Jefferson Ambassadors are influencers and difference-makers who receive special "insider" updates from Dr. Stephen Klasko on important advances and significant news at Jefferson. Regular spotlights include articles from Jefferson experts on "Health and Wellness" and "Research and Innovation." We hope these stories inspire you to pass along to friends and associates how Jefferson is reimagining health, health education and discovery to create unparalleled value. If you wish to learn more about Jefferson Ambassadors or prefer to receive updates by email, please contact Sara Campbell.
September 2016 Edition
Medical Cannabis Research; Spinal Infection; We CAN Fix Healthcare; Jefferson, Aria Merger; Abington-Jefferson Cancer Care Center; New Community Engagement Center; SKMC Receives $2M; Dominic & Michele Frederico Building Dedication; Medical Cannabis Education & Research Center; CIO 100 Award Winners
For our current issue of Healthcare Transformation, I interviewed entrepreneur Bernie Marcus. One of the great success stories of our time, Bernie had this idea about low prices and home-improvement products in one-stop-shopping warehouse stores with advice-givers in orange aprons helping customers pick out materials and tools for do-it-yourself projects. People told him it was crazy, but Bernie turned the idea into The Home Depot, one of America’s fastest-growing companies.
In our conversation, Bernie remarked, “I do not believe in the status quo.” His agnosticism didn’t surprise me. I’ve long admired his vision and moxie, which inspired him to dismiss “the way things are” and reimagine something completely fresh as well as functional. We can learn a lot from Bernie.
With spiraling costs, mindboggling complexity and inefficiency, and grinding inertia, healthcare needs a new model—not a few tweaks to some tired parts of the system, but an extreme makeover that renders the existing model obsolete. People say it’s impossible—a crazy idea—but I say We CAN Fix Healthcare, which is the title of the newly published book I’ve written with Dr. Greg Shea. The book outlines 12 “disruptors” that will enable us to create better healthcare delivery for the future. We’ve already started doing it at Jefferson, picking up the pace of change, encouraging patients to expect a healthcare consumer revolution, selecting and educating a different kind of healthcare professional and forming creative partnerships.
Just over a year after Jefferson merged with Abington, which has been a superb arrangement for both parties, we have joined with Aria Health. Mergers and partnerships are a national healthcare trend because larger systems can more effectively innovate, manage community health and bring the right care to the right place at the right time. It’s not about getting bigger: it’s about getting better by keeping everything we do patient- and community-centered. Partnering with Aria enables Jefferson—and Aria—to secure a healthier future for our institutions and, more importantly, for the communities we serve. It also enables Jefferson to bring frontline, hi-tech healthcare and advanced specialties typically offered at academic medical centers to our neighbors in the northeast.
In the spring, we celebrated with Abington the groundbreaking for its Asplundh Cancer Pavilion. As I hefted a shovel of dirt, it occurred to me that it wasn’t the beginning of a splendid new facility but a fruition of our close cooperation. The new center will make what is already some of the best cancer care in the region even better. Jefferson is proud to be a part of what Ed Asplundh has called “a command center for the continuing war against mankind’s most difficult disease” and “a building of hope, compassion and health.” Across the Delaware River in New Jersey, Kennedy Health System’s cancer center recently became part of our Sidney Kimmel Cancer Center Network. The new partnership gives Kennedy patients and physicians access to advanced research, medical education, cancer screenings, precision-medicine as well as Jefferson telehealth consultations. Both systems recently entered into a binding Definitive Agreement for merging, which due to our unique hub-and-hub model, will give Kennedy equal representation on Jefferson’s expanded board. With these mergers and partnerships, Jefferson is continuing to drive the transformation of healthcare—and the creation of healthier communities—in southeastern Pennsylvania and southern New Jersey.
Our partnerships don’t end with health systems but extend throughout the communities we serve. A philanthropic partnership to establish the Steven H. Korman Center for Community Engagement is a terrific example. Housed in the Institute of Emerging Health Professions (IEHP), the center will do exactly what its name says: engage the community by connecting people to people through communication, education and opportunities that benefit everyone it touches. The Steven H. Korman Center for Community Engagement, through certificate programs in fields like community health workers, advanced medical assistants, nutritional counselors and health coaches, and patient navigators, will encircle people in their homes and their neighborhoods, and will empower them to take charge of their own health and the health of their community. The training programs help move healthcare delivery from the hospital to where they are needed most—in the community. It all adds up to more opportunities, greater access and better health for disadvantaged neighbors who often get left behind.
Philanthropic investments fund better healing, smarter learning, greater discovery and more service to our neighbors—and they are vital for Jefferson’s future. A gift from the Connelly Foundation enabled us to launch the Communication Catalyst Program, an educational innovation that offers professional development and training for nurses at Thomas Jefferson University Hospital. The program is sure to magnify our hospital’s MAGNET status, a designation granted to fewer than 7 percent of America’s hospitals and the gold standard of quality patient care and nursing excellence. We know that better patient-nurse communication is directly linked to better patient care and better patient outcomes, and expect the Communication Catalyst Program to have impacts beyond these important measures—greater responsiveness of hospital staff, enhanced communication about medication (therefore better safety), increased nurse satisfaction, and with higher patient-satisfaction scores, there will be a direct impact on Jefferson’s bottom line as reimbursements become more closely tied to patient outcomes. We also believe program data will produce research that will affect quality of life far beyond our own community.
