1. Industry Visit - UPMC
International Immersion - Assignment #1
EPGP 2009-10 - Term IV- Individual Submission
28-Feb-2010
Instructor: Prof. S. Basu
Submitted by:
Rajendra Inani - #27
Page |1

2. Table of Contents
1 EPGP’s visit to UPMC................................................................................................................ 3
2 UPMC ......................................................................................................................................... 4
2.1 History of UPMC................................................................................................................. 4
2.2 Business Innovation at UPMC.......................................................................................... 4
2.3 One of America's Best ..................................................................................................... 5
3 Highlights about UPMC ........................................................................................................... 6
3.1 UPMC Organizational Structure ..................................................................................... 6
3.2 Global health enterprise ................................................................................................. 6
3.3 Financial Performance .................................................................................................... 7
3.4 Scope of operation and services .................................................................................. 8
3.5 UPMC’s health insurance ................................................................................................ 8
3.6 International ventures...................................................................................................... 8
3.7 Commitment to community........................................................................................... 9
3.8 Affiliated with University................................................................................................... 9
4 International and Commercial Services Division - Highlights ........................................... 9
4.1 Clinical Services Management ...................................................................................... 9
4.2 Infrastructure Consultation............................................................................................10
4.3 Translational Sciences....................................................................................................10
4.4 Strategic/Commercial Product Development Partnerships...................................11
4.5 National Security and Public Health ...........................................................................11
5 International Locations ......................................................................................................... 12
5.1 Cyprus...............................................................................................................................12
5.2 Ireland...............................................................................................................................12
5.3 Italy....................................................................................................................................13
5.4 Qatar ................................................................................................................................13
5.5 United Kingdom ..............................................................................................................14
6 Human Resource Global Assignment ................................................................................ 14
Industry Visit – UPMC - Assignment#1 Page |2

3. 1 EPGP’s visit to UPMC
As part of international immersion module, EPGP undertook a visit to University of Pittsburgh for two
weeks. This team underwent Executive Leadership Program conducted over a period of two weeks (7th to
19th Feb 2010). Under the context of Industrial visit, our team visited three industries. This report covers
our understanding of UPMC visit dated 12th Feb 2010.
Our team visited UPMC facility located in downtown Pittsburgh at 600, Grand Street in one of the tallest
building of Pittsburgh called US Steel Tower.
Located on the 56th floor in the building, this office has demonstration of UPMC’s health care services and
administrative offices.
We were given presentation and demo of health care services using audio and visual tour. Mr. Michael
Anderson, Director, Human Resources provided the presentation and guided tour of facility. We were
introduced in details about its International and Commercial Services Division (ICSD).
Industry Visit – UPMC - Assignment#1 Page |3

