DEM Faculty Meeting - Aug 2011

UAHN Announcements

• The new interim CEO of UA Healthcare, Jodi Mansfield, has an open door policy and is very direct.
• Provost Meredith Hay is being replaced by Dr. Jacqueline Lee Mok (interim); a national search will begin soon.
• Dr. Bill Crist is retiring as Vice President of Arizona Health Sciences Center. He is being replaced by current Dean of College of Pharmacy, Lyle Bootman.
• Branding by the corporation is in full swing; now ‚ÄúThe University of Arizona Health Network‚Äù at the corporate level and ‚ÄúThe University of Arizona Medical Center‚Äù for the integrated clinical enterprise including the hospital division and the practice plan. Logo is changing and departments can no longer have individual logos.
• The corporate incentive plan may be moving in the direction of a team incentive plan with 5 pillars; service, people, growth, quality, and financial. The dean‚Äôs view is there should be two categories‚Äîhow productive you are and how well managed you are.
• Hospital clinical practice support dollars have been eliminated and departments are now allowed to operate with a negative budget target. The CFO has given assurances that faculty salaries, incentives, and Fund B reserves will not be negatively impacted if we hit the target.

Recruitment Update

• Recruitment of 10-11 new faculty members has been approved by the hospital division.
• We try to recruit the best we can. The immediate need is for additional hours at UPHH. If anyone knows of someone looking, then get them in contact with Dr. Keim.
• We are doing a national recruitment and attending ACEP‚Äôs job fair in October.
• We have a focused recruitment in clinical informatics, and have a candidate interviewing this month.

Financial Updates – Dale Borgeson, Kelly Kellen

• Financial results for Fiscal Year 2011 presented at the meeting (see attached). We had a profit of $500K and paid out $2.8M in incentives.
• PowerPoint on Documentation ‚ÄúPearls‚Äù presented by Kelly Kellen (see attached).
• Incentive approval by UAH corporate is nearly finalized. Incentive payments will be made August 26^th. Letters have been drafted by Toni and once final confirmation is received, the letters with be sent to each faculty member. The letter will give a breakdown of the various incentive components (corporate or bottom line, citizenship, RVU, and leadership). The maximum incentive that can be earned is 50% of base salary.
• We did not meet budget in gross charge submittal in July. The practice plan released our new target for charges -- $4.7 million per month, and we were $900K short. About half of that was in the queue but unsigned. We will need to improve documentation of procedures and critical care to make budget.
• It is best to catch up on charts regularly, e.g. weekly, instead of month-end, because all charts must go through the claims manager and large volumes slow the system down dramatically. Also, any system or access problems at end of month put us at risk of not hitting target.
• Any surplus of operating funds at year-end goes into Fund B corporate reserves. Currently, Emergency Medicine has approximately $6 million in Fund B. For several years, the DEM has transferred the limit of 10% of Fund B reserves into a UA quasi endowment fund.
• There is close to $6 million in UA quasi endowment with this year‚Äôs contribution. These funds are invested and the interest is used for growth and development of Emergency Medicine‚Äôs academic and research activities.  

Research Updates – Uwe Stolz

• Dan Spaite hired a Database Administrator for the EPIC grant. This new hire will work on building the research database dictionary.
• Larry Deluca‚Äôs manuscript, ‚ÄúAnalysis of Automated External Defibrillator Device Failures Reported to the Food and Drug Administration,‚Äù has been accepted for publication by Annals of Emergency Medicine.  
• Dr. Panchal has almost completed the ‚ÄúResearch Associate Program‚Äù process for recruiting undergraduate students to enroll clinical trial patients.
• We are making changes in the seed grant process to make it more flexible and turn it into a spring board to larger funding.

Medical Student Update – Kathy Hiller

• The verbal feedback is positive from last year; there is interest from different levels of students who want to learn and some interest from those who want to teach.
• If students are only interested in a Kino experience, that is possible now. This needs to be known before hand in order to get the proper paperwork filled out.
• There are now three options for 3^rd year medical students to rotate.

Clinical Updates – Mazda Shirazi

• Grand opening of new UPHH ED is August 17. Drs. Shirazi and Berkman will be covering the old ED, while attendings scheduled to work that day will be in the new ED. The new ED is about 95% of the way done.
• After the grand opening, Annex will stay open for about 3 months, depending on how everything goes.
• Residents should be encouraged to chart as they go. The EDIS system is not designed for charting to be done at a later time. 2^nd and 3^rdyear residents should be able to complete 70% of chart documentation during their shift.
• Emergisoft system is pretty straightforward, but we are putting demands on it that it was not designed to meet, such as remote chart completion long after the shift is over.