Last week, I had the pleasure of providing the University System of Georgia (USG) Board of Regents, and the USG community as a whole, an update on progress so far on our 8-year journey to transform GRU into the next great American university (watch a replay of the presentation here). It was a great opportunity to highlight the hard work and dedication of our staff and faculty in our continuing effort to provide greater excellence and value to our students and patients, while expanding our leadership across Georgia, the nation, and the world. I concluded my presentation by highlighting seven looming threats to our goals, one of which is the changing demographics of our future student population.
At the same meeting, USG Chancellor Hank Huckaby reported on the system-wide student enrollment numbers; an enrollment that is down for the second year in a row across the 31 colleges and universities in the USG System. This year’s decline of 1.6 percent is similar to last year’s (1.2 percent).
The drop mirrors national trends, with college enrollment falling 2 percent nationwide in 2012-13, the first significant decline since the 1990s. A variety of causes are theorized, from decreased affordability to declining high school graduate preparedness to the economy. Most important of all appears to be changes in the number and demographics of our students.
A recent Western Interstate Commission for Higher Education study, “Knocking at the College Door,” highlighted the challenge. As the number of births in our nation continues to decline, the number of high school (HS) graduates available for admission is also declining. The report noted that the number of HS graduates is projected to decline by nearly 7 percent in the Northeast and Midwest during this decade and about 3 percent in the West. In contrast, the number of HS graduates in the South is projected to increase more than 5 percent, though not uniformly across the region. A particular bright spot is the projected growth in minority HS graduates (between 3 and 21 percent depending on region—a target population I will discuss in a later post).
Thus, effective and high quality enrollment management—the art and science of managing and ensuring successful student enrollment—is a clear priority for USG … and for GRU especially.
Will enrollment at GRU and within the USG continue to decline? We can be assured it will—if we don’t face the facts and take action.
But good planning starts with good data. As James C. Collins reminds us in his excellent book “Good to Great,” we must always recognize and confront the Brutal Facts—what he calls the Stockdale paradox (“Confront the brutal truth of the situation, yet at the same time, never give up hope”). So our road to successful enrollment management and student growth starts with a few facts.
What’s the situation concerning enrollment at GRU? For starters the number of health professions and health sciences students continues to increase, with applications and enrollment increasing across the health sciences spectrum (a testament to the quality and value of our programs in that area). And, contrary to projections, we did not experience a significant decrease in the number of new freshman, transfers in, and graduate students between the fall of ‘12 and the fall of ‘13. We did, however, experience an 8 percent decrease in the number of students returning to complete their education, which we are working on understanding and addressing.
Perhaps more importantly and positively, university-wide total credit hours taken is higher this fall than in the fall of ’12. And a whopping 71 percent of our new freshman are taking 15 credit hours this fall vs. only 9 percent in the fall of ’12, thanks in large part to an innovative new tuition savings program called “4 Years 4 You.” A critical achievement, because students who successfully take at least 15 credit hours per semester are likely to graduate in four years. Great gains in a very short period of time.
But where will our future students come from? We certainly hope that many more HS graduates from our local community will chose to attend GRU rather than to move away for their higher education degrees. And so we are exploring many avenues and implementing many strategies to this effect.
But we also must be clear that to grow and meet our university’s enrollment targets we will have to be able to attract HS graduates from other communities to GRU and to Augusta. Census data show that for Georgia as a whole the population of future HS graduates (and hopefully college students), those individuals aged 0-17 years, increased nearly 15 percent over the 10 years between 2000 and 2010—an encouraging piece of data.
But that picture too is a mixed bag: Over the same period the 0-to-17 population of South Georgia increased by only 2.3 percent and North Georgia by 9 percent, while that of the Atlanta area increased by a dramatic 23.4 percent.
And for our local community? Unfortunately during the same time period that most of Georgia experienced an increase in the number of younger individuals, the 0-to-17 population of Richmond County decreased by 8 percent. And even when considering the entire CSRA, the area has seen little change in the number of young people over the past decade (see table below). While the reasons are multiple, this university is actively working to counter this decline by, among other strategies, partnering with the city to enhance its attraction to younger individuals.
What does this mean for GRU? To start with, we are committed to ensuring wide access to our university, and to higher education in general, for local students. In fact, we recently initiated two programs, the Augusta Gateway Program and the East Georgia State College Partnership, to maintain access for local students who do not meet GRU regular admissions requirements. And we are working with local school districts and K-12 leaders to ensure we provide maximum service to our local HS graduates.
But changing demographics make it clear we can’t stop there. We are one of only four broad-based research universities in Georgia and the state’s only public Academic Health Center (AHC). As such we play a critical role in the development of Georgia’s future workforce and, indeed, in the growth of Georgia’s economy. If we are to draw enough students to fulfill that critical role, we must aggressively and effectively attract and recruit students from throughout the state. So we will do this with targeted pipeline programs across the state and by establishing a presence in population-rich regions, notably Atlanta.
In this regard, it’s noteworthy that we already have a significant Atlanta presence in terms of both current students and alumni. Nearly 20 percent of our current students are from the Atlanta area (second only to the nearly 60 percent from the Augusta area). And slightly more than a quarter of our alumni who live in Georgia live in the Atlanta area today, again second to the 50 percent who live locally.
And while we are a tremendous value, dollar for dollar, we also know that to be successful attracting students from the local area and beyond we must improve our student facilities and residential opportunities, help establish a richer student life, and continue to expand our academic offerings.
Our vision is to be “a top-tier university that is a destination of choice for education, health care, discovery, creativity, and innovation,” leveraging our strengths to become the next great American university, with an immediately recognizable distinction in the biomedical sciences and health professions.
An aggressive strategy to attract students from throughout the state of Georgia and beyond will be necessary to make that vision a reality—to the benefit of our community, our region, and our state.
Last week, GRU reached another exciting milestone: We celebrated the grand opening of MCG’s Northwest Campus in Rome, Ga.
So why is that so exciting?