4. 2 UPMC
UPMC is an $8 billion integrated global health enterprise headquartered in Pittsburgh, Pennsylvania, and
one of the leading nonprofit health systems in the United States. As western Pennsylvania’s largest
employer, with 50,000 employees, UPMC is transforming the economy of the region into one based on
medicine, research and technology. By integrating 20 hospitals, 400 doctors’ offices and outpatient sites,
long-term care facilities and a major health insurance services division, and in collaboration with its
academic partner, the University of Pittsburgh Schools of the Health Sciences, UPMC has advanced the
quality and efficiency of health care and developed internationally renowned programs in transplantation,
cancer, neurosurgery, psychiatry, orthopedics, and sports medicine, among others. UPMC is
commercializing its medical and technological expertise by nurturing new companies, developing
strategic business relationships with some of the world’s leading multinational corporations and
expanding into international markets, including Italy, Ireland, the United Kingdom, Cyprus, and Qatar.
2.1 History of UPMC
Twenty years ago, the establishment of UPMC initiated an innovative new era in health care in Pittsburgh
and beyond. But, UPMC's history began some time before then.
Over the decades, the organization has evolved from a single psychiatric hospital, to an $8 billion
integrated global health enterprise dedicated to changing the face of health care and creating a new
export economy for the Pittsburgh region. UPMC’s transformation has been driven by a focus on core
values that continue to shape its path.
UPMC originated with a world-class academic medical center, organized in affiliation with the University
of Pittsburgh:
• In 1893, the tertiary care hospital that was to become UPMC’s flagship — UPMC Presbyterian —
was founded.
• In 1973, a comprehensive reorganization of Western Psychiatric Institute and Clinic and the
University of Pittsburgh’s Department of Psychiatry, under the leadership of Dr. Thomas Detre and
Jeffrey A. Romoff, began a new era of research-based medicine in Pittsburgh — and set the stage
for UPMC’s eventual mission of clinical care, research, and teaching.
• In 1986, three university-affiliated hospitals — Western Psychiatric Institute and Clinic,
Presbyterian-University Hospital, and Eye & Ear Hospital of Pittsburgh — unified under an
organization that would evolve into UPMC.
• In 1990, the name “University of Pittsburgh Medical Center,” or UPMC, was adopted. UPMC
continued to merge with community and specialty hospitals, creating the first truly integrated health
care delivery system in the Pittsburgh region.
• In 1997, recognizing the efficiencies possible from complementing its provider network with a
health insurance product, UPMC started what today is its Insurance Services Division.
Throughout these years, diversification into services such as home health care, assisted living and
retirement communities, technology spin offs, and even international health care sites, has provided new
means of supporting the academic and nonprofit mission that continue to this day. UPMC continues to
reinvent itself to anticipate and prepare for the challenges facing academic and nonprofit medicine, both
today and tomorrow.
2.2 Business Innovation at UPMC
UPMC complements its traditional health care culture of dedication, diligence, and compassion with an
entrepreneurial business model that rewards uncompromising innovation, breakthrough ideas, and the
swift, effective translation of research and development to practical products and services. A passion for
innovation lies at the heart of UPMC’s success, running through all of UPMC's operations. UPMC’s
Industry Visit – UPMC - Assignment#1 Page |4

5. unique strategy of combining clinical and research excellence with business-like discipline translates into
excellent patient care for both western Pennsylvanians and the global community.
UPMC is expanding the boundaries of health care by:
• Continuing to develop and refine UPMC’s western Pennsylvania operations in both clinical care
and and an integrated family of insurance options, with particular attention to operational efficiency,
integration, and positioning the organization for health care reform
• By pursuing best-in-class quality results and reaching new heights of patient satisfaction and
consumer empowerment, serving as a national model for the health care system of the future
• Nurturing new businesses through an operating component called International and Commercial
Services, which exports UPMC's medical and technical capabilities in ways that transform the
American and international health care landscapes
• Expanding clinical services and state-of-the-art medical expertise into international markets,
including Italy, Ireland, the United Kingdom, Qatar, and Cyprus
• Pioneering information technology to link and integrate electronic medical records across multiple
hospitals and care settings, both in UPMC's own network and as an exportable product
• Seeding new fields, such as regenerative medicine and biosecurity
In collaboration with business partners, UPMC is developing new models of connected medicine that
integrate information technologies, electronic medical records, and devices to put patients at the center of
health care.
The new businesses that UPMC launches, by itself or with multinational strategic partners, foster
innovation and invention within UPMC and make health care improvements more quickly available to
hospitals and physicians across the globe. By combining peerless clinical services, robust intellectual
capital in biomedicine and technology, and proven management expertise, UPMC has taken a successful
domestic model of comprehensive medicine to the world stage, sharing knowledge, pooling medical and
scientific talent among nations, and accelerating innovation worldwide.
2.3 One of Americaʹs Best
UPMC has received national recognition as
one of “America’s Best Hospitals,” earning
13th position in U.S. News & World
Report’s annual guide. The 2009 results
mark UPMC’s 10th year on the prestigious
Honor Roll, which this year includes only 21
hospitals nationwide that are considered the
“best of the best,” according to the
publication.
In addition, UPMC is nationally ranked in 13
of the 16 medical specialties surveyed—and
is the only local hospital to receive
recognition in any category on this
influential list.
Of the 4,800 medical centers in the nation that were analyzed, only 174 were ranked in one or more
specialties. To be in the elite Honor Roll group, hospitals had to achieve high scores in six or more
specialties, demonstrating “breadth of excellence,” according to the guide.
Industry Visit – UPMC - Assignment#1 Page |5