Nancy and Jim Baxter saw firsthand the special care-with-caring that Jefferson excels at and made a generous gift, creating the Baxter Family Scholarships, which support minority medical students. Diversity is critical to our ability to excel as innovators and compassionate caregivers. Without tolerance for different opinions, orientations and experiences, there is no collaboration, no exploration, no pushing back of boundaries. Only by respecting one another’s cultures and beliefs will we be able to understand and care for each other or trust enough to challenge ideas and push each other to more creative possibilities. Another way we’re leveraging ingenuity, and our history of medical firsts, is through entrepreneurial programming in the Jefferson Accelerator Zone, which now has a new home in the Dominic and Michele Frederico Building, where students partner with seasoned “mentor-preneurs” to take big ideas from whiteboard to the “bedside” market. Both diversity and creativity are keys that unlock a better healthcare future for us all.
Jefferson labs have helped to brighten tomorrow’s health landscape. Researchers Drs. Cao Huang and Bo Huang provided vital evidence for a study showing that mutations in a gene called TMEM230 are a cause of Parkinson’s disease. The findings, published in Nature Genetics by scientists in North America and China, offer important insights into how the disease develops in the brain and hold out a promise of treatments for an illness that has no cure. TMEM230 is the first gene associated with Parkinson’s linked to brain-cell mechanisms that carry the neurotransmitter dopamine between neurons. Loss of dopamine-producing neurons is a defining characteristic of the neurodegenerative disorder. Jefferson’s scientists contributed genome-sequencing data from several families with familial Parkinson’s that confirmed the findings about the mutation. We are excited to be a part of these international collaborations dedicated to discoveries that lead to new knowledge, improved therapies and healthier lives.
As healthcare moves forward and evolves, Jefferson is dedicated to leading the change with solid science and nimble, future-facing innovation. Last spring, we launched the Center for Medical Cannabis Education & Research (CMCER) also within the IEHP, to fill the gap of academic leadership opened up by the rapid expansion of medical marijuana. No other U.S. health sciences university has stepped forward to provide comprehensive and unbiased information and research-network coordination in this controversial field. CMCER will be an authoritative resource that separates hype from science through accredited professional education; reliable guidance for healthcare professionals, policymakers and the lay public; and research that tracks the outcomes of medical cannabis in Pennsylvania.
Jefferson is making tomorrow’s healthcare revolution happen now in all kinds of ways. We were named by the International Data Group as one of the world’s top 100 institutions for operational and strategic excellence in IT. The group singled out our dashboard and app technology in the Emergency Department, which reduced patient wait times, decreased left-without-being-seen rates and boosted patient satisfaction scores. The honor is a testament to how we are using everything in our bag of tricks—in this case communications technology—to deliver care in ways that put our patients and families first.
Always advancing the cutting edge to help the people who need us is deep in the DNA of Jefferson. It’s who we’ve been for 192 years, and it’s who we are today. Jefferson has a different way of looking at healthcare—we’re reimagining health, health education and discovery. We want to be the world’s best healthcare provider. You might say Jefferson is a state of mind—optimistic, innovative, brimming with creativity, maybe a little bit brash. “I think that people who look backwards go backwards,” Bernie Marcus told me. “So why look back? I mean, spend your time looking forward.” The disruption in healthcare that we are leading will outpace incremental policy changes and make an optimistic future for healthcare more possible than it appears to many. At Jefferson, we’re looking forward to it.
Stephen K. Klasko, MD, MBA
President and CEO
Thomas Jefferson University and Jefferson Health
Dispensing with the Smoke and Mirrors
By Charles Pollack, MD
Bursting the Bubble on Spine Infection
By Noreen Hickok, PhD
May 2016 Edition
PET-MR Scan; Pulmonary Fibrosis; AMA Medical Education Innovation Challenge; Kennedy & Jefferson merger; $20M neuroscience institute gift; $500K Stem Cell Center donation; Edith Mitchell named Blue Ribbon Panel member; 1889 Foundation
In one of my letters last year, I cited Buckminster Fuller’s forward-thinking quip, “The best way to predict the future is to design it.” His point isn’t to foretell what’s coming so we can be ready to react when it arrives but to make the future happen—to think about what’s needed and then design it. That’s what we’re doing—in all kinds of ways—here at Jefferson. Healthcare is being turned inside out, which means it’s ripe for disruption. We believe change is a wonderful thing, and we’re using it to design better ways for our patients to experience healthcare, for our researchers to carry out high-impact science, and for our students to learn and thus become the new face of healthcare for the 21st century.
The American Medical Association understands that medical schools must prepare physicians who can not only navigate a shifting healthcare environment but can lead the change. That’s why they issued the Medical Education Innovation Challenge, asking students, “How would you turn MedEd on its head?” Four second-year students from Sidney Kimmel Medical College took up the challenge and won second place in the competition, which received nearly 150 submissions. Their idea for medical education was completely different and pure Jefferson, especially the notion that medicine should be fun. They proposed a course of study that encourages creativity by fostering conditions where students recognize problems, and devise and prototype solutions through interactive, hands-on workshops. Their idealized curriculum consists of an on-campus makerspace where students use technologies like 3D printing and do-it-yourself electronics to bring innovative ideas to life. Their Medical Maker innovation would train students in entrepreneurial mindsets that empower them to co-create and co-design healthcare solutions with patients, doctors, nurses and other care providers. The winning students are enrolled in our College Within the College design track (CwiC-Design), a first-in-the-nation program that teaches future physicians to use design thinking to solve healthcare challenges. Their experiences at Jefferson were, no doubt, an inspiration for this design curriculum that encourages out-of-the-box thinking. Perhaps most importantly, their proposal doesn’t lament a vanishing healthcare past but is optimistic about reinventing a patient-friendly, patient-designed healthcare future.
