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Department of Medicine Faculty Meeting April 20, 2012

Department of Medicine Faculty Meeting April 20, 2012. Announcements Recently Hired Faculty DOM Budget-CARTS. Announcements. Inpatient Reorganization update Karin Sloan, M.D. – Director of Clinical Quality Changes in the Commonwealth Medical Group practice Pilot Grants for Education .

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Department of Medicine Faculty Meeting April 20, 2012

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  1. Department of Medicine Faculty MeetingApril 20, 2012 Announcements Recently Hired Faculty DOM Budget-CARTS

  2. Announcements Inpatient Reorganization update Karin Sloan, M.D. – Director of Clinical Quality Changes in the Commonwealth Medical Group practice Pilot Grants for Education

  3. Announcements (con’t) Thanks to Jane Liebschutz, M.D. for serving as Interim Chief of the GIM Section Shally Bhasin, M.D. has accepted a position at BWH starting in AY 2013

  4. Medical Grand Rounds • April 27 Acute Kidney Injury in CirrhosisPhilip Kramer Visiting ProfessorGuadalupe Garcia-Tsao, MDChief of Digestive DiseasesVA-CT Healthcare SystemDirector, Clinical & Translational CoreYale Liver CenterProgram Director, VA-CT Hepatitis C  Resource CenterProfessor of Medicine, Yale University School of Medicine • May 4 New Strategies and Guidelines for the Management and Prevention of Health-Associated PneumoniasDonald E. Craven, MDChairman, Center for Infectious Diseases and PreventionLahey Clinic Medical CenterProfessor of Medicine, Tufts University School of Medicine • May 11 2012 Update:  Management of Patients with Acute Coronary SyndromesJohn Varga, MDDirector, Northwestern Scleroderma ProgramJohn and Nancy Hughes ProfessorDivision of RheumatologyNorthwestern University Feinberg School of Medicine • May 18 Scleroderma: Toward Rational TherapyGary Garber Memorial LectureGeorge Philippides, M.D.Vice Chair, Clinical Affairs and Chief Quality Officer Cardiovascular Division, BMCAssociate Professor of Medicine, BUSM

  5. Faculty Development and Diversity • Faculty Friday Social • Fri., April 27 from 4:00 to 6:00 p.m. • Wilkins Board Room • Creating an Inclusive Work Environment • Mon., May 7 from 12-1 p.m. in Wilkins • Rafael Ortega, MD • Academic Writing Workshop • One Thursday a month from September to January • http://www.bumc.bu.edu/facdev-medicine/seminars/academic-writing-workshop-2012/

  6. Amy Linsky, M.D. Lisa Quintilliani, Ph.D. Patrick Fleming, M.D. Jennifer McCarty, M.D. Janelle Baptiste, M.D. Khelda Jabbar, M.D. Sarah Bagley, M.D. Fausto Ortiz, M.D. Patrick Fleming, M.D. Jaymin Patel, M.D. Azadeh Nasseh, M.D. Shwetha Sequeira, M.D. Jennifer Siegel, M.D. Lily Ackerman, M.D. Ethan Bortniker, M.D. Jacob Feldman, M.D. James Hudspeth, M.D. Priya Joshi, M.D. Marshall Fleurant, M.D. Daniel Cottrell, M.D. New GIM Faculty

  7. Computational Biomedicine: Jennifer Beane, Ph.D. Evan Johnson, Ph.D. Endocrinology: Julie Xu, Ph.D. Anqi Zhang, Ph.D. Varsha Varmalanda, M.D. Dong Wook Kim, M.D. Preventive Medicine: Vanessa Xanthakis, Ph.D. Vascular Biology: Francesca Seta, Ph.D. Gastroenterology: Tova Meshalum, Ph.D. Clinical Epidemiology: Deyvani Misra, M.D. Renal: Ashish Upadhyay, M.D. Lauren Stern, M.D. Sandeep Ghai, M.D. Infectious Disease: Gopal Yadavalli, M.D. Cassandra Pierre, M.D. Benjamin Linas, M.D. Nahid Bhadelia, M.D. Sabrina Assoumou, M.D. Maura Fagan, M.D. Rachel Simmons, M.D. Geriatrics: Megan Young, M.D. Christine Liu, M.D. Cardiology: Jennifer Ho, M.D. New MD and PhD Faculty (con’t)

