FINANCE COMMITTEE Draft Recommendations May 1, 2012

The Members Bernard, Sheilah Bolotina, Victoria Center, David M Coviello, Andrea Ellner, Jerrold Farrer, Lindsay Jacobson, Brian Liebschutz, Jane McGovern, Wanda Morin, Lisa Patch, Felicia Seldin, David Sloan, Karin JOHN GUPPY

The Charge Review incentive and compensation practices in DOM, recommendations to promote equity, efficient and effective use of the resources, including funds distribution methodology, fair compensation practices, and transparency in the financial procedures/policies

Clinical – RVU Targets 1.Best Practices to assign individual RVU targets with modifiers based on achievable wRVUs per clinical assignment, teaching, required service to BMC, and compensation. 2.As part of “S” in CARTS, BMC should modify targets for essential activities, downstream revenue – primary care, hospital medicine

Clinical – Incentives 3.If faculty members exceed target eligible for non-financial incentives such as preferential scheduling, vacations. If exceed target by > 5% financial incentives by formula includes quality measures, teaching, service, uncompensated administrative activity

Clinical – Penalties 4. Faculty members >5% below cRVU targets for current year will be reviewed by Finance and Compensation Committee. Unless extenuating circumstances, the difference will be withheld from their FY13 salary. After 6 mos, restored based on target pro-rated for the half year.

Clinical 5.“S” in CARTS model, the DOM should negotiate funds to be allocated achievement of pay-for- performance quality metrics 6.No COLA for FY13 7.Academic stipends standardized across Sections

Research 1.Best Practice Models to assure timely and sufficient grant submissions. Annual review include a 2-year prospective plan- when grants expire, when renewals and new grants submitted, timeline support of research staff, for notifying staff of potential expiration of support.

Research 2.Funding of bridge and pilot grants should be maintained/enhanced. Probability of obtaining extramural funding for the specific studies (not investigator him/herself) should be the main criteria for bridge and/or pilot grants.

Research 3.Greater centralization of research admin in DOM 4.Sharing of expert technicians between PIs 5.The DOM should recruit a development officer

Research 6.Faculty compensation over NIH cap participate in development of programmatic funding and training grants (rapid response team as RFA/RFP announced); mentorship of junior faculty. New funding and REF funds should be incentivized

Research 7.REF funds held centrally by Sections for research admin, support salaries over cap, strategic support of research, reward successful faculty with incentives and support for meetings, and to assist with bridging under-funded faculty.