Henry Ford Health System in Detroit and Michigan State University in East Lansing have signed a nonbinding letter of intent to create a primary affiliation to share research and clinical care, develop a long-term plan to build a joint research institute and increase health student education with a regional health campus for MSU in Detroit.
The letter of intent, which is expected to be finalized this fall with a series of definitive agreements, was developed after months of discussions, beginning shortly after affiliation talks between Henry Ford and Wayne State University broke down.
"Partnerships with the potential for greater impact are more important than ever before," said Wright Lassiter III, Henry Ford's president and CEO, in a statement. "The COVID-19 pandemic and the ongoing injustices and recent protests in cities across our nation have amplified the importance of and urgency for innovation and discovery that radically improves the health of all of the communities we serve."
The affiliation is expected to lead to a redesign of care around patients and communities through education, research and clinical care, officials said. The collaboration, which builds on Henry Ford and MSU's long-term medical education and research partnership, also will focus on improving access, affordability and outcomes for Michigan's underserved populations.
"Health care is one of the most important building blocks of a strong community, and for that we believe every individual deserves accessible, affordable, compassionate, quality care," said Samuel Stanley Jr., M.D., MSU's president, in a statement. "We must seek solutions to address disparities across cultural, racial and socioeconomic lines. This pandemic has demonstrated the willingness of individuals from multiple disciplines and from different organizations to unite — the time to build upon that is now."
While details are still being worked out in definitive agreements, the affiliation between Henry Ford and Michigan State could be as large and significant as the failed affiliation deal Project Leapfrog last year between Henry Ford and Wayne State, Lassiter said.
Back in the fall of 2018, the Wayne State board of governors began squabbling among themselves after WSU signed a letter to replace Detroit Medical Center with Henry Ford as its primary teaching hospital.
In late March 2019, Lassiter sent a letter to the Wayne State board notifying it that Henry Ford had suspended affiliation talks because the WSU board of governors was not united in its position on the far-reaching affiliation.
WSU President M. Roy Wilson said Tuesday that the announcement of a Henry Ford-MSU affiliation was not unexpected.
"I respect and support both Wright Lassiter and President Stanley, both of whom are strong leaders and personal friends, and I have confidence they can build a health model that will be good for them and our community," he said. "I wish we could have continued on our earlier path to becoming Henry Ford's academic partner. I remain convinced that our proposed partnership would have been transformational, and would have benefited Wayne State, Henry Ford and the community far into the future. The good news is that we still maintain a strong partnership with Henry Ford Health System that serves our respective organizations and the people of Detroit."
While still early in the talks, Lassiter said the two health organizations foresee at least two physical buildings. He said a research institute and a regional campus building for Michigan state would be built in Detroit.
"Michigan State wants to have more of a presence in the city of Detroit," Lassiter said. "A regional campus corresponds to a medical school campus in the city of Detroit. It would be operated by Michigan State and jointly planned with us."
Michigan State has several regional campuses across the state operated by its College of Human Medicine and the College of Osteopathic Medicine. Besides Henry Ford in Southeast Michigan, MSU has a variety of medical affiliations with Ascension Health and Detroit Medical Center.
Lassiter said there are two options for locations of the research institute or the regional medical campus. One is the 300-acre location south of Henry Ford Hospital off Grand Avenue, where a new outpatient cancer center recently opened. The second location could be a development in the Midtown area of Detroit. Wayne State's medical school is located on the campus of Detroit Medical Center in Midtown.
"This effort will uniquely prepare our students to lead the way in improving health and health care in the future," said Norman Beauchamp Jr., M.D., MSU's executive vice president for health sciences, in a statement.
"Aligning the education, clinical and research strengths of Henry Ford, with MSU strengths campus-wide, we will drive discovery, enhance existing partnerships and ultimately bring more to bear in serving the communities of Michigan."
Adnan Munkarah, M.D., Henry Ford Health System's executive vice president and chief clinical officer, said the partnership will also enable the expansion of translational research, a major emphasis for six-hospital Henry Ford that brings clinical research to practical medical care.
