UFCollegeofDentistry‐‐AnnualProgramReview 1

UFCollegeofDentistry2015AcademicProgramReview

    UF College of Dentistry (UFCD)

At a Glance

Students   D.M.D.   Advanced Education 

    467   345   122 

Advanced Education Programs   Accredited degree/certificate   Combined degrees offered with other colleges 

    16   11   5 

Applicants vs. enrolled in 2015   

 DMD Program   579 in‐state applicants   915 out‐of‐state applicants   Advanced Education Programs 

   1,494/93      1,012/56 

Faculty full‐time/part‐time    111/43 

Staff full‐time/part‐time    233/8 

Program locations  Gainesville, Hialeah, Naples, Seminole 

Patient visits per year      132,361 

Operating budget (FY’14)      $66,337,605 

Operatories  331 total at four sites  (272 Gainesville; 22 Hialeah; 17 Naples; 20 Seminole) Plus 98 simulation stations  

Research funding (FY’14 grants and contracts)    NIH funding  

    $13,288,498    $8,328,510 

Duringthepastyear,IsabelGarcia,D.D.S.,M.P.H.,becameUFCD’sseventhpermanentdeaninFebruary2015followingherretirementfromtheU.S.PublicHealthServiceandtheNationalInstituteofDentalandCraniofacialResearch,NationalInstitutesofHealth.

UFCollegeofDentistry‐‐AnnualProgramReview 2

1.Whatistheachievementduringthelastyearaboutwhichyouaremostproud?AdvancedEducationProgramStrengthAdvancededucationprogramsareflourishing,withincreasingnumberofapplicantsandopportunitiesforinterdisciplinaryeducationthroughtheSchoolofAdvancedDentalSciences(SADS).SADSincludesthedepartmentsofendodontics,orthodontics,pediatricdentistryandperiodontology,aswellasthegraduateprosthodonticsprogram. Therehasbeenan13percentincreaseinthenumberofadvancededucationapplicants

forthe11programs,growingfrom881in2011(SADSinauguralyear)to1,012in2015.In2014,wereceivedmorethan270applicationsforfiveopeningsinthePediatricDentalResidencyprogram.AllUFCDresidentsmeetweeklyforinterdisciplinarylearningonabroadrangeoftopicsincludingmedical,legalandpracticemanagementseminarsaswellasdiscussionstosharpencriticalthinkingskills.

Tomaintainexcellenceintheeducationofourgraduates,allUFCD’sadvancededucationprogramsdevelopedmetricsthatareregularlyreviewedandcomparedagainstpeerprograms.Sevenoftheprogramshaverelevantspecialtyboardexaminations.In2012and2014,residentsintheseprogramsachieveda100percentpassingratefortheirrespectivespecialtyboardexamsandanaverage92percentpassingratein2013.Othermeasuresshowaremarkablenumberofresearchawardsandpresentationsatlocalandnationalmeetings,ahighparticipationleveloffacultyonnationalcommittees/leadershiproles,andrecruitmentofextraordinarystudentswithmoreunderrepresentedminorities.

Specialtyclinicsinendodontics,orthodonticsandpediatricdentistrymaintainedprofitabilityandareontargetforaslightincreaseoverthe23,196patientsseeninFY’14.TheOral&MaxillofacialSurgeryClinicisontracktowardan18percentincreaseoverthe7,145patientvisitslastyear.ThesesuccessesoccurreddespitetheneedforenhancedmarketingandbrandingofUFCDclinicsinGainesville,andresultfromourstrongadvancededucationcurriculum,greaterinterdisciplinarylearningexperiences,improvedrevenues,bettercommunicationandreferralsamongspecialties,changesinpatientmix,andsomeinitialmarketingefforts.

2.Identify2‐3otherimportantadvances/achievementsmadebyyourcollegethisyear.FiscalStrength Thecollegemaintainedastrongfiscalposition.UFCDrecentlyincreaseditscashreserve

requirementforclinicalandself‐fundedprogramsfrom45days($3.22million)to90days($6.44million).Thecollegeiscurrentlylessthan$500,000awayfromthisnewreservegoal.MoredetailedinformationaboutUFCD’sfiscalpositionisincludedinquestions14and15.

UFCollegeofDentistry‐‐AnnualProgramReview 3

PreeminenceFaculty UFCDcompleteditsfirstpreeminencehire,JoseLemos,Ph.D.,associateprofessoratthe

UniversityofRochesterSchoolofMedicineandDentistry.Dr.Lemos’researchisonthecharacterizationofthestressresponsesbystreptococciandenterococciandfitsintotheUF’spreeminenceMetabolomicsfocusarea.HeisoneoftwoUFpreeminencehiresworkinginthisfield.Dr.LemoswillstarthispositioninAugustandbringswithhimtwoadditionalfacultyresearchers,onepost‐docresearcherandagraduatestudentaspartofhisteam.

WecontinuethesearchforanindividualwithresearchinterestsinMucosalImmunology/Microbiome‐HostInteractionsaspartofthepreeminenceinitiative.