I’ve enclosed an interview that I, along with Dr. Bon Ku, director of our CwiC-Design program, did with Knowledge@Wharton. We talk about the need to redesign how medical schools train doctors in order to innovate in healthcare. Dr. Ku makes the point that design thinking “affords an opportunity to [ask], ‘How can we change the system?’ and it creates that optimism that we can pivot the needle in healthcare.” That’s the vision behind the Letter of Intent we signed for a merger with Philadelphia University. One of the media outlets referred to the announcement as “a shocker.” They couldn’t understand why a healthcare university would partner with “a design, engineering and fashion school” because they’re used to thinking about the future in terms of the past. I believe that what we see as surprising today will become routine tomorrow. Thomas Jefferson University and Philadelphia University are designing a new way forward: a comprehensive university that disrupts conventional notions of education by merging ways of thinking that leap across disciplinary boundaries and jump outside professional boxes. Our PhilaU merger is designed to prepare tomorrow’s professionals to think like entrepreneurs rather than follow by rote or prescribed pathways based on past practice and received wisdom. What our educational innovation looks like will emerge over several years of thoughtful planning, redesign and more than a little invention.
Jefferson continues searching for the right partners to help us deliver the right care at the right time to the right place. Earlier this year, we signed a Letter of Intent to partner with Kennedy Health System. We’ve already signed merger agreements with Abington Health in Montgomery County and Aria Health in Northeast Philadelphia and Bucks County. Our unique hub-and-hub model is a true partnership in which each partner is strengthened by collaboration but retains its distinct character and connection to the community. Kennedy will be our Southern New Jersey hub. For us, being bigger isn’t a matter of expanding facilities in Center City Philadelphia but of bringing Jefferson’s advanced academic-medical-center care to patients where they live. It’s not about hospitals; it’s about the care and caring we give, and together we can be better healthcare providers and innovators in the communities we serve. Our friends at Abington Hospital recently demonstrated how to use technology to make the patient experience better by installing 34 cameras in their Andrew Tesauro Special Care Nursery. It’s a patient-centered improvisation that lets parents and families keep their baby close and their bond tight even when they are apart.
One of the ways we’re redesigning Jefferson to accelerate discovery is by shifting from SOFTIs, department-based Silos Of Full-Time Individuals, to CRISPs, Clinical and Research Integrated Strategic Programs. CRISPs unite clinicians, basic scientists and clinical researchers in collaborations around a specific disease or field of research. This integrative approach is smarter than the traditional, one-dimensional model of scientists working within the old disciplinary silos. Using bench-to-bedside-and-back-to-bench collaborations across disciplines, across clinical and research enterprises, and across Jefferson’s campus generate not a single discovery but a continuum of medical advances. The Vickie and Jack Farber Institute for Neuroscience—an alliance of exceptional neuroscientists, neurologists, neurosurgeons and psychiatrists dedicated to translating science into breakthrough treatments for brain disorders—is our first CRISP. Longtime benefactors and healthcare visionaries Vickie and Jack Farber recently made a transformational $20 million gift to accelerate translation of research at Jefferson into new treatments and minimally invasive neurosurgical procedures for neurodegenerative and other devastating disorders. Jefferson benefactor Kimberly Strauss recently gave $500,000 to support the creation of a new Center for Stem Cell Research and Regenerative Neuroscience at the Farber Institute. (In recognition of the gift, the lobby of Jefferson’s Health Professions Building was dedicated in honor of her father, Robert Perry Strauss.) Stem cells carry a person’s unique ensemble of neurodegenerative and other genes, which means they are ideal tools for conducting research and developing remedies for the individual from whom they were taken. The Center is part of a revolution that enables researchers and clinicians to personalize the way we study and treat diseases. For three decades, Vickie and Jack Farber have been inspiring Jefferson to reimagine how we research and care for neurological conditions. Their philanthropic partnership and generous gifts like those from Kimberly Strauss help Jefferson to usher in a new era of hope for treatments and preventative therapies—maybe even cures—for ALS, Parkinson’s, Alzheimer’s and other life-robbing brain diseases.
Another way Jefferson is making healthcare “CRISPer” is by extending our collaborations with other academic medical centers and hospital systems. Our Sidney Kimmel Cancer Center is a founding member of the Precision Medicine Exchange Consortium, a partnership of leading institutions, spearheaded by Foundation Medicine, that are sharing and integrating genomic and clinical-outcomes data. Cancers are diseases of the genome, and understanding them starts with identifying abnormal genes and proteins that confer cancer risk or drive its growth. Detailed genetic and molecular information about a patient’s cancer enables oncologists to customize precisely-targeted, tumor-and-patient-specific treatment strategies. This kind of data-driven healthcare and precision medicine thrives when institutions break down information silos and exchange crucial data. President Obama’s $1 billion National Cancer Moonshot aims to accelerate discovery by breaking down silos, enhancing access to data and facilitating collaborations like the one we are part of in the Precision Medicine Exchange Consortium. Jefferson’s leadership was recognized by the National Cancer Institute, which tapped Dr. Edith Mitchell, professor of medical oncology, for its Blue Ribbon Panel of experts and thought leaders who will inform the scientific direction and goals of the initiative’s National Cancer Advisory Board.
