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Summer 2009 the WOODRUFF HEALTH SCIENCES CENTER Voice over 10 What to do in case of heart attack 17 Considering the Suleman octuplets 26 Woodruff Health Sciences Center 1440 Clifton Road, 1st floor, 150M Atlanta, Georgia 30322 Address Service Requested PATIENT CARE, RESEARCH, AND EDUCATION FROM Summer 2009 THE WOODRUFF HEALTH SCIENCES CENTER William Bornstein: Have a plan. GENE AND ROSE GANGAROSA believe access to safe water is a human right. An international expert on waterborne diseases, Gene is a professor emeritus at the Rollins School of Public Health. Rose has traveled with him to developing nations and seen the devastation caused by contaminated water. Determined to ease suffering, the Gangarosas are funding research. Through estate gifts, including a charitable remainder trust, the Rose Salamone Gangarosa Chair in Environmental Health will further studies in the Center for Global Safe Water. The couple also has created the Eugene J. Gangarosa Chair in Global Safe Water. “We know that our contributions represent only a few drops of water in an ocean of need,” Gene Gangarosa says. “So we look to others to help.” Learn how you can support the health sciences at Emory with a planned gift. Call 404.727.8875 A conversation or visit www.emory.edu/giftplanning. we need to have Plan to strengthen global health. FROM THE EXECUTIVE VP PATIENT CARE, RESEARCH, AND EDUCATION FROM Reforming our THE WOODRUFF HEALTH SCIENCES CENTER health care system IN THIS ISSUE Try to imagine all of the goods and services currently consumed each year in the United States. The magnitude is almost incom- Words of wisdom 2 prehensible, and yet, left unchecked, that’s just how much one Emory experts join the national conversation on what to do study predicts the U.S. health care system will cost within the about health care. next 40 years. Already we spend more than $2 trillion a year— far more than any other country in the world—on a system that A national perspective 8 provides consistently poorer outcomes and lower satisfaction, Darryl Kirch, president of the Association of American Medical by most measures, than dozens of other countries. Colleges, weighs in on how academic medical centers can lead In this issue of Emory Health, you’ll learn about some of health care reform efforts. the many ways in which Emory’s Woodruff Health Sciences Center (WHSC) is engaged in A joyful noise 10 Emory Health transforming the health care delivery system. WHSC leaders are at the forefront of local, Executive Vice President for Health Affairs regional, and national reform efforts. Whether drafting potential reform policies, conven- How Joey Finley found his voice. Fred Sanfilippo, MD, PhD ing the best health care minds to develop solutions, or implementing improvements within 10 14 Editor our own health system, WHSC faculty and staff are committed to leading the much-needed A yellow light for AIDS Rhonda Mullen overhaul of the nation’s current health care Can suppressing a little molecule known as PD-1 slow HIV from Art Director system, which many agree “is neither healthy, going to full-blown AIDS? Peta Westmaas caring, nor a system.” Already we spend more than 16 Graphic Designers Perhaps one of the most important ways we’re $2 trillion a year—far more than Clinical care Carol Hatcher, Ivey Milton Upscaling the hospital stay. Bringing more speed and precision to leading change is by collaborating with other any other country in the world— Director of Photography individuals and institutions through the Blue prostate cancer treatments. Touring Wesley Woods with Eleanor Jack Kearse on a system that provides consis- Ridge Academic Health Group. Founded in 1993 Norton (and online). Getting the best cardiac care in the city. Production Manager and hosted by WHSC since 2002, the Blue Ridge tently poorer outcomes and lower Carol Pinto Moving forward 20 Group is a coalition of leaders of academic health satisfaction, by most measures, 18 19 Web Specialist centers and health policy and practice experts Revisiting residents’ hours. The latest predictive health find- Wendy Darling than dozens of other countries. from across the country. The group meets annu- ings. Retraining the brain to “see” with macular degeneration. Introducing a personal electronic mental health record. Executive Director, Health Sciences Publications ally to address a groundbreaking topic related to Karon Schindler Meet Emory’s new nursing dean. Math to the rescue for health care and to create a report based on its research and recommendations. The Want a children with fetal alcohol syndrome. And more. Associate Vice President, Health Sciences report is made available to thought leaders, policymakers, and other interested individuals Communications Jeffrey Molter and institutions. free lunch? Then there were eight 26 To date, the group has issued 13 reports on topics such as quality and