department of medicine faculty meeting september 15, 2009
TRANSCRIPT
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September 15, 2009
Department of Medicine Faculty MeetingAnnouncements, Review of ’08-’09, Goals for ’09-’10
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Announcements
• BMC IT has decided not to replace Logician (GE Centricity) with an alternative product
• Clinical dashboard coming soon• Fit Testing for the N95 mask to be announced
soon• Clinical volume continues to grow (visits up over
14%, wRVU’s up 10% YTD)• BMC CEO search to interview first round of
candidates in early October• Reminder regarding importance of Influenza
Vaccine for patients and healthcare providers
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Grand Rounds September 2009
Sept 18: “Clinical Problem Solving Case”, Moderator- Rob Lowe, M.D., Discussant- David Battinelli, M.D., North Shore LIJ, Health System
Sept 25: “Sudden Cardiac Death in the Young: Is it in the Genes?” Michael Ackerman, M.D., Mayo Clinic
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Research Announcements
• Process to subsidize use of cores by faculty has been established • “Bill of Rights” for trainees and faculty in the
process of being drafted• Next Bridge Funding application deadline December
1, 2009• Researchers Luncheon, 12:30-1:30 pm, Tuesday,
September 22, EBRC Room 715• Paul Pilch, Ph.D. appointed Associate Director of the
Graduate Program in Molecular Medicine• BUSM Grant Writing Course October 28 and
November 4 (five participants per session) contact [email protected] if interested
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Pilot Fund Recipients
DOM:– Tracy Battaglia– Kalpana Gupta– Gustavo
Mostoslavsky– Xuemei Zhong– Michael Wolfe
Pepper Center:– Wen Guo
BU Bridge:– Doug Faller– Stephanie Lee/Amy
Rosen– Mike Hollick– Fred Little– Avi Spira/Lee
Goldstein
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Evans Days: December 3-4, 2009
Abstract submission deadline October 2 at (http://www.call4abstracts.com/busm/busm09d2/ )
Wilkins Visiting Professor: David A. Flockhart, M.D., Ph.D., Chief of the Division of Clinical Pharmacology, Indiana University School of Medicine, 3:30 p.m., Thursday, December 3, 2009, Keefer Auditorium
Ingelfinger Visiting Professor: Talmadge E. King, Jr, M.D., Chair, Department of Medicine, University of California at San Francisco, 12 noon, Friday, December 4, 2009, Keefer Auditorium
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Faculty Web Pages Available
The Dept. of Medicine is offering individual faculty web pages to all faculty members.
Web pages can be created by completing the online form, right, at:
bmcmedicine.info/FacultyForm.html
Contact Kate Gilbert with questions: [email protected]
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Evans Center for Interdisciplinary Biomedical Research Announcements
• ARC Application Deadline: October 8, 2009 (http://www.app.bumc.bu.edu/medfunding)
• ARC celebratory event planned for February 16, 2010 (save the date)
• First Evans Center Monday Social/Science ARC hour, November 2, 2009 at 4-5:30 p.m.
• Joint CTSI/Evans Center Mini-symposium on Hypertension chaired by Dr. H. Gavras planned for April 16, 2010
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Faculty Development Seminar
• Tuesday, October 20, 2009:"Academic Advancement and Promotion” Facilitator: Karen Freund, MD, MPH
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September 15, 2009
Review of 2008-9 andGoals for 2009-10
(and beyond!)
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Overview
• Growth in number of faculty
• Research and clinical programs grew substantially
• Transitions in Education Program
• Increasing financial constraints due to BMC’s financial situation and recession
• Increasing rate of program development, change and refinement
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Leadership Appointments 2008-9
Vice Chairs– Emelia Benjamin, M.D. (Faculty Development &
Diversity)– Angela Jackson, M.D. (Education)– Rajlakshmi Krishnamurthy, M.D. (Outpatient Medicine)– Nila Radhakrishnan, M.D. (Inpatient Medicine)
Center Directors– Katya Ravid, Ph.D., D.Sc. (Evans Center for
Interdisciplinary Biomedical Research)– Joseph Mizgerd, Ph.D. (Pulmonary Center)– Maria Trojanowska, Ph.D. (Arthritis Center)
Section Chiefs– Vasan Ramachandran, M.D. (Preventive Med/Epid)– Rob Simms, M.D. (Rheumatology)
Residency Program Director– David Halle, M.D.