At the opposite end of the healthcare spectrum from molecular science is population health, which looks at the social and environmental contributors to health and wellbeing. Jefferson has designed a collaboration there too. Earlier this year, we announced the establishment of the 1889 Foundation-Jefferson Center for Population Health, which will be situated in Johnstown, Penn. The Center director will hold the Victor Heiser, MD Endowed Professorship, the first population health professorship in the U.S. Dr. Heiser was orphaned by the 1889 Johnstown flood but went on to graduate from Jefferson Medical College and then traveled throughout Asia and the South Pacific improving public health. The partnership between the 1889 Foundation and our College of Population Health will identify socio-economic and cultural factors that affect the health of people living in Cambria and Somerset counties and design social and community policies to improve overall health. Our goal is to impact quality of life for generations to come and to pioneer a national model for how population-health interventions can work in small communities.
Buckminster Fuller called himself an “anticipatory design scientist.” At Jefferson, we’re anticipating the future too—we call it “reimagining”—and we’re designing it with you in mind right here and right now.
Stephen K. Klasko, MD, MBA
President and CEO
Thomas Jefferson University and Jefferson Health
The PET-MR Scan: A Picture That Could Predict Your Future
By Andrew B. Newberg, MD
Pulmonary Fibrosis: The Search for Novel Therapies
By Ross Summer, MD
January 2016 Edition
A Netflix model of healthcare; Brind-Marcus Center of Integrative Medicine; Merger with Aria; New interactive curricula; Integrating with PhilaU; Hacking healthcare
Jefferson has been pushing boundaries, breaking paradigms and inventing better ways of training doctors and healing patients since 1824. Medical firsts are in our DNA — from our 1826 path-breaking acupuncture studies and our first-in-America successful brain tumor removal in 1887 to last fall’s first-in-Pennsylvania use of the Watchman Implant at Abington for patients with atrial fibrillation. We’re not just tinkering with the present or updating the past: we’re reimagining the future of health.
One way Jefferson does that is by moving from what I like to call a Blockbuster to a Netflix model of healthcare delivery. When entrepreneur Reed Hastings tired of racking up Blockbuster late fees, he created Netflix. His online service not only made late fees obsolete, it completely reimagined customers-first movie watching by streaming it directly into homes. Hastings’ innovation jumpstarted a revolution and transformed an industry. At Jefferson, we have the same patients-and-families-first mindset. We know that great healthcare isn’t just about great hospitals; it’s about bringing the right care at the right price to the right place—as close to home as possible.
Since I came to Jefferson, we’ve invested more than $20 million in telehealth, which brings Jefferson healthcare as close as your laptop or smartphone. Our physicians are offering hours in new locations, and we’ve opened urgent care centers and satellite locations like the Brind-Marcus Center of Integrative Medicine in Villanova. Our aim is to stream standout Jefferson medicine right into communities where people live. The Brind-Marcus Center doesn’t force patients to choose between traditional or alternative medicine but offers the best of each, enabling them to leverage both for the most advanced care. The best integrative medicine blends science, technology and alternative therapies, and raises them to the power of Jefferson. Now patients can access personalized, integrative medicine at a convenient location outside downtown Philadelphia. The Letter of Intent we signed with Aria Health is also about the patient and the community, and our partnership will bring even better healthcare to more people in Northeast Philadelphia and Bucks County.
Jefferson is transforming how clinical care is brought to those who need it, and we’re reimagining how learning is delivered too. Our new Interactive Curricula Experience (iCE) meets students where they live — on their mobile devices—delivering user-friendly, interactive coursework directly to iPads. The iCE technology enables our faculty to package and share materials like lectures, slide presentations, interactive quizzes, videos and scholarly articles, and it puts students in control of their learning with resources that allow them to delve deeper or brush up for exams. It’s an awesome application of technology to academics that supports faculty collaboration across our six colleges, sparks student curiosity, and encourages exploration and discovery. We’re also experimenting with surprising ways to disturb and disrupt how Sidney Kimmel Medical College students think about medicine and professional practice with mind-expanding adventures outside the traditional medical curriculum. MEDstudio is our creative workspace where medical students and faculty brainstorm together using design principles to rethink and remake everything from drugs and devices to treatment strategies and protocols. The American Institute of Architects has been impressed by what MEDstudio is doing and invited our research-and-education incubator to be a judge at its 2016 Better Philadelphia Challenge, an international competition that brings students and professionals to our city to take on real-world urban-design problems. Design thinking encourages new ways of perceiving and different ways of interpreting, and it makes our students better listeners and bolder innovators. MEDstudio is our way of starting to shift the paradigm of tomorrow’s healthcare today by changing how we train physicians of the future.
Our recently signed Letter of Intent to integrate Thomas Jefferson University and Philadelphia University is another way we’re reimagining and reinventing education to deliver what the 21st century needs. Philadelphia University is a model for professional training that infuses a liberal arts education with collaborative, experiential learning. By integrating two financially sound and academically strong universities that have incredible synergies and significant complementary programs, we can create a new model that challenges higher education to deliver great outcomes for students, employers, patients and our communities. This partnership is precisely what we mean at Jefferson by Forward-Thinking Education: we are evolving a unique comprehensive university that takes traditional arts and sciences, adds a transdisciplinary twist, and integrates it with hands-on, real-world interprofessional learning. It’s transformative education—by design—that prepares skilled and knowledgeable professionals to tackle the complex problems of the 21st century.
