Mass General Brigham Explained

Mass General Brigham
Named After:Massachusetts General Hospital and Brigham and Women's Hospital
Formation:1994
Type:Non-profit organization
Vat Id:(for European organizations) -->
Headquarters:399 Revolution Drive
Somerville, Massachusetts, U.S.
Coords:42.3474°N -71.0819°W
Services:Healthcare
Owners:-->
Leader Title:President & CEO
Leader Name:Dr. Anne Klibanski, MD
Leader Title2:Chief of Staff
Leader Name2:Margaret S. Norton
Affiliations:Harvard University
Revenue:$18 billion
Revenue Year:2022, Ending September 30
Staff:~82,000
Staff Year:2023
Formerly:Partners HealthCare (1994–2020)
Footnotes:[1] [2] [3] [4]

Mass General Brigham (MGB) is a not-for-profit,[5] integrated health care system[6] that engages in medical research,[7] teaching,[8] and patient care. It is the largest hospital-based research enterprise in the United States, with annual funding of more than $2 billion.[9] The system's annual revenue was nearly $18 billion in 2022.[10] It is also an educational institution, founded by Brigham and Women's Hospital and Massachusetts General Hospital. The system provides clinical care through two academic hospitals, three specialty hospitals, seven community hospitals, home care services, a health insurance plan, and a robust network of specialty practices, urgent care facilities, and outpatient clinics/surgical centers. It is the largest private employer in Massachusetts.[11] In 2023, the system reported that from 2017–2021 its overall economic impact was $53.4 billion – more than the annual state budget.[12]

History

Mass General Brigham was founded by the academic medical centers (AMCs) which give it its name: Massachusetts General Hospital (colloquially referred to as "Mass General") and Brigham and Women's Hospital ("the Brigham"). Both hospitals were founded in the early 1800s, are based in Boston, and serve as major teaching hospitals of Harvard Medical School.[13]

In 1994, fueled by economic and political pressure to cut costs on patient care and health care education, the two hospitals merged to create a new parent corporation: Partners Healthcare.[14] The two entities continued to operate largely independently, and remained competitors in multiple areas, until 2019.[15] [16]

In 2015, Partners launched an electronic health record (EHR) system, allowing doctors, nurses, and other caregivers easier access patients' medical history. The effort computerized millions of health records across the system, creating one record for each Partners patient, allowing information to be more easily shared among caregivers.[17]

In 2016, the system moved to into their current headquarters, located in Somerville's Assembly Row. The building allowed Mass General Brigham to merge 14 other offices.[18] [19]

In 2019, 25 years after the founding of Partners, the health system made the decision to fully integrate the organization under the new name "Mass General Brigham".[20]

Mass General Brigham has 2.5 million patients annually, generating $18 billion in operating revenue and more than $2 billion in research funding. Brigham and Women's and Massachusetts General are consistently ranked among the best hospitals in America,[21] while Massachusetts Eye and Ear,[22] McLean,[23] and Spaulding[24] are also among the nation's best in their respective specialties.

Its current President and CEO is Dr. Anne Klibanski.[25]

Board of Directors

The system's current Board of Directors consists of the following members:[26]

Executive Committee of the Board

Board Members

Composition

Current members of Mass General Brigham include:

Nobel Laureates

There are at least 21 Nobel Prize winners affiliated with Mass General Brigham institutions.[49] [50]

History of Firsts

The following is a lists of medical firsts and milestones accomplished by Mass General Brigham institutions:[51] [52]

Innovations and ventures

Mass General Brigham is the largest hospital system-based research enterprise in America, with an annual research budget exceeding $2 billion. It is the top system for National Institutes of Health (NIH) funding in the world, receiving $1.04 billion from NIH in 2022.

The system's funding for research has grown from $1.5 bilion in 2012 to $2.3 billion in 2023, with nearly 2/3 of the funds coming from outside of Massachusetts. Research revenues in 2022 were $2.2 billion. In 2023, the system said it had over 2,700 ongoing clinical trials, focused on accelerating new treatments and therapies. Among the system's recent innovations: Visudyne for macular degeneration, Enbrel for rheumatoid arthritis, Eloctate and Alprolix for hemophilia, Entyvio for crohn's disease, and total joint replacements such as Durasul, Longevity, E1, and Vicacit-E.