6. 3 Highlights about UPMC
3.1 UPMC Organizational Structure
3.2 Global health enterprise
• UPMC is an $8 billion integrated global health
enterprise headquartered in Pittsburgh,
Pennsylvania, and is one of the leading health
systems in the United States.
• UPMC is a nonprofit that melds an unwavering
community mission with entrepreneurial business
models. UPMC is the first nonprofit health system to
fully adopt Sarbanes-Oxley.
• UPMC is western Pennsylvania’s largest employer,
with 50,000 employees, and ranks as the no. 2
employer in the Commonwealth.
• A recognized innovator in information technology,
UPMC has deployed an electronic health record
across its hospitals and is developing a semantic
interoperability solution to unify information from
multiple systems. These capabilities, which are being developed in collaboration with industry
leaders like Cerner, GE, and IBM, will result in products that are commercialized nationally and
abroad.
Industry Visit – UPMC - Assignment#1 Page |6

7. 3.3 Financial Performance
Total Operating Revenue $7.7 billion in fiscal year 2009
Total Assets $7.5 billion in fiscal year 2009
UPMC Provider Services • 20 hospitals with more than 4,200 licensed beds
Division • More than 400 clinical locations in western Pennsylvania
• Nearly 5,000 affiliated physicians, including 2,700 employed by
UPMC
• More than 40 UPMC Cancer Centers with 180 affiliated
oncologists
• More than 200 psychiatrists and psychologists providing
Behavioral Health services at five hospitals and more than 50
outpatient and ambulatory locations
• 16 retirement and long-term care facilities, assisting more than
2,000 senior residents
• More than 50 hospital and outpatient rehabilitation facilities
UPMC Insurance Services Nearly 1.4 million members covered by UPMC Health Plan products
Division
UPMC International and UPMC is commercializing its expertise, bringing world-class health care,
Commercial Services advanced technologies, and management to markets throughout the
Division world, including Italy, Ireland, Cyprus, Qatar, and the United Kingdom
Employees 50,000
Annual Patient Activity More than 187,000 inpatient admissions
More than 4.5 million outpatient visits
More than 480,000 emergency visits
More than 165,000 surgeries
More than 800,000 home care visits
Market Share 55.5 percent medical-surgical market share
in Allegheny County
30.3 percent medical-surgical market share in
western Pennsylvania (29 counties)
Community Benefits $518 million, including:
$169 million in care for those without means to pay and shortfalls in
payments for those covered by government programs for low-income
households
$99 million in community service programs to meet health needs and
donations to support other community organizations
$250 million in costs incurred to support research and to educate
tomorrow's health professionals
Economic Impact The spend and re-spend cycle that UPMC's activities initiate translates
into a regional economic impact of more than $16 billion, and 100,000
jobs.
Education • Nearly 1,400 medical residents
• More than 100,000 physicians participate in our continuing
medical education programs each year.
• More than 3,100 nurses in training
each semester
Research More than $450 million in National Institutes of Health funding annually
to the University of Pittsburgh and affiliated programs, ranking among
the top 10 recipients in the United States
Industry Visit – UPMC - Assignment#1 Page |7

