Grady Hospital and Emory University: Partners from the Beginning October 2006 Faculty Orientation Meeting “Life is filled with golden opportunities disguised as insoluble problems” – John Gardner

History Atlanta Medical College 1856 Grady established 1892 Emory School of Medicine merged with Atlanta Medical College 1920 Primary teaching site from the beginning of the hospital Partner with Morehouse School of Medicine since 1983

Strengths Only level one Trauma Center within 100 miles radius Home of Poison Control Center One of two Burn Centers in Georgia Major Infectious Disease and HIV Treatment Center 10 Neighborhood Health Centers First comprehensive Sickle Cell Center Regional Perinatal Center GCRC

Strengths cont. EMS Ambulance Service for Fulton County Psychiatry Service Georgia Cancer Center for Excellence International Medical Clinic Exclusively staffed by Emory and Morehouse faculty New Partnership with CHOA

Emory’s Commitment to Grady Over 1000 Emory personnel at Grady each day New Faculty Office Building 4 office and research buildings on the GHS campus (Glenn, Steiner, WEB, FOB) Educational Support Financial Support

Educational Programs 50% of Medical Students’ Clinical Teaching 377 residents and fellows. All departments represented 295 FTE faculty Emory Branch Library (Glenn Building) and satellite library (16 th floor) –Spanish language lab, Computer room, “stacks”

Clinical Data 28,000 Admissions/Year 850,000 out-patient visits 2,000,000 prescriptions 1,000,000 lab tests 26,000 surgical procedures

Grady Finances 2006 Budget : $704,000, County Support $105,000,000 ( : $107,000,000 or less) County Support unchanged since 1993 when budget was: $375,000, Grady-Emory Budget: ≈ $63,400,000 includes house staff, teaching support, State Grants

Emory at Grady Financial Issues Grady provides malpractice coverage at no cost to SOM Through the Emory Medical Care Foundation (EMCF), Emory contributes an additional $28,000,000 to physician support (decreased in recent years) Aside from AR, SOM loses $10,000,000/year in uncompensated costs Delayed payments to SOM $20-40,000,000 in AR at any time

Problems Underfunding from state, counties Shortage of experienced specialists Poor informatics infrastructure Almost no capital funding for future growth Increasing uninsured population Medicaid cuts/managed care

Opportunities Unique teaching experience Clinical research Community service Resident and medical student teaching

Grady was the heart and soul of Emory SOM from its founding in Emory Clinic began in Emory Hospital was founded in 1904 but was not a teaching hospital until the clinic developed. Now Grady has a reduced but important role for Emory, but plays an essential role in Atlanta.