We’re provoking even more new ideas and translating them into better healthcare inventions at the Jefferson Accelerator Zone (JAZ), our “command central” for innovation. JAZ sponsors a full spectrum of events and programing to inspire Jefferson’s big thinkers and budding entrepreneurs, and help them fast track fresh ideas — and passion — from concept to reality. Last fall, JAZ hosted the first-ever Independence Blue Cross/Jefferson Health Hack, a fast-pace weekend competition for teams of imaginative students, clinicians, researchers and other dreamer or techie enthusiasts to work together on solving a healthcare problem. The hackathon focused on three tracks: Drone-Based Healthcare Delivery, Reducing Hospital Readmissions and Wearables, devices that monitor and improve understanding of health. Solutions ranged from cool to crazy, but eight winners were awarded prize packages to help them grow their proposals into businesses. Health Hack channeled all the grit and determination that goes into healthcare transformation: Be open. Be inspired. Dream big. Fail fast and pivot to something new.
We recently appointed Rose Ritts, MS, PhD as Jefferson’s Big-Dreamer-in-Chief. Rose is our new Executive Vice President of Innovation. She comes to Jefferson after nine years at Duke University, where she was Executive Director for the Office of Licensing and Ventures. Under her leadership, Duke had one of the most successful technology transfer offices in the country. Rose brings a creative mind and a knack for building strategic partnerships, and she’s sure to lead the way to a thriving culture of entrepreneurship at Jefferson.
One of the things that Rose and I share — in spite of what many say about the future of healthcare — is a sense of optimism. The one thing we know is that optimistic revolutions start with great ideas. What we need is a way to share our ideas, successes and transformative failures, which surely teach more than successes do. That’s why I’ve agreed to serve as Editor-in-Chief of the online, open access journal Healthcare Transformation. The journal debuted in December. It presents bold visions for the future of healthcare, debates current business models, showcases opportunities for optimal healthcare delivery and so much more. My opening editorial asks, How come everything we take for granted in all other parts of our lives still elude us in healthcare? Healthcare Transformation will explore the answers and no doubt will suggest some good solutions—and offer plenty of ideas to argue over. I invite you to tell me what you think about the journal or to submit your own ideas to be published in an upcoming issue.
My favorite inventor and visionary, Buckminster Fuller, contends that “people should think things out fresh and not just accept conventional terms and the conventional way of doing things.” Jefferson has never been a slave to convention. Our rich history of thought leadership, clinical innovation and medical discovery position us as a leader today and a pioneer of breakthroughs tomorrow. We’re as optimistic about our future as we are proud of our past. Healthcare is undergoing profound and rapid change. Jefferson is not running to keep up: we’re leading the transformation, reimagining what will be obvious to everyone in 10 years—and doing it now.
Stephen K. Klasko, MD, MBA
President and CEO
Thomas Jefferson University and Jefferson Health
Health Is More Than Just the Absence of Disease
By Katherine Sherif, MD, FACP, Professor and Director of Jefferson Women’s Primary Care, and Vice Chair, Department of Medicine
How Jefferson is Charting the Future of Organ Donation and Transplantation
By Cataldo Doria, MD, PhD, FACS, the Nicoletti Family Professor of Transplant Surgery and Director of the Jefferson Transplant Institute
October 2015 Edition
Where Einstein, Jobs and Yoda Join Strategy Sessions; Big Data for Better Health; Jefferson and IBC collaboration on healthcare innovation; Jefferson's Edith Mitchell named president of National Medical Association
In an August interview with The New York Times that explored my workspace, I commented on how my sleek, modern glass desk stands out in the dark wood and marble of the Old Federal Reserve Building, where my office is: "I like to think the contrast reflects the need to look backward from the future to manage the present more creatively."
What Jefferson has done over the last 190 years may or may not help us to survive the next 10. Shaping the future of healthcare doesn’t mean doing what we’ve always done: it means reimagining a new model and building it right now. Dell computer founder, Michael Dell, told the class of 2003 at the University of Texas: “As you start your journey, the first thing you should do is throw away the store-bought map and draw your own.” That’s the uncharted journey we’ve undertaken at Jefferson, and some of the contours and milestones that mark our way are starting to come into view.
Our new Institute of Emerging Health Professions (IEHP) is a case in point. The Institute will identify careers and career-track adjustments needed for rising health professions and, drawing on the resources of Jefferson’s colleges, train professionals to carry out the tasks and roles needed by an evolving healthcare system. We envision path-breaking curricula like medical coder training, new residency and fellowship training for physicians, credential tracks such as genetic counseling for nurses, competency extensions for administrators, and training such as community healthcare worker for laypersons. Dr. Charles Pollack, our new Associate Provost for Innovation in Education and IEHP director, is energetic and passionate. He has a keen eye for the entrepreneurial side of medicine and is eager to adopt new ways of preparing future professionals who will carry out its operations and lead its transformation. The Institute of Emerging Health Professions will be an incubator for degree or subspecialty tracks and a certificate grantor for other tracks, and it will reinforce Jefferson’s reputation as a leader in healthcare delivery, health education and business innovation. IEHP stands at the juncture of medicine and entrepreneurship; it’s a window as well as a doorway into the future of healthcare. If you wish to learn more about IEHP, contact Dr. Pollack.