Diversity UFCDisamongthreeU.S.dentalschoolsawardedaHealthResourcesandServices

Administration(HRSA)granttosupportdisadvantagedstudentsduring2012‐2016.OurcollegeisthetoprecipientofgrantawardsfromHRSAamongallU.S.dentalschoolsat$645,000peryearwithtotalawardsof$2.58million.Todate,thisgranthasallowedustoaward125scholarshipsof$15,000eachtoUFCDdisadvantagedstudentsinallfourDMDclasses.

Since2013,approximatelyone‐fifthofourmatriculatedstudentsreportedparentalincomeatorbelowU.S.governmentpovertylevels.LevelofneediscalculatedfrominformationobtainedfromstudentswhoappliedforUFCDfinancialaid,sothispercentagemaybehigher.

Since2012,URMstudentscomprise,onaverage,morethanone‐thirdofallourstudents.Thefall2015enteringclass,whilenotyetfinalized,currentlyiscomprisedof42percentURMstudents.WecontinueeffortstoincreaseenrollmentofAfricanAmericanstudents,agroupthatremainsdisproportionatelylowatourcollegeandamongotherU.S.dentalschools.

3.Whatistheonethingthatyouwouldhavedonedifferentlyinretrospect?EarlieraxiUmBestPracticesConsult Theaccreditationself‐studyprocessidentifieddataneedsforseveralreportsrequiredto

fullymeetaccreditationstandards.AnexpertinaxiUmsoftwarewashiredundercontracttoassistwithaccreditationreportingandwithdata/workflowanalysisofourclinicalandbusinessprocesses.

PhaseIofouractionplanfocusingonaccreditationreportsiscomplete.AClinical/BusinessOperationsActionTeamisnowinplaceaspartofPhaseIItoensureimplementationofallremainingrecommendationsincludinguseoftheaxiUmschedulingmodule,addressingsoftwaretrainingneeds,standardizingthecheck‐in/check‐outprocess,andpreparingforaDecemberaxiUmupgrade.Welearnedagreatdeal,however,itwouldhavebeenbeneficialtohavescheduledthevisitsooner.

UFCollegeofDentistry‐‐AnnualProgramReview 4

4.Ifyourcollegeisinvolvedinpatientcare,whatarethequalitymetricsthatyouwillusetoassesspatientcarequalityundertheUFHealthStrategicPlan?Wheredoesthecollegestandonthismetricandwheredoyouplantobeinoneyearandfiveyears?OutcomeMeasuresWhileongoingeffortsthroughtheDentalQualityAlliancemayprovideusefulbenchmarksforadoptioninthefuture,dentistryhasnotadoptedasetofqualitymeasurescomparabletotheUHCQualityandAccountabilityScorecardorotherwell‐acceptedmetrics.Thus,werelyoninternalassessmentstoanalyzetrendsinquality.TheClinicalAffairsandQualityAssuranceCommitteesetstargets,reviewsthedataandrecommendschangesandimprovements.Ouroutcomemeasuresinclude:clinicalproductivity(patientvisitsandproceduresbyclinicandprogram),patientcomplaints(formalandinformal),clinicaloccurrences (unexpectedorpoorpatientoutcomes),andpatientsatisfaction.AnnualPatientSatisfactionSurveyUFCDadministersapatientsatisfactionsurveyduringaone‐weekperiodeachyear.Duringthe2014surveyperiod,901outof2,600patientsseencompletedasurvey(35percentreturnrate).

Three‐quarters(75percent)ofrespondentsratedtheoverallqualityofdentalcaretheyreceived“excellent”andoverone‐fifth(21percent)ratedit“verygood.”

Only3percentofrespondentsratedtheoverallqualityofcare“good”andlessthanonepercentratedit“fair”(0.7percent)or“poor”(0.3percent).

Averagelevelofresponsewas4.7onascalefrom1=“poor”to5=“excellent.” Thecollegemetitsgoalofhaving95percentormorerespondentsratethequalityof

thedentalcaretheyreceivedaseither“verygood”or“excellent.”

*In2012and2013,theresponsestothisquestionwerepresentedona4‐pointscale:Excellent,VeryGood,FairandPoor.GoalrecommendedbyUFCDpatientsatisfactioncommitteeandapprovedbyCAQAcommittee.

Ourgoalsfornextyearincludecontinuedincreasesinoverallclinicalproductivity,a10percentincreaseinthepatientsatisfactionsurveyreturnrate,zeroratingsin“poor”qualityofcare,andmaintaininglessthan0.5percentofpatientcomplaints(formalandinformal).Five‐yeargoalsarecontinuingtotracktheabove‐mentionedoutcomesaswellasto: Validateandimplementformalassessmentstoevaluatepatient’soral‐health‐related

qualityoflife.

0%

50%

100%

Excellent Very Good Good Fair Poor

Overall Quality of Care*

2010 2011 2012 2013 2014

UFCollegeofDentistry‐‐AnnualProgramReview 5

EnhanceUFCD’sabilitytoanalyzeclinicalproceduresandoutcomessystematicallythroughaxiUm.

ParticipateintheConsortiumforOralHealthResearchandInformatics,whichwouldstrengthenourabilitytocreate,standardizeandintegratedatausingelectronichealthrecords.

