1. Funds Flow Report Training Session 1
Bondurant G-030
April 24, 2018

2. Navigation
Infoporte > Home > School Reports > Funds Flow > Funds Flow 2018 Report

3. FF Summary by Department Department Level Clinical Impact + UME + GME
Dept Level Clinical Impact
MD revenue
Benefits
Overhead
Reimbursement - Clinic & Rent (70%) - Drug expense (100%)
Technical allocation if applicable
Contract tax
UME
State funds
MD teaching
GME
Residents
First Year Sub-specialty residents
Program Directors
Program Coordinators

4. Department Level Clinical Impact

5. Paying for Clinical Work
3 year rolling average of MGMA median salary/ 3 year rolling average of MGMA median wRVUs (or ASA Units for Anesthesiology)
If the “N” value is less than 45 in the MGMA survey then the $$ per wRVU moves from sub-specialty to specialty
Reimbursement rate for Children’s services across all departments will be boosted 25%
Denials that result in a write-off receive 50% credit
Self-pay wRVUs that have payments that are less than 25% of the charge receive a 50% credit
wRVU data is run by post date
MD Clinical Faculty receive funding $$ per wRVU
Adjusted for start/end dates
Benefits (University and FP benefits) * cFTE
Adjusted for Job FTE
Overhead * Job FTE * cFTE

6. Paying for Clinical Work, cont.
Prorates are Covered Centrally
Not including APPs or malpractice which will continue to be paid by the departments
There are a set list of accounts to be reimbursed
Clinical & Rent Expenses (70%)
Full cost of drug expense is reimbursed
Drug Expense (100%)
Retained at central FP
Full cost of providing technical services is reimbursed
Technical Revenue (100%)
Departments will continue to employ and receive associated revenue (including UPL) for APPs, including CRNAs, psychologists, and MSWs
Prorates non-MD revenue or non-EPIC revenue will still apply at 21%, however drug expense will no longer be netted out
Non-MD Revenue and Third Party Billing

7. UME

8. UME Funds to Follow Teaching
For MD teaching, the Undergraduate Education Committee report is used to allocate funding at a department level
Direct state line item budget, and joint funding contracts with other schools are excluded
Centers are excluded. This will be reassessed when the University updates its funding model.
75% of State Funds will be allocated based on teaching effort as specified by 12 Cell Matrix data
BBSP support will be funded centrally
The Genetic Medicine tax is eliminated
Remaining 25% is allocated to the Dean’s Office for strategic investment in research and education
The state budget will no longer support permanent 1% position funding. They will not be part of the model going forward.

9. State’s 12-Cell Matrix NEW 2016 - 2017 Type of Teaching 12 Cell Weight
Credit Hours
Weighted Hours
Undergrad
1.74
5,408
9,410
Masters
3.81
6,010
22,898
Doctoral/PhD
6.45
9,760
62,952 MD
32,448
209,290
53,626
304,550

