University of Pittsburgh Medical Center


UPMC is an American integrated global nonprofit health enterprise that has 100,000 employees, 40 hospitals with more than 8,000 licensed beds, 800 clinical locations including outpatient sites and doctors' offices, a 3.8million-member health insurance division, as well as commercial and international ventures. It is closely affiliated with its academic partner, the University of Pittsburgh. It is considered a leading American health care provider, as its flagship facilities have ranked in U.S. News & World Report "Honor Roll" of the approximately 15 to 20 best hospitals in the U.S. for over 15 years.
As of 2016, its flagship hospital UPMC Presbyterian was ranked 12th nationally among the best hospitals by U.S. News & World Report and ranked in 15 of 16 specialty areas when including UPMC Magee- Hospital. This does not include UPMC Children's Hospital of Pittsburgh which ranked in the top 10 of pediatric centers in a separate US News ranking.

History

Origins

UPMC has its roots in the 1893 establishment of Presbyterian Hospital, which serves as the medical center's flagship facility, and the 1886 founding of the Western Pennsylvania Medical College. Soon after its founding, the medical college became affiliated with the Western University of Pennsylvania in 1892, and in 1908, was fully integrated into the university which that same year was renamed to the University of Pittsburgh. Already having informal agreements for teaching and staffing privileges with a number of local hospitals, Pitt and its School of Medicine desired to establish an academic medical center, and by the mid-1920s had formed a plan with city hospitals to have them relocate to the Oakland neighborhood where the university had moved in 1909. The university provided Presbyterian Hospital on the North Side, with a tract of land on its campus to construct a new hospital which broke ground in 1930 and opened in 1938. By the end of the 1930s, the University of Pittsburgh had helped to form the "University Medical Center" including Falk Clinic, Children's, Eye and Ear, Libby Steele Magee, Presbyterian General, and Women's Hospital, as well as the planned Municipal Hospital.
In 1949, a new agreement between the university and Presbyterian Hospital established a three-tiered mission of patient care, research, and education and by 1951, the hospital name was changed to Presbyterian University Hospital to reflect its close ties with the University of Pittsburgh. In 1958, the "University of Pittsburgh Health Center" comprised Schools of Medicine, Dentistry, Pharmacy, Nursing, and the Graduate School of Public Health; Presbyterian, Woman's, Children's, Eye and Ear, and Magee Hospitals; and Falk Clinic, Western Psychiatric Institute and Clinic, Child Guidance Center, Salk Hall, and Central Blood Bank. Through the years, the university and the hospitals moved into an ever-closer alliance. In 1965, the university, Western Psychiatric Institute and Clinic which was managed by the School of Medicine, Presbyterian-University, Magee and Women's, Eye and Ear, and Children's Hospitals incorporated the University Health Center of Pittsburgh. In 1969, Montefiore Hospital joined UHCP.
In the 1970s, a new model of administration, in which clinical revenues were invested into research, was implemented at Western Psychiatric under the leadership of Thomas Detre. After becoming one of the largest recipients of National Institute of Health funding, Detre assumed leadership of all six university schools of health sciences in the early 1980s. Implementing the same administrative model in those units, the schools of health sciences and the medical center were ultimately transformed into one of the largest centers for biomedical research in the nation.

