
    extremely important to us. More than 800 of our
    employees live in the Farmington Valley and
    valley residents accounted for nearly 147,000
    visits to the UCHC.

UCHCS Primary Mission Education and Research
  • 3 Schools
  • Medical School (346 students)
  • Dental School (170 students)
  • Graduate School in bio-medical sciences
  • Research More than 90M per year of innovative
    research is conducted and discoveries are
    translated into advances in patient care, e.g.
    cancer vaccines, hormone therapies for
    Osteoporosis, new materials for Dental Implants,
    and Stem Cell research
  • Residency Training For 675 residents (medical
    and dental) per year who train in local hospitals
  • John Dempsey Hospital (JDH) and UConn Medical
    Group (UMG), the multi-specialty faculty
    practice, are sites for learning and represent
    key elements in attracting talented faculty who
    want to teach, do research and provide patient
  • UCHC represents ½ of the University of
    Connecticut, ½ of its budget, ½ of its
    employees and ½ of its research portfolio. We
    contribute to the health and vitality of the
    states flagship university.

Times of Transformation
  • We are in the midst of significant transformation
  • UCONN 21st Century projects are literally
    changing the landscape by
  • Upgrading our education and teaching areas

Massey Auditorium
Times of Transformation, cont.
  • Construction of the Cell Genome Sciences
  • Scheduled to open in the summer of 2010

400 Farmington Avenue - View from Front Entry
(Schematic Design)
Schematic Design Rendering by Goody Clancy
Times of Transformation, cont.
  • Enhancing our environment
  • Clinical growth has required relocation of our
    Dermatology program to new space at 21 South Rd.

Landscape rendering by Flad Associates
Times of Transformation, cont.
  • John Dempsey Hospital Emergency Department
  • Construction work is currently ongoing with a
    target completion date of 12/1/2009.
  • But - no amount of renovation can hide the fact
    that JDH is a 30 yr old facility with no major
    upgrades since opening. It is undersized and
    inadequate to accommodate todays evolving
    standards of care and technologies, privacy
    concerns and patient/ provider expectations.

The UConn Health Center Today
  • John Dempsey Hospital (JDH) is a hospital that
    was never built as planned. The contractual,
    obligated fringe benefits are higher than market
    and the payor/ service mix is particularly
  • 116 of 224 beds are low reimbursement, specialty
  • NICU
  • Newborn
  • High-risk maternity
  • Psychiatry
  • Corrections
  • Fewer than half of our licensed beds are
    available for medical/surgical care.
  • The now aging physical plant was originally
    planned to have 400 beds.
  • JDH has been running a 22.2 million deficit
    annually and this is expected to increase.
  • This is why we seek state support and the
    partnership with Hartford HealthCare.
  • It should be noted that only 22.5 of the Health
    Center budget is state supported.77.5 comes from
    other revenues (clinical, tuition, research,

Securing the Future of UCHC and Transforming
Health Education, Research and Clinical Care in
the Region
The Affiliation
  • Affiliation discussions continue with Hartford
    Hospital and elected officials.
  • This region is prime to become a Medical
  • The goal is to provide a clinical trial base to
    attract significant industry interest
  • In so doing, awareness is raised about the good
    things being done in the Farmington medical
  • Weve created a Research and Education
    Collaborative linking UConn, Hartford HealthCare
    Corporation, St. Francis Hospital and Medical
    Center, The Hospital of Central CT and CT
    Childrens Medical Center, thereby raising the
    quality of healthcare in the area.

The Affiliation
  • We will create an economic powerhouse with UCHC,
    and therefore the Town of Farmington, at its
  • Economic drivers exist in the areas of biomedical
    research, including stem cells, and medical
  • The Connecticut Academy of Science Engineering
    (CASE) study was very clear that we have room to
    grow in this area.
  • The one area in our state growing jobs is
    healthcare. The UConn/ Hartford Hospital proposal
    provides a chance to enhance our health care
    system and an opportunity to turn around our
    struggling economy by generating new jobs,
    increasing personal income, adding research
    funding and providing a significant net economic
    impact to the state and region.

The Partnership Proposal
  • The partnership would create one University
    Hospital on 2 campuses (Hartford and Farmington)
    with no increase in licensed beds in the region.
  • This calls for the replacement of JDH on the
    Farmington Campus with the state contributing
    475M in bond funds to fund the hospital. The
    hospital remains a state asset. The state would
    also pay the fringe benefit differential for
    state employees of JDH.
  • Once vacated, the old JDH would be repurposed for
    research/ lab/ academic use.

The Partnership Proposal
  • Hartford Hospital would contribute financially to
    UCHC over the next 10 years, including
  • 60 M for the Schools of Medicine and Dental
  • 65 M in working capital (transition dollars) and
    tech transfer
  • Up to 100M in research support.

Benefits of the Partnership to Farmington
  • The continued presence of a hospital and
    continued access to essential healthcare services
    for Farmington residents
  • Clinical programs are protected at the Farmington
  • One short-term acute care hospital maintained at
    each site in Farmington and in Hartford
  • Any changes in services at Farmington site
    require approval by the University Hospital
    Board, where UConn is represented
  • Most changes would require review and approval by
    the Office of Health Care Access.

Advantages for the State
  • The state gains predictable financial stability
    at its academic hospital , with Hartford
    HealthCare absorbing the financial risk going
  • The academic health center moves into top tier
    status among the nations medical schools.
  • Expansion of class size, mitigating the states
    upcoming shortage of doctors and dentists.
  • Not only are 1,300 state jobs at JDH secure, but
    by 2040 18,000 new jobs will be created,
    generating over 3 billion annually in new
    personal income. (Verified in report by the CT
    Center for Economic Analysis)
  • The operations of UCHC and University Hospital
    will generate over 1.3 billion in new spending
    each year and over 1.9 billion in new tax
    revenue by 2035.
  • This amounts to a return on the 475M investment
    of over
  • 900 M.

Economic Impact
  • Connecticut is caught in an economic perfect
    storm. The traditional economic engines
    defense, manufacturing, finance- are areas losing
  • Between 2/2008 and 2/2009, CT lost over 50,000
    jobs, a number equal to the population of New
    London and Farmington.
  • The question becomes whether CT is poised to
    participate in a recovery that will build a
    better long-term future for our citizens.
  • The health services sector, including the
    biosciences, is the only area of state economy to
    experience job growth in the last year. We know
    that every 1M in NIH sponsored research
    generates approximately 18 jobs.
  • As we look to the future, immediate and long
    term, it is clear that the healthcare sector,
    biomedical research and UCHC have the potential
    to be a means to economic recovery in the short
    term and a major building block in the states
    long term economic future. The UCHC is the
    mechanism for that to occur.

Vision for School of Medicine
  • Were developing a vision of School of Medicine
  • (SOM) to be in the top 30 nationally.
  • The plan is to catapult the SOM from the 2nd
  • smallest academic medical center hospital to
    one of
  • the largest.
  • To achieve this we need to grow our research
  • from 93 million to 300 million. This
  • significant resources and space.
  • This ties back to the Hospital Affiliation
  • since the affiliation will allow an increase
    in class size
  • in both the School of Medicine and the School
  • Dental Medicine. This will help with
    replacement of
  • aging practitioners in the state.

In Conclusion
  • I am both a realist and an optimist
  • As a realist I recognize that these are tough
    times and we must make difficult decisions
  • However, the optimist in me knows that our vision
    is great and our opportunities are even greater
  • I look forward to working with each of you to
    achieve our vision.