Department of Medicine Faculty Meeting April 20, 2011 Announcements Clinical Update Research Update

Announcements Thank you for Ambulatory/Inpatient Attending coverage for students and residents Clinic Preceptor Faculty Development initiative starting next year Graduate Program in Molecular Medicine to undergo review-committee led by Dr. Jerry Brody Faculty Technology Commercialization Boot Camp, 9:00 a.m. - 2:00 p.m. in Room 906 of the Photonics Center on May 17, Consultation survey will be distributed soon

Kudos To Dr. Lew Braverman for receiving the AACE’s Baskin Award for Excellence in Teaching To Dr. Shally Bhasin for being elected to serve as Chair of the Endocrine Specialty Certification Board of the ABIM

Faculty Development and Diversity Budget Planning, Tuesday, April 26, 2011, 650 Albany Street, Room 714, 12:00 to 1:00 p.m. Mastering Meetings II: Dealing with Difficult Participants, Monday, May 2, 2011, Evans Seminar Room, 9:00 to 11:00 a.m. Resume Boot Camp, Monday, May 2, 2011, Wilkins Board Room, 12:00 to 1:00 p.m. Leadership and Faculty Development Conference and Minority Health Policy Annual Meeting, May 10-13, 2011, Harvard Medical School, dex.html dex.html LGBT Safe Space Training, Tuesday, May 10, 2011, Wilkins Board Room, 4:00 to 6:00 p.m.

Grand Rounds April 22 nd Laurence H. Beck, Jr. M.D. PhD. Membranous Nephropathy: What’s all the Fuss About? April 29 th Howard Koh, M.D. Health Reform May 6 th George Annas, J.D. Topic TBA

Update on Searches GI Section Chief Geriatrics Section Chief Residency Training Program Director Chair of Surgery

Recent Faculty Recruits Ben Linas, M.D.- Infectious Disease Stefano Monti, Ph.D., Jennifer Beane, Ph.D., Katrina Steiling, M.D. – Computational Biomedicine Ethan Bortniker, M.D., Jacob Feldman, M.D., James Hudspeth, M.D., Dan Cottrell, M.D., GIM Lauren Stern, M.D., Renal Christine Liu, M.D., Geriatrics Andrew Cowan, M.D., Hematology-Oncology

Budget Update Department continues to run substantially better than budget for AY 11 Evans Endowment benefiting from rise in equity market BMC had a profitable month in March due to expense reduction, a modest increase in reimbursement rates, and volume increases in the outpatient clinics Higher commercial rates for some insurers Planning for department’s AY 12 budget ongoing- we are projecting a $5.9 m deficit Plans for a 2% salary increase ($4K cap) for FPP faculty in the department

Clinical Update Rise Health initiative in Primary Care to be implemented July 1, 2011 Clinical volume growing on outpatient, flat to decreased on inpatient discharges, and increased in Observation patients Clinical collections increased substantially in March Inpatient mortality rate continues to decline Access for new patients continues to improve in outpatient clinics

Productivity Targets v 2.0 Goals of working group – Close DOM funding gap for MD salaries – Mean of 50 th percentile for 2009 and 2010 MGMA academic benchmarks – Create achievable and aggressive targets – Retain individual targets and accountability – Create a team-based approach through use of section targets – Reduce some of the down-side salary risk for individuals

Features of Productivity Plan v 2.0 Individual targets sum of: – Specialty specific target – Outpatient e/m across dept – Inpatient e/m (85% of specialty specific target) Section targets sum of: – Specialty specific target x clinical ftee + outpatient e/m x clinical ftee Individual incentive pool to be retained for each section Faculty who do not reach individual targets: – Salary reduced by 20% of clinical effort up to maximum of 10% of total salary – Salary reduction attenuated if Section hits targets

Finances of Clinician Salary Support

Inpatient Redesign MP: – Six general medicine teams – Geriatrics ENP: – Specialty teams (HO, Renal, Cardiology) – CCU and MICU – One general medicine team – One hospitalist team Medical students on general medicine, geriatrics, hematology-oncology, renal, cardiology

Research Update Research Faculty Meeting on Monday, May 16 at 12:30 p.m. in the Wilkins Board Room Evans Days speakers sought for 2011 Substantial improvement in Research computing to be discussed at Research Faculty meeting and general faculty meeting in May Research funding up 28% through BMC (March YTD) and down 29% through BUSM (February YTD)- net is a few percent up