Because, in line with our strategic priority to “provide service,” it underscores our university’s critical role in solving Georgia’s rural health care delivery challenges.
Our expanding presence in rural Georgia is all part of an overall plan to help our state address its physician shortage. Georgia ranks in the top 10 in both population and population growth, but only 41st in physicians per 100,000 population. The shortage is most acute in our rural areas.
Already one in five Georgia physicians went to medical school at MCG or completed their training at Georgia Regents Health System—a high proportion that we aim to increase. Training physicians on our satellite campuses increases the overall number of trained physicians in Georgia.
But—importantly—it also increases the likelihood that new physicians will practice in areas of greatest need. Data confirm that physicians who come from and/or train in rural areas are more likely to practice in rural areas.
The NW campus joins two other clinical campuses: Southwest Campus based at Phoebe Putney Memorial Hospital in Albany, and Southeast Campus based at St. Joseph’s/Candler Health System in Savannah and Southeast Georgia Health System in Brunswick.
Together they represent a great opportunity and an important chapter in our continued commitment to help solve health care delivery problems in rural Georgia.
GRU Leads the Way
Providing quality medical care to our rural communities has always been challenging, and it’s made even more difficult in times of shrinking federal and state budgets. More than 2 million Georgians live in rural areas, where people tend to be in poorer health, are more likely to be uninsured or underinsured, and more likely to suffer from chronic diseases like heart disease, obesity, and cancer than in other areas. The need for rural medical services has never been greater.
And GRU is stepping up. Here are some additional ways GRU continues to be a leader in rural health solutions:
It’s a sad fact that there is a geographic penalty for stroke in the U.S. The quality of stroke care a person receives is largely dependent on where he or she lives. Studies have shown that stroke victims in rural areas were virtually never receiving a key life-saving treatment called IV tPA.
Ten years ago, doctors in the Department of Neurology at MCG developed the remote evaluation of acute ischemic stroke (REACH) system, a novel telestroke hub-and-spoke network with a goal to extend state-of-the-art stroke therapies to patients in rural areas.
It works like this: When an emergency medicine physician in one of the rural network hospitals suspects a patient is experiencing a stroke, a call is placed to the emergency communications center at MCG and answered by one of the MCG neurologists or emergency physicians who share 24/7 on-call duties.
A REACH cart is deployed to the patient’s room, and with the help of high-speed Internet, it allows the consulting MCG physician to visually assess the patient, receive and send scans and other information back and forth, and determine treatment—including IV tPA, if indicated. After initial treatment, patients are transferred to MCG for follow up diagnosis and care.
GRU has the oldest and largest rural telestroke system in the U.S. We directly serve 11 hospitals around the state, and have provided the technology to many other hospitals, both in and outside of Georgia.
Area Health Education Centers (AHEC)
In 1996, the Medical College of Georgia and the Mercer University School of Medicine partnered to join the Georgia Statewide AHEC Network, created to respond to the challenges of limited supply and distribution of health professionals in rural and underserved areas of the state. In conjunction with a network of community partners, the GRU AHEC works to recruit, train, and retain health care professionals in underserved communities in northeast and northwest Georgia.
Partnerships with Rural Hospitals
Our health system provides assistance with clinical care, deploying specialists where they are needed. For instance, at Wills Memorial Hospital in Washington, Ga., we provide regularly scheduled clinical services in specialties such as cardiology, general surgery, ENT, and urology; and at Jefferson Hospital in Louisville, Ga., in oncology and obstetrics. The hospital provides the staff and maintains the facility fee and GRHS bills for the professional fees. Providing these specialists is critical to the survival of the rural hospitals, because of the difficulty of recruiting specialists to their communities.
Our health system also provides rural hospitals assistance with administrative support, including the preparation of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) certification, and life support assistance (Advanced Cardiovascular Life Support [ACLS] and Pediatric Advanced Life Support [PALS]). When requested we provide consultation on quality management, infection control, facilities, and other administrative tasks—at no cost to the rural hospital.
With the opening of our newest satellite campus in Rome, GRU continues to be a leader in addressing Georgia’s rural health care challenges. It is a demonstration of our steadfast commitment—to serving our state, our Georgia neighbors, and Georgia’s rural hospitals.
Most on campus are aware of the recent Southern Association of Colleges and Schools Commission on Colleges (SACS-COC) Substantive Change Committee review of our university. A team of our higher education peers spent three days with us checking our progress since consolidation. They interviewed students, faculty, and administrators; and examined documentation, processes, and procedures across a wide range of disciplines and departments—and provided their feedback.
First, a little context: SACS-COC is the regional body for the accreditation of more than 800 degree-granting higher education institutions in 11 Southern states. Eighty-nine of its member institutions are located in Georgia. The Commission determines standards that must be met, grants initial accreditation status to compliant institutions in its region, and periodically (typically every five to 10 years) reassesses and reaffirms accreditation. Both Georgia Health Sciences University (GHSU) and Augusta State University (ASU) were fully accredited universities when the University System of Georgia (USG) Board of Regents determined to consolidate them.
SACS-COC deems consolidation to be a “substantive change,” which triggered two requirements: SACS-COC approval prior to consolidation, and a post-consolidation visit by a substantive change committee to determine continued compliance with selected accreditation standards. That is the visit that recently occurred, and the number of standards selected for review (39) amounted to about half the full number of standards (84).
Feedback was universally positive, and included no recommendations for further action needed to ensure standards compliance.
Mark Smith, Vice President of SACS-COC said, “The hard work that led up to this visit is truly exceptional. I have been conducting site reviews since the 1980s, and a visit that concludes without recommendations is truly a rarity.”
And we were not alone in the USG. South Georgia hosted a team in April and North Georgia’s visit occurred this month, and both also received no recommendations. Middle Georgia is finalizing its report in anticipation of a November visit.
This is an exciting and gratifying outcome, and one in which we can all take justifiable pride, although we should note that the final report on our Substantive Change application (for consolidation) will not be final until the SACS-COC Board of Trustees meets later this year and reviews the Committee’s findings.
