Department of Medicine Faculty Meeting January 19, 2011 Announcements BMC Update Clinical update Education update

Announcements Budget process for the academic year starting in a few weeks External review of the Department to be arranged in 2011 LCD screens to be placed on campus for information re educational events Dim Sum: China Pearl, Saturday, March 12, 11 am-2 Faculty Development Seminar: Feb 7 “Effective Feedback”, Drs. Julie Crosson, Henri Lee, Rob Lowe, and Craig Noronha, 12-1 pm, Wilkins

Grand Rounds January 21: Rita Blanchard, M.D. “Breast Cancer: More than One Disease” January 28: Aram Chobanian, M.D., “Current Concepts in the Management of Hypertension” February 4: Rob Lowe, M.D. and David Battinelli, M.D., Clinical Case Discussion February 11: Ravin Davidoff, M.D., “Valvular Heart Disease: Update for 2011”

Kudos Elected to ASCI: – Darrell Kotton, M.D. – Flora Sam, M.D. – Avi Spira, M.D.

BMC Update Status of BMC lawsuit v Commonwealth of Massachusetts Supplemental funds from CMS for FY 10 and 11 FTI review of the department Income down and expenses down; currently running better than budget

Proposal for Three Week Inpatient Attending Rotations Pros – Would synchronize more often with residents/interns – More continuity of care and longer period of observation of students and house staff than with two week rotations – Simplifies orientation and evaluation process – Can be synchronized with outpatient general medicine attending schedule for continuity clinic supervision – Less disruptive to outpatient activities than with four week rotations Cons – More disruption to outpatient activities than with two week rotations – More disruption to medical student observation and evaluation than with four week rotations

Clinical Update Compliance with coding requirements improving but still below target of 85% compliant Satisfaction – HCAHPS at 61% rate inpatient experience 9 or 10 (goal of 70%) Quality – Access slightly improved in some areas but still below 14 day target – Observed mortality down YTD Volume – Visits up 4.3% – wRVU’s up 8.3% (up for every section YTD) – Charges up 8% – Collections up 10% – Days in Accounts Receivable down 26%

Comparison with other DOM’s Departmental Revenue Sources % of Revenue from SOM HospitalClinical Practice Grants BU DOM1.5% (<25%ile) 24.6% (90%ile) 25.0% (<25%ile) 47.7% (90%ile) AAIM DOM ref Group (’09)

Comparison with other DOM’s Professional fees No# Days in AR Gross Collection Rate BU DOM$35.4 m3328.0% AAIM DOM Reference Group (’09)

10 BMC Volume – FY11 December YTD Discharges

11 Inpatient Discharges & Observation December FY11 YTD

12 BMC Volume – FY11 December YTD All Patient CMI

13 BMC Volume – FY11 December YTD Clinic Visits

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Research Update Research Grants are up 14% YTD through Nov ‘10 Researchers Meeting, Tuesday, Mar 15, 12:30-1:30 pm, Wilkins Boardroom Specific Aims Page Review due March 1, send page to Core support request: Due Tuesday, February 1 Form and information can be found at: in-the-department/dom-core-support-request- form/

Education Update rotation format going well Increased student participation in subspecialty clinics Education Journal Club – Jan 20 th, 12 noon, BUSM Admissions Office Conference Room Community Medicine Unit – Faculty development session and breakfast, Crosstown, January 20, AM-9AM Duty hour reporting by residents is around 45% Intern applicant interviews continue through the end of January LCME Visit for BUSM February 27-March 2, 2011