New advances in medical science and technology, and new ways of delivering healthcare are changing the way physicians and healthcare professionals do their jobs. Something like half of what doctors do now – what medical schools are teaching – they won’t be doing in 20 years. Leading medical schools across the country are wondering what change like this should mean for training the physicians of tomorrow. At Jefferson’s Sidney Kimmel Medical College, our faculty, students and staff have been working hard to create a new 21st century curriculum – named JeffMD by our students – that will launch in fall 2017. The design is uniquely Jefferson with a commitment to imparting basic scientific knowledge, instilling superb clinical skills and nurturing empathy. Early clinical exposure, integration of the humanities throughout medical education and attention to the complexities of patients’ lives will reinforce the Jefferson values of holistic, patient-centered care. More teaching and learning will take place in small groups that emphasize reflection and continuous assessment as well as problem-solving and team-building, while a research project will hone investigative skills. We will measure student progress by competency rather than “seat time” and exam grades. We will also encourage students to declare a specialty early and then provide career-specific training, which will produce graduates with advanced competencies in their chosen fields. The JeffMD curriculum is our way of preparing Jefferson physicians of the future with state-of-the-art knowledge and skills, and state-of-the-heart compassion.
Jefferson and Independence Blue Cross (IBC) have jointly invested $2 million to establish the Independence Blue Cross-Jefferson Health Collaboration. The idea is to drive discovery and invention around better care for patients, communities and populations, especially in our region. The partnership brings together resources from IBC’s Center for Health Care Innovation and the Jefferson Accelerator Zone, ground zero on our campus for testing new ideas and moving them forward. The initiative includes an Entrepreneur-in-Residence at Jefferson for clinicians and researchers looking to advance promising discoveries, a business and entrepreneur speaker series for students and faculty, and a “hackathon” where people work together intensely to “hack” usable solutions for healthcare problems such as hospital readmissions, wearable devices and more. Our payer-provider collaboration is itself something completely different: in a time when conventional approaches and old limitations are breaking down, we are partnering to foster the best ideas, to boost innovation and to design new ways to keep people healthy.
One of the big ideas for making healthcare smarter is using big data, the revolutionary methodology portrayed in the baseball movie Moneyball. Just as the resurgence of the Oakland A’s was engineered by data analysis to identify players overlooked by conventional scouting and coaching, we can use data-driven insights to reduce uncertainty in medicine and support evidence-based decision making. Our Center for Healthcare Entrepreneurship and Scientific Solutions (CHESS) enables Jefferson to capture, analyze and understand huge quantities of information collected from our patients and from larger populations and datasets. CHESS is already parsing readmissions data to uncover the hard-to-discern factors—hidden in piles of information—that contribute to bringing discharged patients back into the hospital. These and other findings will give us a more complete picture of how we are delivering healthcare, show us where the gaps are and help us formulate interventions to close the gaps through better care or education. With this powerful, big-data approach, Jefferson can use information technology, analytics and population health to model and predict—hence improve—health outcomes for whole populations as well as individual patients.
Statistics indicate that certain ethnic, racial and socioeconomic groups suffer a greater burden of cancer incidence and death than the larger population. Jefferson physician and faculty member Dr. Edith Mitchell, director of the Center to Eliminate Cancer Disparities at the Sidney Kimmel Cancer Center, works hard to understand and abolish healthcare inequity. She is a leader of international standing, widely recognized for her research, teaching and commitment to making a difference in community health, especially to low-income populations that suffer the adverse health consequences of little or no access to healthcare. Dr. Mitchell has stated that “the first step in the elimination of these disparities is to raise awareness through public and professional education.” She was recently elected president of the National Medical Association, the nation’s largest and oldest organization representing African American physicians and their patients, and a leading force for equality and justice in medicine and the elimination of disparities in health. That leadership position will give Dr. Mitchell an influential pulpit from which to continue championing greater fairness and inclusion in healthcare, which means better health for us all.
The old store-bought map many institutions are using to find their way to the future of healthcare is obsolete. Many of the roads and bridges are crumbling now or gone, or they just don’t go there anymore. Jefferson is drawing a new map, charting a new route for others to follow. Or, maybe better, we’re reimagining a different future and building it right here and right now at Jefferson.
Stephen K. Klasko, MD, MBA
President and CEO
Thomas Jefferson University and Jefferson Health
Better Treatments for Barrett's Esophagus
By Anthony Infantolino, MD, AGAF, FACG, FACP, leader of the Jefferson Barrett’s Esophagus Treatment Center
A Sound Treatment for Carpal Tunnel
By Levon Nazarian, MD, Professor of Radiology and head of the Jefferson Center for Diagnostic and Interventional Musculoskeletal Ultrasound
June 2015 Edition
Merger of Equals; Affiliation with Inspira Health; Transatlantic Partnership to Train Doctors; Out-of-the-box medical education; JeffHOPE recognized by Philadelphia Business Journal
Jefferson connects. In everything we do, Jefferson is making connections with people and organizations--across Philadelphia, around the globe and down through generations of alumni. We connect with patients and families; students and scientists, professors and practitioners; trailblazers, trendsetters and thought leaders. We are forming partnerships with academic institutions and health systems; established businesses and start-ups; government agencies, foundations and neighborhood groups. Who we are is linked to yesterday's achievements, and the connections we make today are transforming the healthcare of tomorrow.
Partnering with health systems enables Jefferson — and our partners — to secure a healthier future for our institutions and, more importantly, for the communities we serve. That’s why Jefferson merged with Abington Health, and that’s why we’ve recently affiliated with Inspira Health Network. We’ve formally merged with Abington to create a new enterprise under our Clinical Pillar that will be called Jefferson Health. What brings us together is what sets us apart: a premier health sciences university and strong health systems that are even better together. The alliance with Inspira links their community physicians with Jefferson specialists, giving patients in South Jersey a vital connection to cutting-edge healthcare typically offered only at academic medical centers across the river in Philadelphia. The affiliation provides for collaboration in three clinical programs — cancer, neurosciences and gastroenterology — and will give Inspira physicians access to the latest developments in research, technology and treatment options, including clinical trials. It’s the best of both worlds: frontline university expertise with hometown care.