Our consolidation so far, and the positive feedback received by our peers and accrediting body, reflect the enormous effort on the part of many across all campuses who energetically and creatively, with determination and plain hard work, successfully completed the myriad tasks necessary to consolidate two distinct and complicated institutions—tasks for which there is no instruction manual. And so I would like to personally thank everyone involved for their Herculean efforts, and to single out our Institutional Effectiveness (IE) teams for their rigorous and successful preparation for this review.
But as significant as this success is, we must remember it is only one step in the challenging and ambitious journey we have mapped for ourselves. Our vision is to be a top-tier university that is a destination of choice for education, health care, discovery, creativity, and innovation. To be “The Next Great American University.” That doesn’t leave much time for resting on our laurels.
In fact, we will soon be gearing up to prepare for a full SACS reaffirmation of our accreditation, scheduled for 2016. And so I thought I would share some thoughts as to what that visit means, what it will entail, and how it fits with our future plans.
SACS-COC’s priority, like ours, is optimum student success and well-being; in the case of our substantive change review, the selected standards were chosen to ensure that the process of consolidation does not cause harm to attending students. Knowing we had to demonstrate certain competencies for the SACS-COC review in effect became a catalyst for rapid prioritization and completion of certain fundamentals for Georgia Regents University. We should be grateful; without it, we may very well not have moved so quickly nor come so far.
And it continues. There are two requirements for the 2016 review: We must demonstrate compliance with all 84 accreditation standards, and we must develop a Quality Enhancement Plan (QEP) that specifically and substantially addresses one or more issues across the wider academic community that will improve and enhance student learning.
Both ASU and GHSU had QEP initiatives in place or about to begin before consolidation: ASU’s plan, Knowledge InTegrated (KNIT), focused on developing common themes and narratives across four historical periods in core undergraduate classes; and GHSU’s plan, Healthy Perspectives, focused on cultural competency to address health disparities and improve patient outcomes. And because both plans were felt to significantly impact learning outcomes, both initiatives have been implemented on campus under the leadership of Wes Kisting, Associate Professor of English, and Kent Guion, Vice President for Diversity and Inclusion, respectively.
Preparing for our full 2016 SACS-COC reassessment will entail a great deal of work from all of us—those who continue to map out strategies and goals to reach for, and policies and tactics for achieving them; those who work every day to implement the steps necessary for success; students, faculty, and staff who contribute ideas, feedback, and suggestions for GRU’s continued improvement; and the staff who will manage and prepare to meet specific SACS-COC review requirements.
In their end-of-review commentary, review team members expressed genuine astonishment at the breadth of our accomplishments in so short a time. My heartfelt congratulations to everyone involved—and let’s work hard to Wow! our visiting colleagues just as much next time.
It has now been a dozen years since the barbarous 9/11 terrorist attacks on our nation. Let us each take a moment to remember the thousands who tragically lost their lives—in New York City, in Washington, D.C., and near Shanksville, Pennsylvania—and the many more who were wounded or who lost a loved one on that terrible day.
The truth is we all lost something on that Tuesday morning. An important part of our nation’s foundation was shaken; a foundation we took for granted—that we were secure, our families safe, our borders impenetrable. Suddenly we felt vulnerable, we felt exposed, we felt afraid. And we felt angry.
Terrorists perpetrate crimes that are truly against humanity … and their intent is indeed to alter our humanity. For human beings respond in largely unconscious ways when so fundamentally threatened. Attacks like these can change the way we think … about others. About race and ethnicity. About our faith. About our own country and other countries. About the future. And most of all, about those who do not agree with us on all counts.
After 9/11, individuals with Middle Eastern or Arabic sounding names began to be viewed as probable terrorists. And some among us viewed the Islamic faith, though the largest religion on the planet, as a threat to our way of life. It is clear that the horrific attacks of that day altered the way we think. About our citizens, about our friends, and about the world. Rapidly and in ways almost impossible to control.
But something else happened on that day: People of all kinds stepped up to help one another. Heroic first responders climbed up the tower stairs seeking to help others climb down—and kept climbing until the towers collapsed around them. Hundreds of ordinary people committed individual acts of heroism and kindness to comfort, to heal, or to save a stranger. And passengers aboard United Airlines Flight 93—who had arisen that ordinary morning and boarded a seemingly mundane flight to San Francisco—launched a courageous though ultimately doomed attempt to save themselves and their fellow passengers by taking the terrorists down. Their heroic sacrifice no doubt saved many lives at the site of the intended target.
These dual responses happen each time we face attack; they happened earlier this year when terrorists struck at the Boston Marathon. We can count on it: Terrorism brings out both the best and some of the worst in human nature.
So what can we do? How do we ensure the good wins?
We must be aware of these side effects of terror, both the negative and the positive. We must carefully monitor for and guard against the first … while we highlight and honor the second.
For in this way—if we refuse to allow ourselves to become something different, to change the way we regard our fellow human beings; if instead we celebrate and pay homage to the generosity of spirit and to the courage so brilliantly on display in the midst of tragedy—then we deny the terrorists the results they seek.
The terrorists lose.
Fifty years ago today, a quarter of a million Americans gathered in our nation’s capital to enjoin our country and our government to live up to a dream; a dream articulated so movingly by the Reverend Martin Luther King Jr. in his iconic speech. Reverend King and the brave, passionate, and committed marchers who joined him galvanized a nation to action—and long-standing barriers that prevented millions of Americans from fully participating in America’s promise began to fall.
Americans of all races, colors, and creeds are the beneficiaries of the American Civil Rights movement, of which that historic march was a part. For our nation only becomes richer when we welcome and celebrate the rich diversity of cultures from which Americans descend.
One of the six core values of Georgia Regents University (GRU) is “Inclusivity,” whereby the institution and the university community commit to ensure that we not only have diverse bodies of students, faculty, and staff, but that we also ensure the engagement of these individuals in the life and future of our university … and consequently our state and our nation. GRU’s growing population of Hispanic students is testament to the distance we have traveled to realize this value.
