University of Missouri Health Care: 2016 Value Report

2016 VALUE REPORT

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TABLE OF CONTENTS

4 . . . . . . . . . . . . . . . . . . . . . . . . Serving the State

10. . . . . . . . . . . . . Creating Value-Focused Care

5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accolades

16. . . . . Reducing Costs, Improving Outcomes

6 . . . . Our Mission, Vision, Values and Culture

17. . . . . . . Building a Strong Provider Network

8 . . . . . . . . . . . . Providing Comprehensive Care

20. . . . . . Emphasizing Innovative Technology 23 . . . . . . . . . . . . . . . . . . Growing for our Future

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WELCOME

We are pleased to share with you our 2016 Value Report, highlighting University of Missouri Health Care’s comprehensive services for patients in mid-Missouri and beyond. As the region’s only academic health center, our scope of health care expertise is unparalleled.

We provide top quality care with numerous locations and access points for patients.

Consumer demands for convenience and lower costs are driving the marketplace, combined with expectations from government and regulatory agencies. Rising health care costs continue to be a challenge for all — for patients and families, for payors, for employers and for health systems. In the everchanging health care landscape, MU Health Care’s leaders are constantly exploring ways to improve our patients’ lives and reduce costs.

While the concept of a value-based care model may be new to many organizations, MU Health Care has been intentionally migrating towards this type of model for more than a decade.

We help patients avoid developing complex health conditions and we help those with complex health conditions stay out of the hospital and emergency room. We continue to work with our providers to implement innovative ways to manage the patient populations we serve.

Our expertise is not confined to central Missouri. At MU Health Care, we are building a high-performing provider network throughout our region, statewide and nationally through key partnerships. These collaborations help us meet triple aim goals of improving the health of populations, enhancing the experience and outcomes of patients and reducing the costs of care for the benefit of communities. We value the partnerships we have developed and we welcome the opportunity to share our programs with you.

Mitch Wasden, EdD Chief Executive Officer University of Missouri Health Care

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SERVING THE STATE UNIVERSITY OF MISSOURI HEALTH CARE The development of University of Missouri Health Care, Missouri’s premier academic health center, began in 1956 with the opening of University Hospital in Columbia. Today, our health care network comprises five hospitals and 56 clinics.

MU Health Care is home to the region’s only hospital for children, the most experienced team for women and infants, the most comprehensive orthopaedic surgery center, the only Level I trauma center, Missouri’s official cancer center and nationally certified centers of excellence for chest pain, bariatric and stroke care.

AMBULATORY SETTINGS (56 CLINICS)

ELLIS FISCHEL CANCER

MISSOURI ORTHOPAEDIC INSTITUTE

MISSOURI PSYCHIATRIC CENTER

UNIVERSITY HOSPITAL

WOMEN’S AND CHILDREN’S HOSPITAL

ACADEMIC AFFILIATES

HEALTH CARE AFFILIATES

• University of Missouri School of Health Professions • University of Missouri School of Medicine • University of Missouri Sinclair School of Nursing

• Capital Region Medical Center in Jefferson City, Missouri • Fulton Medical Center in Fulton, Missouri • Health Network of Missouri • MPact Health • Rusk Rehabilitation Center in Columbia

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IC

N’S

ACCOLADES

REGION’S LARGEST MEDICAL GROUP University Physicians comprises more than 600 physicians trained in more than 60 specialties and subspecialties.

NATIONALLY RANKED FAMILY MEDICINE PROGRAM U.S. News & World Report’s Best Graduate Schools has ranked MU’s Department of Family and Community Medicine in the top 10 for 23 consecutive years.

BABY-FRIENDLY DESIGNATION MU Women’s and Children’s Hospital received this global designation for supporting parents learning to care for their babies. Our staff supports and encourages breastfeeding efforts and offers an optimal environment for family bonding with baby.

Our Frank L. Mitchell Jr., MD, Trauma Center is the only American College of Surgeons (ACS)-verified Level I Trauma Center in central Missouri and one of only four in the state.

This innovative regenerative orthopaedics program is the first and only in the nation. Researchers and clinicians have developed a better method to store donor tissue, and improved procedures for repairing torn knee ligaments and other joint injuries.

MU Health Care provides expertise in all areas of advanced stroke care, including diagnosis, treatment, rehabilitation, education and research.

STAGE 2 MEANINGFUL USE In 2014, MU Health Care became the first academic health center and the ninth health system in the country to meet federal Stage 2 “meaningful use” standards for its adoption of medical information technology to improve patient care.

