Paul Rothman, M.D. Dean of the Medical Faculty and CEO of Johns Hopkins Medicine

Johns Hopkins Medicine – The Bigger Picture

2

First Impressions

“The people of Johns Hopkins Medicine

conquer challenges, push boundaries,

and lead in innovation.”

3

A Legacy of Greatness

Johns Hopkins

William Welch William Halsted William Osler

Mary Elizabeth Garrett John Billings

Carol Greider Peter Agre Howard Kelly

Milestones and Awards

4

5

Opening of the Sheikh Zayed Tower and

The Charlotte R. Bloomberg Children's Center

Milestones and Awards

6

Milestones and Awards

Milestones and Awards

Gregg Semenza Larry Appel

Paul Englund Rachel Green Se-Jin Lee Sol Snyder King-Wai Yau

Institute of

Medicine

Inductees

National Academy of Sciences

8

Milestones and Awards

8

Hal Dietz Jef Boeke Catherine DeAngelis Linzhao Cheng Svetlana Lutsenko Duojia Pan

Lifetime

Achievement

Award from the

Association

of American

Medical

Colleges

American

Academy

of Arts &

Sciences

University of

Michigan

Taubman Prize

for

Excellence in

Translational

Medical

Research

American Association for the Advancement of Science

Current State of Johns Hopkins Medicine

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10

Sources of Revenue

Johns Hopkins Medicine

FY 2012

Hospital Services

45%

Clinical / Research

Faculty / Physician

26%

Managed Care

17%

Other*

12%

* Other includes International, Home Care, Johns Hopkins Health System

11

Fundraising

Johns Hopkins Medicine (Amounts in Millions)

12

State of Education Our Students

13 13

State of Education First-Year Medical Students

5,805 applicants to our School

of Medicine this year

119 new students: 51 women

and 68 men

One returning student, making this

a class of 120

27 members come from minority

groups underrepresented in medicine

Average MCAT score: 11.75 per section

Average GPA: 3.82

Students from 9 countries, 28 U.S. states, and from

61 undergraduate schools, including the U.S. Naval Academy

Know the patient as a person

Increase opportunities,

expectations to know the

patient

Improve patient outcomes

Resident visiting patient at home 14

C. Rand, Ph.D. R. Ziegelstein, M.D.

The Aliki Initiative

State of Education Innovation in Medical Education

Perdana University

Graduate School of Medicine

and Perdana University Hospital (Malaysia)

Strategic collaboration agreement in 2010

Malaysia’s first private American-style

graduate medical school and fully integrated

private teaching hospital

Hopkins experts guide academic development

in alignment with Genes to Society curriculum

Medical school opened in 2011

State of Education International

16

State of Education New Residency Program – All Children’s Hospital

12 Residents in July 2014

17

State of Research Basic Research

Ribosomes & the RNA World Regulation of Brain Neuronal Receptors

Rachel Green, Ph.D., Professor

of Molecular Biology & Genetics.

Member of the National Academy

Of Science

Richard Huganir, Ph.D., Professor

and Director of Neuroscience.

Member of the National Academy

Of Science

8/20/2013 18

Gregg Semenza, M.D., Ph.D., C. Michael

Armstrong Professor of Pediatrics. Member

of Institutes of Cell Engineering and Genetic

Medicine

Andrew Feinberg, M.D., M.P.H., King

Fahd Professor of Molecular Medicine,

Department of Medicine, Department of

Oncology and Department of Molecular

Biology & Genetics

Cellular Use of Oxygen Epigenetics and Behavior

State of Research From Bench to Bedside

New Institutes and Programs

19

Armstrong Institute for Patient Safety and Quality

Military & Veterans Health Institute

Institute of Excellence in Education

Johns Hopkins Individualized Health Initiative or

inHealth

Johns Hopkins Diabetes Initiative

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State of Patient Care A Full Spectrum of Care

The Johns Hopkins

Hospital

Johns Hopkins

Bayview

Howard County

General Hospital

Suburban

Hospital

Sibley Memorial

Hospital

All Children’s

Hospital (FL)