The number of Hispanics in the U.S. grew more than 45% from 2000-2010; in Augusta the increase was 37% over about the same period. With the median age now at 27.4 years compared to 36.8 years for the U.S. population as a whole, Hispanic growth has substantially impacted kindergarten thru high school (K-12) enrollment. According to a recent report in the Atlanta Journal Constitution, the number of Hispanic students in metro Atlanta public schools rose by more than 100,000 between 2000 and 2012. As a result of these demographic changes, an increasing number of Hispanics have begun to pursue higher education in our state and in our community.
According to data from the Integrated Postsecondary Education Data System (IPEDS), Hispanic undergraduates at American universities and colleges numbered 2.5 million in 2011-2012, accounting for 15 percent of the total U.S. undergraduate population. A little more than half of these students attend two-year institutions; the proportion enrolled in 4-year private and public universities has been increasing. At GRU, the Hispanic population on our combined campuses rose 43 percent between 2008 and 2012, and has doubled over the past decade. It is important to note that a substantial number of Latinos enrolled in a college or university are the first in their family to go to college; in 2011, it was more than 40 percent.
Our students are finding success in a wide variety of programs of study. For example, the graduating class of 2012 on the Summerville campus included Hispanic students in Speech and Communication, Computer Sciences, Education, Foreign Languages, Business Administration, Finance, Marketing, and History. On the Health Sciences campus, the 2012 graduating class included Hispanics in Pharmacology, Dentistry, Oral Biology, Dental Hygiene, Nuclear Medical Technology, Respiratory Therapy, Nursing, Nurse Anesthetist, Occupational Therapy, Physical Therapy, Physician Assistant, Medicine, and Public Health. Traditionally, Hispanics have been under-represented in the health professions, and efforts to increase access to these career options are a nationwide priority. Clearly, this is beginning to be fulfilled at GRU, although much remains to be done.
But access to a university education is not the only factor that we must consider. Students must not only have the ability to attend but must also be able to successfully graduate. GRU has several organizations that support our Hispanic students’ success through academic enrichment and engagement; among them are Los Amigos, the Hispanic Student Dental Association, the Medical Spanish Club, and the Peru Society. Additionally, our students participate in numerous Study Abroad Programs that provide the opportunity to visit Spanish-speaking countries and serve to reinvigorate familiar cultural experiences. Locally, our students volunteer at many community-based activities focused on serving the increasing needs of the Hispanic community, including la Clínica Latina and la Asociación Latina De Servicios Del CSRA (ALAS).
The terms “Hispanic” and “Latino” refer to a very diverse group of peoples. Hispanics originate from more than 20 countries where Spanish is the official language. At GRU our Hispanic students originate from 10 of these countries, a source of cultural enrichment for our university and local community. We encourage all of our students and employees to participate in Augusta’s annual Hispanic Festival, and we sponsor a multitude of activities during fall’s National Hispanic Heritage Month; last year’s included traditional Hispanic dancing (Salsa, Tango, and Zumba), cuisine, and a blood drive. (More Hispanics have the very critically needed O or “universal” blood type than any other ethnic group in the U.S.) Overall, we are looking forward to greater participation by our Hispanic community and students in the exciting and growing life of our university.
At GRU, we remain committed to inclusivity, and welcome students, faculty, and staff from all cultural backgrounds to our campuses. Today, we join millions across the nation to celebrate Reverend King’s – and our nation’s – dream of limitless opportunity for all Americans.
A frequent question posed during my recent listening tour across campus was, “As a university, what are we going to look like?” or “What are we going to be?” A question also asked by our Board of Regents, our state executive leadership, our legislative and federal partners, our research collaborators, other universities, prospective students, alumni, parents and faculty, and many others around the nation.
This is an important question, as it addresses what our core vision should be and what direction we should take for our future. It also indirectly addresses the question that many staff and faculty have on their minds, whether spoken or not: “… and do I want to be part of this future?”
But how do we succinctly capture the vision of our future?
For starters, we need to understand that the future is a continuum—and it starts now. As Tom Peters, management guru, reminds us “Excellence is the next 5 minutes.” And it’s a future that we are all crafting together.
So as we try to answer the question “As a university, what are we going to look like?” what time points do we mean by “the future”: 3 years, 10 years, 30 years? I suggest it might be helpful to consider what we will look like both in the “near future” (in 10-15 years) and in the “far future” (25-30 years out). Note that I do not mention the “very near future” (3-7 years), as the efforts and focus of these years will be informed by our vision of the near future.
Secondly, our desired future state should clearly recognize and leverage our current strengths and programs … our starting point.
Thirdly, there are a variety of approaches we can take to articulate the future state of this university: through our mission or vision statements; by creating a distinct and succinct definition of our GRU enterprise; through comparisons to other universities; with the use of captivating visuals; or perhaps through a compelling “elevator speech.”
Finally, our answer should prompt a clear and immediate mental image of the GRU of the future.
Let’s now try and answer this critical question.
Mission and Vision Statements
The entirety of our university community had a voice in crafting these declarations, which articulate our collective ideas for our university’s present and future:
Our mission is to provide leadership and excellence in teaching, discovery, clinical care, and service as a student-centered comprehensive research university and academic health center with a wide range of programs from learning assistance through postdoctoral studies.
Our vision is to be a top-tier university that is a destination of choice for education, health care, discovery, creativity, and innovation.
However, the first may answer the question, “What should we be doing as a university?” better than “As a university, what are we going to look like?” The second is succinct, but it was intentionally left open-ended to freely foster innovation going forward, so it is perhaps a bit vague for our purpose here. Together they are helpful, but provide an incomplete answer to the question.
Maybe crafting a definition would be helpful. Something like, “We will be a medium-sized comprehensive university with recognized excellence in the fields of health sciences, liberal arts, STEM (Science, Technology, Engineering and Math), business, and education.” Or maybe, “We will be a broad university which serves as the academic health center and health sciences university of Georgia and offers excellence in STEM, business, and liberal arts education.”