HIGHEST LEVEL OF TRAUMA CARE

MIZZOU BIOJOINT CENTER

LEVEL I MISSOURI TIME CRITICAL DIAGNOSIS STROKE CENTER

HIMSS ENTERPRISE NICHOLAS E. DAVIES AWARD OF EXCELLENCE In 2015, MU Health Care received the coveted global HIMSS Enterprise Nicholas E. Davies Award of Excellence for health care technology innovations that are improving patient outcomes. HIMSS — which stands for the Healthcare Information and Management Systems Society — is a global not-for-profit organization focused on better health through use of information technology.

MOST WIRED For six consecutive years (2011 through 2016), MU Health Care has been recognized as one of the nation’s “Most Wired” health systems, according to the American Hospital Association’s annual Most Wired Survey. The survey recognizes hospitals making progress in adoption of information technology.

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OUR MISSION

OUR VISION

University of Missouri Health Care’s core mission is to advance the health of all people, especially Missourians. Through exceptional clinical service, University of Missouri Health Care supports the education and research missions of the University of Missouri.

Through discovery and innovation, University of Missouri Health Care will be the health system that people choose for exceptional service and exemplary health care.

600+ Physicians trained in 5 Hospitals

Anesthesiology and Perioperative Medicine Dermatology Emergency Medicine

50+ Clinics

Family and Community Medicine Internal Medicine Cardiovascular Medicine

500+ Beds

Endocrinology, Diabetes and Metabolism Gastroenterology and Hepatology General Internal Medicine

5,000+ Employees 60,000+ Patients enrolled to use our online portal

Hematology and Oncology Hospital Medicine Immunology and Rheumatology Infectious Diseases Nephrology Pulmonary, Critical Care and Environmental Medicine Neurology and Neurosurgery

Obstetrics, Gynecology and Women’s Health Female Pelvic Medicine and Reconstructive Surgery General OB/GYN Gynecologic Oncology Maternal-Fetal Medicine Reproductive Medicine and Fertility Ophthalmology Orthopaedic Surgery Foot and Ankle General Orthopaedics Hip and Knee Orthopaedic Oncology Orthopaedic Trauma Spine Sports Medicine Upper Extremity

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OUR VALUES

CULTURE OF YES

University of Missouri Health Care will pursue its vision within an environment that fosters integrity, respect, trust, openness, fairness, quality performance, accountability and dedication to quality care for patients and their families.

“Yes� is at the core of everything we do at University of Missouri Health Care. Together we: care, deliver, innovate and serve.

60+ specialties & subspecialties Otolaryngology (Ear, Nose and Throat)

Pediatric Neurosurgery

Allergy and Sinus

Pediatric Oncology

Head and Neck Cancer

Pediatric Ophthalmology

Hearing and Balance

Pediatric Orthopaedics

Thyroid and Parathyroid

Pediatric Pulmonary Medicine

Voice and Swallow

Pediatric Surgery

Pathology

Physical Medicine and Rehabilitation

Pediatrics

Psychiatry

Adolescent Medicine

Radiology

Child and Adolescent Psychiatry

Surgery

General Pediatrics

Acute Care Surgery

Neonatology

Cardiothoracic Surgery

Pediatric Cardiology

General Surgery

Pediatric Dermatology

Neurological Surgery

Pediatric Emergency Medicine

Plastic and Reconstructive Surgery

Pediatric Ear, Nose and Throat

Surgical Oncology

Pediatric Internal Medicine

Urologic Surgery

Pediatric Neurosciences

Vascular Surgery

25,000+ Hospital admissions per year 70,000+ Emergency room & trauma center visits 195,000+ Total patients 600,000+ Clinic visits per year

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PROVIDING COMPREHENSIVE CARE

LEVELS OF CARE

DEVELOPING eVISITS AS A LOW-COS To add convenience and to lower costs for patients, MU Health Care created an eVisit system. In this real-life example, a mother gets appropriate care for her child using eVisit technology through MU Healthe:

MU Health Care provides patients with choices to conveniently access the most appropriate level of care in the setting that best meets their needs.

WE OFFER: • eVisits, virtual visits and nurse triage hotline • Quick care walk-in clinics • Primary care across the region • Specialty care at medical centers, clinics and mobile sites • Urgent care clinics, lessening the strain on ER resources • Emergency care for adults and children • Trauma care at the region’s only Level I trauma center Plus, our integrated electronic medical record (EMR) system gives our providers easy access to each patient’s complete medical history within our organization, whether the individual visited a local clinic or was admitted to a specialty treatment center.

