1. Faculty Orientation Overview of the Clinical Enterprise

4. University of Maryland School of Medicine FPI vs. State Structure Separate 501(c)3 Practice Plan Structure As defined in the Medical Service Plan (MSP) FPI Administration (oversees MSP) Medical School Enrichment Fund etc. Department of Neurology University State Structure Fee For Service Purchases Dean’s Tax Assessments:  MSP Trust  Clinical Redesign  Business Development  Contingency Reserve Neurology P.A. Department of Surgery PA’s: Must comply with MSP Lease staff from UPI Do their own billing Have their own P & L Separate corporations Run their own ambulatory care Firewall School of Medicine Surgery P.A. Clinical Departments Departments: Grants State funding PSC revenue State employees Services MSP Services (examples): Contracting (Managed Care & Legal) Real Estate Internal Audit Oversight Compliance Fee for Service Services (examples): HR Recruitment PA Accounting Practice IT Temporary Help etc.

5. University of Maryland Faculty Physicians, Inc.

6.  Created by the University System Board of Regents through the Medical Service Plan (MSP)  Support the clinical care mission of the School of Medicine and the activities of the faculty practice groups  Provide the mechanism through which professional fee income is billed, collected and distributed for the benefit of the faculty and the School of Medicine  Assure compliance with the Medical Service Plan (MSP)

7. Organizational Structure  All Full-time and Part-time clinical faculty participate in the Plan  The Board of Trustees, comprised of the SOM clinical department chairs and the Dean of the SOM, governs the organization

8. Challenges and Major Initiatives

9. Total Clinical Revenue FY 2008 – FY 2013 Millions 194.5 210.0 212.7 227.2 244.3 Professional Fee Revenue Clinical Revenue (Non Fee for Service) 257.1

10. Statewide MCO Membership

12. Office/Outpatient Payer Mix – On Campus

13. Upper Chesapeake Shore Health Chester RiverBWMC UMMC UMMC Midtown Kernan UM SJMC FPI Clinical Deployment MWPH

14. Satellites - Payer Mix and Growth

15. FPI Key Initiatives Payer Mix Improvement and Revenue Growth – Off-Campus Strategy – Service Excellence – Improve Patient Access – Facility Upgrades – Stay in Tune with Market Changes Electronic Health Record and Related Opportunities Incentivize Physician Productivity Clinical Program Development across UMMS

16. Thank You