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Creighton University Arizona Health Education Alliance

Maricopa Integrated Health System (MIHS), Dignity Health St. Joseph’s Hospital and Medical Center, Creighton University, and District Medical Group (DMG) have joined forces to form the Creighton University Arizona Health Education Alliance. This partnership brings together a university recognized for providing outstanding training for students and residents in the health sciences and two health care providers known for their impressive history of caring for members of the greater Phoenix community.

MIHS and St. Joseph’s Hospital and Medical Center also have long histories of success in preparing physicians for the medicine of tomorrow. They offer Arizona’s longest running residency programs and train hundreds of physicians every year in a wide range of clinical settings.

With this new partnership, we anticipate some major changes coming in the spring of 2018. There will be new facilities, improved resources and greater fellowship opportunities as you pursue your chosen specialty.  

What will not change is our dedicated teaching faculty, the diversity of patient care encounters and experiences, or our commitment to you, your education and your professional and personal development. We are working to build a better health care system and a stronger educational institution with shared resources and talent.

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MIHS image 0 Creighton University Arizona Health Education Alliancehttp://www.mihs.org/

Mission: To provide exceptional care, without exception, every patient, every time

Core Values: Accountability, Compassion, Excellence, Safety

Funding: 1864 (Howell Code of 1864)

Medical Education

Undergraduate Medical Ed
  • 778 medical student monthly rotations/year
Graduate Medical Ed
  • 338 residents, 1 clinical fellow
  • 169 residents from various institutions completed 198 rotations in 2015-2016
GME Residency Programs

Emergency Medicine, Dental (Adult), Dental (pediatric), Child Psychiatry, Internal Medicine, OB/GYN, Pediatrics, Podiatry, Pharmacy, Psychiatry, Radiology, Surgery

GME Joint Programs

OB/GYN (with St. Joseph’s Hospital and Medical Center), Pediatrics (with Phoenix Children’s Hospital), Adult and Pediatric Dental (with Lutheran Medical Center in New York)

GME Fellowship Programs

Surgical Critical Care

Faculty
  • Active (full-time) 259
  • Courtesy (part-time) 246
  • Total = 505

Research

Extramural Funding

$10 million 2015

Intramural Funding

$1.5 million

Square Footage

3,805 square feet

Clinical Resources

Hospital

325 licensed beds at Maricopa Medical Center Behavioral health: 219 licensed beds (126 Desert Vista Behavioral Health Center; 93 Behavioral Health Annex)

Key Service Lines
  • Arizona Burn Center, Two Behavioral Health Centers, Arizona Children’s Center, Level I Trauma Center, Women’s Services, HIV/AIDS, Pediatric and Women’s Refugee Clinics, Surgical Specialties
  • 13 Family Health Centers located in communities across Maricopa County that serve adult and pediatric patients

National Rankings

  • Voluntary Protection Program (VPP) STAR designation by the Arizona Division of Occupational Safety and Health (ADOSH), recognizing exemplary and comprehensive culture of employee safety
  • Highest level of recognition from the National Committee for Quality Assurance’s (NCQA) Patient-Centered Medical Home program for MIHS’s 13 Family Health Centers
  • Safety Certification in Outpatient Practice Excellence (SCOPE) for Women’s Health by American Congress of Obstetrics and Gynecologists (ACOG), first in Arizona to receive this honor
  • Arizona Burn Center, Arizona’s only nationally verified burn center
MIHS image 1 Creighton University Arizona Health Education Alliance

Mission: High quality, affordable care for all

Core Values: Justice, Collaboration, Dignity, Excellence, Stewardship

Funding: 1895, Sisters of Mercy

Medical Education

Undergraduate Medical Ed
  • 84 FTE medical students
  • 225 visiting student rotations/year
Graduate Medical Ed
  • 178 residents
  • 24 clinical fellows
GME Residency Programs

610 AMA PRA Category 1 Credits Accreditation with Commendation by ACCME, Family Medicine, Internal Medicine, Neurology, Neurosurgery, Diagnostic Radiology, General Surgery