10:50 a.m. Suspecting her 3-year-old has pink eye (conjunctivitis), a mother messages her child’s physician while she is at work through secure MU Healthe account to ask if an eVisit is appropriate.

10:55 A.M.

10:50 A.M.

10:55 a.m. Physician confirms and asks additional questions to clarify child’s condition.

12:58 p.m. Mother initiates eVisit, answers questions and uploads pictures of her daughter’s eye.

1:24 p.m.

Physician confirms conjunctivitis diagnosis, includes prevention tips for family members and sends a prescription to family’s preferred pharmacy for antibiotic eye drops.

Mother will pick up eye drops on her way home from work.

BENEFITS: • Avoided delay in diagnosis and treatment • Prevented spread of infection and exposure to other illnesses • No missed work by parent • Received appropriate care with information entered in the child’s medical record • Significant cost savings to parent

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-COST OPTION

QUICK CARE WALK-IN CLINICS To manage common illnesses, MU Health Care offers Mizzou Quick Care clinics at Columbia’s Hy-Vee grocery stores. Staffed by nurse practitioners, they provide prompt treatment in patients age 2 and older for common medical conditions that do not require primary care appointments.

PRIMARY CARE ACROSS THE REGION MU Health Care provides the region’s largest primary care network, with clinics throughout Columbia and within the rural communities of Fulton and Fayette. Research has shown that patients with a primary care doctor experience better management of chronic diseases and lower overall health costs than patients who do not have a routine provider.

12:58 P.M.

1:24 P.M.

SPECIALTY CARE AT MEDICAL CENTERS, CLINICS AND MOBILE SITES MU Health Care includes the region’s largest specialty care network. Our specialists see patients in Columbia and outreach centers located across the state. Examples of specialties include cardiovascular medicine, pediatric and adult-onset diabetes, dialysis, nephrology and urology. Our cancer center’s mobile mammography van provides mammograms, clinical breast exams and breast health education to women throughout central and north central Missouri.

Our Pediatric Urgent Care is the only urgent care clinic in mid-Missouri staffed by pediatricians who are board-certified and specialty-trained to treat children from newborns through age 18.

EMERGENCY SERVICES FOR ADULTS AND CHILDREN MU Health Care’s emergency rooms and trauma center are open 24/7 for life-threatening injury and illness. The MU Women’s and Children’s Hospital Emergency Room is the only facility in central Missouri staffed by physicians and nurses with specialized training in pediatric emergency care.

TRAUMA CARE AT THE REGION’S ONLY LEVEL I CENTER The Frank L. Mitchell Jr., MD, Trauma Center at University Hospital is the only American College of Surgeons (ACS)-verified Level I Trauma Center in central Missouri and one of only four in the state.

As a tertiary care referral center and a regional resource center, we provide lifesaving care.

URGENT CARE CLINICS LESSEN THE DEMAND FOR E.R. RESOURCES MU Health Care offers physician-staffed urgentcare clinics to provide treatment for immediate, but non-life-threatening, conditions in both adults and children at clinics at South Providence and the MU Women’s and Children’s Hospital.

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CREATING VALUE-FOCUSED CARE

The nationwide transition to value-based care has centered on improving patient care and finding ways to reduce costs. MU Health Care has been migrating to a care-coordination model for more than a decade and is on the forefront of managing the overall health of populations. This triple-aim decision-making guides our approach to patient care and enhances partnerships with both commercial and government payors.

TRIPLE AIM 1. Improve the health of populations.

2. Enhance the experience and outcomes of patients.

3. Reduce the per-capita cost of care for the benefit of communities.

Care coordinators focus on patients who have been designated as “high risk” for medical complications. To identify these patients, MU Health Care experts use technology to determine which individuals will benefit from one-on-one coordination of care management. Early results show a reduction in participant use of emergency room visits and hospitalizations.

IT’S PERSONAL “Patients feel much more comfortable to call and ask questions or report problems early when they have a caregiver whom they know and can contact directly.”

— Marilee Bomar, RN Operations Program Coordinator

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TRADITIONAL HEALTH CARE MODEL

OUR CARE COORDINATION MODEL

PAYORS AND EMPLOYERS become our partners, engaging in value-based care.

PAYORS PAY

PER SERVICE. PATIENTS ARE TREATED FOR AN ACUTE ILLNESS.

CARE IS SCATTERED

among various professionals.

WE HELP INDIVIDUALS MANAGE THEIR OVERALL HEALTH AND WELLNESS.

