Conference of Boston Teaching Hospitals. Impact Report October 2018

Transcription

1 Conference of Boston Teaching Hospitals Impact Report October 2018

2 COBTH by by the the Numbers Numbers Employees Indirect Employment Impact 61,700 i 89,786 ii Total Employment Impact 151,486 Direct Economic Impact Indirect Economic Impact Total Economic Impact Community Benefit Funding Net Charity Care Provided Federal Research Funding Active Clinical Trials Interns/Resident/Fellows Staffed Beds Emergency Department Visits Outpatient Visits Discharges $14.7B iii $22.1B ii $36.8B $196.2M iv $118.9M iv $1.34B v 3,372 vi 4,912 i 4,736 i 720,090 i 6.2M i 265,372 i

3 Introduction As new ways to provide and finance care evolve, the role of teaching hospitals in our healthcare system has never been more important. With a culture of innovation and a commitment to new knowledge and discovery, teaching hospitals are leading change in our healthcare system, nationally and here at home in Massachusetts. In addition to being large clinical, educational and research enterprises, teaching hospitals also have a profound impact on the local and regional economy. Conference of Boston Teaching Hospitals (COBTH) members are a driving force in the innovation economy that makes Massachusetts the envy of other states and nations. COBTH member hospitals employ more than 61,000 people, drive more than $14B in economic activity, and attract more than $1.3B in federal research funding. While Boston teaching hospitals are world renowned, their most important resource lies just outside their doors, in the communities they call home. For hundreds of thousand of people, a COBTH member hospital is their community hospital. COBTH member hospitals partner with local organizations and government to devote significant resources and expertise towards addressing the unmet social and healthcare needs in the communities they serve. In FY17, COBTH hospitals dedicated more than $196M to these community benefits programs. Teaching hospitals are uniquely positioned to provide the leadership and the innovation needed to transform our healthcare system. They pioneer new ways to care for patients with chronic illnesses and new models of care that help patients better navigate a complex healthcare system. In addition to training the next generation of healthcare professionals, these hospitals are developing and testing more effective treatments today that will transform patient care tomorrow. 1

4 Supporting Listening Empowering

5 Partnering for Healthy Communities By providing care for the uninsured and partnering with community based organizations, municipalities and others to address unmet social and healthcare needs, COBTH member hospitals are helping to build healthier families and communities. Partnering with hundreds of local organizations, COBTH hospitals invested more than $196M in community benefit funding in FY17 to develop and support innovative programs aimed at serving those in need. These programs are more than just statistics and numbers; they represent neighborhoods, parents, children, recent immigrants, the homeless, and those with nowhere else to turn. In addition, not for profit COBTH hospitals located in the City of Boston contributed more than $17M in voluntary Payments in Lieu of Taxes (PILOT) in FY17 Community Benefits iv COBTH Member Hospitals * Direct Expenditures $170,968,409 - Determination of Need $4,183,792 - Employee Volunteerism $90,230 - Other Leveraged Resources $20,918,684 Total Community Benefit $196,160,684 Community Service Expenditures $2,761,544 Net Charity Care Provided $118,977,989 Total Resources $317,900,217 * Does not include Boston Medical Center and Cambridge Health Alliance 3

6 Exploring Discovering Collaborating

7 Discovering Tomorrow s Cures In 2017, Massachusetts ranked second among all states in research funding awarded from agencies including the National Institutes of Health (NIH), the National Science Foundation, and the Centers for Disease Control and Prevention. Researchers at COBTH member hospitals were awarded more than $1.3B in federal research funding, which supports more than 3,000 active clinical trials that are now under way. The strong partnership between teaching hospitals, the NIH, and the life sciences industry has helped pioneer many of medicine s most remarkable advances, including: new and better treatments for cancer, diabetes, and heart disease; life-saving vaccines; and advanced technology to improve quality of life. The concentration of federal research funding at our teaching hospitals serves as an anchor for the Commonwealth's life sciences industry. Massachusetts is home to more than 1,000 biopharma companies and more than 300 medical device companies, with 18 of the world's top twenty biopharma companies having a physical presence here in the Commonwealth. Jobs Supported by NIH Funding in 2017 viii 2017 MA NIH Funding ($M) by Industry Sector For Profit Companies $121.9 Other Nonprofit $11.0 CA 62,075 MA 32,788 NY PA MD 29,679 23,182 20,836 Hospitals $1,324.7 Nonprofit Research Inst. $220.9 Higher Education $1,

