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John Buse, MD, PhD PI-extender, Clinical Science Div. of Endocrinology, Dept. of Medicine. TraCS Town Hall CTRC Facilities. Why are we having these meetings?. We want to make this transition successful for our community of investigators.
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John Buse, MD, PhD PI-extender, Clinical Science Div. of Endocrinology, Dept. of Medicine TraCS Town HallCTRC Facilities
Why are we having these meetings? We want to make this transition successful for our community of investigators. Do raise issues that should be addressed in planning for this transition! An overarching concept is that services provided by CTRC and TraCS in general will need to be met with demand (and substantial cost-recovery) to be sustained.
Where did we leave off? • Plan was to move the CTRC from the 3rd floor Bedtower of UNCH to a smaller space on the 4th floor to allow for increased licensed-bed capacity for the health care system. • With recruitment of Dr. Burks, it became obvious that there was little capacity/flexibility on campus to accommodate new clinical research groups • Strategic Plan (in process) will have major investment in developing new translational research capacity • Concerns regarding: • relatively high CTRC costs, • mandate for cost recovery and • decreasing budgets for CTSA award
What has happened since? • Pulmonary medicine will be moving to an off-campus hospital-based outpatient clinic facility on NC 54 corridor. • They will establish an off campus SOM-based clinical research facility adjacent to the new clinic • Other groups have expressed interest in moving with them to take advantage of critical mass
What are our plans? • Outpatient • Move CTRC off-campus in association with pulmonary medicine research space • Pulmonary medicine will provide “code blue” services • Invite groups to establish other affiliated units to increase critical mass, flexibility, cost sharing opportunities • Funds would be available to assist with build-out costs and furnishings • Research groups would pay rent for the space that they control and can staff them and use them as they please
What are our plans? • Inpatient • Inpatient beds will be available on a particular inpatient unit (to be identified) • Up to 4 at a time • 72 hour reservation • Nursing staff training provided by CTRC staff
Unresolved issues • When? Guess 4-8 months • Where? Very, very likely on NC 54 corridor • Investigational pharmacy? • Nutrition support? • What radiologic services/specialized testing would be available? • Shuttle buses, courier services, etc.? • Cost structure? • What research facilities and services will/can be left on campus?
One possibility http://www.palladiangallery.com/
Nice?! Running/walking trails; showers/lockers in 1st floor restrooms Rich wood and granite provide a stunning first impression for tenants and clients Modern finishes and bold colors create a rich work environment Earth friendly practices
Example 1 • Group that does 10-20 study visits a day but needs no more space • 6 exam rooms – 4 small and 2 larger to allow for procedures • Minimal study carrels/phone station • ~1200 sq. ft. @ ~$25/ sq. ft. = $30,000 annually • Assumes shared waiting room space, shared sample processing, offices on campus, storage on campus
Example 2 • Group that does 10-20 study visits a day (mostly in AM) and needs more space in general • 6 exam rooms – 4 small and 2 larger to allow procedures • Offices/carrels/storage space (study materials, binders, pharmacy, freezers) • ~5000 sq. ft. @ ~$25/ sq. ft. = $125,000 annually • Assumes shared waiting room space • Would contract with CTRC, McClendon or commercial vendor for phlebotomy services • Would provide space and or “CTRC-like services” to other investigators for a fee
Questions/Discussion In particular, please do raise issues that should be addressed in planning for this transition!
Clinical and Translational Research Center Projected 2012 Finances
Clinical and Translational Research Center Based on one month’s data, slight increase in grant funding since grandfathering has ended.
Clinical and Translational Research Center January to May 2012 – 59 Investigators using outpatient services
Clinical and Translational Research Center January to May 2012 – 4 Investigators using inpatient services January to May 2012 – 5 Investigators using ROL services