Johns Hopkins

Green Spring Station

Johns Hopkins

White Marsh

Johns Hopkins

Odenton Johns Hopkins

Bethesda

21 Odenton Expansion Opened December 10th, 2012

Johns Hopkins Bethesda (Suburban Outpatient Medical Center)

Green Spring Station FY12 Volume: 270,350

White Marsh FY12 Volume: 133,750

Odenton FY12 Volume: 84,900

State of Patient Care Outpatient: Health Care & Surgery Centers

The Johns Hopkins Hospital

FY12 Admissions: 46,673

Johns Hopkins Bayview

FY12 Admissions: 20,766

All Children’s Hospital

FY12 Admissions: 8,830

State of Patient Care Hospital Care

22 Howard County General Hospital

FY12 Admissions: 15,667

Suburban Hospital

FY12 Admissions: 14,171

Sibley Memorial Hospital

FY12 Admissions: 10,807

23

Our Reputation

“Provides the Highest Quality Care” % of respondents selecting Johns Hopkins Hospital

24 24

Local and National Outreach

Pennsylvania

Delaware

Google Search Ads and

JH Health Newsletter Markets

CNN Airport Network and

Southwest Airlines In-Flight Markets

CNN Physicians Network Markets

FY13 Out-of-State Consumer Outreach

Current marketing campaign reaching more than 109 million people, primarily through

targeted online advertising and search engine marketing.

25

Out of State Growth The Johns Hopkins Hospital – Out of State Volume Trend

Discharges: Out of State Outpatient Visits: Out of State

11k

10k

9k

8k

150k

140k

130k

120k

100k

100k

26

Multidisciplinary

Lung Cancer

Center

Radiation

Oncology

Program with

Suburban and

Sibley

Bridging Patient Care and Research Interdisciplinary Programs

Johns Hopkins

Heart Surgery

at All Children’s

Hospital

Breast Center

Program at

Howard County

General

Hospital

27

Helping Our Local Community

28

Helping Our Local Community

East Baltimore Development

(Eager Park)

Started in 2001

Redevelopment of 88

acres in East Baltimore

Acquisition of 2,000 properties

Relocation of 750 households

Master Plan – 1.1 million sq. ft.

of commercial lab space, 2,000

housing units, 150,000 sq. ft.

of retail space, open space,

new public school

29

Johns Hopkins International Reaching a Global Community

Challenges and Opportunities

30

31

The Affordable Care Act is a reality

Primary focus is a reduction in the cost

of medical care

Lower cost of care has many implications

-- Reduced compensation for patient care

-- Pressure to increase system efficiencies

-- Increased emphasis on preventive measures

-- Pressure to decrease inpatient stays and readmissions

-- Greater emphasis on population health

Health Care Waiver in Maryland is at risk

Growth of federal funding of research is at risk

Challenges The Health Care Economy

32

Aspirations

Johns Hopkins Medicine must lead the change

33

Aspirations

The Challenge

Educational Reform

• Technology is changing the

way we think of the

classroom and how we

teach.

• Our payers are asking us

to become more efficient

and to hold down the costs

of education.

34

Aspirations

The Opportunity

Within five years…

• We will have developed new and more efficient models

to train our M.D.s and Ph.D.s.

• We will have developed more efficient models to train

our med students, residents and physicians in the

safest, most cost-effective and highest-quality care.

35

Aspirations

The Challenge

Discovery

• Scientific discovery is

occurring at a blistering pace,

driven by the development of

new technologies.

• U.S. dominance of biomedical

discovery will be challenged

by other countries that are

making huge investments as

we face significant cutbacks.

36

Aspirations

The Opportunity

Within five years…

• We will become the most effective

center for advancing scientific

discoveries to benefit the world.

37

Aspirations

The Opportunity

Within five years…

• We will have a health care delivery and financing system that

improves patient care and the health of populations while reducing the costs of health care and that also embraces the Hopkins tradition of innovation.

• We will partner with patients, families and communities in the

development of this system and we will apply the same rigor to its development as we do to our basic science.

• We will provide the safest patient- and family-centered care alongside

cutting-edge medical innovations.

38

Thank You