Expansion and influence

In May 2000, CEO Dr. Samuel Thier and William C. Van Faasen, CEO of Blue Cross Blue Shield of Massachusetts—the state's biggest health insurer—agreed to a deal that raised insurance costs all across Massachusetts.[53] They agreed that Van Faasen would substantially increase insurance payments to Mass General Brigham doctors and hospitals, largely correcting the underpayments of the previous 10 years. However, Partners issued a statement saying that Thier pledged only that he would treat all insurers equally. According to Boston Globe investigative journalists, Blue Cross and other insurers increased the rate they paid Mass General Brigham by 75 percent between 2000 and 2008, though CEO James J. Mongan argued insurance rates in Massachusetts have gone up at roughly the same rate as the national average.[54]

In 2013, Mass General Brigham's plan to take over 378-bed South Shore Hospital in Weymouth was reviewed due to fears that the expansion plan is anticompetitive, a conduct Mass General Brigham had been accused of over the past four years in other cases. In 2015, the system abandoned their plans to invest $200 million into the hospital.[55]

In April 2017, the United States District Court for the District of Massachusetts announced that Partners HealthCare System and one of its hospitals, Brigham and Women's Hospital, agreed to pay a $10 million fine to resolve allegations that a stem cell research lab fraudulently obtained federal grant funding. Federal prosecutors commended the Brigham for disclosing allegations of fraudulent research at the lab and for taking steps to prevent future recurrences of such conduct.[56]

In May 2017, Partners announced they would be cutting more than $600 million in expenses over the next three years in an effort to control higher costs and to become more efficient. The cost-cutting initiative was called Partners 2.0, and the plan looked to reduce costs in research, care delivery, revenue collection, and supply chain. The plan began on October 1, 2017 and eliminated jobs. The company lost $108 million in 2016, but was profitable in 2017 despite industry turmoil.[57]

In February 2018, Partners announced that 100 coders would have their jobs outsourced to India in a cost saving move. This was all part of the non-profit hospital and physicians network's three-year plan to reduce $500 million to $800 million in overhead costs. CEO Dr. David Torchiana said the job cuts were a financial necessity, adding that most sectors outsource call centers and back-office functions.

During the SARS-CoV-2 pandemic, Partners HealthCare, who reported operating income of $484 million (3.5% operating margin) in fiscal year 2019,[58] refused hazard pay to its healthcare workers despite lack of proper PPE. However, they did not layoff or furlough any employees during the pandemic, while cutting executive salaries.[59] The system explained it does not calibrate pay and benefits based upon patients' conditions, because a core part of its mission is delivering the same high-quality care to all patients regardless of the severity of their condition. Partners also provided employees with pay and benefits for those unable to work due to COVID-related illness, eight weeks of pay for those temporarily without work, and hotel rooms for employees.[60]

Mass General Brigham reported a loss of operations of $432 million (−2.6% operating margin) in fiscal year 2022 due to historic cost inflation, significant workforce shortages, and a worsening capacity crisis. Many health care systems and hospitals nationwide are experiencing the worst year financially since the start of the COVID-19 pandemic. In response, the system announced its plan for a long-term sustainable future, which includes the following initiatives: Advancing integration to improve patient care and identify efficiencies, addressing the labor shortage by building workforce pipelines, and reducing expenses.[61] [62]