Reducevariationbygreateradoptionofevidence‐basedpracticesandprinciplesindeliveringcare.

5.Arethereplanstomakesignificantchangesinyoureducationalcurriculaforundergraduateprofessionaltraining? Ifso,listthethreemostimportantchanges. DMDCurriculum AnextensivereviewoftheDMDcurriculumduring2012‐2014producedaplanfor

makingcomprehensivechangestoadoptcontemporarypedagogyandbettermeettheneedsofthemillenniallearner.Recommendedchangesinclude:

o Providingearlierclinicalexperiences.o Increasingsmall‐grouplearning,decreasinglecturetime.o Morefullyintegratingfoundationalbiomedicalandbehavioralscienceswithclinical

patientcare. Severalrecommendationshavebeenpilot‐testedandothersareonholduntilafterthecompletionoftheCommissiononDentalAccreditation(CODA)sitevisitinfall2015.ThecurriculumrevisiongoalswerereviewedandrankedataretreatinApril2014andwillbereviewedandreassessedpriortofinalimplementation.

IncorporatingDigitalTechnology Duringthepastyear,thecollegebegantoincorporatethelatestdigitaldentistrytechnologyinthepre‐clinicalcurriculum,andpre‐doctoral,graduateandfacultypracticeclinics.Throughacombinationofcorporategiftingandcollegefunding,weaddedtwomethodsofComputer‐AidedDesignandComputer‐AidedManufacturing(CAD/CAM),allowingdentiststodesign,produceandplaceceramicrestorationsdirectlyatchairsideinasingleappointment.

CEREC(ChairsideEconomicalRestorationofEstheticCeramics)andE4Dimagingandmillingunitsarenowavailable.Weseektobealeaderintheapplicationofdigitaldentistrywhichisexpectedtoimprovepatient’sexperience,andresultincost‐savingsbyeliminatingtheneedformultipleappointmentsanddecreasinglaboratorycosts.

First‐yearDMDClinicalExperiencesThecollege’sAlachuaCountySchool‐BasedSealantProgram,providesanidealvenueforsecond‐yearDMDstudentstohaveearlyclinicalinteractionswithschoolchildrenacross12elementaryandtwomiddleschools.TheDMDstudentsplacedentalsealants,provideoralhygieneeducation,andapplyfluoridevarnishestopreventtoothdecay.Duringthe2013‐14schoolyearDMDstudentsscreened628childrenandplaced1,624sealants.Theoralhealthassessmentthatiscarriedoutaspartoftheprogramfound40percentofschoolchildrenhaduntreatedtoothdecay.Duringthe2015‐16schoolyear,first‐yearDMDstudentswillparticipateinthisprogramandalsoinaHeadStartprograminwhichfluoridevarnishisappliedtochildren’sprimaryteethtwiceyearlytopreventtoothdecay.

UFCollegeofDentistry‐‐AnnualProgramReview 6

6.Whatisthetotalamountofresearchfunding(grantsandcontracts)atyourcollegeprojectedforFY13‐‐14?WhatistheamountofNIHresearchfunding?WhatareyourgoalsfortotalandNIHresearchfundingin1yearand5years. ResearchOverview Totalamountofresearchfunding(grantsandcontracts)forFY’14was$13,288,498.Of

thetotal,$8,328,510(62.7%)wasNIHfunding. Wearereboundinginfundingthisfiscalyearwithanuptickinnationalawardsreceived

byourDMDstudents,graduatestudentsandpost‐doctoralfellows.Overthelastthreeyears,ourtraineesreceivedfive“F”awards;therearecurrentlynineactiveF31sattheUniversityofFlorida.OfthefouractiveK99’satUF,twoareheldbyUFCD.

TheT90/R90ComprehensiveTrainingPrograminOralBiologyawardforFY’15was$599,870andsupportedsevenpre‐docsandfivepost‐docs;thisprogramisinits24thconsecutiveyearandisupforcompetitiverenewalSeptember15,2015.ItisthelargestTawardatUF;thesecondlargestTawardatUFforFY’15was$314,945incomparison.

Thecollegegoalistoincreasetotalfundingfromallsources,withthefive‐yeargoalofachievingtopfivestatusforNIDCRfundingfordentalinstitutionsand/orBlueRidgeNIHfunding.