In truth these alternative definitions often end up reciting what we already are, run the risk of making some feel excluded, and do not provide more explanation than our mission or vision statements.
In our own career development it is often easier to decide on a path if we can observe the successes of others who started with similar goals. That is where mentors, role models, and senior staff and faculty are helpful. It is no different with our university.
So, for example, we might want to state that in the near future we aim to be like the University of Alabama at Birmingham (UAB).
UAB was formed in 1969 by merging the University of Alabama (UA) Medical School and the UA Birmingham Extension Center. Today UAB offers 137 degrees in 11 colleges and schools: in the social and behavioral sciences, the liberal arts, business, education, engineering; and health-related fields such as medicine, dentistry, optometry, nursing, and public health. UAB is nationally recognized for its excellence in the health sciences, among other programs. The university also includes an aligned Health System, one of the largest academic health centers in the U.S. UAB enrolls about 18,000 students, and between the university and the health system employs more than 18,000 faculty and staff, and has an economic impact of over $5 billion. UAB is ranked 21st nationally in funding from the National Institutes of Health (NIH).
In comparison, GRU today offers about 110 programs in nine colleges/schools, also has an aligned Health System, employs more than 12,000 faculty and staff, enrolls over 9,500 students, has a direct economic impact across the enterprise that exceeds $2.2 billion, and is ranked in the top 100 in NIH research funding. UAB could represent the growth we can emulate in the near future.
Another example is Virginia Commonwealth University (VCU), the product of the 1968 merger between the Medical College of Virginia and a more comprehensive university, the Richmond Professional Institute. Today VCU includes the VCU Health System, and enrolls over 31,000 students in over 220 degree and certificate programs through the university’s 13 schools and colleges. The VCU model might represent growth to which we can aspire in the far future.
Or how about another university with recognized strengths in the health sciences and in the liberal arts? Johns Hopkins University was founded as the first research-oriented university in the U.S. in 1876, with its hospital established in 1889 and medical school in 1893. It is certainly a model that we could emulate and aspire to, perhaps in an even more distant future. Of course, there are many others.
The visual representation
Remembering that “a picture is worth a thousand words,” we crafted a short visual of what we might look like by the year 2030, the far future:
Granted it isn’t a single picture conveyed in an instant. And it isn’t yet as inclusive and broad-based as we would like. But do watch it. I believe you will find it compelling.
The elevator speech
All of the above statements have disadvantages, either because they take too long to communicate or they are not visually compelling, or both. A typical elevator speech can last up to two minutes, but few folks who ask, “As a university, what are we (you) going to look like?” are seeking a two-minute answer. So perhaps a good elevator pitch, which has the power of leveraging a comparison and of being brief, broadly recognized, and visually evocative, is to say:
“We will be the Georgia Tech of health sciences.”
Georgia Tech, a great school with excellence in a wide variety of disciplines, including business and the liberal arts, but with immediately recognizable distinction world-wide in engineering and computing.
It is my belief that GRU will be a great school with excellence across a broad variety of programs of relevance to the future of our students, our state, and our world, and with an immediately recognizable distinction in the biomedical sciences and health professions. And it is a future that all of us—faculty, staff, students and community together—will have a hand in crafting.
As I previously mentioned, I have been visiting with a number of departments in our university and health system over the past few months. One of the questions I hear repeatedly is “How are we expected to grow if we do not have additional resources”?
And so I thought we would try to begin to address this important question today.
Firstly, we do have resources, although not as much as we would like or need, to seed the growth that is required. Secondly, not growing is not an option.
Because not growing in this competitive environment simply translates into decreasing competitiveness, declining size, regression, and eventual irrelevance.
And our consolidation into a comprehensive research university affords us many potential avenues of growth. We can expand our undergraduate curriculum and thereby grow our student body. With our expanded curriculum and faculty we can attract extramural funding from a wider array of funding agencies. We can attract additional students with greater utilization of residence halls, extra-curricular activities, and by becoming a destination university. And through our increased diversity, we will appeal to an expanded constituency (e.g., our cooperative agreements with East Georgia State College and with Albany State University).
But let’s look at the facts.
We are in a very competitive environment…
The student enrollments of most universities in our region are growing (e.g. Georgia Southern 17%, Valdosta State 14%, Kennesaw 15%, USC Columbia 11%, and Emory 10% from 2007 to 2011 Fall enrollment periods), and we are having to compete for the same pool of qualified applicants. Competition that has been accelerated by the introduction of online and for-profit entities whose reach into our area can be from afar.
In the arena of research, many area public institutions are also aggressively growing their research portfolios (e.g. MUSC 3%, GA Tech 26%, GA State 38%, UGA 16%, USC Columbia 10% in the past 5 years in NIH funding for FY2008-2012), competing for a decreasing pool of research dollars and funded researchers.
And in the clinical arena, competition is and continues to be ferocious, as hospitals, physician practices, and health systems are amassed into ever larger enterprises with scale and negotiating leverage.
And the availability of resources has declined.
State appropriations for our university have decreased by 50% in the past 5 years. NIH funding, the principal source of grants for our university, has decreased 22% ($4.7 billion) in constant (adjusted for inflation) dollars since 2003 and is at its lowest level since 2000 (see graph). Third party payers to our health system (mostly federal and state government) are ratcheting down on payments and fees. And not even considering the many unfunded mandates of the university (e.g., consolidation, improvements in IT, increased regulatory burden, etc.) and health system (electronic medical records, trauma care and emergency services, care of the uninsured and the increased coverage that will likely accompany the Affordable Care Act, increased regulatory burden, etc.).
So how are we expected to grow?
We should consider that there are two fundamentally different approaches to growing at our institution (and in general):
- Growth through the infusion of new resources: This approach aims to ensure maintenance of the status quo, and create new and additive growth through the infusion of new and supernumerary funding (i.e. the layering of resources on top).
