OVERVIEW OF MASSACHUSETTS GENERAL HOSPITAL · OVERVIEW OF MASSACHUSETTS GENERAL HOSPITAL ... •...

©Britain Nicholson, MD MGH 2011

OVERVIEW OFMASSACHUSETTS GENERAL HOSPITAL

A premier academic medical center for patient care, teaching, and research

October 2011


Guided by the needs of our patients and their families, we aim to deliver the very best health care in a safe, compassionate environment; to advance that care through innovative research and education; and, to improve the health and well‐being of the diverse

communities we serve.

Mission


Credo

As a member of the MGH community and in service of our mission, I believe that:• The first priority at MGH is the well‐being of our patients, and all our work,

including research, teaching and improving the health of the community, should contribute to that goal.

• Our primary focus is to give the highest quality of care to each patient delivered in a culturally sensitive, compassionate and respectful manner.

• My colleagues and I are MGH’s greatest assets.• Teamwork and clear communication are essential to providing exceptional care.As a member of the MGH community and in service of our mission, I will:• Listen and respond to patients, patients’ families, my colleagues and community

members. • Ensure that the MGH is safe, accessible, clean and welcoming to everyone.• Share my successes and errors with my colleagues so we can all learn from one

another.• Waste no one’s time.• Make wise use of the hospital’s human, financial and environmental resources.• Be accountable for my actions.• Uphold professional and ethical standards.


Boundaries Statement

As a member of the MGH community and in service of ourmission, I will never:• Knowingly ignore MGH policies and procedures.• Criticize or take action against any member of the MGH

community raising or reporting a safety concern.• Speak or act disrespectfully toward anyone.• Engage in or tolerate abusive behaviors.• Look up or discuss private information about patients or staff

for any purpose outside of my specified job responsibilities.• Work while impaired by any substance or condition that

compromises my ability to function safely and competently.


Original Campus

Third oldest general hospital in AmericaChartered in 1811 by an act of the state legislatureBicentennial celebration in 2011


Current Campus

Including Liberty Hotel (on site of former Charles Street Jail) & Charles / MGH MBTA Station


1846 The use of ether as an anesthetic is demonstrated.Surgery performed without pain for the first time.

MGH Medical Milestones


1896 The first X ray image in the United States is made by an MGH physician just 30 days after the technique is discovered in Europe.



1960 Proton beam therapy is first used to treat tumors of the eye, neck and brain.



1962MGH surgeons accomplish the first successful reattachment of a severed human limb.


http://images.google.com/imgres?imgurl=http://www.wired.com/images/article/full/2008/05/everett_knowles_250px.jpg&imgrefurl=http://www.wired.com/science/discoveries/news/2008/05/dayintech_0523&usg=__Px44LfX2MDqrnnbhUFgjcQyA_E8=&h=321&w=250&sz=42&hl=en&start=1&tbnid=M1j2gl7VfqvkpM:&tbnh=118&tbnw=92&prev=/images%3Fq%3Dmgh%2Blimb%2Breattachment%26gbv%3D2%26hl%3Den

2011MGH researchers announce development of a blood test that could find traces of cancer cells in a person’s blood. It is hoped that this technology will be used by doctors to provide faster and more accurate diagnoses and personalized treatments for cancer patients.

2009 Jack W. Szostak, PhD wins Nobel Prize in Medicine for work predicting and then discovering telomerase, an enzyme that builds and maintains the protective caps at the tips of chromosomes.

2008MGH pathologists and oncologists are first in the nation to routinely use molecular testing for gene mutations in all cancer patients. This “Snapshot” testing results in better targeted cancer therapy.

1993MGH surgeons perform the first heart‐liver transplant in New England.

1981MGH, MIT and Shriners Burns Institute researchers create the first artificial skin made from living cells

1979MGH radiologists pioneer use of MRI (magnetic resonance imaging) to diagnose illness and injury.