8. 3.4 Scope of operation and services
• UPMC operates 20 academic, community, and specialty hospitals and 400 outpatient sites,
employs 2,700 physicians, and offers an array of rehabilitation, retirement, and long-term care
facilities.
• UPMC has created a genuinely integrated health delivery system. With renowned centers of
excellence in transplantation, cancer, neurosurgery, psychiatry, rehabilitation, geriatrics, and
women’s health, it is ranked among “America’s Best Hospitals” by U.S. News & World Report.
• UPMC’s facilities are among the most technologically advanced in the nation. The recently opened
Children’s Hospital of Pittsburgh of UPMC is one of only a handful of “paperless” hospitals in
existence, and is one of two UPMC facilities to reach HIMSS Stage 6 in electronic health record
implementation.
3.5 UPMC’s health insurance
• UPMC’s health insurance arm serves 1.4 million members and has some of the fastest growing
health plans in the region. It offers commercial, Medicare, Medical Assistance, CHIP, behavioral
health, employee assistance, and workers’ compensation products.
• It provides a “public-health” focused front door to a network that includes world-renowned medical
experts, quality health promotion and health management programs, and unmatched service.
• It has been nationally recognized by business and industry groups for innovation and service
excellence.
3.6 International ventures
• Through its International and Commercial Services
Division, UPMC has launched a portfolio of new
businesses and international ventures.
• UPMC is commercializing its expertise, bringing world-
class health care, advanced technologies, and
management skills to markets throughout the world
through: clinical services management, infrastructure
consultation, strategic and commercial product
development partnerships, translational sciences, and
national security and public health. Each component is
designed to drive transformation of health care
delivery worldwide.
• Internationally, UPMC operates a hospital specializing
in transplant in Italy, two cancer centers and a hospital
in Ireland, and an emergency medical system in Qatar;
is implementing information technology solutions in the
United Kingdom; and will manage a newly
created hospital and cancer center Cyprus and a
biomedical research center in Italy.
Industry Visit – UPMC - Assignment#1 Page |8

9. 3.7 Commitment to community
• UPMC is committed to giving back and reinvesting in
the community.
• In the most recent fiscal year, UPMC’s community
contributions topped $500 million and represented 13
percent of net patient revenue.
• In 2007, UPMC made a $100 million commitment to
The Pittsburgh Promise to fund postsecondary
education for Pittsburgh’s high school graduates.
3.8 Affiliated with University
• UPMC is closely affiliated with the University of
Pittsburgh, which ranks fifth in NIH research funding.
4 International and Commercial Services Division - Highlights
UPMC strives to deliver the right care to the right patient, at the right time — every time. This focus
extends beyond the walls of UPMC’s western Pennsylvania network of hospitals, community-based
services, physicians, and outpatient care. It is a vision that permeates all that UPMC does. To that end,
UPMC actively commercializes its expertise globally, bringing world-class health care, advanced
technologies and management skills to markets through its International and Commercial Services
Division (ICSD).
The goal is to advance UPMC’s mission of positively transforming the way health care is provided in the
U.S. and abroad, while revitalizing the economy of western Pennsylvania. Further, UPMC is building a
global health care brand that will continue to attract the best and brightest physicians, nurses,
researchers and staff for the benefit of all of its patients and business ventures.
UPMC is commercializing its expertise, bringing world-class health care, advanced technologies,
and management skills to markets throughout the world.
The goal is to advance UPMC’s mission of positively transforming the way health care is
provided, while revitalizing the economy of western Pennsylvania. UPMC is building an integrated
global health enterprise that will attract the best and brightest physicians, nurses and researchers
for the benefit of all of its patients.
UPMC’s International and Commercial Services Division (ICSD) focuses on operations in five
areas: clinical services management, infrastructure consultation, strategic and commercial
product development partnerships, translational sciences, and national security and public health.
Each component is designed to drive transformation of health care delivery worldwide.
4.1 Clinical Services Management
Working with private partners and governments around the world, UPMC provides hands-on
management of clinical care and specialty services, leveraging the clinical and managerial expertise
honed in Pittsburgh. Major areas of focus include cancer clinics, emergency medicine, hospital
management, and transplantation.
UPMC’s Istituto Mediterraneo per i Trapianti e Terapie di Alta Specializzazione (ISMETT) in
Sicily is now one of the leading organ transplant centers in Italy and the Mediterranean.
Industry Visit – UPMC - Assignment#1 Page |9