See also

External links

Notes and References

  1. News: Dayal McCluskey . Priyanka . Partners HealthCare cutting $600m in costs . . 2017-05-13 . 2017-05-13 .
  2. Web site: About Partners HealthCare . 2017-05-13 .
  3. News: Kowalczyk . Liz . Dayal McCluskey . Priyanka . Partners HealthCare will outsource some expensive, back-office jobs to India . . 2018-02-20 . 2018-02-20 .
  4. News: Dayal McCluskey . Priyanka . Partners names Dr. Anne Klibanski as its new CEO . . 2019-06-25 . 2019-06-26 .
  5. News: Analysis The covid vaccine mandate for military members might be the next one to fall . 2022-12-06 . . https://web.archive.org/web/20230204171326/https://www.washingtonpost.com/politics/2022/12/06/covid-vaccine-mandate-military-members-might-be-next-one-fall/ . 2023-02-04 . live .
  6. Web site: HealthLeaders . Rebranding During a Pandemic: Q&A with Mass General Brigham CMO . 2023-05-17 . www.healthleadersmedia.com . en.
  7. Web site: HealthLeaders . Q&A: Breaking Down the Complexities of Healthcare with Anne Klibanski . 2023-05-17 . www.healthleadersmedia.com . en.
  8. Web site: Gooch . Kelly . 2022-10-11 . Mass General Brigham's Dr. Anne Klibanski on building the academic health system of the future . 2023-05-17 . www.beckershospitalreview.com . en-gb.
  9. Web site: 2022-05-03 . Mass General Brigham Awards $1 Million to Biotech Breakthroughs . 2023-05-17 . Yahoo Finance . en-US.
  10. Web site: Here's how Mass. health systems's finances stacked up for 2022 . 2023-05-17 . www.bizjournals.com.
  11. Web site: Largest Employers in Massachusetts . 2023-05-17 . www.bizjournals.com.
  12. Web site: Economic Impact Report 2023 .
  13. Web site: Harvard-Affiliated Mass General, Brigham and Women's Hospitals Name New Presidents News The Harvard Crimson . 2023-05-17 . www.thecrimson.com.
  14. News: 1994-03-22 . 2 Hospitals in Boston Complete Their Merger . en-US . The New York Times . 2023-05-17 . 0362-4331.
  15. Web site: At Mass General Brigham, a sweeping effort to unify hospitals and shed old rivalries – The Boston Globe . 2023-05-17 . BostonGlobe.com . en-US.
  16. News: 20 Years Ago The Health Care Market Came to Stay - Health Stew - Boston.com . en . Boston.com . 2023-05-17.
  17. Web site: Partners' $1.2b patient data system seen as key to future – The Boston Globe . 2023-05-17 . BostonGlobe.com . en-US.
  18. Web site: Take a tour of Partners' new $465M office in Somerville . 2023-05-17 . www.bizjournals.com.
  19. Web site: Comments . Somerville to be new home base for Partners HealthCare – The Boston Globe . 2023-05-17 . BostonGlobe.com . en-US.
  20. Web site: In major rebranding, Partners HealthCare to change name to Mass General Brigham – The Boston Globe . 2023-05-17 . BostonGlobe.com . en-US.
  21. Web site: McGrath . Cassie . 26 July 2022 . Mass General, Brigham and Women's rank among best hospitals in the country . 2023-09-27 . www.bizjournals.com.
  22. Web site: Massachusetts Eye And Ear Infirmary . health.usnews.com.
  23. Web site: McLean Hospital . health.usnews.com.
  24. Web site: Spaulding Rehabilitation Hospital . health.usnews.com.
  25. Web site: Partners HealthCare appoints first-ever female CEO . 2023-05-17 . www.bizjournals.com.
  26. Web site: Leadership and Governance Mass General Brigham . 2023-05-17 . www.massgeneralbrigham.org.
  27. Web site: 2023-05-13 . Scott Sperling . 2023-05-17 . THL . en-US.
  28. Web site: 2021-02-09 . John Fish Chairman & CEO Suffolk Construction . 2023-05-17 . www.suffolk.com . en-US.
  29. Web site: Jonathan Kraft | A Family of Businesses . 4 January 2016 .
