MISSION BASED MANAGEMENT

1. MISSION BASED MANAGEMENT “It’s the way we do business.”

2. What is Mission Based Management? Mission-based management is a process for organizational decision-making that is mission-driven, ensures internal accountability, distributes resources in alignment with organization-wide goals, and is based on timely, open, and accurate information. It recognizes the need for medical schools, in this era of constrained resources, to improve their management processes and ensure the quality of the education, research, and clinical care they provide.

3. Project Objectives • Establish a framework for information sharing and collaborative decision-making. • Provide equitable activity measures based on appropriate benchmarks. • Develop and agree upon a methodology to capture mission related activities. • Align resources with missions to enable financially responsible allocations.

4. Upstate Medical University Missions • Research • Education • Clinical Practice • Administration and Service

5. MISSION BASED MANAGEMENT Research and Scholarly Activity Work Group Members: José Jalife, Pharmacology (Chair); John Cardella, Radiology (Vice Chair); Mantosh Dewan, Psychiatry; Gabriel Haas, Urology; John Hoepner, Ophthalmology; Scott Blystone, Cell & Developmental Biology; Colleen Cunningham, Pediatrics; Mario Delmar, Pharmacology; Stephen Graziano, Medicine; Patricia Kane, Biochemistry; Dilip Kittur, Surgery; John Lucas, Biochemistry/Administration; David Reed, Emergency Medicine; Brent Vogt, Neuroscience & Physiology; Patricia Franklin, Outcomes Research; Richard Gardner, Dean’s Office.

6. MISSION BASED MANAGEMENTResearch and Scholarly Activity Work Group • Baseline philosophy: fair, acceptable to faculty, appropriate incentives, and manageable data collection. • Metrics intended for financial assessment of productivity and allocation of resources. The model is not intended to alter the promotion and tenure process. • Recommendations are majority votes of committee.

7. Proposed Metrics: • Research Funding • Publications • Presentations • Service (Scholarly Activity)

8. 1. Research Funding • Calculation of Faculty Total: • For Principal Investigator = Direct Expenses + Indirect Expenses • For Co-PI or Investigators = Salary (own) • For PI of program grant = 100% of own project plus 10% of • total budget (direct+ indirect) • For CORE faculty = Salary + Direct + Indirect of CORE portion of grant • Formula: Faculty Total/500 = “X” funding points • Note: source of grant is not differentiated, salary includes fringe benefits

9. 2. Publications Publication/Senior or first author = 50 + (ISI citation index x 2.5) Publication/Middle author = 25 + (ISI citation index x 2.5) Review/Peer-reviewed journal = 25+ (ISI citation index x 2.5) Book Chapter/ Review = 25 (non-peer reviewed) Non-peer-reviewed publication = 10

10. 3. Presentations Internal = 0 points External Poster/Presentation = 10 each (cap = 3) Invited Seminar = 20 each (cap = 3) Keynote Presentation = 50 (national and international meetings) Meeting Chair = 10 each (cap = 3)

11. 4. Service Internal: Refer to Administration MBM Committee (including service on IRB, departmental research committees) and Education MBM (thesis committees, grand rounds, lectures) External: Study Section: 100 points (NIH and national funding agencies) National Clinical Trial Leadership 25 per committee (cap 2) 5. Other: Awards up to 100 (departmental judgment) (Nobel Prize……….20,000,000,000 points!!)

12. Pilot Study

14. MISSION BASED MANAGEMENT Education Activity Work Group Members: Kathy Faber-Langendoen, Center Bioethics & Humanities (Chair); David Mitchell, Cell & Developmantal Biology (Vice Chair); John Andrake, Pediatrics; Shawky Badawy, OB/GYN; Lorne Becker, Family Medicine; James Bryden, Accounting & Budgeting; Hal Cohen, Radiology; Lynn Cleary, Curriculum Office; Paul Cunningham, Surgery; Rajesh Dave, Clinical Campus; William Grant, Family Medicine; Gary Johnson, Emergency Medicine; Burk Jubelt, Neurology; Gregory Keating, Cell & Developmental Biology; Tayloe Loftus, Medicine; Paul Massa, Neurology; Mary Pat Oliker, Finance; Thomas Poole, Cell & Developmental Biology; Robert Schelper, Pathology; John Smucny, Family Medicine; Joseph Stein, Pharmacology.