10. UPMC is operating cancer centers
in Waterford and Dublin,
Ireland, to deliver high-quality
radiotherapy services. Royal
Berkshire NHS Foundation Trust in
the United Kingdom has also
signed an agreement with
UPMC to create additional cancer
centers.
UPMC Beacon Hospital, an
independent, full-service hospital in
Dublin, is owned and operated by
UPMC.
Qatar emergency medicine benefits from an agreement for UPMC to provide training and
technical services to three hospitals in Qatar. UPMC’s Emergency Medicine Program is
considered one of the top four in the United States.
UPMC will manage a newly created hospital and cancer center in Cyprus.
4.2 Infrastructure Consultation
As a leader in applying information technology to improve the quality and efficiency of health care, UPMC
brings that expertise to the development of innovative IT products and services for customers worldwide.
The Newcastle upon Tyne Hospitals and Royal Berkshire NHS Foundation Trust have
engaged UPMC to design and implement comprehensive electronic medical records systems.
dbMotion is a provider of Web-based technology that seamlessly integrates patient records from
across disparate information systems, providing a single and meaningful record to
clinicians. UPMC is partnering with dbMotion to implement and refine this technology.
Prodigo Solutions provides health care-focused supply-chain management solutions. Powered
by technology licensed from Vinimaya, this e-procurement solution enhances contract
compliance, automates the requisition process, and through a user-friendly online shopping portal
helps drive end-user compliance.
4.3 Translational Sciences
UPMC is leading the way in speeding
scientific research from the laboratory
bench to the
bedside — and to the health care
marketplace. These efforts promote
advances in patient care, while
boosting local economies through the
development of new biotechnology
companies.
Based on its success at
ISMETT, UPMC has been
chosen to develop and co-
manage aBiomedical
Research and Biotechnology
Center (BRBC) in Sicily. Until
the BRBC opens in 2013,
postdoctoral scientists are
Industry Visit – UPMC - Assignment#1 P a g e | 10

11. training in University of Pittsburgh laboratories through a fellowship program sponsored by
the Ricerca Mediterranea Foundation (Ri.Med).
A state-of-the-art cell factory in Palermo, Italy, is one of the country’s most innovative research
projects. It processes, stores, and distributes human cells to be used for regenerating damaged
organs at transplantation centers throughout Europe.
4.4 Strategic/Commercial Product Development Partnerships
UPMC is actively forging long-term partnerships with technology and health care industry leaders. UPMC
acts as a hands-on equity partner, using its $8 billion integrated global health enterprise to develop and
evaluate products and services designed to improve health care delivery.
Alcatel-Lucent, Cerner, General Electric, and IBM have created joint development funds with
UPMC to develop technologies and build businesses that will improve the quality of health care
and reduce its costs. The strategic partnerships that UPMC has established collectively provide
$150 million to develop solutions to challenging problems facing health care today. These unique
joint development funds are part of UPMC’s large-scale effort to commercialize leading-edge
technologies and ideas that will bring real change to health care throughout the world.
Omnyx, a new company jointly owned by GE and UPMC, will develop and market digital
pathology solutions. This technology will transform diagnostic processes that traditionally have
relied on outdated manual methodologies.
TheraDoc software provides real-time information and reporting of infection factors to help
clinical staff and infection control specialists better assess infection risks and support infection
reduction initiatives.
ImPACT software, developed by doctors at the UPMC Sports Medicine Concussion Program for
rapid concussion injury assessment, is now used by more than 2,000 schools, universities,
professional sports programs, and sports medicine centers.
D3 Radiation Planning is a leader in rapidly implementing and supporting intensity-modulated
radiation therapy (IMRT). Since 2001, D3’s expert physicists and physicians have assisted more
than 80 clinics nationally with advanced radiotherapy and supported the treatment of more than
7,500 patients.
Via Oncology, created by UPMC, uses Web-based technology to provide physicians with
evidence-based treatment "pathways" for any given state and stage of cancer, thereby reducing
variability and improving outcomes for patients.
4.5 National Security and Public Health
Protecting western Pennsylvania and the nation from threats to public health is a critical part of UPMC’s
mission.
• The Center for Biosecurity of UPMC provides independent, critical research and analysis to
inform decision makers in government, national security, bioscience, medicine, public health, and
private industry.
• 21st Century Biodefense (21CB) is UPMC's proposed model to create a flexible, multi-product
vaccine development and production facility aimed at protecting the nation from bioterrorism and
infectious disease pandemics.
Industry Visit – UPMC - Assignment#1 P a g e | 11