  30. Web site: Robert George Atchinson, Adage Capital Management LP: Profile and Biography . 2023-05-17 . Bloomberg.com . en.
  31. Web site: Validation request .
  32. Web site: Yolonda Colson, MD, PhD – Thoracic Surgery . 2023-05-17 . Massachusetts General Hospital . en.
  33. Web site: Zara Cooper, MD, MSc – Brigham and Women's Hospital . 2023-05-17 . physiciandirectory.brighamandwomens.org.
  34. Web site: Anne Finucane . 2023-05-17 . Forbes . en.
  35. https://www.linkedin.com/in/benjamin-gomez-mrics-1549961b/?originalSubdomain=es LinkedIn Profile
  36. Web site: Constructive . Tiffany Gueye . 2023-05-17 . Blue Meridian Partners . en-US.
  37. Web site: Susan Hockfield Koch Institute . 2023-05-17 . ki.mit.edu.
  38. Web site: Chestnut Partners, Inc. . 2023-05-17 . www.chestnutp.com.
  39. https://www.linkedin.com/in/david-w-ives-57865540/ LinkedIn Profile
  40. Web site: Carl Martignetti, Martignetti Cos: Profile and Biography . 2023-05-17 . Bloomberg.com . en.
  41. Web site: Dean Nitin Nohria – About – Harvard Business School . 2023-05-17 . www.hbs.edu.
  42. Web site: Diane B. Patrick Ropes & Gray LLP . 2023-05-17 . www.ropesgray.com.
  43. Web site: Phillip T. (Terry) Ragon . 2023-05-17 . US Corporate . en.
  44. Web site: Pamela Reeve . 2023-05-17 . www.womencorporatedirectors.org.
  45. Web site: Paula Ness Speers . 2023-05-17 . www.parexel.com . en.
  46. Web site: James D. Taiclet . 2023-05-17 . Lockheed Martin . en.
  47. Web site: Choate Hall & Stewart LLP . 2023-05-17 . Choate Hall & Stewart LLP – Lanny Thorndike . en.
  48. Web site: Carol Vallone . 2023-05-17 . Berkshire Partners . en-US.
  49. Web site: Our History & Timeline . 2023-05-17 . Massachusetts General Hospital . en.
  50. News: Our History Mass General Brigham Innovation . 2023-05-17 . Innovation | Mass General Brigham . en-US.
  51. Web site: Carkin . Jillian . MGH Guides: MGH History: MGH Firsts . 2023-05-17 . libguides.massgeneral.org . en.
  52. Web site: BWH Medical Milestones – Brigham and Women's Hospital . 2023-05-17 . www.brighamandwomens.org . en.
  53. News: 2008 . Unhealthy System: Is medical giant Partners HealthCare good for Massachusetts? . The Boston Globe Spotlight team . The Boston Globe. 11 July 2015 .
  54. Stendahl . Max . Brigham taps John Fish to lead board of trustees . Boston Business Journal . 18 January 2018 . 25 July 2022 . American City Business Journals . 1943-6343 . 0746-4975.
  55. Web site: Board of Directors . nd . 11 July 2015 . Partners . https://web.archive.org/web/20150712231934/https://www.partners.org/About/Company-Information/Leadership/Board-of-Directors.aspx . 12 July 2015 .
  56. News: James Mongan, a doctor with political skills, dies at 69 . 4 May 2011 . 11 July 2015 . . Bryan Marquard.
  57. Web site: Partners HealthCare Appoints Dr. David Torchiana as New CEO . 4 February 2015. 6 June 2016. Boston Globe.
  58. Web site: Newsroom | Mass General Brigham.
  59. Web site: Mass. General Brigham cuts executive salaries, freezes pay for others – The Boston Globe . 2023-05-17 . BostonGlobe.com . en-US.
  60. Web site: Board of Directors . nd . 11 July 2015 . Partners . https://web.archive.org/web/20150712231934/https://www.partners.org/About/Company-Information/Leadership/Board-of-Directors.aspx . 12 July 2015 .
  61. Web site: Labor shortage, inflation drove Mass General Brigham to $432M annual operating loss . 2023-05-17 . Healthcare Dive . en-US.
  62. Web site: Patkin . Abby . Mass General Brigham is losing money hand over fist. Here's what to know . 2023-05-17 . www.boston.com . en-US.