CARE IS INTEGRATED, using a highly evolved electronic medical record system and nurse coordinators to foster communication.

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CREATING VALUE-FOCUSED CARE

VALUE-BASED PARTNERSHIPS WITH PAYORS Our systems at MU Health Care help us provide value-based care for employers, commercial payors and government programs. We have programs in place with each that align with the triple-aim goals.

EXAMPLES OF OUR ACTIVITIES INCLUDE: Managing employee populations Working with the University of Missouri System, we developed a custom network program for employees in a nine-county service area that provides cost savings for both patient and payor.

Working with commercial payors We have collaboratively developed value-based plans with major commercial payors, customizing plans for the payors’ clients and their needs.

Meeting federal and state standards for care As a participant in government-funded health care programs, we meet stringent standards for quality, care coordination and cost savings.

We are participating in the Comprehensive Joint Replacement bundled payment initiative of the Centers for Medicare & Medical Services. Through this payment model, we are piloting the use of bundled payments for episodic care associated with hip and knee replacements, from hospital admissions through 90 days after discharge.

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QUALITY BY THE NUMBERS

100% 99% PATIENTS

given a procedure to open blocked blood vessels within 90 minutes of arrival

15

MINUTES

QUALITY MEASURES

Average time patients spent in the emergency department before they were seen by a health care professional, nearly half of the national average of 29 minutes

MU HEALTH CARE EMPLOYEES who receive an influenza vaccine (national average is 84%)

25%

IN ONE YEAR,

the catheter-associated urinary tract infection (CAUTI) rate at MU Health Care decreased by 25 percent

MU Health Care follows treatment guidelines that have been proven by medical research to save and improve lives. The Centers for Medicare and Medicaid Services collects and compares how well MU Health Care and other hospitals perform on health care quality measures.

Data are reported and open to the public on the Hospital Compare website, www.medicare.gov/hospitalcompare.

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CREATING VALUE-FOCUSED CARE

MANAGEMENT OF PATIENTS WITH CHRONIC CONDITIONS Chronic conditions are costly for patients, payors and health systems. The Centers for Disease Control and Prevention (CDC) ranks chronic diseases — such as heart disease, cancer and type 2 diabetes — as the most common, costly and preventable of all health problems.

To enable primary care providers to manage patients with select chronic conditions and help them achieve wellness objectives, MU Health Care has established patient care registries to track chronic disease. This new technology supports physicians and the care team in several critical medical home workflows.

PHYSICIAN:

CARE TEAM: Our Visit Itinerary highlights gaps in care. The care team reviews this report before patient visits.

Our Provider Dashboard monitors key aspects of physician performance in patient care using metrics that include monitoring blood sugar levels, lipids, obesity and smoking cessation.

PATIENT: Our Health Snapshot provides personalized information to help each patient assess his or her health status and progress in self-management in such areas as weight loss, vaccination, exercise and blood pressure control.

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HEALTHe REGISTRIESTM Using key evidence-based measures and targeting strategically specific populations, MU Health Care introduced the following registries in 2015. We plan to add more registries in 2016, including a maternal wellness registry that will provide care coordination for our expecting patients.

HYPERTENSION REGISTRY CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) REGISTRY

ASTHMA REGISTRY

PEDIATRIC WELLNESS REGISTRY ISCHEMIC VASCULAR DISEASE OR CORONARY ARTERY DISEASE (CAD) REGISTRY

2015 UNIVERSITY OF MISSOURI HEALTH CARE REGISTRIES

ADULT WELLNESS REGISTRY

SENIOR WELLNESS REGISTRY

DIABETES REGISTRY

HEART FAILURE REGISTRY

AMBULATORY URGENT CARE REGISTRY

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REDUCING COSTS, IMPROVING OUTCOMES

HOW DO WE REDUCE COSTS? Diabetic pharmacy use

Hospital readmissions reduction MU Health Care’s ambulatory care managers work with high-risk patients for 30 days post-discharge to make sure they receive needed care. Registered nurses conduct follow-up phone calls one, three and five days after discharge. Pharmacists play important roles in cases involving sepsis, chronic obstructive pulmonary disease (COPD) and other high-risk conditions.

Identify most likely causes through data

As a leader in quality improvement, University of Missouri Health Care continually seeks to provide the safest, most effective care to patients.