8 Educating Serving Transforming

9 Training Tomorrow s Healthcare Workforce Medical education is at the core of the mission of each COBTH member hospital. Education programs at COBTH member hospitals touch a wide cross section of people each day: their own workforce, patients, medical residents, visiting researchers, student nurses, community members entering the workforce and future generations of healthcare professionals. These programs ensure hospitals and health centers throughout the Commonwealth and the nation gain a ready supply of healthcare professionals; nearly 60% of actively practicing physicians in Massachusetts completed their medical residency or fellowship here. The critical role that academic medical centers play in training health professionals has never be more important as Massachusetts leads the nation in addressing physician shortages and reforming healthcare payment and delivery systems. Residents & Fellows in ACGME Programs viii Residents & Fellows in ACGME Primary Care Programs # per 100,000 Population # per 100,000 Population State Rank MA NY RI CT PA Rank 7

10 Leading Investing Driving

11 Driving the Local and Regional Economy COBTH member hospitals provide access to high quality healthcare services 24 hours a day, seven days a week. But the impact these hospitals have on their communities extends far beyond the care they provide. COBTH member hospitals generate more than $14B in direct economic activity and more than $22B in indirect economic impact. Greater Boston s teaching hospitals directly employ more than 61,000 people. But direct employment is only the beginning of a powerful story of how the operations of these hospitals drive additional employment at hotels, restaurants, construction firms, laundry and cleaning services, and other professional service companies. Employment and Economic Impact of COBTH Member Hospitals In many cities and towns in Massachusetts, the largest employer is often the local hospitals. The story is no different in Boston where five of the top ten private employers are COBTH member hospitals ix 151,486 89,786 61,700 Direct Indirect Total $14.7B $22.1B Jobs (FTEs) Economic Activity $36.8B 1. Massachusetts General Hospital 2. Brigham and Women s Hospital 3. Boston University 4. Boston Children s Hospital 5. State Street Bank & Trust 6. Beth Israel Deaconess Medical Center 7. Harvard University Graduate Schools 8. Northeaster University 9. Fidelity Investments 10. Boston Medical Center 9

12 About COBTH The Conference of Boston Teaching Hospitals (COBTH) is an organization of twelve Boston-area teaching hospitals that works to advance policies critical to the core mission of academic medical centers: advancing medical education, funding biomedical research, improving patient care and serving vulnerable populations. COBTH works on behalf of our member hospitals with: city, state and federal officials; members of the business community; consumer groups; and others to affect needed change and to make the communities they serve healthier places to live. Chair John Fernandez President and Chief Executive Officer Massachusetts Eye and Ear Executive Director John Erwin Data Sources i Center for Health Information and Analysis - FY17Hospital Cost Report ii Regional Input-Output Modeling Systems (RIMSII), Regional Product Division, Bureau of Economic Analysis iii Center for Health Information and Analysis, Massachusetts Acute Hospital and Health System Financial Performance FY2016, August 2018 iv MA Attorney General Community Benefit Reports FY17 v National Institutes of Health, National Science Foundation, Department of Defense Congressionally Directed Medical Research Programs, Centers for Disease Control and Prevention and Agency for Healthcare Research and Quality vi National Institutes of Health, U.S. National Library of Medicine ClinicalTrials.gov vii United for Medical Research, NIH s Role in Sustaining the Economy 2017 Update viii Association of American Medical Colleges, State Physician Workforce Data Book, 2017 ix City of Boston 2017 Series A Official Statement

13 COBTH Member Hospitals

14 twitter.com/cobth facebook.com/cobth.org 11 Beacon Street #710 Boston, MA