GME Joint Programs

OB-GYN with MIHS

GME Fellowship Programs

Cardiovascular disease, Minimally Invasive Gynecological Surgery, Neuroradiology, Clinical Neurophysiology, Epilepsy, Movement Disorders, Sports Neurology, Neuro-Otology, Endovascular Surgical Neuroradiology, Gastroenterology

Faculty
  • 160 GME teaching faculty
  • 325 Creighton faculty in the Phoenix-metro area for the Phoenix Regional Campus
  • 212 FTE research staff
  • 18 post doctoral fellows

Research

Extramural Funding

$25M total for fiscal year 2016
$10M in federal and state

Intramural Funding

$10 million

Square Footage

75,000 square feet

Clinical Resources

Hospital

593 licensed beds

Key Service Lines
  • Barrow Neurological Institute, Norton Thoracic Institute, Muhammad Ali Parkinson Center, Level 1 Trauma Unit, University of Arizona Cancer Center at St. Joseph’s Hospital, Women’s/Perinatal Services
  • More than 100 community-based health care and social service partners
  • Dignity Health Medical Group, an academic, multi-specialty faculty group with 250 physicians and 400 total providers

National Rankings

  • Consistently named by U.S. News & World Report among the top 20 in the nation for Neurology and Neurosurgery
  • Busiest lung transplantation program in Western U.S.
  • Selected to Top 50 Cardiovascular Hospitals by Truven Health
  • Named as one of 100 Great Hospitals in America by Becker’s Hospital Review
  • Only hospital in U.S. to receive Joint Commission’s certification in Stroke, TBI and Perinatal services
MIHS image 2 Creighton University Arizona Health Education Alliance

Mission: Teaching, patient care, research

Core Values: Service, Care for the Whole Person, Sacred Calling, Reflection

Funding: 1892, Society of Jesus

Medical Education

Undergraduate Medical Ed
  • 530 FTE medical students (fall 2016)
  • Pre-Medical Post Baccalaureate
Graduate Medical Ed
  • 180 residents
  • 32 clinical fellows
GME Residency Programs

Family Medicine, Internal Medicine, Obstetrics & Gynecology, Pathology, Psychiatry, Radiology, Surgery, Urology

GME Joint Programs

 

GME Fellowship Programs

Allergy/Immunology, Cardiology, Child Psychiatry, Colon Rectal Surgery, Endocrinology, Family Medicine-Obstetrics, Gastroenterology, Infectious Disease, Interventional Cardiology, Pulmonary/Critical Care

Faculty
  • 231 active (full-time)
  • 46 basic scientists (full-time)
  • 31 post doctoral research fellows

Research

Extramural Funding

$13.9 million 2015

Intramural Funding

 

Square Footage

50,000 square feet

Clinical Resources

Hospital

Creighton’s primary clinical partner, CHI Health, has 15 hospitals throughout Nebraska and Western Iowa, including CHI Health Creighton University Academic Medical Center’s two newly renovated campuses.

Key Service Lines
  • University Campus of CHI Health Creighton University Medical Center will be the region’s only freestanding emergency department (FSED). Clinical services offered: Family Medicine, Imaging, Pediatrics, Physical Therapy, Psychiatry, Virtual Care, Women’s Health
  • CHI Health Creighton University Medical Center–Bergan Mercy will serve as the main academic medical center for School of Medicine
  • Additional Clinical Sites: 55 clinics with the metropolitan Omaha area, Children’s Hospital & Medical Center Omaha, Omaha Veterans Affairs Medical Center
  • Magis Clinic, a medical student-run health clinic for the homeless and underserved in Omaha

National Rankings

  • U.S. News & World Report No.1 Comprehensive University in the Midwest 14 years in a row
  • National presence in medicine; graduates practice in all 50 states
  • For fall 2016, had more than 6,770 applicants for 154* openings. (*152 MD and 2 MD/PhD)
  • Princeton Review again listed Creighton University as one of the nation’s top 381 colleges and universities in its 2017 edition of the annual college guide. Creighton was named #5 among Students Most Engaged in Community Service.
MIHS image 3 Creighton University Arizona Health Education Alliance

Mission: Integrated practice of patient care, education, research, and community service

Core Values: Quality, Professionalism, Partnership, Physician-patient relationship