UFCollegeofDentistry‐‐AnnualProgramReview 7

7.ListnewhireswhowillbeginemploymentinFY2014‐15,restrictingthelisttothosewhowillusestart‐upfundsforresearch.PleaseappendforreviewtheCVsofallhiresmadeunderthe“JumpStart”hiringprogram. Asnotedinquestiontwo,wehiredJoseLemos,Ph.D.,undertheMetabolomicsInitiative.Dr.LemosisR01‐fundedandactivelysubmittingapplicationstoNIHandotherfundingsources.Thismetabolomicspreeminencehirewillresultintwoadditionalfacultyhiresoneofwhich,JacquelineAbranches,Ph.D.,willhavestart‐upfunds,andoneresearchassistantprofessorhire,JessicaKajfasz,Ph.D.,andotherlabpersonnel.Anadditionaltenuretrackassistantprofessor,JiaChang,D.D.S.,Ph.D.,currentlyavisitingfacultymember,beginsasapermanentfacultymemberinJune2015intheDepartmentofPeriodontologyandwasawardedstart‐upfundsforresearch.Inaddition,KathleenNeiva,D.D.S.,Ph.D,anexistingfacultymemberintheDepartmentofEndodontics,wasawardedstart‐upfundsprovidedbythecollege’sIDC.8.Identifythemajorrankingsystemforyourcollege(e.g.,USNews&WorldReport)andindicateyourcurrentrank.Whatistherankingthatyouplantoachievein1yearand5years?Whatarethemainstrategiesforgettingthere?DentalschoolscurrentlydonotparticipateintheU.S.News&WorldReportrankingsystem.However,inFY’14,thecollegeranked6thamong66U.S.dentalschools(excludingForsythInstitute)withDDS/DMDprogramsintotalNIH/NIDCRfunding.Ourgoalistomoveintothetopfive.Thiswillrequireasustained efforttorecruitandsupportresearchfacultyaswellascompletionofa majorrenovationoftheDentalSciencesBuildingtoupdate,modernizeandexpandresearchspace.Pleaseseeresponsetoquestions6and9formoredetails. 9.Identifythoseprogramswithinyourcollegethatare“topten.”Whatinvestmentsareyoumakingtomaintainorenhancetheranking? ResearchEnterpriseAsnotedinquestioneight,thecollege’soverallresearchenterpriseasmeasuredbyfederalfundingisranked6thinthenation,withthemajorityofNIHfundingintheDepartmentofOralBiologyatop‐tenrankedprogram.OralBiologyalsohasstrongcollaborationswithinthecollege,theuniversityandnationally.Thenumberoffacultyinthedepartmenthasdeclined(mainlyviaretirements)from13toslightlyover8FTEs.Toremaintopten,wearerecruitingunderpreeminence,stillhaveapositionopenunderMucosalImmunology,andanticipatethatsomepositionsfortheUFCDCancerandUFCDOral/CraniofacialBiologysearchesmayresideinOralBiology.Therearetwoongoingsearchestofillthreepositionsfororalcancerandfivefororal/craniofacialbiology.PRICETheUFPainResearch&InterventionCenterofExcellence(PRICE),directedbyDr.RogerFillingim,isoneofthelargestandmostproductivepainresearchcentersinanyU.S.dentalschool.Thecenter,housedintheDepartmentofCommunityDentistryandBehavioralScience,includesmorethan40researchers,traineesandcliniciansfromsevenUFcolleges.

UFCollegeofDentistry‐‐AnnualProgramReview 8

Lastyear,PRICEhadmorethan$7millioninNIHresearchfunding,andthecenterhasproducedmorethan300publicationsinthepastfiveyears.Oneofourcurrentresearchfacultysearches,undertheumbrellaoforalandcraniofacialbiologyincludesthepainresearcharea,andmayyieldadditionalresearchstrength.DepartmentofOralandMaxillofacialDiagnosticSciencesTheDepartmentofOralandMaxillofacialDiagnosticSciences(OMDS)includestheOralandMaxillofacialRadiology(OMFR)Divisionwhichoffersstate‐of‐the‐artequipment,ERcoverageandaccesstoresourcesatShandsincludingavoicerecognitionsystemfullyaccessibletoourresidents.IthasamongthelargestteleradiologyconsultservicesinOMFRwithintheU.S.OurgoalistoenhancecollaborationwiththeCollegeofMedicine’sradiology,promotetheteleradiologyconsultserviceforthebenefitofpractitionersinFloridaandotherstates,continuetosolicitcorporatesupportforclinicalresearch,andrecruitnewfacultytofillvacancies.OralandMaxillofacialPathology,anotherdivisionwithinOMDS,currentlyranksinthetopfivenationwideinpatientvolume.Weplantoexplorewaystoexpandtheresidencyprogramandbiopsyserviceclientele.10.Identifytwoorthreeofyourcollege’sprogramsthatareimportanttothecollege,butarenotyettopten,anddescribeyourplanstofostertheirsuccess.OralMedicineClinicFacultyinUFCD’sOralMedicine/OncologyClinicprovidecareforpatientswithdifficulttodiagnoseorallesionsorconditions,oralproblemsassociatedwithsystemicdiseasesandsequelaefromheadandneckcancertreatment.Providerswithspecialtytrainingandexpertiseinoralmedicine,oralpathologyandoraloncologyworkcloselywithCollegeofMedicinephysiciansandcommunity‐basedphysiciansanddentiststoensurehighqualityandcontinuityofcare.Theclinicreceivesreferralsfromalargegeographicarea,primarilyfromthesoutheasternU.S.,andotherregionsofthecountry.InFY’14,thecliniccompleted1,731patientvisits.Toensurethesustainabilityofthisclinic,plansareunderwayto: Seekmoresupportfromthehospitaltoenablealllow‐income,uninsuredorunderinsured

patientsreferredbyUFHealthShandstoobtaincontinuedqualityoralcareposttreatmentoveranextendedperiod.

