The city has one. The hospitals have one. And now the doctors have an academic medical center proposal. Here is a copy of what the Clark County Medical Society board approved Tuesday night, further complicating the debate over the center:
Clark County Medical Society Recommendations for the Establishment of the Nevada Academic Medical Center (NAMC)
INTRODUCTION
The Clark County Medical Society (CCMS) believes there is a need to bring more advanced healthcare to southern Nevada in addition to those services already available. We believe that in order to provide the proper setting for advanced healthcare, it is essential to integrate clinical care with both medical research and medical education – a model that has been successful in other states with medical schools. We believe the three components of a high quality academic medical center (AMC) – medical education, medical research and cutting-edge clinical care – could be developed in a way that best reflects Nevada’s present and future, particularly as southern Nevada continues to grow, by means of a locally managed AMC rather than one controlled by an outside entity. Our reasons for this are as follows:
1. Academic settings for medical care, research and education have already been established in Nevada at the University of Nevada School of Medicine (UNSOM), the University Medical Center (UMC), the Nevada Cancer Institute (NvCI), and the Touro University College of Osteopathic Medicine (Touro). There are many highly qualified medical professionals performing cutting-edge research and providing excellent healthcare within those systems. In addition, many private medical facilities offer Nevadans the opportunity to participate in a wide variety of clinical trials. There also exist independent, high-quality medical facilities in our community that could partner with an AMC to provide additional research and educational opportunities. One such example is the Nathan Adelson Hospice.
2. It will be more efficient and less expensive to build upon the already established, state-supported foundation of academic medical care, research and education than to begin a relationship with an out-of-state medical corporation Moreover, an AMC established by an out-of-state corporation would reduce revenues that stay in Nevada that could be used to reinvest in the AMC and further benefit the state Also, with out-of-state control of an AMC, there could be no assurance the priorities of the AMC would reflect those most vital to Nevada.
3. We believe Nevada is more than capable of developing its own AMC utilizing the tremendous talent and resources that already exist within this state.
RECOMMENDATIONS: (OUR VISION)
Mission
1. Medical Education: The Nevada Academic Medical Center (NAMC) must commit to improving the medical education of medical students, physicians-in-training (interns, residents and fellows), nurses, advanced practice nurses and allied health professionals (e.g. pharmacists, respiratory technicians, laboratory technicians, occupational and physical therapists, physician assistants) by collaborating with educational institutions throughout the state.
2. Clinical Excellence: The NAMC must commit to providing clinically excellent “cutting-edge” medical care for Nevadans. It should be the center where new and advanced clinical techniques are developed in the state
3. Medical Research: The NAMC must commit to supporting clinical research designed to improve medical care for Nevadans and to advance the field of medicine. It must support translational research that moves advances in research laboratories to clinical use as rapidly as possible.
4. Societal obligations: The NAMC must be committed to indigent care.
Governance
The NAMC should be governed by a President of Health Sciences who reports directly to the Chancellor of the Nevada System of Higher Education. The administrative relationship between UNSOM and the NAMC should be determined by either the Governor and Legislature or the Chancellor and Board of Regents.
Relationships
Strong relationships should be forged with all willing local hospitals, medical facilities and medical education institutions (including allied health schools) so as to broaden the opportunities available for medical education, enlarge the base of patients available who can benefit from clinical research, and to speed the dissemination of best clinical practices.
Location
The NAMC should be built where there is sufficient space to allow for the future, long-term development of additional facilities for healthcare, medical education and research. It should be located where other healthcare-related facilities are already established so as to benefit from the synergy of geographic proximity. We believe that one such location is the “health district” bounded by Charleston and Martin Luther King Blvds., Rancho and Alta Drives. Other healthcare-related facilities in this district include UMC, Valley Hospital, UNLV Shadow Lane Biomedical Research Campus, UNSOM Medical Education Building, Clark County Social Services, Lied ambulatory clinics and numerous medical office buildings. There is also sufficient land available for the expansion of facilities in this area.
Funding
Potential funding sources for the NAMC should be identified and quantified as quickly as reasonably possible. Funding is a critical issue, and should be addressed with participation by all interested parties working to solve this most difficult and critical issue. Among potential sources would be federal grants for research and other related matters that could be applied for separately or through appropriate state agencies, private donations, and contributions by state and local governments to the extent they are available. We would encourage an active effort to solicit philanthropic support for the NAMC to support the construction of medical care and research facilities, as well as to create endowed chairs in various fields of medical research, which will help attract highly qualified medical researchers to Nevada.
If sufficient funds are unavailable to construct a separate medical facility at this time, the NAMC could initially be based at UMC, with strong collaborative relationships with Sunrise, Valley, and St. Rose Hospitals. Historically, many medical school teaching hospitals are based in county hospitals (as is currently the case with UMC and UNSOM) with expansion to additional facilities as funds allow. The difference between the envisioned NAMC and UMC/UNSOM as it currently exists, would be an expansion of medical education at both UMC and other collaborating hospitals and a broadening of clinical services at the NAMC to include high quality tertiary care services.
Next Steps
The establishment of the NAMC will require broad-based community support, detailed planning and extensive negotiations. We therefore believe that a committee should be established, composed of all relevant stakeholders, to create support and guide the future establishment of the NAMC.