Department of Medicine Faculty Meeting March 16, 2010 Announcements Clinical Update Update on Pulmonary Center CDCI initiative

Announcements Urban Health Initiative update Evans Days speakers sought General Medicine Attending at the VA sought – O.1 FTEE Fellow orientation planned for July BMC development initiative March 21st, 12-1 in the Admissions Conference room: Medical Education Journal Club

Faculty Development Grants To support training in: –leadership –technical skills –grant writing –teaching Typically $1,000-3,000 with matching funds from the section Deadlines: –January 15 –April 15 –July 15 –October 15 Apply online –Application –CV –Letter of support

Training Opportunities Mass BioEd seminars –Improving Biotech Presentation Skills –Leadership Training for Scientists and Managers Jackson Laboratory –Workshop on Phenotyping Mouse Models –Short Course on Genetics of Addiction AAMC Early Career Women Faculty Professional Development Seminar Invite a speaker to lead a workshop on campus

Faculty Development Seminars A Conversation with Journal Editors –Mark Klempner and Richard Saitz –Tuesday, March 29 at noon in Wilkins Interviewing to Hire the Best –Diane Holmes –Monday, April 4 at noon in Wilkins Grant Budget Workshop –Nancy Clinton, Donna Gibson, Karen Hennessey, Liz Wilson –Tuesday, April 26 at noon in EBRC 714

Parents in a Pinch Subsidized backup childcare Available seven days a week $15 an hour for four hour minimum Just call and identify yourself as DOM faculty or staff

Kudos Lindsay Farrer, Ph.D is the first recipient of the Department of Medicine’s Honorary Lecturer based on his career of extraordinary research accomplishments

Inpatient Reorganization Highlights General medicine teams reducing from 12 to 7 Three week attending rotations Reduction in the number of attending rotations by 37 Renal expanding by one intern Cardiology going from two teams to three (one CCU, two floor teams) MICU expanding on MP, contracting on ENP PGY 2/3’s in CCU, no PGY 1’s Call scheme being reworked to conform to new duty hour restrictions

Budget Challenges BMC financial support of the FPF being reduced by $24.4 m for FY 12 Funds to the DOM being reduced from $27.7 m to 19.7 m DOM providing over one third of savings in the FPF DOM operating budget for FY 12 will have to be supplemented with departmental reserves

Budget Strategy Short Term Increase DOM support of sections to partially make up for lost AST (-15%) support Reduce funding of strategic initiatives by BMC Reduce central expenses Increase productivity (wRVU) requirements Improve collections Hold salaries at levels but provide incentive pool for overbase payments

Clinical Productivity Requirements wRVU threshold at mean of last two years of MGMA median Separate target for outpatient e/m (4492) Target for individual faculty a blend of specialty specific target and outpatient e/m target NP’s target will be 2000 wRVU/FTEE Up to 20% salary reduction (as this year) if wRVU target is not reached (first year faculty have 50% target)

Individual Incentives for Targets to be established by Section Chiefs To be distributed to faculty by July 1, 2011 Incentive pool size to be determined Distribution to sections based on blend of size (clinical FTEE) and wRVU’s

Outpatient Clinic Sessions All half day sessions are four hours in length; Two new patients are scheduled for each four hour session. Two overbooks are scheduled for each four hour session; 40 min sessions for new patients; 20 min sessions for return patients Target of 4492 wRVU’s per half day session

Section Incentives 90% of new patients seen within two weeks for the period July 1, 2011 through June 30, 2012; Outstanding performance (to be defined) on both the inpatient and outpatient consultation surveys from April-May 2012; Greater than 85% of clinical encounters coded accurately for the academic year.

Budget Strategy Long Term Improve revenue cycle management and reduce expenses Seek new models of care that provide high value and quality (Rise Health, ACO, MH) Fortify relationships with NHC’s Selectively seek new clinical alliances Work with BMC Health Net Plan to provide clinical services Marketing of clinical practice (Shapiro, BU) Form Physicians Organization and renegotiate rates with third party payers