  8. Searches-Update Director, Graduate Program Geriatrics GI Primary Care HMU

  9. BMC Update On target to break even in FY ’12 New CIO being recruited Review of EMR options initiated BMC HealthNet Plan competed successfully for Commonwealth Care and New Hampshire Medicaid Managed Care contracts

  10. CARTS UPDATE Negotiation with BMC nearly complete CART funding: approx. $63M or $72M including Free Care Strategic funding: TBD Transition funding: TBD Next step: Develop FPF Budget 10 Faculty Practice Foundation, Inc.

  11. CLINICAL FUNDING Clinical Funding = Expected Clinical Compensation – Actual Clinical Revenue Expected Clinical Compensation Median wRVUs (the 50th percentile) by discipline Median compensation from Northeastern Region of AAMC benchmark for Associate Professor by specialty. MD stipend: $4,300 per clinical FTE Payroll processing fee: 0.5% of salary Malpractice expenses: Average malpractice per clinical FTE Actual Clinical Revenue Net Patient Service Revenue net of 10% for billing collection cost; excluding off-site, payment with zero wRVU and non-MD revenue Free Care revenue PQRI, P4P and other revenue enhancement 11 Faculty Practice Foundation, Inc.

  12. ADMINISTRATIVE FUNDING Administrative Funding = MD Leaders + Admin for MD Leaders + Admin for Clinical MDs MD Leaders FTE: As agreed and signed off by BMC; salary and fringe are based on actuals Admin FTE = 1.0 * per Chair and 0.75 * per Non Chair FTE; Salary and fringe = $74,000 per FTE Admin for Clinical MDs = 1.0 per 4 clinical FTE; salary and fringe = $44,800 per FTE 12 Faculty Practice Foundation, Inc.

  13. RESEARCH FUNDING Research funding = 10% of IDC + 5% of OCR 13 Faculty Practice Foundation, Inc.

  14. TEACHING FUNDING Teaching funding = Teaching Leaders + Admin Support + Core Faculty + Non Salary Teaching Leaders: As agreed and signed off by BMC; salary and fringe are based on actuals Admin FTE: As agreed and signed off by BMC; salary and fringe = $67,670 per FTE Core Faculty = $5,000 per on-site resident + $4,500 per off-site resident + $2,500 per on-site fellow + $2,250 per off-site fellow Non Salary = $2,355 per resident/fellow 14 Faculty Practice Foundation, Inc.

  15. Revenue Tax on collections 3.4 m Endowment 5.1 m Investment 0.4 m BUSM IDC 0.6 m Total Revenue: $9.5 m Expense DOM Admin 3.8 m VC Research 1.8 ECIBR 0.8 Evans Awards 0.55 GPMM 0.2 K/T32 cost sharing 0.3 Support of >90% funded 0.3 Fac Development 0.3 Fac Non-Contin. 0.5 Recruitments 3.0 Miscellaneous 0.1 Research Sect support 0.3 Total Expense: $11.95 m Central Department of Medicine DRAFT Budget Projection AY 2013

  16. Options for Additional Revenue for Central DOM Tax CARTS funds to sections Tax “Section Profits” under “C” portion of CARTS Tax External Contracts Increase Endowment payout from 5% (current) to 7%

  17. Options for Additional Revenue for Sections Clinical • If wRVU total for the section yields profit according to: (wRVU’s earned/wRVU target) x Median AoP salary minus cumulative “C” S/F/MP premium cost for the section Research • Enhance IDC’s • Create Income stream from DOM for fixed/variable costs

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