Exploreopportunitiestocompensateforlossofclinicalfacultyintheservice. Increasethecapacitytohandlelesscomplexdentalprocedureseffectivelyintheclinic.CommunityDentistryandBehavioralScienceCommunityDentistryandBehavioralScience(CDBS)hasreceivedmoreHRSAfundingthananyotherdentalschoolinthenation,includinggrantsinPredoctoralDentalEducation,PostdoctoralDentalEducation,FacultyDevelopment,andtheOralHealthWorkforceGrant.ThedepartmentfulfillsavitalservicemissionthroughclinicsinSt.PetersburgandHialeah,supportingclinicalstudentrotations,community‐basedserviceandeducationprogramsinAlachuaandColliercounties,andHeadStartscreeningandprevention.However,healthservices,outcomesresearchandepidemiologyresearchcapacityiscurrentlylacking.Oneofourcurrentresearchfacultysearchesincludesbehavioral,clinicalandtranslationalresearchthatifsuccessfulwouldcomplementothercurrentCDBSstrengths. 

UFCollegeofDentistry‐‐AnnualProgramReview 9

11.EvaluatethedataproducedbyAcademicAnalytics.Clarifyanyfindingsthatyou feelarenotreflectiveofyourcollegeandindicateareas,basedonthesedata,inwhichimprovementismostneededandachievable.

Thecollege’sresearchofficereviewedtheAcademicAnalyticsdata.Wemaintainsimilardatainternally,butoftendonotparseitbydepartment.Weareexaminingthedatacloselytodeterminetheextenttowhichtheycaptureourresearchproductivityaccuratelyorwhetheradifferentpeercomparisongroupofinstitutionsmaybemoreuseful.Notwithstanding,manyofourdepartmentsachievetopquintilestatusbasedonthecriteriaused.

12.Indicateadvancesinachievingdiversityamongfaculty,staff,andstudentswithinyourcollege.

Ourperformanceinrecruitingadiversestudentbodyisdetailedinquestiontwo.SinceJuly1,2014,54percentofnewfacultyhiresand60percentofstaffhireswereunderrepresentedminorities(URM).SinceJuly1,2014,38percentoffacultyhiresand80percentofstaffhireswerewomen.Thesedataaresummarizedinthetablebelow.WeactivelyseektorecruitAfrican‐Americanfacultyandstudents‐‐adireneedacrossallU.S.dentalinstitutions.Wealsocontinuetoidentifypotentialcandidatesand/orinviteURMprospectstoguestlecture/visitthecollegeandadvertiseinjournalssuchasHispanicDentalAssociation,InsightintoDiversity,andthroughtheStudentNationalDentalAssociation.

 

Faculty2014‐2015

White AmericanIndian Asian Black Hispanic Notspecified

M F M F M F M F M F M F

75 33 0 0 12 11 1 2 14 19 3 0

63.5% 0% 13.5% 1.8% 19.4% 1.8%

Faculty(hiressinceJuly1,2014)

White AmericanIndian Asian Black Hispanic Notspecified

M F M F M F M F M F M F

4 2 0 0 2 1 1 0 1 2 0 0

46% 0% 23% 8% 23% 0%

Staff2014‐2015

White AmericanIndian Asian Black Hispanic Notspecified

M F M F M F M F M F M F

19 139 0 0 1 7 5 30 9 33 0 0

65% 0% 3.3% 14.4% 17.3% 0%

Staff(hiressinceJuly1,2014)White AmericanIndian Asian Black Hispanic Notspecified

M F M F M F M F M F M F

1 7 0 0 0 0 0 1 3 8 0 0

40% 0% 0% 5% 55% 0%

UFCollegeofDentistry‐‐AnnualProgramReview 10

13.Indicatenotablesuccessesininterdisciplinarycollaborationinthepastyear.

Interdisciplinaryactivitiesinresearchcontinuetoexpand,withnewprojectswithBiomedicalEngineeringandtheCollegeofLiberalArtsandSciences.CancerinitiativesprovidemanyopportunitiesforourcollegeandPRICEhasenhancedcollaborativeinterdisciplinarypainresearchacrosscampus–particularlyintheareasoftherelationshipofpaintocancerandaging.

Oral&MaxillofacialDiagnosticSciencesbegancombinedrotationsfororalandmaxillofacialradiologyresidentswithneuroradiologyatUFHealthShands.NewaffiliateprofessorshipsofferedbythedepartmenttomedicalradiologyfacultyfacilitatedenhancedinteractionoffacultywithOralandMaxillofacialRadiologyresidents,reducedturnaroundtimesandincreasedefficiencywith24/7ERcoverageofmaxillofacialcases.

TheOralandMaxillofacialSurgeryAdvancedGraduateProgramincreasedrotationsofmedicalstudentstherebyextendinginterprofessionaleducationintotheclinics.