Our Blueprint for Strategic Action opens several pathways for connecting, and our new transatlantic venture with St. George’s, University of London, goes down two of them: Programs of Global Distinction and Forward-Thinking Education. St. George’s is the only university in the U.K. dedicated to health and medical sciences education and research. In other words, health is all they do. Starting in 2016, advanced students in St. George’s International Medicine programs will travel to Sidney Kimmel Medical College for two years of clinical rotations. A jointly developed curriculum will teach clinical practice with an eye to challenges of healthcare delivery on both sides of the Atlantic. Our two institutions are also working out a joint degree program that combines St. George’s Bachelor of Medicine, Bachelor of Surgery degree (MBBS is equivalent to MD) with a master’s degree from the Jefferson School of Population Health. The academic partnership is a way of getting medical students — theirs and ours — thinking about world-wide health issues and preparing them for 21st-century global-health challenges.
Closer to home is a partnership with Princeton University that invites sophomores in design-related majors like architecture and engineering to apply for early admission to Sidney Kimmel Medical College. The initiative is called IDeA, Innovation & Design Application, and it’s aim is to recruit a different kind of medical student to train a different kind of doctor: technically skilled but also empathetic, communicative and creative. Reducing the pre-med workload, waiving MCATs and providing early acceptance, frees IDeA applicants to fully engage their fields of study and then bring the distinctive viewpoints and insights they develop into medicine. When they come to our campus, we will encourage them to pursue studies in our College within the College (CwiC) - Design, a co-curricular initiative that embraces design thinking to help medical students come up with innovative human solutions to healthcare problems. The IDeA partnership and CwiC-Design — a combination of holistic admission criteria, curricular innovation and creative partnership — are our way of starting to shift the paradigm of healthcare now by tweaking the DNA of future physicians.
As part of their 2015 Corporate Giving Awards, the Philadelphia Business Journal recently honored our student-run organization JeffHOPE for “Longstanding Partnerships.” JeffHOPE—Health, Opportunities, Prevention, Education—started in 1991 when a group of our medical students reached out to offer care to homeless Philadelphians. Today, it’s the largest student-run clinic in the country, with students from all of our schools serving more than 72,000 people at six sites across the city. JeffHOPE deepens our ties to the community by giving healthcare access to our most vulnerable neighbors.
JeffConnect is the official name, chosen by our employees last fall, for telehealth services that will deliver the right level of Jefferson care anytime and anywhere to anyone who needs it. We believe giving patients better access to their physicians can only be a good thing. Dr. Judd Hollander, Associate Dean for Strategic Health Initiatives, calls it Jefferson “medicine without walls,” and we are already piloting communication technologies for delivering patient-centered healthcare. For example, in my last letter I told you about Virtual Rounds, which use iPads to bring families into the hospital rooms of loved ones so they can be “present” for doctor visits. In a recent case, a woman from California was suddenly taken ill while visiting Philadelphia and admitted to Jefferson. Her daughter was relieved to “meet” and speak with her doctor. The first thing she said to her mom was, “You look so much better than I thought you would’ve.” Together, they learned about follow-up care that would be needed at home. We are piloting Remote Second Opinions and Remote Consults, which give patients and physicians at other locations access to Jefferson specialists. We are also developing On-Demand Virtual Care for digitized consultations with and assessments by Jefferson Emergency Physicians, and we’re pioneering a National Academic Center for Telehealth that will train practitioners how to use telehealth technologies and measure its effectiveness.
To paraphrase one of my favorite Steve Jobs quotes: We want to look at what healthcare will be 10 years from now, and create it today. JeffConnect is our direct line to the future of healthcare and so are the connections we are making in all kinds of ways to all kinds of partners. Our commencement ceremonies in May celebrated another way that Jefferson connects. While The Jefferson Processional played, lines of graduates from all of our schools processed out into the world as newly minted doctors, nurses, scientists and healthcare professionals. It was an occasion of tremendous pride and great joy for the class of 2015 and their families. Healthcare in our country is changing fast, and I am confident that our graduates are well prepared to lead the transformation. The line of Jefferson alumni reaches deep into our society and stretches back through generations. Nearly two centuries of training Jefferson health practitioners and healthcare transformers is one of our deepest and most impactful connections — and it’s the source of our pride and joy.
Stephen K. Klasko, MD, MBA
President and CEO
Thomas Jefferson University and Jefferson Health
By David M. Kastenberg, MD, Professor of Medicine in the Sidney Kimmel Medical College at Jefferson and Co-Director of the Celiac Center
Jefferson Offers Something New for Sleep Apnea
By Karl Doghramji, MD, professor of Psychiatry, Neurology, and Medicine in the Sidney Kimmel Medical College and director of the Sleep Disorders Center at Jefferson and Maurits S. Boon, MD, assistant professor in the Department of Otolaryngology and co-director of the Voice and Swallowing Center at Jefferson
March 2015 Edition
Juicing Up JEFF; The Jefferson Accelerator Zone (JAZ); Abington and Jefferson sign merger; Jefferson Station; Kimmel and Marcus make transformational gifts
The great inventor and visionary R. Buckminster Fuller once remarked, "The best way to predict the future is to design it." That's what we are doing at Jefferson. Medical firsts are in our DNA. That heritage of innovation makes us leaders of healthcare today and positions us to be pioneers tomorrow. We are not just straining to see over the horizon, we are reimagining what's there and then taking steps to create a new kind of healthcare, a better way to educate tomorrow's healthcare professionals and a more effective way of using science to bring the best ideas to people who need them.
