Here's a little info on UM's relationship with Jackson and some expected developments:
UNIVERSITY OF MIAMI
UM is about to get a hospital of its own
University of Miami trustees are expected to approve a new $460 million medical center on the UM/Jackson Memorial Hospital campus.
BY JACOB GOLDSTEIN
[email protected]
The University of Miami Miller School of Medicine plans to build a 14-story, $460 million hospital and medical center on the campus the school shares with Jackson Memorial Hospital. Today, UM trustees are expected to approve the project -- the most expensive in the university's history.
Dr. Pascal Goldschmidt, the medical school's new dean, said the center is essential in recruiting star doctors and building a national reputation for the medical school.
''Look at everywhere there is a major medical center: Johns Hopkins, Duke . . . Harvard, Stanford. All of these institutions have their own hospital,'' he said.
For more than 50 years, UM doctors have been based at Jackson Memorial, the county's public hospital. Jackson pays UM an annual fee -- $121 million this year -- for the services of more than 700 UM doctors.
While it is common for medical schools to be affiliated with public hospitals, most top schools also have their own hospital. These hospitals can generate millions in profits, which funds research.
''World-class doctors like to come to an environment where the university has its own hospital,'' Goldschmidt said.
COMPARISON
The hospital will have 144 beds, compared with 1,500 beds at Jackson, and UM doctors will continue to do much of their work at Jackson.
Jackson officials say they've been promised the new center will not siphon off any of Jackson's insured patients. Those patients subsidize the care provided to the poor and uninsured.
In fiscal year 2005, Jackson spent $493 million on ''charity care'' for those who could not pay and received $381 million in public funding, hospital officials said. The $123 million in profits from treating private patients at Jackson made up the difference.
''My concern is . . . if they have a hospital where they have to meet their bills, they are going to put a patient in that hospital first, and put one in Jackson second,'' said Larry Handfield, chairman of the Public Health Trust, which oversees Jackson.
``The bottom line is without the commercial-paying patients we would not be able to keep the doors open.''
''Not a single patient that will go to this hospital will be a patient who would have gone to Jackson Memorial,'' Goldschmidt said.
He said the hospital will allow UM doctors to return to the medical school campus without taking business from Jackson, which usually operates at or near capacity.
''They simply cannot take care of all of our private-pay patients,'' said Dr. Mark Soloway, UM's chief urologist. ``There are not enough operating rooms.''
Soloway said he sees 30 percent to 40 percent of his insured patients at Cedars Medical Center, a private hospital. He says those patients are the ones he is likely to begin seeing at the new hospital.
''If they're right, it's kumbaya and everybody wins,'' Jackson CEO Marvin O'Quinn said. ``If they're wrong, I'm prepared for it.''
O'Quinn won't say precisely what his preparations entail, but he hinted the hospital may expand its staff of doctors not affiliated with the university.
WEALTHY PATIENTS
Jackson has recently begun a push to recruit more insured and private-pay patients; a center for international patients opened last month to offer ''concierge'' services to wealthy patients who fly in from overseas -- and typically pay cash.
The new medical center is scheduled to open in 2010 on the UM/Jackson campus, on Northwest 14th Street just east of 12th Avenue. There will be a wide range of outpatient services; inpatient services will likely focus on a few specialties, including cancer, urology, orthopedics and some cardiac services, Goldschmidt said. State regulations could allow the hospital to grow to more than 250 beds in the decade after it opens.
UM officials expect the new center, which will be financed by selling bonds, not only to help them build the school's reputation, but also to generate cash, which can be plowed into research.
''The profit these days, the margin, is in hospitals, not in physician practices,'' said Minor Anderson, associate vice president of clinical affairs for the University of Miami Medical Group.
Anderson estimates the new facility could gross $500 million per year.
UM has been seeking its own hospital for several years. The university tried unsuccessfully to buy Doctors Hospital in Coral Gables in 2003 and was briefly in negotiations with Mount Sinai Medical Center in Miami Beach in 2004.
Handfield opposed the Mount Sinai deal, arguing it would divert paying patients from Jackson. He said the new hospital presents less of a threat, because it will be far smaller than Mount Sinai, which has about 1,000 beds. He calls relations with UM ''excellent,'' but stops short of welcoming the new building.
''Our mission and their mission will diverge at times,'' he said. ``This may be one of those times. If we had our choice, we would prefer not to see them building their own hospital.''