UFCDisoneofsixregionalnodesfortheNationalDentalPractice‐BasedResearchNetwork(DPBRN)–anetworkofdentalpracticesandorganizationsconductingresearchwithafocusonclinicaldentalpractice.Thecollegeservesasalinkbetweendentistswhoareparticipatinginresearchbyprovidingtheinfrastructurenecessaryfordevelopmentandimplementationofresearchprojectsanddisseminationoffindings.Thenetworkcurrentlyhascloseto6,000membersnationallyandnearly1,300areintheSouthAtlanticregionwhichincludesFlorida,Georgia,NorthCarolina,SouthCarolinaandVirginia.Since2012,20studyconceptshavebeendevelopedbyUFCDfacultyfromninedifferentdepartment/units;oneapprovedconceptisincollaborationwiththeUniversityofFlorida’sCTSI.Currentstudiesfocusondecision‐makinginthemanagementofcariouslesions,andmanagementofdentinhypersensitivity;studiesbeingconsideredincludepatientsatisfaction,stakeholderengagementonhealthriskassessment,feasibilityandacceptanceoforalHPVdetection,anduseofopioidsanalgesics.Twenty‐threestudieshavecompleteddatacollection.

14.Whatareyourcollege’stop3goalsinthenextonetothreeyears? Asidefrombudget,aretheremajorimpedimentstoreachingthosegoals?Moveforwardwithexpansionandrenovationofthedentalsciencesbuilding.Thisiscriticaltothefuturesuccessofourcollegeandnecessarytoourgoalsofachievingpreeminenceandtop5status,aswellastomaintaintheexcellencebuiltoverthepast40years.Avisioningexerciseseveralyearsagocreatedaviableplanforanewbuildingandtherenovationoftheexistingdentaltower.Recently,withsupportfromtheSeniorVicePresident’sOffice,thecollegesubmittedanupdateddescriptionoftheprojectforinclusionontheuniversity’sPECOlistwhereitiscurrentlyamongthetopfiveprojects.Maintainourcurrentpositionoffiscalstrength.ReducedstatefundingandadownturninclinicalproductivityresultedinasignificantdeclineinourcashreservesinFY’13.Salariesandoperatingexpensesnormallyfundedthroughstateappropriationshadtobemovedtoclinicalfunds;byJanuary2013,thisshift

UFCollegeofDentistry‐‐AnnualProgramReview 11

erodedclinicalreservesresultinginanegativecashbalanceof‐$1.06million.Throughvariousstrategies,wereversedthisfinancialtrendandUFCDisnowfinanciallystable.Wediversifiedandgrewnon‐staterevenues,institutedarigorousbudgetingprocess,reducedselectoperatingexpenses,increasedclinicalproductivity,andimprovedcollectionpractices.Arigorousreviewofnewhirerequestsforfaculty,staffandOPSemployeeswasinstitutedinFY’13andcontinuestoallowcarefulmanagementofpersonnelexpenses,byfarourlargestexpense.Thecollegecurrentlyhas$6.46millioninclinicalcash;theupwardtrendisshownbelow.InMay2015,weraisedourcashreservegoalforclinicalandself‐fundedaccountsto90‐daysorapproximately$6.44milliontofurtherstrengthenfinancialposition.Wewillcontinuetousethesestrategiestomaintainourcurrentfiscalstrength.  

ReviseandImplementDMDCurriculumChangeAsnotedintheresponsetoquestion5,aDMDcurriculumrevisionwascarriedoutduring2012‐2014andplansdevelopedformakingcomprehensivechanges.Duringthenextfiveyears,atoppriorityistore‐examinethisplan,reviseifneeded,putinplaceanevaluationstrategyandimplementthenewcurriculumintothepredoctoralprogram.15.Listcurrentandplannedprojectstodevelopalternativerevenuestreams.Discussanyplanstoinitiatedistanceoroff‐‐‐bookeducationprograms.

Cost‐recovery,self‐fundedprograms

Thecollegehasthreecost‐recovery,self‐fundedprogramsthatmaybesuitableforconversiontomarketrateprogramsdescribedbelow.Asmarketrateprograms,theycouldcollectresiduals,retainfundsfromyeartoyear,etc.DuringFY’16,thecollegewillexamineprosandconsofconvertingthemtomarketrateprograms.

UFCollegeofDentistry‐‐AnnualProgramReview 12

1.TheDMDclasssizeexpansionisenteringitsthirdyear.Byfall2015,31totalfirst,secondandthirdyearstudentswillbeenrolledinthisself‐fundedprogram.Tuitionhasincreasedasbudgetedeachyearsinceinceptionandwillincreaseto$60,637.50peryearinFY’16.Thesefundsareusedforfull‐timeandOPSfacultyandstaff,studentassistantsandoperatingexpensesassociatedwiththeexpansion.Totaltuitionrevenuesfromthisprogramwillapproach$1.9millioninFY’16;thefirstcohortofstudentswillentertheDMDclinicsthisyear,generatingclinicalrevenue.ByFY’18,almost$3millioninadditionaltuitionandinstrumentleasingrevenueswillbegeneratedannually.Wecontinuetocloselyevaluateoutcomesofthisprogram.