12. 5 International Locations
With nearly 5,000 affiliated physicians, 20 hospitals, and a myriad of community-based facilities and
outpatient programs serving 29 counties in western Pennsylvania, UPMC is the leading provider of health
care services in the region and one of the most recognized medical centers in the United States. UPMC’s
rehabilitation network includes more than 50 hospitals and outpatient facilities; imaging services are
available in more than 30 locations, and UPMC Cancer Centers offers more than 40 locations throughout
the region.
Spanning the globe and continuing to grow, UPMC is creating an international medical, research, and
academic network providing patients around the globe access to world-class health care closer to home.
International locations include:
5.1 Cyprus
• UPMC formed a joint venture with
a local partner to develop a
specialty hospital in Neapolis Park
that will include transplantation,
orthopedics, neurosurgery,
cardiothoracic surgery, and
cosmetic surgery.
• The existing Iasis 30-bed hospital
will be converted to a
comprehensive cancer center.
Outpatient services will include
programs such as physician
clinics, ambulatory surgery, and
emergency services. (Paphos,
Cyprus )
5.2 Ireland
Two cancer centers opened in Ireland in
2007
• UPMC Whitfield Cancer Centre,
Waterford
• UPMC Beacon Cancer Centre, Dublin
Advanced cancer treatments that are firsts
in Europe: Telemedicine network brings
UPMC Cancer Center expertise,
technology, and the most advanced
cancer treatments available today to
patients with limited access to these
services, including:
• Intensity-modulated radiation therapy
(IMRT)
• Four-dimensional computed
tomography (4DCT)
• Stereotactic radiosurgery (SRS)
Industry Visit – UPMC - Assignment#1 P a g e | 12

13. UPMC Beacon Hospital
In February 2008, UPMC expanded its
partnership with Beacon Medical Group
beyond the radiation oncology center at
UPMC Beacon Hospital to include
management responsibility for the operation
of the entire facility.
• Hospital capacity: 183 beds
• Services offered include:
o Cardiology
o Dermatology
o Neurology
o Orthopedics
• UPMC oversees the day-to-day
operations, staffing and clinical
programs
5.3 Italy
Mediterranean Institute for Transplantation and
Highly Specialized Therapies (ISMETT)
• Managed and operated by UPMC since
1996
• Four operating rooms, 70 inpatient beds
• Creation of a “medical highway” –
exchanging physicians, nurses, and
technicians between ISMETT in Palermo
and the Thomas E. Starzl Transplantation
Institute in Pittsburgh.
•
Leading organ transplant center in Europe
• More than 850 transplants performed
• Number one in Italy for patient survival one
year after liver transplantation
5.4 Qatar
Providing world-class emergency care to the
citizens of Qatar
• In June 2006, UPMC entered into a four-year
partnership with Hamad Medical Corporation
(HMC).
• HMC hospitals provide emergency medical
care to more than 700,000 people annually.
• UPMC physicians, nurses, surgeons and
paramedics provide education, on-the-job
training, and clinical service.
Industry Visit – UPMC - Assignment#1 P a g e | 13

14. Trauma Service launched at Hamad General Hospital (HGH)
• One of the busiest trauma centers in the world, admitting 3,500 trauma patients annually
• Trauma registry created to track and improve patient outcomes
• Plans to become the region’s first Level 1 Trauma Center
5.5 United Kingdom
Newcastle upon Tyne Hospitals - UPMC to install and adapt
electronic health record applications at three Newcastle
hospitals
• Applications include inpatient order entry, patient
administration, pharmacy management, accident and
emergency services, and operating room systems.
• UPMC and Newcastle Hospitals have also formed a joint
venture to provide information technology services to other
U.K. hospital trusts.
6 Human Resource Global Assignment
UPMC shared about its requirement of resources globally. It also shared the challenges associated with
such assignment in terms of availability of talent, willingness to relocate, remuneration, cost to company
etc.
Based on these constraints, it has categorized the assignment in the following broad categories.
• Long-term assignees (expatriates)
- one year and involves relocation
• Short-term assignees
- 3 months to one year
• Rotational
- commuting to another country for short durations
• Extended business travelers
- frequent international trips but do not relocate
• Local Nationals
- Employees hired locally
******************end of report ***********************
Industry Visit – UPMC - Assignment#1 P a g e | 14