- Growth through a rebalancing of priorities: This approach aims to create opportunities for growth through a rebalancing of our priorities, investments and resources, recognizing that no institution can be all things to all people and resources are not unlimited.
While growth through the infusion of new resources is by far the most popular and the most palatable, in reality it is the least common. This approach to growth is less likely to be realized, particularly in a recessive environment where the availability of new funds may be limited. Enterprises, whether universities, health systems, or any other venture, do not often find themselves sitting on a pile of cash ready and available to invest into new growth initiatives. And however appealing, this type of growth does not encourage a thorough and critical examination of current priorities and imperatives, and instead assumes that everything we are currently doing is still correct.
Alternatively, rebalancing priorities and investments is the most common approach to growth. Most industries are continuously doing this. Every enterprise, including a university and a health system, is a collection of programs, initiatives, and priorities, what we can call its portfolio. In some cases the portfolio may be correctly aligned, balanced, quality driven, fully relevant, growth promoting. In others it may be unbalanced, dated and often irrelevant, not quality oriented, and counter growth.
These actions are not a foreign notion to most of us since we rebalance priorities in our personal lives and in our households every day. Continuously. Over time families find they need to invest in new areas of growth (whether their children’s education, a new home or home upgrades, etc.). Some of these are paid through savings (i.e. cash saved for new investments) or through borrowing (not as easy as it seems in today’s market and for some enterprises such as public universities), but mostly by rebalancing how we spend our household budget. Every day, in our homes we make decisions about what we will continue to pay for (education) and not pay for (a new car).
So how are we supposed to grow?
Firstly, we are identifying new resources to help seed growth across our enterprise. These include more concerted, focused and aggressive fund-raising efforts and philanthropic support (for example, our most recent gift of $66 million to MCG to fund scholarships and faculty endowments) and new targeted investment by the state (for example, the over $4 million in our state appropriations budget for FY14 to fund the growth of existing or new academic programs, and the $45 million to build a new research building). We are, and we will continue to enhance the available sources of funding.
We should note that the operative word is ‘seed’, and that these resources are meant to create the necessary infrastructure and to assist in the development of new programs, but are not generally intended to maintain the programs long-term. Long-term support will come from increased state appropriations and tuition revenue as our student body increases, from greater indirect revenue as our research portfolio grows, and from endowments as our fund-raising increases.
Secondly, and most difficultly, we are going to have to carefully examine, over the months and years ahead, our current activities and priorities. We will have to decide, working together, what we can do and what we can’t do, prioritizing our expenditures and efforts. And we will have to optimize our performance on all fronts by sharing scarce resources and reducing external vendor spend which then allows us to redeploy within. This requires high performing, collaborative and collegial teams that unleashes the innovative spirit that should be our hallmark as a university and academic health system.
And we will reinvest whatever resources are identified into new growth areas and priorities. For example, savings from administrative costs arising from our consolidation will be reinvested in supporting and growing academic programs. And we are already working to identify unique pools of resources, for example the Strategic Academic, Research & Service (StARS) Development Fund, which will complement those resources managed by various administrative leaders across the enterprise, to seed and perhaps support new growth.
Whether our growth in a particular area comes from an infusion of new resources or from the identification and prioritizing of our assets with growth potential, we need the input and then the vigilance of a world class faculty and staff. These decisions and priorities must be jointly determined, endorsed, and supported with all our expertise and our effort.
In a nutshell, while in part we will grow through the availability of new resources that will be used to seed new programs, the majority of our growth, as for most organizations and households, will come from our ability to prioritize our investments.
Next: “As a university, what are we going to look like?”
Lately, I have had the pleasure of meeting with the many different departments and faculty that make up our new university, in what I call a ‘listening tour’. It has and continues to be both enlightening and instructive.
There are a few questions that I hear repeatedly, and today I would like to try and briefly address one of the more common questions…If we are now a Research University how am I (the faculty member) supposed to start doing research?
In responding to this important question we need to first remind ourselves that we are now a research university because, in addition to the seminal charge of transmitting knowledge to current and future generations, our mission and a significant portion of our effort is also dedicated to creating new knowledge — through scholarship, research and discovery.
And we must also recognize that being a ‘research’ university does not mean that we do not focus on education. In fact, we are a university because we first and foremost educate and train the future generations of our nation and the world. But, it’s not about doing research first and education second, it’s about both transmitting and developing new knowledge.
And lastly we must recognize that research universities are critical drivers of not only an educated and thoughtful citizenship, but also of our country’s innovation competitiveness. Investment in research and development (R&D) in the US was 2.9% of Gross Domestic Product (GDP), recently matching the previous record set at the height of the space race (see The America that works and Brainbox nation), with much of this research being conducted or initiated at our research universities. In fact, the US is home to 27 of the 30 universities that publish the most-cited scientific research (so there is also strong competition within). In short, one of our nation’s greatest advantages, our inventiveness, is solidly driven by its research universities… which is why being part of this critical and elite group of universities is important not only to GRU, but to the nation.
However, there may be at least two misunderstandings… One, that henceforth all faculty are supposed to do research… and the other, what is research?
The answer that I give to the first question is… No, not all faculty have to do research. In fact, at most research universities only a fraction of the faculty is actively involved in any significant amount of research. A university’s primary mission is always educating, training, and imparting knowledge. At most research universities, including GRU, less than 20% of all faculty do any significant amount of research, the remainder dedicated primarily to education and training (in or out of the clinical arena). Research may be a part of our mission, but great universities require great teachers.
Each college Dean, working with their Chairs and faculty, will need to determine how his or her college will meet the research mission of the university. Will all departments be required to do research… or just a few? Will specific research units (centers, etc.) that transcend departments and that are primarily focused on research need to be created (see Organizational Units)? And within particular departments tasked with doing research, do they create the expectation (and provide the necessary resources) for all their faculty to do research, or better still, designate, recruit and support selected faculty to do research (selected based on merit, experience, topical priorities, etc.)?