I invite you to follow us on our journey as a Jefferson Ambassador. As we move forward, I will communicate regularly with you, giving you the inside story, providing updates on developments at Jefferson and sharing my thoughts on the future of health care. I believe you will be amazed.The Philadelphia Inquirer noticed that something exciting is happening here and published a story, “Juicing up Jeff,” last fall.
Jefferson has a brilliant 190-year history. But as great as we are — as great as we’ve been — what we know is that if we keep doing everything the same way, our future isn’t going to be as bright as our past. Health care is changing fast. Nobody knows for sure where it is going and what it will become. When I came here as president and CEO in September 2013, I promised that in five years, Jefferson would not look like it did then. We are already delivering on that promise.
Soon after I arrived, we began seeking input on the future of Jefferson from physicians and patients, alumni and students, faculty and staff, and our neighbors in Philadelphia and beyond. Based on what nearly 1,800 people told us, we created the Blueprint for Strategic Action, enclosed here. Our new plan reimagines health care, health education and discovery to create unparalleled value. One of the first strategic themes of the Blueprint is “One Jefferson”: the realignment of our clinical, educational and research undertakings to accelerate innovation.
The traditional pillars that have upheld academic health centers — the academic pillar of teaching and research, and the clinical pillar of patient care — are straining under the weight of rapid change. The old math — NIH funding for research, clinical reimbursements and tuition — no longer adds up. Going forward, a new math will help shore up Jefferson by adding two more pillars: innovation and philanthropy.
Jefferson has always been an institution of innovators. As an academically-based health center, we can drive new ideas and translate them into products, strategies and ventures that help patients and consumers while providing a stream of revenue for Jefferson. We plan to harness our inventiveness in the Jefferson Accelerator Zone (JAZ). Located on 10th Street, JAZ will provide a space and programming where Jefferson students and researchers mix it up with investors, big pharma, universities and other partners to create and launch ventures in bio tech, medical technology and health IT.
We are already innovating to transform health care with communication technology. Jefferson Expert Teleconsulting, which brings our neurologists and neurosurgeons into the room with stroke patients and doctors at hospitals in the Jefferson Neuroscience Network, has proven effective and lifesaving. In the near future, we will add other critical-care telehealth services to help our community hospital partners care for their sickest patients. We now offer “virtual rounds” that enable families at home to use smart phones and computers to interact with medical teams when they visit loved ones in hospital rooms. Through a partnership with American Well, we will be making video-conference visits with patients at home. Soon, anyone will be able to click on a Jefferson app to access our medical services. Eventually, we will create a “virtual emergency room,” where Jefferson doctors provide care without walls to patients across the U.S.
We have also embraced philanthropy as a way of engaging the community. Philanthropy allows anyone to partner with us in any of our research, clinical and educational dimensions. Jefferson is going to be the kind of place that people want to invest in, not because of our distinguished history, but because of our vision and optimism and energy, which enable us to continue making history. It’s already happening. Last summer, the Sidney Kimmel Foundation gave $110 million to Jefferson — largely unrestricted — to name the Sidney Kimmel Medical College. The Marcus Foundation has invested generously to establish Marcus Integrative Health at the Myrna Brind Center – Villanova. We are quickly becoming the place where people can see the future of health care transformed, and they want to be a part of it.
When thinking about the future of health care, I like to channel Steve Jobs, who advises us to look at what health care will be 10 years from now—and create it today. One of the ways we are doing that is by merging with Abington Health to form a new enterprise. Jefferson and Abington are strong, thriving institutions, and we share a common philosophy and culture. It’s a chance to do something bold and different together that offers our patients, students and communities even greater value while preparing us for a brighter and more innovative future in health care, health-sciences education and research. The move is getting attention and putting us on the map.
Last fall, the major SEPTA transit hub Market East in Philadelphia was renamed Jefferson Station. The new name literally puts us on the map—Jefferson Station is on SEPTA’s regional rail maps — and sends a powerful message that we are committed to putting quality health care within reach of everyone. In November, we started running the Jefferson Patient and Visitor Shuttle from the Station to our center-city buildings
We are combining our 190-year old traditions and values with a start-up mentality to create a future-thinking, entrepreneurial-academic, health-care enterprise. I invite you to send me your thoughts on how we might build the brightest future for Jefferson and for our community by emailing JeffAmbassadors@jefferson.edu. Visit our website at www.jefferson.edu. Visit our campus. Tell our story. Get involved. I hope you will be a Jefferson Ambassador, telling everyone about how we are changing the face of health care today and transforming what it will be tomorrow.
Stephen K. Klasko, MD, MBA
President and CEO
Thomas Jefferson University and Jefferson Health
The Dining Room Conversation
By Susan M. Parks, MD, director of the Division of Geriatric Medicine & Palliative Care and an associate professor in the Department of Family & Community Medicine at Jefferson
Jefferson Neurologist George Brainard Wins Prestigious NASA Innovation Award
George Brainard, PhD, professor in the Department of Neurology and director of the Light Therapy Program at Jefferson