UNIVERSITY of KENTUCKY BOARD OF TRUSTEES UNIVERSITY HEALTH CARE COMMITTEE RETREAT June 16, 2008 MEMBERS Mr. James Hardymon Judge Phillip Patton Dr. Charles Sachatello Ms. Myra Tobin Mr. Billy Wilcoxson COMMUNITY ADVISORY MEMBERS Mr. Luther Deaton Ms. Pam Miller Ms. Barbara Young ADVISORY MEMBERS Dr. Lee T. Todd Jr. Dr. Michael Karpf Dr. Richard Lofgren Dr. Jay Perman Mr. Murray Clark Dr. Michael Cibull Mr. Frank Beirne Ms. Caroline Henderson GUESTS A number of guests representing UK HealthCare administration and management including the deans of the health care colleges were present. I. CALL TO ORDER The meeting was called to order at 8:00 a.m. by Mr. James Hardymon. Dr. Karpf began the meeting by reviewing the development of the vision for UK HealthCare and outlined how the retreat would be an update in the context of how that vision has evolved over the last five years and the need to recalibrate our plan for the next five years. Dr. Karpf then introduced Mr. Bradford Koles from The Advisory Board Company. II. STATE OF OUR INDUSTRY 2007-2008 PRESENTED BY BRADFORD KOLES Mr. Koles presented an overview of the current environment found in the healthcare industry. His presentation focused on changes in volume of care being delivered across the industry, the ongoing mission of providing cheaper care and then discussed "disruptive innovations" in care delivery. He first discussed how patient care volumes were lower than expected across the nation for a variety of reasons including a better than usual flu season, a decrease in serious cardiac inpatient stays and a shift