15. MISSION BASED MANAGEMENTEducation Activity Work Group • Mandate of the design team: • To develop criteria for the accurate measurement of faculty educational activity • To identify productivity benchmarks for educational activity • To create comprehensive reports detailing educational productivity at individual and departmental levels

16. Proposed Metrics: • Lecturing • Laboratory Teaching • Small Group Teaching • Individual Teaching • Clinical Teaching • Educational Administration • Graduate Student Committees • Miscellaneous

17. MEASUREMENT VARIABLES A time based system is the method chosen. Contact hours + associated time (preparation, grading, office hours) + other educational administrative/committee time = total faculty educational effort

18. MEASUREMENT VARIABLES (Continued) Measurement recommendations for the activities within the categories of: Lecturing Laboratory teaching   Small group teaching Graduate student committees Are complete and approved for modeling by committee majority vote.

19. MEASUREMENT VARIABLES (Continued) When the measurement variables for all educational categories and activities are identified, the model will be tested on basic science and clinical faculty.

20. MISSION BASED MANAGEMENT Clinical Activity Work Group Members: David Duggan, Medicine (Chair); Charles Hodge, Neurosurgery (Vice Chair); Stephen Albanese, Orthopedic Surgery; Richard Cantor, Emergency Medicine; Chung Chung, Radiation Oncology; Patricia Franklin, Outcomes Research; Michael Gordon, Psychiatry; James Greenwald, Family Medicine; William Marx, Surgery; Kenneth Murphy, Radiology; Edward Shillitoe, Microbiology; Bettina Smallman, Anesthesiology; Gregory Threatte, Pathology; Margaret Turk, Pathology; Thomas Welch, Pediatrics; Mary Grace VanNortwick, UMAS

21. Proposed Metrics: • Resource Based Relative Value Scale (RBRVS)- • Work Relative Value Units (wRVU) • 2. Contracts converted to wRVU • 3. Billable hours/ASA units • 4. National standards

22. SUMMARY OF CONCEPTS

23. SUMMARY OF CONCEPTS (Continued)

24. MISSION BASED MANAGEMENT Administration and Service Work Group Members: Robert Weber, Physical Med & Rehab (Chair); Enrico Camporesi, Anesthesiology (Vice Chair); Sharon Brangman, Geriatrics Medicine; Ja-Kwei Chang, Radiology; Russell Durkovic, Neuroscience & Physiology; Nick Gonchoroff, Clinical Pathology; Roger Greenberg, Psychiatry; Richard Hunt, Emergency Medicine; Robert Kellman, Otolaryngology; Barry Knox, Biochemistry & Molecular Biology; Leslie Kohman, Surgery; Robert Lai, Urology; Michael Miller, Neuroscience & Physiology; Colleen O’Leary, Anesthesiology; David Thomson, Emergency Medicine; Lorraine Manzella, UMAS.

25. Proposed Metrics: • Administration • Activities Which Bring National • Stature to Upstate Medical University • 3. Service

26. ADMINISTRATION ADMINISTRATION Activity will be described by the amount of human resources required by each department in terms of the effort of a chair, an administrator, and for large residency programs, some secretarial support. The value of these activities will be determined for the resources devoted to administrative services to the College of Medicine, the University, and the Hospital. (Note: hospital contracts for medical directorships and dollars for resident teaching and supervision are NOT included.)

27. ACTIVITIES WHICH BRING NATIONAL STATURE TO UPSTATE MEDICAL UNIVERSITY Certain activities, such as serving as chair of an RRC, heading a study section or holding the position of president of a society should be recognized by a unique funding allocation to be administered by the Dean. The amount and allocation of the funding would be at the Dean’s discretion, with the purpose of encouraging national high level positioning of our faculty.

28. SERVICE Departmental resource allocation will be based upon 5% of total faculty salary.