And should Chairs create a separate unit or division within their departments dedicated to fostering research, either by redirecting existing talent or by bringing new talent onboard, that the remainder of the faculty can collaborate with and participate in? Or do they prefer instead to create a pool of resources (time, staff and monies) aimed to support research efforts that faculty compete for?
How will colleges identify faculty who will be meeting the research mission and how will college faculty help make this determination? How will faculty help designate, recruit and support these selected faculty? And how will we leverage the research expertise and resources already present across the greater university, ensuring maximum collaboration and synergy?
In essence, there are a multitude of questions that need answering and, more importantly, myriad ways that faculty and academic leaders can warranty the university is meeting its research mission while ensuring we are providing the best educational experience possible … All the while remembering that research in a university clearly enhances the learning of its students, as much pedagogical research reminds us that teachers who are active researchers and scholars are often the best educators.
But how should we define scholarship and research, and for that matter discovery and innovation?
While I recognize that this is a question that merits much more space than this brief blog can afford, let me try and present a few generalities.
Firstly, all university faculty are (or should be) scholars, essentially meaning they are recognized specialists in their particular branch of knowledge and, in turn, are lifelong students of their respective field of discipline. It is clear that we expect all university faculty to not only keep up with developments in their field but to also be recognized ‘experts’ in their field. Because the teaching (education & training) of our students at the university level demands it.
And research? Research is one part of scholarship. There are many ways of defining research, but one that I prefer is that research is the systematic and formal work or process undertaken to increase humanity’s knowledge and the use of this knowledge to devise new solutions to old or emerging problems. Although we generally speak of scientific research (i.e. inquiry following the principles of the scientific method as espoused by Francis Bacon and John Stuart Mills, among others), it will be essential as a broader university that we recognize that research may follow somewhat different approaches and principles in the humanities and in arts.
But lots of questions remain that our university, as are many others, will have to struggle with and better define. What is the difference between research, innovation and discovery? Research is often defined as turning dollars into discovery, whereas innovation turns discovery into dollars. And for example, if faculty in the College of Education is developing iBooks or apps that are selling on iTunes, would that be considered scholarship or research? It would be a form of independent scholarly activity we definitely want to encourage, but more importantly it is an example of leveraging the intellectual and technical capital of the university to drive innovation and economic growth. To be effective as a research university we need more of both!
Finally, we must recognize that research success in a university doesn’t happen randomly. In fact, I believe we must meet a few conditions for this to happen within the ecosystem of academia:
- Faculty need and deserve clarity around the university’s expectations: Of the Provost and SVP for Research for the Deans, of the Deans for their Chairs, and of the Chairs for their collective and individual faculty. And most importantly of faculty for themselves. Who should be doing research? Why? How? And expectations around research and scholarship should be consistent with the Promotion & Tenure (P&T) guidelines approved by the Faculty Senate earlier this year, which recognizes that university faculty should be great teachers and not all faculty will be researchers.
- Faculty need dedicated time and resources if they are to succeed in doing research and innovation: While we recognize that not all faculty will do any significant amount of research, we also must recognize that doing research requires significant effort and dedication. The development of successful (and competitive) research and innovation must be supported through the appropriate allotment of indispensible staff and core support.
- Research should be relevant and impactful: Nobody wants to spend effort and time on irrelevant and unimportant questions or issues. Recognition of relevance and impact is most commonly (but not always) measured thru peer or external review and recognition. This recognition often occurs when a venue to publish and publicize the researcher’s findings is provided. And recognition is also granted in the form of monetary awards to support the research in question. Which is why obtaining external funding is so critical to research, although understanding, of course, that the sources and amounts of that support vary greatly across disciplines. External funding not only provides important support to the researcher and the institution, but is also an important measure of the degree to which the research is found to be relevant and impactful by peers and external agencies.
In concluding, we should remember that just because our university is now classified as a ‘research’ university, and its mission includes research, not all faculty will or should be expected to do research. But if they are, both academic leaders and faculty should be clear about their expectations and there should be the willingness and ability to provide the necessary time and resources. And we must be focused only on doing research that is relevant, impactful, and recognized.
Next week another common question that I have heard during my listening tours… If we are supposed to grow, how do we do it if there is no money?
After 28 years on Greene Street, Ronald McDonald House Charities of Augusta is pulling up stakes and moving to Georgia Regents University … 150 yards from the front door of the Children’s’ Hospital of Georgia.
Ronald McDonald House Charities opened in downtown Augusta in 1984 to serve the families of pediatric patients who are being treated at Augusta’s medical facilities. Since that time, more than 15,000 families have stayed at our “home away from home” while their critically ill children receive care, many of them at the Children’s Hospital of Georgia. We take care of routine things, like what to eat for dinner, so that families can focus on what is really important … the health and recovery of their children.
In 2012, RMHC served 631 families from 98 counties in Georgia. Through this new partnership with GRU and the Children’s Hospital of Georgia, we will be able to serve more families … and from all corners of our state, as CHOG offers specialized care and resources that are not available in many of Georgia’s smaller communities. Services such as the area’s only Pediatric Intensive Care Unit and Level III-D (the highest level) Neonatal Intensive Care Unit, the region’s only pediatric emergency tertiary care center and pediatric trauma services, a hematology/oncology unit for children with cancer and blood diseases, and Extracorporeal Membrane Oxygenation technology and a trained team to keep the hearts and lungs of critically ill babies and children functioning during the healing process. In addition, patients at the Children’s Hospital of Georgia have access to all the resources of Georgia Regents Medical Center and Georgia Regents Medical Associates at the state’s only public academic health center.
|“There is no more stressful event to a family than when a child is hospitalized. Having the Augusta Ronald McDonald House ‘come home’ to within a short walking distance of our children’s hospital will add to our patient and family-centered care and help manage the stress and discomfort inherent to acute disease. With the availability of the House, our new partnerships in all four corners of the state will enable us to better serve families that come to Augusta for world-class pediatric care.”Bernard L. Maria, MD, MBA
Chairman of the Department of Pediatrics
Pediatrician-in-Chief, Children’s Hospital of Georgia
We already know you and your facility well. Nearly half of our families have critically ill newborn babies in the NICU at the Children’s Hospital of Georgia. And when the Ronald McDonald House is complete, parents, siblings, and other loved ones will be only a few steps away. From its early roots as the Wilhenford Children’s Hospital, CHOG has been caring for children for more than 100 years. That abiding commitment is important to Ronald McDonald House Charities of Augusta. That’s why we’re proud to call you partner … and soon neighbor.