Merger and expansion

Beginning in 1986, members of the University Health Center including Presbyterian University Hospital, Falk Clinic, the Pittsburgh Cancer Institute and Eye & Ear Hospital consolidated into the Medical and Health Care Division and led by Detre, became closely linked administratively, although Presbyterian University Hospital remained separate. In 1990, MHCD acquired neighboring Montefiore Hospital which merged with Presbyterian University Hospital to form the "University of Pittsburgh Medical Center", the first time that name was officially used.
UPMC then formed a network of specialty and community hospitals in 1994 named the Tri-State Health System and established a for-profit health insurance division, UPMC Health Plan, which contracted with these hospitals. In 1996, UPMC acquired South Side, Aliquippa and Braddock hospitals. Meanwhile, UPMC began to merge with several of the already affiliated Tri-State hospitals including St. Margaret Memorial, Shadyside, and Passavant hospitals in 1997 and Magee- Hospital in 1998.
The acquisition and mergers consolidated the Tri-State Health System into a significant portion of the UPMC health system. Due to the immense growth of the medical center, as well as the university's concerns over financial risks associated with faculty practice in the face of national changes in health care reimbursement, the University of Pittsburgh and UPMC separated in 1998, launching UPMC as an independent nonprofit corporation supporting the university.
The university consolidated its physicians' practice plans and transferred them, along with the university's hospital management functions, to UPMC, with UPMC providing ongoing financial support to the university and its academic missions in return. The result was a mutually exclusive partnership formalized by a series of interrelated agreements and mutual executive oversights, which shares numerous board members. This created a decision-making model in which UPMC oversees clinical activity, while the University of Pittsburgh guards academic priorities, particularly faculty-based research.
Expansion of UPMC continued in 2001 as Children's Hospital of Pittsburgh began merging with UPMC. Since then, UPMC merged with Mercy Hospital in 2008; opened new Children's Hospital facilities in 2009; integrated Hamot Medical Center in Erie, Pennsylvania, in 2011, Altoona Regional Health System in Altoona, Pennsylvania, in 2013, and Jameson Health System in New Castle, Pennsylvania, in 2016; along with continued expansion of overseas operations and for-profit business ventures. In October 2016, Susquehanna Health, a four-hospital system in north central Pennsylvania, became the first domestic hospital outside Western Pennsylvania to join the UPMC system. UPMC Susquehanna merged with two additional community hospitals in October 2017.
In December 2016, WCA Hospital of Jamestown, New York, became the first domestic hospital outside of Pennsylvania in the UPMC system. In September 2017, Pinnacle Health, a seven-hospital system in South Central Pennsylvania, merged with UPMC and also with Hanover Hospital. Cole Memorial hospital partnered with UPMC Susquehanna and merged with the UPMC system in March 2018. Somerset Hospital, located in Somerset, Pennsylvania, merged with UPMC on February 1, 2019.
On February 3, 2020, Western Maryland Health System became the first Maryland hospital to join the UPMC system. Washington Health System merged with UPMC in 2024, resulting in the operation of over 35 academic, community, and specialty hospitals in Pennsylvania, Maryland, and New York, as well as over 600 outpatient sites and doctors' offices, more than 50 facilities for physical, occupational, speech and specialty therapies, and 14 retirement and long-term care site, along with its international and for-profit ventures.

Physicians and researchers

Among the renowned individuals who have worked with the University of Pittsburgh's medical center through its history are Jonas Salk who developed the polio vaccine while at the University of Pittsburgh, pediatric psychoanalyst Benjamin Spock, Peter Safar who pioneered CPR and the world's first intensive care training program at the medical center, and surgeon Thomas Starzl who perfected organ transplantation there. Other doctors include pathologist Maud Menten who is famous for her contributions to enzyme kinetics, leading orthopedic surgeon and sports medicine expert Freddie Fu, pioneering immunologist Niels Kaj Jerne, forensic pathologist and Allegheny County Coroner Cyril Wecht, Vitamin C's discoverer Charles Glen King, pediatrician Jack Paradise, leading head and neck cancer surgeon and otolaryngologist Eugene Nicholas Myers, laparoscopic liver resection pioneer David Geller, breast cancer treatment pioneer Bernard Fisher, and virologists Patrick Moore and Yuan Chang, who co-discovered Kaposi's sarcoma-associated herpesvirus.

Famous patients

UPMC has provided care to many celebrities, including Pennsylvania two-term governor and 1992 Presidential candidate Robert P. Casey for cancer, 10,000 Maniacs guitarist and founder Robert Buck for liver disease, sportscaster Bob Prince, publisher William Block, MCI CEO William G. McGowan, transplant recipient Stormie Jones and Pittsburgh mayors Bob O'Connor for lymphoma and Richard Caliguiri for amyloidosis. Pittsburgh Steelers quarterback Ben Roethlisberger was rushed to UPMC Mercy after his 2006 motorcycle crash and NASCAR driver Dale Earnhardt Jr., was treated for concussions in 2012., Pittsburgh Steelers running back, James Conner was treated at UPMC Hillman Cancer Center The golfer Arnold Palmer, a native of Latrobe, Pennsylvania, died at UPMC Shadyside on September 25, 2016. In 2017, Manchester United striker Zlatan Ibrahimović traveled to a UPMC facility to have surgery to repair his torn anterior cruciate ligament.

Operations

Administratively headquartered in 29 floors of the U.S. Steel Tower in Pittsburgh's Central Business District, UPMC operates as a complete and integrated health provider system that, although legally separate from the University of Pittsburgh, identifies it as a supported organization in its articles of incorporation and remains closely affiliated with the university and its Schools of the Health Sciences including via the existence of mutual board memberships and subsidization of the university's academic programs. Under a collaborative and coordinated decision-making model, UPMC oversees all clinical activity, including a consolidated physicians' practice plan consisting of university faculty, while the University of Pittsburgh remains the guardian of all academic priorities, particularly faculty-based research.
UPMC's 24-member Board of Directors equally splits representation between three groups: the University of Pittsburgh, the community at-large, and individuals historically involved in the governance of its system's hospitals. UPMC is composed of three major operating components: Provider Services, Insurance Services, and International and Commercial Services. The latter two divisions include the for-profit health insurance company and a for-profit International and Commercial Services Division that seeks to bring health care, management, and technologies to market throughout the world. UPMC is the largest employer in the state of Pennsylvania.