2.InFY’15,fiveoralradiologyresidentsandtwooralpathologyresidentsareenrolledintheself‐fundeddentalspecialtyresidencyprogram.Thishasgenerated$350,000thisyearinself‐fundedtuitionrevenuesusedexclusivelytooffsetsalariesoffacultywhoteachinthoseprograms,residentstipends,andforprogrammaticexpensesincludingIT,equipmentandinstruments.Theself‐fundedprogramgivesthedepartmentflexibilitytoenrollqualifiedapplicantswhoarenoteligibleforGMEfunding.

3.TheHialeahInternationally‐educatedDentalProgram,alsoself‐funded,planstoimplementathreepercenttuitionincreaseinFY’16andannuallythereafteraslongasitdoesnotadverselyaffecttheapplicantpool.

InvestigatingSelf‐Funded,Internationally‐educatedDMDdegreeprogramWeareexploringtheviabilityofaself‐fundedinternationally‐educatedDMDdegree‐grantingprogram.UnliketheHialeahprogram,whichprovidesacertificatetoitsgraduates,thisprogramwouldallowwell‐qualifiedapplicantstoobtainaU.S.dentaldegree.Revenueswouldbegeneratedthroughtheapplicationprocess,tuition,andarequiredfour‐weekskillsandevaluationprogram.Weprojectadmitting25studentsperyear,generatingover$5.2millioninannualrevenuesbythesecondfullyear.BecauseofthelimiteddentalpatientpoolinGainesvilleandthesizeofthecollege’sexistingDMDandgraduateprograms,alocationsuchasLakeNona/OrlandoorJacksonvillewouldbemoresuitable.Aswithotherself‐fundedprogramscurrentlyinexistence,theviabilityofeventuallyconvertingthisprogramtoamarket‐rateprogramwouldbeahighpriority.HealthCareNetworkofSouthwestFloridaThecollegeisfinalizingarenegotiatedcontractwithHealthCareNetworkofSouthwestFlorida,afederally‐qualifiedhealthcenter,foritsNaplesChildrenEducationFoundation(NCEF)PediatricDentalCenterinNaples,Florida.Underthenewcontract,thecollegewillreceive$1.023millionperyeartoleaseitsfacultyandfacilitytotheFQHC,yieldingabout$450,000moreperyearincontractrevenuescomparedtotheaverageofprioryears,startingincalendaryear2015.Fundswillbeusedtohireathirdfacultymemberattheclinic,coverresidenttravelcosts,andprovidedepartmentalresidualfundsandacollege‐levelassessment. TheDepartmentofContinuingDentalEducation(CDE)hasimproveditsfiscalperformanceoverthelastfiveyearsbecomingconsistentlyprofitable.InFY’11,total

UFCollegeofDentistry‐‐AnnualProgramReview 13

revenuesreached$1.2million.Duringthatsamefiscalyear,revenueslessexpenseswere$178,058andthelife‐to‐datecashbalanceinCDEwas$328,492.ByFY’14,revenuesreachedalmost$2millionandthedepartmenthadalife‐to‐dateendingcashbalanceof$854,738.ClinicalGrowth&ChangeThecollegehassignificantopportunitytogrowitsclinicalenterprisethroughexpansiontolocationssuchas39thAvenueandelsewhere,co‐locatingwithUFHealth.Thereareopportunitiestoimproveexistingclinicaloperationsthroughbetterscheduling,continuedemphasisoncollections,moreefficientuseofaxiUmandimprovementsinFacultyPractice.Hospitalitytraining,bettercheck‐inandcheck‐outprocesses,andimprovementstotheintakeprocessarecriticaltocontinuetogrowcollegeclinicalrevenues(asareimprovementstothephysicalplant).16.Listfuturecommitments. Commitmentsincludebuildings,renovations,infrastructure,majorequipmentandupgrades,start‐‐‐uppackages,andanyothersignificantitems.BuildingandRenovationsPreparationfortheCODAaccreditationsitevisitincludesanoverallassessmentofthefacilitiesandbasicimprovementsnecessarytosetapositiveimageforthevisit.Weplantocarryoutminorrepairs,deepcleaningandtouchingupcertainpartsofthebuilding;atleast$60,000willbeneededforpaintingintheclinicalspaces.ThedirectcostsofaccreditationforfeespaidtoCODA,consultantcosts,mocksitevisitsfortheDMDandspecialtyprograms,andthesitevisititself,havebeensignificantandwillcontinuetoaddupthroughfall2015withtheoverallcostprojectedtobecloseto$1million.Thereareadditionalneedsforrenovations,infrastructureimprovementsandotherupgradesbeyondthepreparationforthesitevisit.Atoppriorityforrenovationfundsidentifiedisrenovationofthemulti‐disciplinarylearningfacilityusedbyDMDstudentsaswellasthecreationofastudentlounge,againforDMDstudents.InfrastructureThevastmajorityofresearchlaboratoriesinthedentaltowerareinurgentneedofmodernization.Modernresearchlaboratoriesandotherspacewillbeneededforcurrentprogramsandfuturehires.Multipleclinicsneedrenovationincludingtheendodonticresidentclinic,oralmedicineandoralandmaxillofacialsurgery,severalDMDclinicsandotherclinicalspace.Thebuildinghasfrequentelevator,plumbing,A/Candvents,andotherinfrastructureproblems.InMarch2015,thecollegewaswithoutA/Cbecauseofchilledwaterproblemsfor1‐1/2daysandthispastyear,ductworkandmoldabatementwasrequiredonmultiplefloors.Renovationsareoftenprohibitivelycostlyduetoasbestosabatementrequirements.Start‐UpPackagesAn$880,000commitmenttostart‐uppackageshasbeenmadeandincludesthepreeminencehireofDr.JoseLemoswhobeginshisemploymentinAugust2015.Twoadditionaltenuretrackfacultymentionedintheanswertoquestionsevenhavebeenawardedstart‐upfunds.