The new Ronald McDonald House, which breaks ground in July, will offer:
- 20 guest rooms, each with private baths
- Two isolation suites designed for children with suppressed immune systems so that children receiving bone marrow transplants or chemotherapy can stay with their families in a safe, healthy environment
- A large family kitchen
- A community kitchen for volunteers
- A “flex room” for families and the community to use for activities
- Living rooms with lots of things for everyone in the family to do
- A children’s play room stocked full of fun stuff to play with
- A toy tunnel, a secret place for kids only where everyone receives a new toy
- And, beautiful gardens and outdoor areas
I can assure you that our new house will be both beautiful and beneficial, a unique addition to the impressive resources already available on GRU’s Health Sciences Campus. But I want to be clear … the Ronald McDonald House is not simply our house; it is Augusta’s house. And with your help and support, it will become CHOG’s house … a facility that I know the families of your patients will be proud to call home.
For more information, please visit giving.gru.edu/RonaldMcDonald
April is Diversity Awareness Month…
Let’s recognize and celebrate our Diversity…
as a people and as a nation.
As a university and a nation, we value diversity and inclusivity. A diversity that in great part stems from the immigrant roots of our nation.
In Washington, D.C. today (and across the country as a whole) immigration… its benefits, its conditions, and its limits… is on the forefront of policy debates. And the recent senseless and very terrible Boston Marathon bombings have, in some circles, given impetus to those who are concerned about immigration into our country. However, while recognizing that this topic can generate significant emotions (and that I myself am an immigrant), I believe it is very critical for the sake of our nation’s competitiveness… if not for the integrity of its standing in the name of freedom, equality, fairness and justice worldwide… that we don’t throw the proverbial baby out with the bathwater.
Whether we immigrated here escaping British or French oppression in the early 1600’s, or arrived in this country in the 1700’s, whether we escaped the Irish potato famine or Southern Italian economic oppression in the 1800’s, or escaped the domination of the Ottoman empire or Nazi oppression in the early part of the 1900’s, or arrived as refugees of the wars in Surinam and Vietnam, or fled the absence of economic opportunity in India, or ideological repression in China in more recent years… we are a nation of immigrants.
In 2011 the National Foundation for American Policy released a report on scientific achievement in education in America. The results? America’s top high school science and math students have something in common beyond their academic success… Most of them have parents who immigrated to this country.
According to the Foundation’s report, 70 percent of the finalists in that year’s highly competitive Intel Science Talent Search competition were the children of immigrants. Of the 40 finalists, 16 were children of Chinese immigrants and 10 were children of Indian immigrants.
In that same year, at the championship finals of the Scripps National Spelling Bee, Sukanya Roy, a 14-year old girl whose parents had immigrated from India, took home the trophy after 20 grueling rounds, correctly spelling ‘cymotrichous’ to seal her victory. Seven of that year’s 13 finalists were Indian-Americans. And in 2012? The winner was Snigdha Nandipati from San Diego, California. Her winning word was guetapens. She was the fifth consecutive Indian American, and the tenth since 1999, to win. In second place? Stuti Mishra. In third? Arvind Mahankali.
To put this in perspective – Chinese comprise only one percent and Indians less than one percent of the American population. But when it comes to American science (and even spelling) they are a dominant force.
A 2010 report from the Federal Reserve Bank of Dallas noted that immigrants help fuel the U.S. economy, representing about one in every six workers. In fact, foreign-born workers accounted for almost half of the labor force growth over the past 15 years. And the future of U.S. prosperity depends on having a skilled workforce.
But while immigrants account for 53 percent of blue-collar jobs in the US (the ‘brawn’ of the report), they also account for a disproportionate share of STEM and healthcare workers (see graph below). And many immigrant groups are more highly educated than the average citizen, strengthening the brain-power of our nation. Recent census data indicated that 80 percent of workers in the U.S. who arrived from India have at least a bachelor’s degree, and more than 50 percent of those from Taiwan, Japan, Iran, the former U.S.S.R. and South Korea had the same. In contrast, only about 30 percent of the overall US population has obtained a bachelor’s degree.
But it’s not just Bachelor degrees. A 2010 report from the National Science Foundation noted that the proportion of foreign nationals among individuals who earned a research doctorate in science, engineering, or health in the US has followed a general upward trend since 1960 (see Figure below).
And so it should not surprise us that a significant proportion of start-up companies begun in the U.S. are founded by immigrants. A 2008 report from the Ewing Marion Kauffman Foundation noted that in a quarter of the U.S. science and technology companies founded from 1995 to 2005 (see Figure below) the chief executive or lead technologist was foreign-born. In 2005, these companies generated $52 billion in revenue and employed 450,000 workers. Interestingly, the vast majority of these company founders didn’t come to the US as entrepreneurs—52 percent came to study, 40 percent came to work, and 5.5 percent came for family reasons. But they moved fast, typically starting their companies just 13.25 years after arriving in this country.
And so immigration… and the arrival of new ideas, thoughts and inventiveness… continues (as it always has) to help ensure that our country remains diverse, competitive and successful. Notwithstanding the recent debate regarding the burden of illegal immigration, we should strive to ensure that we continue to attract… and retain… the best and the brightest of the world.
We should always remember that we are in essence a nation of immigrants. For our diversity and inclusivity is indispensable to our competitiveness and the good of our nation.