2

Problem identification and desired outcomes

In fiscal year 2015, MU Health Care employees worked in teams to complete 1,397 process improvement projects. The range of projects included initiatives that focused on direct patient care outcomes, such as those conducted by hospital unit teams to reduce catheterassociated infections in patients. Other projects assessed support services, refining processes to improve system performance for staff members.

Identify potential solutions and date needed for evaluation

PLAN

1

6

ACT

MU Health Care assigned a pharmacist to review all medications for patients with diabetes in the Custom Network health insurance plan for MU Health Care employees. The pharmacist reviews the patient’s medication use and, if applicable, makes and shares the recommendations with the provider. Recommendations may involve ordering lab monitoring, administering immunizations or converting from brand name drugs to generic alternatives.

PROCESS IMPROVEMENT INITIATIVES

3 PDSA IMPROVEMENT MODEL

Recommend further study and/or action

DO

TWO OF OUR INITIATIVES INCLUDE:

4

STUDY

5

Implement solution and collect data needed for evaluation

Analyze data and develop conclusions

“Anyone who trusts us for their care can count on the fact that we are continually looking to improve it.”

— Kristin Hahn-Cover, MD Chief Quality Officer

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BUILDING A STRONG PROVIDER NETWORK

MD ANDERSON CANCER NETWORK® MU Health Care’s Ellis Fischel Cancer Center meets MD Anderson Cancer Center’s nationally recognized standards in the diagnosis and treatment of cancer. As a result, in March 2014, our Ellis Fischel Cancer Center became the first academic institution certified by the MD Anderson Cancer Network®, a program of The University of Texas MD Anderson Cancer Center. This program was created to advance MD Anderson’s mission of eliminating cancer by collaborating with community hospitals and health systems nationwide on quality improvement and best practices.

More than 20 Ellis Fischel specialists are certified physician-members of the MD Anderson Cancer Network®. Certified physicians have access to several multidisciplinary care resources, including disease-specific and evidence-based guidelines, treatment plans and best practices developed by MD Anderson experts.

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BUILDING A STRONG PROVIDER NETWORK

MU Health Care in Columbia is a member of the Health Network of Missouri (HNM), which includes six Missouri hospitals or health systems. Each hospital or health system serves the health care needs of its own community and preserves its independence and unique identity. The members serve patients in counties throughout central, northeast and southeast Missouri. They provide more than 1,000 hospital beds, nearly 11,000 employees and approximately 1,200 employed and affiliated physicians.

In 2016, the network continues its collaborative efforts on implementing population health management, quality improvement and cost savings supported by technology, and sharing best practices.

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MPact Health is a clinically integrated network spanning four states and composed of 3,000 physicians and 49 hospitals working together to improve quality. The founding members are Mercy, Mosaic Life Care and MU Health Care.

Collaborating allows the health systems to deliver exceptional care at reduced costs with shared quality standards.

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EMPHASIZING INNOVATIVE TECHNOLOGY

MORE ACCESS, MADE EASY In 2009, MU entered into an unprecedented partnership with Cerner Corporation called the Tiger Institute for Health Innovation. The new organization had an ambitious goal: to build a strong foundation of information technology, innovation and partnership to transform health care. During the past six years we have invested in achieving

common goals such as delivering an integrated electronic medical record system, connecting providers and engaging patients. In the process, we have received recognition for quality and value.

ELECTRONIC MEDICAL RECORDS (EMR) The single EMR across both inpatient and outpatient venues at MU Health Care serves as a unified platform to deliver high-quality, coordinated care to our patients. Leading organizations, including the Health Information Management Systems Society (HIMSS), the Association of American Medical Colleges, and Healthcare IT News, have recognized us for our achievements in EMR adoption, connectivity, quality and innovation.

Because of our technological infrastructure, our enterprise data warehouse is able to transform large amounts of data into tangible information that further improves our quality and efficiency of care.

By sharing a single up-to-date patient EMR pool of data among our hospitals and physicians — as well as clinicians who work at other health care organizations in central Missouri — we provide our physicians with a more complete picture of their patients’ health. That translates into improved diagnosis and treatment and faster, more accurate care and decision-making. For us, receiving recognition in our hospitals and ambulatory sites is more than just an accolade; it’s a reflection of our core values and commitment to providing exceptional patient care.

“I think the MU Healthe system is wonderful. It allows me quick and pleasant contact with my health care providers.”

— LaDonna Perkins of Columbia, Missouri MU Health Care Patient

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MU HEALTHe: OUR PATIENT PORTAL MU Healthe actively engages patients through provider’s notes, online forms, patient-provider secure messaging, and by providing lab results. Since 2012, more than 60,000 accounts have been created.

