Department of Medicine Faculty Meeting May 24, 2015 Announcements Budget Update Policy on Covering Salary shortfalls Policy on Consult Notes Discussion about DOM Compensation Plan for Clinical Faculty

Announcements Associate Chair for URM Faculty Career Development: Sabrina Assoumou Associate Chair for URM Post-Graduate Career Development: Sheila Chapman Director of Hospitalist Unit: Tom Ostrander Naomi Hamburg is the new Chief of the Section of Vascular Biology effective July 1, 2016 Jay Coffman Endowed Professor of Vascular Medicine will be held by Vasan Ramachandran following the retirement of Richard Cohen in AY 17

Announcements (cont’d) Searches: Hematology-Oncology Section Chief Director, Patient Safety and Quality Inpatient Medical Director New T32 in Preventive Medicine-Cardiovascular Epidemiology (Ramachandran and Xanthakis) Jerry Ellner has announced his intention to step down as Chief of the Infectious Disease Section effective upon appointment of a new Chief- the search will commence in the next month or two Suggestions sought for the Wilkins Visiting Professor

Faculty Development Seminars Seeing the Quality Improvement Project Around You James Moses, Medical Director of QI, BMC Monday, June 6th from 12-1pm in Evans 118

Faculty Grants Faculty Development & Diversity Grants Open to ALL DOM FACULTY at all levels seeking to further their professional development Next deadline is July 15th http://www.bumc.bu.edu/facdev-medicine/grants/

Women’s Leadership Program Target audience DOM women faculty in leadership roles Program Structure 9-months from September 2016 to May 2017 1.5 hours approximately every three weeks Applications accepted until June 20, 2016 Program Elements Experiential seminars focused on effective leadership and fostering change from current role Learning community to successfully negotiate challenges, foster resiliency, and achieve goals through peer mentoring Conversation Cafes with inspirational leaders For more information and to apply: http://www.bumc.bu.edu/facdev-medicine/facdevprograms/womens-leadership-program/

AY 17 Budget Update

DOM— AY17 Budget    

DOM— Projected AY16 Year-End, Operating     Incurred loss of $318K for April due to low volume

Policy on Coverage of Salary Shortfalls To cover salary shortfalls, all sources of funding (e.g., discretionary funds, endowment income, start up package) should be utilized before using operating funds of the section; Use of Operating funds of the section worsens the section’s operating performance which increases the likelihood of a deficit which would need to be covered by a section with an operating profit

Follow-up Consult Notes In order to improve supervision, communication with primary teams, and revenue capture: all inpatient notes by fellows or residents on any medicine consulting service should be signed by the attending The attending should see the patient and write a note of attestation if the fellow is seeing the patient in follow-up and writing a note To improve compliance with this policy, fellows should route their notes for attending signature

DOM Ambulatory FY16 Performance For the period ending March 31st, 2016 Month to date YTD Budget / Goal Variance YTD % FY16 YTD YTD Status Ambulatory volume 1 25,566 137,146 134,308 2.1% Patient experience 2 87.3% 89.6% 90.9% -1.3% Primary care access 3 87% 90% 80% 10% Specialty access 4 52% 50% 56% -6%

DOM inpatient clinical operations FY16 performance Last three months FY16 YTD Goal1 YTD Status LOS O/E 1 0.915 (Dec - Feb) 0.909 (Oct - Feb) 0.903 Avg. discharge time 2 2:55 PM (Jan - Mar) (Oct - Mar) 2:37 PM OBS LOS (hours) 3 38 hours (Jan - Mar) 37 hours (Oct - Mar) 35 hours Readmission rate 4 18.92% (Dec – Feb) 18.69% (Oct – Feb) 17.56% 1 To calculate department level goals, individual patients given department level goal and then calculated an average across the relevant patients. Note will change slightly every month given distribution of patients Source: SDK, Data Analytics & Reporting team

Ambulatory Volume: Evans Medical For the period ending March 31, 2016 Updated 1.25.16

Ambulatory Patient Experience: YTD 89. 6%, MTD 87 Ambulatory Patient Experience: YTD 89.6%, MTD 87.3% For the period ending March 31st , 2016 Top box – HCAPS Recommend this provider office FY16 YTD FY16 MTD Goal

Primary care and specialty access: Medicine For the period ending March 31st, 2016

DOM Compensation Plan Current: wRVU target for section assigned by DOM/FPF wRVU target for individual faculty assigned by SC At beginning of AY, SC establishes quantitative and qualitative measures for bonus at end of year Bonus to all sections from DOM, amount depends on financial performance of dept; sections with positive margin can use up to 40% (NTE 200K) for bonuses Downside- 90-100% of wRVU target, no COLA/bonus <90% salary reduction proportionate to amount below target (e.g., 1% reduction for each 2% below target), waived if section has positive operating margin and hits section wRVU target Future: How could we improve the compensation plan?