UFCollegeofDentistry‐‐AnnualProgramReview 14

17.Listkeyfinancialopportunitiesandchallengesforthecomingyear.Opportunities Utilizefundscommittedinthedean’sstart‐uppackagetoenhanceresearchfaculty

recruitments,supportDMDcurriculumrevisions,enhanceclinicaloperationsthroughaccesstoUFHealthexpertise,resourcesandtraining,andcompleteITinfrastructureandotherimprovements.

Increasefundraising,includingcorporategifts,tosupportbuildingrenovationsorconstructionandotherprogrammaticneeds.Wehavestartedacomprehensivereviewofexisting/vacantspacetosystematicallyplanforrenovationsandappropriatespaceuse.

Launchasearchforanewpositionfocusingontheclinicalenterpriseneeds,includingpatientcareimprovements,bringefficienciestoteachingclinics,expandpracticesitesandopportunities,andimproveclinicoperationsandultimately,theclinicalnetposition.

Developacomprehensiveincentiveplantomoreequallyrisk‐sharebetweenthecollegeandfacultyandtofurtherincentivizeperformance,includingclinicalproductivity.

Upgradetheelectronicdentalrecordsoftwaretoenhancetheclinical/businessoperation.Hosttwoconsultantvisitsthisyeartopreparefortheupgrade,conducttraining,andsuggestimprovementsinfacultypracticeandthebusinessoffice.

Improvethepayormixinourclinics,particularlyself‐paypatientsinpediatricdentistry. Exploreoptionstoencourageretirementoffacultyandtore‐invigorateitsresearch,

clinicalandservicemissionswithnewhires. InvestigateopportunitiesforHRSAHealth‐CenterLookAlikedesignationincooperation

withoneormoreofUFCD’slong‐termpartnerstoenhancereimbursementrates.

Challenges Uncertaintyinfederalandstatefunding,e.g.,NIH,statefundingforcancerinitiatives,and

GME.TherenewalofT90/R90traininggrantiscritical. Deploymentoffacultyisproblematicwithinconsistenciesinfacultydevelopmenttime

allottedbetweendepartments.Unfundedresearchersarealsoachallenge.Athoroughreviewoffacultydeploymentisbeingconductedaspartofthebudgetcyclethisyear.

FloridaMedicaidmanagedcareplanscontinuetorequireadditionalstaffresourcesforpre‐authorizationsandcollection.Contractingwiththeseplansislaborintensiveandexpensive(althoughwehavesuccessfullycontractedwiththesixmajorplansavailableinregionswhereourclinicsarelocated).

MedicalsupplycostshaverisensubstantiallyinFY’15.Wecontinuetolookforbulkbuying,consignmentandotherpurchasingstrategiesandinventorycontroltoreducecosts.

Maximizingtheefficiencyoftheclinicalenterpriseandtheeasewithwhichpatientsaccessoursystemofcareremainsachallenge;arangeofoptionsarebeingconsidered.

TheDentalScienceBuildinghassignificantinfrastructureproblemsasnotedpreviously.18.Pleaseexplaintheprocessyouareusingforgoal‐settinginthecollege.TheUFCDStrategicPlanningCommitteeconsistsoffaculty,aliaisonfromtheAcademicHealthCenter’sStrategicPlanningCommittee,alocaldentistfromthecommunityandsomeadministrativestaff.ThiscommitteedevelopsUFCD’sstrategicplanthatisultimately

UFCollegeofDentistry‐‐AnnualProgramReview 15

reviewedandapprovedbythefaculty;theyalsomonitorspecificoutcomestoevaluateprogresstowardscollegegoals.Ourstrategicplanservesasacriticalroadmapforthecollege.Thecollege’sstandingfacultycommitteesaregivenanannualchargethatisconsistentwiththecollege’sstrategicgoals.Annualfacultycommitteechargesoutlineshortandlongtermgoalsandinstitutionaleffectivenessmeasurestobemonitoredandacteduponasneeded,relativetothespecificcommittee’swork.ThecollegeplanisalignedwithUF’sgoalsandtheAcademicHealthCenterstrategicplan,includingthegoalofachievingpreeminence.Inthefall,thedeanwillleadaformal,broad‐basedstrategicplanningprocessculminatinginanewfive‐yearplanconsistentwithhervisionforthecollege,theoverallgoalsoftheAcademicHealthCenter’sstrategicplanThePowerofTogetherandtheuniversity’sgoals.