1. Department of Medicine Faculty Meeting May 24, 2015
Announcements
Budget Update
Policy on Covering Salary shortfalls
Policy on Consult Notes
Discussion about DOM Compensation Plan for Clinical Faculty

2. Announcements
Associate Chair for URM Faculty Career Development: Sabrina Assoumou Associate Chair for URM Post-Graduate Career Development: Sheila Chapman Director of Hospitalist Unit: Tom Ostrander Naomi Hamburg is the new Chief of the Section of Vascular Biology effective July 1, 2016 Jay Coffman Endowed Professor of Vascular Medicine will be held by Vasan Ramachandran following the retirement of Richard Cohen in AY 17

3. Announcements (cont’d)
Searches:
Hematology-Oncology Section Chief
Director, Patient Safety and Quality
Inpatient Medical Director
New T32 in Preventive Medicine-Cardiovascular Epidemiology (Ramachandran and Xanthakis)
Jerry Ellner has announced his intention to step down as Chief of the Infectious Disease Section effective upon appointment of a new Chief- the search will commence in the next month or two
Suggestions sought for the Wilkins Visiting Professor

4. Faculty Development Seminars
Seeing the Quality Improvement Project Around You
James Moses, Medical Director of QI, BMC
Monday, June 6th from 12-1pm in Evans 118

5. Faculty Grants Faculty Development & Diversity Grants
Open to ALL DOM FACULTY at all levels seeking to further their professional development
Next deadline is July 15th

6. Women’s Leadership Program
Target audience
DOM women faculty in leadership roles
Program Structure
9-months from September 2016 to May 2017
1.5 hours approximately every three weeks
Applications accepted until June 20, 2016
Program Elements
Experiential seminars focused on effective leadership and fostering change from current role
Learning community to successfully negotiate challenges, foster resiliency, and achieve goals through peer mentoring
Conversation Cafes with inspirational leaders
For more information and to apply:

7. AY 17 Budget Update

8. DOM— AY17 Budget
   

9. DOM— Projected AY16 Year-End, Operating
   
Incurred loss of $318K for April due to low volume

10. Policy on Coverage of Salary Shortfalls
To cover salary shortfalls, all sources of funding (e.g., discretionary funds, endowment income, start up package) should be utilized before using operating funds of the section; Use of Operating funds of the section worsens the section’s operating performance which increases the likelihood of a deficit which would need to be covered by a section with an operating profit

11. Follow-up Consult Notes
In order to improve supervision, communication with primary teams, and revenue capture:
all inpatient notes by fellows or residents on any medicine consulting service should be signed by the attending
The attending should see the patient and write a note of attestation if the fellow is seeing the patient in follow-up and writing a note
To improve compliance with this policy, fellows should route their notes for attending signature

12. DOM Ambulatory FY16 Performance For the period ending March 31st, 2016
Month to date
YTD Budget / Goal
Variance YTD %
FY16 YTD
YTD Status
Ambulatory volume 1
25,566
137,146
134,308
2.1%
Patient experience 2
87.3%
89.6%
90.9%
-1.3%
Primary care access 3
87%
90%
80%
10%
Specialty access 4
52%
50%
56%
-6%

13. DOM inpatient clinical operations FY16 performance
Last three months
FY16 YTD
Goal1
YTD Status
LOS O/E 1
0.915
(Dec - Feb)
0.909
(Oct - Feb)
0.903
Avg. discharge time 2
2:55 PM
(Jan - Mar)
(Oct - Mar)
2:37 PM
OBS LOS (hours) 3
38 hours
(Jan - Mar)
37 hours
(Oct - Mar)
35 hours
Readmission rate 4
18.92%
(Dec – Feb)
18.69%
(Oct – Feb)
17.56%
1 To calculate department level goals, individual patients given department level goal and then calculated an average across the relevant patients. Note will change slightly every month given distribution of patients
Source: SDK, Data Analytics & Reporting team

14. Ambulatory Volume: Evans Medical For the period ending March 31, 2016
Updated

15. Ambulatory Patient Experience: YTD 89. 6%, MTD 87
Ambulatory Patient Experience: YTD 89.6%, MTD 87.3% For the period ending March 31st , 2016
Top box – HCAPS Recommend this provider office
FY16 YTD
FY16 MTD
Goal

16. Primary care and specialty access: Medicine For the period ending March 31st, 2016

17. DOM Compensation Plan Current:
wRVU target for section assigned by DOM/FPF
wRVU target for individual faculty assigned by SC
At beginning of AY, SC establishes quantitative and qualitative measures for bonus at end of year
Bonus to all sections from DOM, amount depends on financial performance of dept; sections with positive margin can use up to 40% (NTE 200K) for bonuses
Downside % of wRVU target, no COLA/bonus
<90% salary reduction proportionate to amount below target (e.g., 1% reduction for each 2% below target), waived if section has positive operating margin and hits section wRVU target
Future: How could we improve the compensation plan?