Qualified patient participation has been rising steadily by 2,000 patients per month through grassroots adoption.

ONLINE SCHEDULING Through MU Healthe, patients can search for appointments that best fit their schedule, often with same-day or next-day availability, and book with the specialty and provider they want. More than 800 patients schedule appointments online every month.

OPEN NOTES® Through Open Notes, patients can access their care team’s clinical documentation within their MU Healthe account. Patients can revisit recommended steps and review treatment plans that have been documented by their providers. MU Health Care is one of only 26 organizations in the nation to join the Open Notes movement and officially provide online access to patients.

MESSAGING Messaging reduces the amount of time patients and staff spend on the phone for routine questions and it maximizes patient-physician communication. Providers can communicate

64,788

ACTIVE ACCOUNTS

recent lab results and prescribe follow-up tests or visits as necessary. Patients may send questions about their condition or follow-up plan. The number of messages patients send to providers through MU Healthe continues to grow each month.

1,950

NEW ACCOUNTS ADDED/MO.*

July 2016

35,849

LAB RESULTS VIEWED/MO.*

20,921

CLINIC NOTES VIEWED/MO.*

5%

NO-SHOW RATE for appointments scheduled online No-Show rate for appointments not scheduled online is 11%.

735

APPOINTMENTS Directly Scheduled by Patients/Mo.*

11,780

MESSAGES SENT BY PATIENTS/MO.*

*Monthly average calculated from Feb. 1, 2016, to July 31, 2016

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EMPHASIZING INNOVATIVE TECHNOLOGY

MANAGING POPULATIONS To better manage the overall health and costs of various patient populations, MU Health Care implemented Cerner HealtheIntent™, Cerner’s advanced population health platform.

REGIONAL OUTREACH: The Tiger Institute Health Alliance and Lewis and Clark Information Exchange provide strong regional outreach.

The HealtheIntent platform serves to: • Aggregate data from multiple sources, including but not limited to clinical, billing and claims data • Track performance on identified quality and cost metrics • Identify and manage opportunities for improvement across the provider network • Manage chronic conditions and wellness goals

NATIONAL OUTREACH: The CommonWell Health Alliance network provides collaboration with physicians throughout the U.S.

• Risk stratify and manage high-cost patients across the care continuum

HEALTH INFORMATION EXCHANGE Better communication for better health For years, individuals and health care providers have been frustrated by health information locked in paper records and electronic medical records. While these records support the needs of a single organization, they do not meet the needs of typical individuals that receive care from multiple providers. Through the Tiger Institute Health Alliance health information exchange, we are creating a safer environment for individuals by integrating health information currently confined to paper and electronic records.

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GROWING FOR OUR FUTURE

BUILDING ON EXCELLENCE In 2016, MU Health Care reached major milestones in our journey to expand our facilities to meet patient demand.

MISSOURI ORTHOPAEDIC INSTITUTE MU Health Care began construction in June 2015 on a $40 million, four-story expansion of the Missouri Orthopaedic Institute. Scheduled for completion in 2017, the expansion will increase clinical space for surgical, inpatient, outpatient and physical therapy services from approximately 114,000 to almost 200,000 square feet.

The fourth floor of the new addition will be dedicated to research. The Thompson Foundation, created by William and Nancy Thompson, pledged $3 million to the MU School of Medicine to create the Thompson Center for Regenerative Orthopaedics.

Researchers at the new center will pursue discoveries and advances to help people with joint replacements resume family and work activities sooner and lower costs and improve access to health care. The Missouri Orthopaedic Institute already is home to Mizzou BioJoint Center, the first and only innovative regenerative orthopaedics program of its kind in the nation.

EMERGENCY DEPARTMENT The University of Missouri System Board of Curators approved in April 2016 an expansion of University Hospital’s emergency department. The emergency department has experienced a steady increase in the number of patients during the past five years.

Currently, staff members treat approximately 160 patients daily in the emergency room.

MEDICAL SCHOOL Our academic partner, the MU School of Medicine, is expanding to help alleviate Missouri’s critical physician shortage by training more doctors. Beginning in 2016 with the opening of a second MU clinical campus in Springfield and in 2017 with the opening of the Patient-Centered Care Learning Center in Columbia, MU will expand its medical school class to provide more than 300 additional physicians for Missouri and beyond.

PATIENT-CENTERED CARE LEARNING CENTER

MISSOURI ORTHOPAEDIC INSTITUTE EXPANSION

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MUHEALTH.ORG

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