Department of Medicine Faculty Meeting April 20, 2012 Announcements Recently Hired Faculty DOM Budget-CARTS

Announcements Inpatient Reorganization update Karin Sloan, M.D. – Director of Clinical Quality Changes in the Commonwealth Medical Group practice Pilot Grants for Education

Announcements (con’t) Thanks to Jane Liebschutz, M.D. for serving as Interim Chief of the GIM Section Shally Bhasin, M.D. has accepted a position at BWH starting in AY 2013

Medical Grand Rounds April 27 Acute Kidney Injury in Cirrhosis Philip Kramer Visiting Professor Guadalupe Garcia-Tsao, MD Chief of Digestive Diseases VA-CT Healthcare System Director, Clinical & Translational Core Yale Liver Center Program Director, VA-CT Hepatitis C Resource Center Professor of Medicine, Yale University School of Medicine May 4 New Strategies and Guidelines for the Management and Prevention of Health- Associated Pneumonias Donald E. Craven, MD Chairman, Center for Infectious Diseases and Prevention Lahey Clinic Medical Center Professor of Medicine, Tufts University School of Medicine May Update: Management of Patients with Acute Coronary Syndromes John Varga, MD Director, Northwestern Scleroderma Program John and Nancy Hughes Professor Division of Rheumatology Northwestern University Feinberg School of Medicine May 18 Scleroderma: Toward Rational Therapy Gary Garber Memorial Lecture George Philippides, M.D. Vice Chair, Clinical Affairs and Chief Quality Officer Cardiovascular Division, BMC Associate Professor of Medicine, BUSM

Faculty Development and Diversity Faculty Friday Social –Fri., April 27 from 4:00 to 6:00 p.m. –Wilkins Board Room Creating an Inclusive Work Environment –Mon., May 7 from 12-1 p.m. in Wilkins –Rafael Ortega, MD Academic Writing Workshop –One Thursday a month from September to January – medicine/seminars/academic-writing-workshop- 2012/ medicine/seminars/academic-writing-workshop- 2012/

New GIM Faculty Amy Linsky, M.D. Lisa Quintilliani, Ph.D. Patrick Fleming, M.D. Jennifer McCarty, M.D. Janelle Baptiste, M.D. Khelda Jabbar, M.D. Sarah Bagley, M.D. Fausto Ortiz, M.D. Patrick Fleming, M.D. Jaymin Patel, M.D. Azadeh Nasseh, M.D. Shwetha Sequeira, M.D. Jennifer Siegel, M.D. Lily Ackerman, M.D. Ethan Bortniker, M.D. Jacob Feldman, M.D. James Hudspeth, M.D. Priya Joshi, M.D. Marshall Fleurant, M.D. Daniel Cottrell, M.D.

New MD and PhD Faculty (con’t) Computational Biomedicine: Jennifer Beane, Ph.D. Evan Johnson, Ph.D. Endocrinology: Julie Xu, Ph.D. Anqi Zhang, Ph.D. Varsha Varmalanda, M.D. Dong Wook Kim, M.D. Preventive Medicine: Vanessa Xanthakis, Ph.D. Vascular Biology: Francesca Seta, Ph.D. Gastroenterology: Tova Meshalum, Ph.D. Clinical Epidemiology: Deyvani Misra, M.D. Renal: Ashish Upadhyay, M.D. Lauren Stern, M.D. Sandeep Ghai, M.D. Infectious Disease: Gopal Yadavalli, M.D. Cassandra Pierre, M.D. Benjamin Linas, M.D. Nahid Bhadelia, M.D. Sabrina Assoumou, M.D. Maura Fagan, M.D. Rachel Simmons, M.D. Geriatrics: Megan Young, M.D. Christine Liu, M.D. Cardiology: Jennifer Ho, M.D.

Searches-Update Director, Graduate Program Geriatrics GI Primary Care HMU

BMC Update On target to break even in FY ’12 New CIO being recruited Review of EMR options initiated BMC HealthNet Plan competed successfully for Commonwealth Care and New Hampshire Medicaid Managed Care contracts

10 CARTS UPDATE Negotiation with BMC nearly complete CART funding: approx. $63M or $72M including Free Care Strategic funding: TBD Transition funding: TBD Next step: Develop FPF Budget FACULTY PRACTICE FOUNDATION, INC.

11 CLINICAL FUNDING Clinical Funding = Expected Clinical Compensation – Actual Clinical Revenue –Expected Clinical Compensation Median wRVUs (the 50 th percentile) by discipline Median compensation from Northeastern Region of AAMC benchmark for Associate Professor by specialty. MD stipend: $4,300 per clinical FTE Payroll processing fee: 0.5% of salary Malpractice expenses: Average malpractice per clinical FTE –Actual Clinical Revenue Net Patient Service Revenue net of 10% for billing collection cost; excluding off-site, payment with zero wRVU and non-MD revenue Free Care revenue PQRI, P4P and other revenue enhancement FACULTY PRACTICE FOUNDATION, INC.

12 ADMINISTRATIVE FUNDING Administrative Funding = MD Leaders + Admin for MD Leaders + Admin for Clinical MDs –MD Leaders FTE: As agreed and signed off by BMC ; salary and fringe are based on actuals –Admin FTE = 1.0 * per Chair and 0.75 * per Non Chair FTE; Salary and fringe = $74,000 per FTE –Admin for Clinical MDs = 1.0 per 4 clinical FTE; salary and fringe = $44,800 per FTE FACULTY PRACTICE FOUNDATION, INC.

13 RESEARCH FUNDING Research funding = 10% of IDC + 5% of OCR FACULTY PRACTICE FOUNDATION, INC.

14 TEACHING FUNDING Teaching funding = Teaching Leaders + Admin Support + Core Faculty + Non Salary –Teaching Leaders: As agreed and signed off by BMC; salary and fringe are based on actuals –Admin FTE: As agreed and signed off by BMC; salary and fringe = $67,670 per FTE –Core Faculty = $5,000 per on-site resident + $4,500 per off-site resident + $2,500 per on- site fellow + $2,250 per off-site fellow –Non Salary = $2,355 per resident/fellow FACULTY PRACTICE FOUNDATION, INC.

Central Department of Medicine DRAFT Budget Projection AY 2013 Revenue –Tax on collections3.4 m –Endowment 5.1 m –Investment0.4 m –BUSM IDC0.6 m –Total Revenue: $9.5 m Expense –DOM Admin3.8 m –VC Research1.8 –ECIBR0.8 –Evans Awards0.55 –GPMM 0.2 –K/T32 cost sharing0.3 –Support of >90% funded0.3 –Fac Development0.3 –Fac Non-Contin.0.5 –Recruitments3.0 –Miscellaneous0.1 –Research Sect support0.3 –Total Expense: $11.95 m

Options for Additional Revenue for Central DOM Tax CARTS funds to sections Tax “Section Profits” under “C” portion of CARTS Tax External Contracts Increase Endowment payout from 5% (current) to 7%

Options for Additional Revenue for Sections Clinical –If wRVU total for the section yields profit according to: (wRVU’s earned/wRVU target) x Median AoP salary minus cumulative “C” S/F/MP premium cost for the section Research –Enhance IDC’s –Create Income stream from DOM for fixed/variable costs