10. MD Allocation Based on the Educational Committee Report
Percent effort in Translational Education at Carolina (TEC) teaching by SOM department
months 9 5 12 14
Weighting of "Years" based on months
22.5%
12.5%
30.0%
35.0%
MD Teaching Allocation for UME Model
Department
1st Year Med Student Ed
2nd Year Med Student Ed
3rd Year Med Student Ed
4th Year Med Student Ed
Year 1
Year 2
Year 3
Year 4
Correction for % Issue Y3 & Y4
Total MD Alloc
Biochemistry
5.00%
1.20%
$173,591
$96,439
$55,549
$64,807
-$3,732
$386,655 3%
Cell Biology and Physiology
15.00%
$520,773
$289,318
$926,715 6%
Genetics
Microbiology
7.50%
$260,386
$144,659
$521,670
Pathology
Pharmacology
0.00% $0
-$1,722
$323,857 2%
Social Medicine
10.00%
$347,182
$192,879
$656,685 4%
Anesthesiology
1.25%
2.40%
4.80%
$43,398
$24,110
$111,098
$259,229
-$11,483
$426,352
Dermatology
-$9,761
$372,525
Emergency Medicine
2.50%
7.20%
$86,795
$48,220
$333,295
$388,844
-$22,392
$834,761 5%
Family Medicine
9.60%
$444,393
$518,458
-$29,856
$1,068,010 7%
Medicine
14.40%
$777,687
-$37,894
$1,454,216 9%
Neurology
$129,615
-$14,354
$583,570
Neurosurgery
-$7,464
$300,756
OBGYN
-$25,837
$942,415
Ophthalmology
Orthopaedics
Otolaryngology (ENT)
Pediatrics
Physical Medicine & Rehab
Psychiatry
-$21,818
$816,819
Radiation Oncology
Radiology
-$15,502
$619,455
Surgery
3.75%
$130,193
$72,330
$1,135,518
Urology
100%
103.2%
$3,471,818
$1,928,788
$4,777,221
$5,573,425
-$320,950
$15,430,302

11. SOM State Funding Dean’s Office Departments 58,429,244 Asheville
29,938,054
Rural Scholars
Dean’s Office
Departments
State 
Total Perm Budget
Excluded Depts
UME Funding
Excludes school-based tuition

12. GME

13. GME to be Supported by UNCH
Salaries and benefits for approved Core Residents and First Year Subspecialty Residents - ACGME accredited and approved residency positions - Clinical residency years only - Approved by UNC Residency Committee and SET (Senior Executive Team)
Salaries and benefits for Program Directors and Coordinators for Core Residency Programs
UNCH will fund:
Salaries and benefits for residents at other hospitals will be paid by those hospitals or by the departments.

14. Committee Approved Guidelines for Program Directors and Coordinators
Coordinator Effort Director Effort
Number of Residents
Coordinator Effort
Less than 10
0.50
10-19
0.75
20-39
1.00
40-49
1.25
50-60
1.50
Over 60
2.00
Number of Residents
Director Effort
Less than 10
0.15
10-19
0.25
20-29
0.35
30-39
0.50
40-49
0.75
50-59
1.00
60-70
1.25
Over 70
1.50

15. To Note
We will hold trainings once we go live with Funds Flow in FY19. FF Budget templates will be sent out this week, and individual meetings will be setup with every department soon. We will publish a FY19 calendar before long with dates for the different committees, deadlines, submission requirements, etc.

16. Next Session – May 15! What’s coming up next: Contra Revenue accounts
Self-pay clarification
Timeline with dates for committee meetings, deadlines, submission requirements, etc.
What do you want to know?

17. Questions From the Meeting
When will the 2018 MGMA data be released? And will the 3-year rolling average change when the new data is released?
The 2018 MGMA report will be released in May We will publish the 2018 data, but the 3-year rolling average will NOT change for FY19. We will begin to use the 2018 MGMA data in our 3-year rolling average in FY20.
If a Faculty MD switches to a different home department in the middle of the FY, will the funds then flow to that new department?
Yes, if a Faculty MD moves from one department to another the funds will flow to that new department in the month the Faculty moves. Please note: the change has to be entered and approved in ConnectCarolina HR before it becomes effective in Funds Flow.
For example: Faculty X is in (Hematology) and moves to (Oncology) in January, the action has been completed and approved in ConnectCarolina HR, the funds will then move to in January.
What is the list of prorates, and the percentages for each?
NEW FF: prorates on net receipts and UPL
Current: net receipts less drug cost taxed 25%
Current: UPL taxed 22.3% (not shown in table)
Prorate Description
Current %’s
NEW FF %’s
Shared Services
14.5%
Rent
0.5%
0.9%
Enterprise
2.3%
2.5%
Admin
0.4%
0.6%
Dean’s Tax
4.6%
Temp one Time Assessment
2.7% -
Total
25%
21%