Funding: Academic multi-specialty practice formed in 1992

Medical Education

Undergraduate Medical Ed
  • 778 medical student monthly rotations/year
Graduate Medical Ed
  • 338 residents, 1 clinical fellow
  • 169 residents from various institutions completed 198 rotations in 2015-2016
GME Residency Programs

Emergency Medicine, Dental (Adult), Dental (pediatric), Child Psychiatry, Internal Medicine, OB/GYN, Pediatrics, Podiatry, Pharmacy, Psychiatry, Radiology, Surgery

GME Joint Programs

OB/GYN (with St. Joseph’s Hospital and Medical Center), Pediatrics (with Phoenix Children’s Hospital), Adult and Pediatric Dental (with Lutheran Medical Center in New York)

GME Fellowship Programs

Surgical Critical Care

Faculty
  • Largest integrated faculty practice in Maricopa County, poised and practicing value-based purchasing
  • 411 full time
  • 184 part time
  • 25 different specialties

Research

Extramural Funding

$10 million 2015

Intramural Funding

$1.5 million

Square Footage

3,805 square feet

Clinical Resources

Hospital

325 licensed beds at Maricopa Medical Center Behavioral health: 219 licensed beds (126 Desert Vista Behavioral Health Center; 93 Behavioral Health Annex)

Key Service Lines
  • Arizona Burn Center, Two Behavioral Health Centers, Arizona Children’s Center, Level I Trauma Center, Women’s Services, HIV/AIDS, Pediatric and Women’s Refugee Clinics, Surgical Specialties
  • Medical staff for MIHS
  • Children’s Rehabilitative Services (CRS) clinic
  • Arizona Integrated Health providing for physical health in behavioral health clinics
  • Desert Horizons behavioral health clinic
  • Long-term care practice

National Rankings

  • Key leadership positions in local and national medical societies
  • Multiple teaching awards from affiliated medical schools
  • Award-winning doctors at national and local levels for care and service, including Health Care Heroes, Phoenix Top Docs, Phoenix Business Journal’s Healthcare Heroes, national Citizen Service Above Self Honors, etc.

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Further information about the Health Education Alliance was provided at the Graduate Medical Education forums by Dale Davenport, Senior Associate Dean, Creighton University School of Medicine.  A copy of the PowerPoint can be accessed here

 

Frequently Asked Questions

 

What exactly does this affiliation between MIHS, Creighton University, Dignity Health and DMG mean?

These entities have signed a binding agreement that outlines a strategic partnership designed to improve upon and expand Graduate Medical Education (GME) Programs and to develop academic and clinical education programs in nursing, pharmacy, allied health and medicine through a collaborative organization tentatively called the “Creighton University Arizona Health Education Alliance.

Why did MIHS, Dignity Health and DMG select Creighton University as their academic partner?

Due to their closely aligned missions and core values, this Affiliation is uniquely positioned to combine the best and brightest to take a leadership role in attracting both top caliber faculty and students, expanding educational training programs, developing joint research institutes, and collectively being a greater advocacy voice for medical education funding.  In addition, these parties have already experienced successful relationships; with MIHS and Dignity Health’s St. Joseph’s Hospital having an integrated obstetrics residency program dating back to the 1980’s and in 2009 Dignity Health partnering with Creighton University in an academic affiliation that created a Creighton medical school presence in Phoenix.

What do these parties hope to accomplish with this affiliation?

These “Parties” with their exceptional track records, reputation and proven expertise in running teaching hospitals, medical schools and medical training see this affiliation  as a commitment to being at the forefront of advanced medical education, research and to training new generations of physicians, nurses, and allied health professionals to improve the health outcomes of our community, state and nation.

How will this affiliation operate?

  1. Governance: through an oversight committee serving as the governing body of the Alliance, it will develop a strategic plan, provide program oversight, and ensure an optimal clinical learning environment.
  2. Operations: The Alliance, with the goals of providing centralized coordination and oversight, expanded clinical research and training, increased access to greater patient/community diversity, reduced costs due to consolidation, and expansion of existing training programs, developing new specialty/sub-specialty fellowships and clinical training programs, improving advocacy for medical education funding, and addressing the work force needs of the State of Arizona.
  3. All Maricopa and Dignity residency and fellowship programs in good accreditation standing will be brought under Creighton Institutional sponsorship. This includes the training programs of podiatry and pharmacy. It also includes a new Creighton nursing program. 
  4. Program Standardization: through the development of, among other things, a charter, policies, monitoring, coordination of faculty and support for research.
  5. Development of New Programs: The Alliance will provide the opportunity to develop new sub-specialty programs for physician training. It will also assist in developing new programs in nursing, pharmacy, occupational therapy, physical therapy, medicine, and various medical specialties and sub-specialties.  The Parties will collaborate through the Alliance for clinical rotations for applicable educational programs. 