More MGH Medical Milestones


Affiliations

• The oldest and largest teaching hospital for Harvard Medical School

• A founding member in 1994 with the Brigham & Women’s Hospital of the Partners HealthCare System, Inc.


Affiliationscontinued

• Affiliations with Dana Farber Cancer Institute, Marthaʹs Vineyard Hospital, McLean Hospital, Newton‐Wellesley Hospital, Nantucket Cottage Hospital, North Shore Medical Center, Spaulding Rehabilitation Hospital


MGH Statistics ‐ FY 2010

• 47,243 inpatient admissions• 1,440,548 outpatient and emergency visits• Main campus and health centers

– 903,786 MGH visits– 536,762 MA General Physicians Organization (MGPO) visits

• Five Largest Clinical Programs (% of FY10 Discharges)– Cancer Center 15.8%– Obstetrics 13.1% – Heart Center 12.3%– Digestive Healthcare Center 8.2%– Orthopaedics 7.6%

Partners CorporatePartners Corporate Partners HealthCare System, Inc.

Massachusetts General Hospital

The General Hospital Corp.

MA General Physicians Org,Inc

Brigham and Women’s/Faulkner

Hospitals, Inc.NSMC

HealthCare, Inc.Newton-Wellesley

Health Care System, Inc.

Partners Continuing Care,

Inc.

McLean HealthCare, Inc.

The MGH Institute of Health

Professions, Inc.Martha’s Vineyard

Hospital, Inc.Nantucket Cottage

Hospital

The Brigham & Women’s Hospital, Inc.

Faulkner Hospital, Inc.

Brigham & Women’s Physicians Org,Inc.

North Shore Medical Ctr,

Inc

North Shore Physicians Group, Inc.

Newton-Wellesley Hospital

Newton-Wellesley Physician

Hospital Org,Inc

The Spaulding Rehabilitation Hospital Corp.

Rehabilitation Hospital of the

Cape and Islands Corp.

Shaughnessy-Kaplan

Rehabilitation Hospital, Inc.

Partners Home Care, Inc.

FRC, Inc.

Spaulding Hospital-Cambridge, Inc.

The McLean Hospital Corp.

Partners HealthCare System, Inc.Gary Gottlieb, MDPresident & CEO

The General Hospital & MGH CorporationPeter L. Slavin, MD

President

Massachusetts General Physicians OrganizationDavid Torchiana, MD

Chairman & CEO

13 Vice and Senior Vice Presidents• Richard Bringhurst, MD – Senior Vice President, Research• Jeff Davis – Senior Vice President, Human Resources• Jean Elrick, MD – Senior Vice President, Administration and Information• Jeanette Ives Erickson, RN – Senior Vice President, Patient Care and Chief

Nurse• Alexa B. Kimball, MD, MPH – Vice President, Practice Improvement • Sally Mason Boemer – Senior Vice President, Finance and Cancer Center• Gregg Meyer, MD – Senior Vice President, Quality and Patient Safety• Brit Nicholson, MD – Senior Vice President, Medicine• Gregory J. Pauly – Senior Vice President, Orthopaedics, Urology, OMFS &

MGH/MEEI• Ann Prestipino – Senior Vice President, Surgery, Anesthesia & Critical

Business Development• Joan Sapir – Senior Vice President, Neurosciences, Pediatrics & OB/GYN• Peggy Slasman – Senior Vice President, Public Affairs• James Thompson –Vice President, Development

