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UC Irvine Health

Jon D. Gilwee, Executive Director, Gov’t Affairs

ACC-OC 4th Annual City Infrastructure Summit

May 30, 2013

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UC Irvine HealthUC Irvine Health represents the clinical and academic

endeavors of UC Irvine Medical Center and UC Irvine School of Medicine

The School of Medicine is located at the UC Irvine campus and is comprised of 25 departments, 540 clinical faculty,

56 residency and fellowship programs and 640 trainees

UC Irvine Medical Center is Orange County’s only university hospital. It offers acute- and

general-care services and serves as the premier teaching facility for the School of Medicine

MissionDiscover. Teach. Heal.

Vision

To be among the best (top 20) academic health centers in the nation in research,

medical education and excellence in patient care

UC Irvine Health• We are one of five University of California medical centers that support

the clinical and teaching programs of UC medical and health sciences schools

• Collectively, the five medical centers in Davis, San Francisco, Los Angeles,

Irvine and San Diego, comprise one of the largest healthcare systems in the U.S.

• UC Irvine Medical Center has been serving Orange County since 1976

• Our main patient care facility in Orange is just one of several patient care locations throughout the region

UC Irvine Medical Center in Orange is

located 11 miles from the UC Irvine main campus

UC Irvine Douglas Hospital is our state-of-the-art, seven-story hospital

It is equipped with the latest technological

advances and offers patients spacious, private patient rooms ideal for delivering comfort and

compassionate care

For 12 years and counting,UC Irvine Medical Center has been recognized as one of “America’s Best Hospitals” -- U.S. News & World Report

This year, U.S. News ranked our program in geriatrics 35th among the top 50 geriatric programs in the country

U.S. News & World Report also cites us as Orange County’s top hospital and fifth-best among Los Angeles-area medical centers

More than 90 UC Irvine physicians

are recognized as Best Doctors in America

by Best Doctors, Inc.

We were the first hospital to receive ANCC Magnet Recognition for nursing excellence in Orange County

We are Orange County’s

• Only National Cancer Institute-designated comprehensive cancer center

• Only Level 1 trauma center

• Only burn center verified by the American College of Surgeons and American Burn Association

• Only high-risk perinatal/neonatal program

• Most sophisticated, Level III neonatal intensive care unit

UC Irvine Health-- By the Numbers --

411 Beds (6.3% - Orange County Total) 108,000 Inpatient Days (8.6%) 519,000 Outpatient Visits (16.4%) 39,000 Emergency Department Visits 71,500 Federally Qualified Health Ctr

Visits 4,400 Jobs (Med Ctr), 3,600 Jobs (SOM) $1.5 Billion, So. Calif. Economic Output

Orange County Health Services (2010)

Hospitals – General 31 Hospitals – Other 18 Nursing & Residential 574 Health Practitioner Offices 7,102 Outpatient Centers 230 Med. & Diag. Labs 219 Home Health Agencies 184

Total Establishments: 8,415 (8.3% OC tot)

UC Irvine Medical Center:Economic/Fiscal Impact

(2010) Annual Revenue $638.5 million

Total Economic Impact: Output $ 1.493 billion Employment 10,350 jobs Total Labor (incl. benefits) $ 632.0 million

UC Irvine Medical Center:Economic/Fiscal Impact

(2010)Total Fiscal Impact:

- Property/Sales Taxes $41.7 million

- Income Taxes 21.2

- Fees/Fines 8.3

- Social/other Taxes 6.0

Total Taxes: $77.2 million

Employment Industry Sectors(10,350 Jobs)

Agriculture Mining Utilities

Construction Manufacturing Wholesale Trade

Retail Trade Transportation Information

Finance/Insurance Real Estate/Rental Prof/Scientific Services

Company Management Education Services Health Care and Social

Arts/Entertainment/Rec Accommodations Food Service

Waste Management All others

Role in Local Economy

Large Employer

High Volume purchaser of Goods/Services

Key component of Local Infrastructure contributing to Quality of Life

What Health Reform Does:

Expands health coverage to 32 million people

Enacts important health insurance reforms Attempts to “simplify” administration Attempts to improve access Enacts delivery system and payment

reforms Increase supply of health workers

Characteristics of Future Healthcare Environment

Increased Service Demand Declining Revenue per Unit of Service Declining overall margins Increasing numbers enrolled in poor

paying public programs Increased downward pressure on

pricing in commercial market Shrinking Safety Net Hospital subsidies

Significant Challenges

UC Irvine Health is changing with health reform!

Fill role as OC’s only Academic Health Center

Efficiently deliver highest quality quaternary, tertiary and primary healthcare

Meet evolving community service mission Maintain fiscal sustainability in future

Jon D. Gilwee

Executive Director, Government Affairs

UC Irvine Healthjgilwee@uci.edu