When will this collaboration begin?

September 1, 2018, following institutional Accreditation Council for Graduate Medical Education (ACGME) accreditation approval to be accomplished by the summer of 2018. Creighton University will start to work with Maricopa and Dignity GME programs directly to help the programs transition sponsorship next spring.

How Long is the agreement?

The agreement is for an initial term of 20 years followed by two five-year renewals. The new affiliation is designed to be a permanent partnership among the members.  The five years allows the Alliance to fulfill their commitment to health care trainees to finish their programs.

What is the financial implication of this affiliation?

We do not anticipate any significant cost increases for this collaboration as these are currently funded positions and programs.  There will be opportunities to examine any duplicate activities to determine if the training programs can be operated more effectively.

Each partner has important teaching and research relationships in health education, how will these change?

Currently students from the University of Arizona’s College of Medicine Phoenix have rotations at MIHS and Dignity Health.  Additionally, Creighton School of Medicine sends about 90 students to complete their final two years on their campus at St. Joseph’s and Creighton School of Pharmacy sends 20 students.   We do not anticipate these opportunities to be decreased or diminished.  In fact by potentially expanding Graduate Medical Education (residency training) opportunities may increase.  The same holds to students in other medical schools and health education including nursing and other allied health fields. Similarly we expect the ability to collaborate with other research institutions to grow.

How will faculty's relationship change with the affiliation?

We do not expect to see a material decrease in faculty and even expect to see an expansion as GME programs increase, to include residency and fellowship programs.  As faculty are involved with students of other institutions we expect to see continued faculty appointments with the relevant institutions including but not limited to Creighton University, University of Arizona, Arizona State University, Mayo Clinic and Midwestern University.

Will faculty's employment change as a result of this affiliation?

The partnership does not include any provision to change employment status, other than some centralization of academic administrative activities.

Will residents' employment change as a result of this partnership? 

The Alliance will work toward being the employer of Alliance residents in order to achieve parity of total compensation across the institutions. We anticipate there will be a transition of employment period.

Will this affiliation definitely mean a 4-year Creighton University School of Medicine campus at St. Joseph's?

The alliance will provide the foundation for the potential that Creighton University School of Medicine will enhance its current campus at St. Joseph’s to a full four-year medical school in the next 5 to 7 years. Currently Creighton University School of Medicine Regional Campus at St. Joseph's provides 3rd and 4th year medical students the training they need to become physicians.  There are 42 third-year and 42 fourth-year students currently on the campus.

Will this affiliation definitely mean a new nursing school in Phoenix?

Creighton University is working with Alliance partners to determine the demand for additional nursing education programs in Arizona and the Southwest.  The initial program will be an accelerated nursing program, which has received state approval. The nursing program is scheduled to begin January 2018.  Additional programs may be developed in the future.

How will the people of Arizona benefit from this affiliation?

The initial goal is to bring together the strengths of each residency program and thereby raise the quality of the combined programs.  This is a clear example of the "sum being greater than the parts". We will then be able to recruit the "best and brightest" to our training programs who potentially will serve and stay in Arizona.

Today, Arizona ranks 32nd in active MDs per 100,000 Arizonans.  As the Alliance matures, our goal is to expand training opportunities by way of residencies, fellowships and medical student slots.  Because they train here, Arizona would be more likely to retain some of these trainees in the region. Additionally, the Alliance will pursue expanded development of training and education programs in nursing, allied health and pharmacy that could all benefit Arizonans.

Does this agreement include clinical growth opportunities?

This alliance relates to training and there are no planned joint clinical expansions contained in this particular agreement. The Alliance will provide opportunities to develop more specialty training programs that could assist members in developing new clinical services.

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