18 Clinical Department Chiefs• Anesthesia, Critical Care & Pain Management – Jeanine

Wiener-Kronish, MD, Chief• Dermatology – David Fisher, MD, Chief• Emergency Medicine – Alasdair Conn, MD, Chief• Imaging – James Thrall, MD, Chief• Medicine – Dennis Ausiello, MD, Chief• Neurology—Anne Young, MD, Chief• Neurosurgery – Robert Martuza, MD, Chief• Obstetrics & Gynecology – Isaac Schiff, MD, Chief• Ophthalmology – Joan Miller, MD, Chief• Oral & Maxillofacial Surgery – Leonard Kaban, MD, Chief• Orthopaedic Surgery – Harry Rubash, MD, Chief• Otolaryngology – Joseph Nadol, MD, Chief• Pathology – David Louis, MD, Chief• Physical Medicine & Rehabilitation – Ross Zafonte, DO, Chief• Psychiatry – Jerrold Rosenbaum, MD, Chief• Radiation Oncology – Jay Loeffler, MD, Chief• Surgery – Andrew Warshaw, MD, Chief• Urology – Scott McDougal, MD, Chief

Massachusetts General Hospital & The General Hospital Corporation

Board of Trustees

General Executive Committee (GEC)

Chief’s Council Medical Policy Committee (MPC)

Executive Committee on Research (ECOR)

Executive Committee on Teaching and Education (ECOTE)

Governance StructureGovernance Structure

Massachusetts General Physicians OrganizationBoard of Trustees

Compensation and Personnel Practices Committee

Managed Care and Contracting Committee

PO Executive Committee (POEC)

Chairman & CEODavid Torchiana, MD

3 joint committees:Compliance, Quality and

Department Review Committees


Pediatrics at MGH Caring for Children• Full range of primary and specialty care• Inpatient, outpatient, procedural and ancillary services• Pediatric emergency room• Leader in family centered careLicensed Community Health Centers • Revere, Chelsea, Charlestown, Back Bay, North End (affiliated), East

Boston (affiliated)Thematic Centers• Center for Computational & Integrative Biology• Center for Regenerative Medicine• Center for Human Genetic Research• Wellman Center for Photomedicine• Center for Systems Biology

More about MGH…


MGH Research FY 2010

• Largest hospital‐based research program in the United States

• $695.7 million of research activity– $363.6 million from the National Institutes of Health (NIH)‐ includes $40.7 million from ARRA

– $19.5 million from other government sources– $44.5 million from industry sponsors– $60.5 million from foundations– $98.7 million from non‐profits– $109.0 million from other sources


MGH Employees, January 201123,041 Employees • Largest Private Employer in Boston

Physicians9%

PhDs3%

Fellows6%

Admin Support Workers

16%

Service Workers14%

Officials and Managers6%Nurses

17%

Other Professionals15%

Residents4%

Technicians9%

Skilled Trades1%


Indirect Research Revenue6.01%

Direct Research revenue17.54%

Managed Care34.77%

Medicaid5.35%

Medicare14.97%

Direct & Indirect Academic Revenue2.56%

Indemnity/Commercial

9.03%

All Other Payors9.78%

MGH Revenue – FY 2010General Hospital Corporation Operating Revenue

Total Operating Revenue = $2,839,658,000


Provision for Bad Debt1.13%

Direct Academic Expenses2.40%Direct Research

Expenses18.82%

Depreciation & Amortization

4.63%

Supplies, Utilities &

Other Expenses32.27%

Employee Compensation & Benefits40.75%

MGH Expenses – FY2010Hospital Expenses

Total Expense =$2,663,992,000


MGH Diversity Initiatives

• Identify and address racial and ethnic disparities in the delivery of healthcare

• Provide equal access and delivery of quality healthcare for all patients

• Train workforce to provide culturally competent care and service

• Recruit and retain a more diverse workforce• Medical Interpreter Services available• MGH Diversity Committee

– Co‐chaired by MGH president and MGPO CEO• Multicultural Affairs Office (MAO)


Top Priorities

• Components of the Strategic Plan • Quality and Patient Safety• Capacity Management• Innovations• Technology (Information Systems)• Workforce• Clinical Growth


Guided by the needs of our patients and their families, we aim to deliver the very best health care in a safe, compassionate environment; to advance that care through innovative research and education; and, to improve the health and well‐being of the diverse

communities we serve.

Mission

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