The Collaborative Health Science Center of Southwest Virginia A Strategy to Achieve Prosperity by Improving Community Health Concept Rendering of Proposed Abingdon Campus Headquarters Facility A Project Update prepared for: The Virginia Tobacco Indemnification and Community Revitalization Commission November 2014 Southwest Virginia Community Health Systems The Collaborative Health Science Center of Southwest Virginia A Strategy to Achieve Prosperity by Improving Community Health Contents CONTENTS EXECUTIVE SUMMARY THE PLAN / REPORT 1—THE REGION’S ECONOMIC CHALLENGES Defining our Core Region—Southwest Virginia ......................................................... 1 Crossing State Borders—An Enlarged Region ........................................................... 2 2—THE REGION’S HEALTH CRISIS Health Care in the US—As Context ......................................................................... 3 Health in the Commonwealth of Virginia—as Context ............................................... 4 Southwest Virginia—Health Factors and Health Outcomes ........................................ 5 3—ASSET INVENTORY—VIRGINIA, THE CORE REGION, AND JUST BEYOND THE REGION Academic Health Center Assets in Virginia ............................................................. 11 Our Core Region’s Assets ..................................................................................... 11 Assets Just Beyond Our Defined Region ................................................................. 15 Responding to Major Strategic and Policy Studies ................................................... 16 Blueprint for Health Improvement and Health-Enabled Prosperity ....................................... 16 Virginia’s State Rural Health Plan 2013 ............................................................................ 17 Some Conclusions—The Case for a Distributed Program Strategy ............................ 17 Bring Medical Education, Rather Than a Medical School ................................................... 17 Grow Other Health Professions Programs ......................................................................... 17 A Phased Approach ........................................................................................................ 17 4—VISION, MISSION, GOALS, AND METRICS Vision ................................................................................................................. 19 Mission ............................................................................................................... 19 Phase 1 Goals—2015 to 2020 ............................................................................ 19 Longer-Range Goals ............................................................................................ 19 Metrics of Success ................................................................................................ 20 5—A VIRTUAL, COLLABORATIVE HEALTH SCIENCE CENTER STRATEGY Evolution of the Idea ............................................................................................ 21 Five Integrated Program Strategies for Phase 1 (2015 – 2020) ................................ 22 Strategy 1—Physician Education ...................................................................................... 22 Strategy 2—New Allied Health Professions Programs ......................................................... 22 Strategy 3—Clinical Care (Targeted Clinical Services for Special Problems) ......................... 22 Strategy 4—Ancillary Service and Engagement Programs ................................................... 22 Strategy 5—Business Development and Workforce Development ........................................ 22 Strategy 6—Two Needed “Infrastructure” Elements ............................................................ 22 Future Phases and Programs ................................................................................. 24 Nursing ......................................................................................................................... 24 Dentistry ........................................................................................................................ 24 Pharmacy ....................................................................................................................... 24 Additional Allied Health Programs .................................................................................... 25 Community Health Educators .......................................................................................... 25 Population Health Research and Targeted Clinical Research .............................................. 25 The Alliance for Rural Health—Southwest Virginia 6—THE PHASE 1 PROGRAMS Strategy 1—Physician Education ........................................................................... 27 Program Overview .......................................................................................................... 27 Academic and Clinical Partners ....................................................................................... 27 1. Undergraduate Medical Education—(3rd / 4th Year Clinical Training) ...................... 28 2. Graduate Medical Education (Residencies) ............................................................. 29 3. Fellowships (Post Residency) .................................................................................. 29 4. Continuing Medical Education (CME) ..................................................................... 29 Strategy 2—Allied Health Professions Programs ..................................................... 30 School of Health Sciences, Emory & Henry—Overview ...................................................... 30 School of Health Sciences ............................................................................................... 31 Inter-Professional Education (IPE) ..................................................................................... 32 Two New Campuses / Facilities ....................................................................................... 32 Strategy 3—Targeted Clinical Programs ................................................................ 34 Clinic of 2030—Continuity of Care ................................................................................. 34 Special Clinical Care (and Targeted Research) Solutions .................................................... 34 Strategy 4—Ancillary Service and Engagement Programs ........................................ 35 Community Engagement to Advance Health and Wellness in Southwest Virginia .................. 35 Strategy 5—Business Development and Workforce Development Programs .............. 36 Business Development and Entrepreneurship .................................................................... 36 Workforce Development, Job Skills and Employment ......................................................... 36 7—THE ALLIANCE ENTITY AND PARTNERS The Alliance for Rural Health—Coordinating Agency .............................................. 37 Voting Members of the Alliance—Phase 1 ............................................................. 38 Future Possible Expansion .................................................................................... 39 Management and Staffing .................................................................................... 40 8—THE COLLABORATIVE HEALTH SCIENCE CENTER HEADQUARTERS—ABINGDON CAMPUS PROJECT Identity ............................................................................................................... 41 Site and Site Plan ................................................................................................ 42 Preliminary Building Program ............................................................................... 44 Building Design Concept ..................................................................................... 46 Operating Plan ................................................................................................... 46 Summary of Other Sites / Facilities ....................................................................... 47 9—FUNDING STRATEGIES—PHASE 1 PROGRAMS AND CAPITAL PROJECTS Funding Overview ............................................................................................... 49 Grant 1958 Funding ........................................................................................... 49 Flow of Funds ..................................................................................................... 49 Collaborative Health Science Center Headquarters, Abingdon Campus Facility ........ 50 Capital Project Cost Estimates ......................................................................................... 50 Preliminary Construction Schedule ................................................................................... 50 Operating Budget........................................................................................................... 51 Emory & Henry College—Program and Capital Funding ......................................... 52 Mountain States Health Alliance—Program Funding ............................................... 54 The Alliance for Rural Health—Southwest Virginia The Collaborative Health Science Center of Southwest Virginia A Strategy to Achieve Prosperity by Improving Community Health Contents APPENDICES APPENDIX A—LETTERS OF SUPPORT Appendix A.1—Emory & Henry College ................................................................