safety, informatics, An Emory ethicist examines decisions conflict of interest, medical education reform, and most recently, a policy proposal for a U.S. Just take our short survey for Emory Health is published surrounding the Suleman octuplets. quarterly for Emory neigh- health board (whsc.emory.edu/blueridge/reports.cfm). When the group convened this summer, Emory Health, and you’ll be bors and the community as topics of discussion included health care value and social determinants of health. entered in a drawing for a well as faculty, staff, affiliates, Letters 28 As you read the articles in this issue, you’ll learn more about the Blue Ridge Group and lunch for two at Caffè Antico and friends of the Woodruff One reader responds to our spring essay, Health Sciences Center of many other ways that WHSC is leading the national health care reform debate and trans- in the Carlos Museum on the Emory Emory University. Produced by the Health Sciences “Do vaccines cause autism?” forming health and healing … together. quadrangle. We’ll get your Communications Office, the magazine is made pos- sible by support from the Robert W. Woodruff Health valuable opinion, and you’ll Sciences Center Fund. get a chance to choose from seasonal What do you think? Emory Health welcomes Send all correspondence to Emory Health, your comments—pro or con—about topics and issues 1440 Clifton Road, 150M, Atlanta, GA 30322; call salads, sandwiches, and entrees at covered in this magazine. Please send comments, 404-727-8166; or e-mail [email protected]. Emory’s most artsy café. Drawing to letters to the editor, address changes, and other corre- Visit us online at emoryhealthsciences.org or our be held August 17. To get started, visit: health consumer site at emoryhealthcare.org. Fred Sanfi lippo, MD, PhD spondence to Emory Health, 1440 Clifton Road, 150M, Atlanta, GA Please share your feedback at [email protected]. whsc.emory.edu/r_survey.html 30322; email to [email protected]; or call 404-727-8166. A single payer system for health care is not going to fly in the United States. That’s too radical an idea for us. We need something in the middle that combines public and private payers. Free WORDS OF enterprise will kill way too many people. We have to have a hybrid. KIMBBERLYY RASA K:K Health care is not just a money issue. In the United States, we think if WISDOM you spend more, you get more. Not really. When we compare ourselves to other By Rhonda Mullen • Illustrations by Karen Blessen countries—Germany and the Netherlands, for example—we spend more, and we may get more technology, but we don’t get better outcomes. The United It’s broken, and it needs fixing. That much everyone States has the worst infant can agree on when it comes to health care in the United States. mortality rate of all the developed nations. Much of the conversation about reform centers on cost, but MICI HAH ELE JOHOHNSS ANDN KENN BRIGHGHAMM: Appropriate access and quality of care are key factors too. management of chronic diseases Any serious discussion has to start with where we are now, and it’s not good. The United States decreases complications and is spending $2 trillion a year (almost $8,000 per person). We spend more than any of the other top 20 developed nations, but our health outcomes scrape the bottom of the barrel compared hospitalizations, improves with theirs. Medicare and Medicaid account for 23% of federal spending, almost 6% of GDP, but health, and enhances Americans receive only half the screening and preventive care recommended for each age group. quality of life. But The challenges range from lack of universal coverage to unequal access to care. The U.S. system hospitalizations are has fragmented and uncoordinated care with wide regional variations. Its payment incentives fail what get paid for. to reward for good outcomes. Vested interest groups vie for their share of the trillion-dollar health care pie. The system rewards In the midst of national debates on how to approach the challenges, Emory experts are adding disease care, not their voices, testifying before Congress, drafting reform policies, and hosting meetings of the best health care. minds to discuss reform. How would they fix the dysfunctional system? Summer 2009 3 FEATURE WORDS OF WISDOM MODERNIZING MEDICARE medical equipment. “Medicare is too easy to Unfortunately, these separate efforts lead UNIVERSAL CONSEQUENCES how to achieve health insurance coverage for pay rather than evidence indicating that it is Adam Atherly would start with Medicare. exploit,” he says. to fragmentation, says Adams. “We really Art Kellermann knows the statistics on the everyone. To make the coverage sustainable, beneficial. Take MRIs, for example, she says. “Medicare is a time capsule of health insur- have 50 Medicaid programs, not one.” uninsured inside and out. Emory’s health the cost of health care must be stabilized.
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