Henry Ford and MSU plan to engage in combined research areas that will address health inequities and disparities, social determinants of health, primary care, implementation sciences, precision health and cancer. Henry Ford is one of the region's major academic medical centers, receiving nearly $100 million in annual research funding and ranking among Michigan's largest NIH-funded institutions.
"Together, we have a tremendous opportunity to think about the whole care continuum," Munkarah said. "From accelerating the speed at which patients benefit from new discoveries to working with our health plan on innovative care models to drive down costs — we will partner with patients, families and communities across their whole health care journey, including primary care and prevention to complex specialty care and chronic disease management."
Oncology and cancer programs have been a major growth area for Henry Ford the past several years. The partnership is expected to create a fully integrated cancer program that will combine research and clinical care.
Executives said the partnership will include efforts to achieve National Cancer Institute designation.
Karmanos Cancer Institute is one of 47 U.S. comprehensive cancer centers recognized by the National Cancer Institute and the only one in metro Detroit.
Medical education also is a major academic service line for MSU and Henry Ford. The partnership is expected to expand education opportunities for physicians, nurses and other health care professionals, focused on diversity, recruitment and retention and training models.
"We know that providing a progressive approach to medical education — strongly rooted in early collaboration and integrated care modeling — can attract and retain the best and brightest health care talent," said Steve Kalkanis, M.D., CEO of the Henry Ford Medical Group and the health system's senior vice president and chief academic officer, in a statement. "That's a truly unique way we can promote economic growth and vitality for Detroit and all of Michigan."
In an interview with Crain's, Lassiter said last April he asked Henry Ford staff to go back to the drawing board and develop a comprehensive academic strategy plan, similar in scope to the Project Leapfrog with Wayne State, that could help the six-hospital system launch its own academic medical enterprise.
"My initial conclusion was to create the Henry Ford Health Sciences Center as an independent entity, regardless of the partner, and then focus on an academic affiliation at a later point. Our board supported those efforts," he said.
"While we were doing that, we began evaluation our options for an academic affiliation as well. "We also looked at partnerships (universities) and organizations outside the state of Michigan," he said.
In 2015, Henry Ford discussed a potential partnership with Oakland, Calif.-based Kaiser Permanente, Crain's reported. Those talks were unsuccessful. This time, however, Lassiter said Henry Ford was only interested in a university partner.
"It was probably late summer (2019) that the team came to me and said there had been an initial conversation" between Henry Ford and Michigan State, Lassiter said.
Lassiter said it could take up to five years to develop a regional campus and the research institute, given the COVID-19 pandemic and the challenges surrounding financing projects.
"The training of Michigan State students (osteopathic and allopathic) could happen more quickly than that time frame," he said. "It could happen in the next academic year or two."
Lassiter said clinical training rotations at Henry Ford Hospital would come first.
Munkarah said three Henry Ford hospitals already train about 60 to 70 osteopathic students. He said plans are to add a small group of allopathic medical students at Henry Ford Hospital to train in complex care services.
"Both the faculty at Michigan State University and our staff would collaborate to train these these individuals and hopefully retain them and recruit them to stay in Michigan," Munkarah said. "It would be significant win for our communities to retain these students."
Munkarah said the number of new osteopathic and allopathic medical students haven't been determined, but he said it will most likely be less than 50.
Lassiter said none of the plans with Michigan State would interfere with any existing relationships either organization has with other partners.
"We want to do a number of things together to raise the bar for clinical research, raise the bar for talent attraction, medical and scientific talent attraction" and jointly develop research and clinical programs that help the community, Lassiter said.
Henry Ford Health System is a $6.5 billion integrated health system comprised of six hospitals, a health plan, and more than 250 sites including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and other health care retail.
Michigan State University is one of the nation's top research universities and has affiliations with major academic hospitals in Michigan, including Detroit Medical Center and Spectrum Health in Grand Rapids. It has more than 200 programs of study in 17 degree-granting colleges.
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Henry Ford Health, MSU to partner on research, patient care, regional health campus in Detroit - Crain's Detroit Business
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