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Faculty Distribution by Rank, Gender, and Minority Status
5 (13) 25 (64) 39Instructor
18 (10) 75 (43) 174Asst Prof
5 (6) 33 (41) 80Assoc Prof
3 (3) 20 (22) 92Professor
31 (8) 153 (40) 383All faculty
URM (%)Women (%) TotalRank
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Faculty Development Initiatives 2008-9
• Faculty Development seminars• Faculty Development grants• Creation of Faculty Development website• Enhance portfolio of faculty awards • Develop more robust faculty database• Augment mentoring available to faculty• Establish new faculty orientation• Develop faculty individual development plan tool
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Faculty Development Diversity Goals 2009-10
• Improve FDD Website• FDD grants to 12 faculty not prior recipients• Continue FDD seminars• Increase diversity of DOM faculty using national
benchmarks• Target individuals at rank for >7 years to assist with
possible promotion• Develop & pilot faculty mentoring system
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Promotions or New Appointments to
Professor (2008-9)
Irving Bigio, M.D.Phyllis Carr, M.D.Hyon Choi, M.D.James Collins, Ph.D.Alan Fine, M.D.Thomas Geisbert, Ph.D.
Jianlin Gong, M.D.Robert Lafyatis, M.D.Peter Merkel, M.D.Joseph Mizgerd, Ph.D.Paul Pilch, Ph.D.Philip Podrid, M.D.Susan Fried, Ph.D.
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Promotion or New Appointment to Associate Professor 2008-9
Ahmed-Samer Al-Homsi, M.D.Michele David, M.D.Susan Doctrow, Ph.D.Alan Farwell, M.D.Frank Gibson, Ph.D.Kalpana Gupta, M.D.Brian Jacobson, M.D.Angela Jefferson, Ph.D.Darrell Kotton, M.D.Raj Krishnamurthy, M.D.
Paul LeLorier, M.D.Michael Paasche-Orlow, M.D.Elizabeth Pearce, M.D.Anita Raj, Ph.D.Marissa Ramirez, Ph.D.Christine Riordan, M.D.James Rosenzweig, M.D.Asish Saha, Ph.D.Jussi Saukkonen, M.D.Avi Spira, M.D.Orian Shirihai, M.D., Ph.D.
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Promotions to Assistant Professor 2008-9
Laurence Beck, M.D., Ph.D.Ramon Bonegio, M.D.Yan Dai, Ph.D.Albena Halpert, M.D.Andrea Havasi, M.D.
Andrea Kronman, M.D.Raphael Lemaire, Ph.D.Daniel Mishkin, M.D.Sheng Wang, Ph.D.
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New Appointments to Assistant Professor 2008-9
Uri Avissar, M.D.Ioana Bica, M.D.John Carr, M.D.Hassan Chami, M.D.Shoumita Dasgupta, Ph.D.Jean Francis, M.D.Craig Gordon, M.D.Naomi Hamburg, M.D.Amresh Hanchate, Ph.D.Jennifer Hughes, M.D.Matthew Jones, Ph.D.Alok Kapoor, M.D.Ilona Kopits, M.D.Joanne Krasnoff, Ph.D.Henri Lee, M.D.Hector Lucero, M.D.Mitchell Medow, M.D., Ph.D.James Meisel, M.D.
Gustavo Mostoslavsky, M.D., Ph.D.Jaime Murphy, M.D.Caryn Navarro, Ph.D.Leila Obeid, M.D.Yoram Puius, M.D., Ph.D.Lee Quinton, Ph.D.Timothy Radstake, M.D., Ph.D.Sandhya Rao, M.D.Bharti Rathore, M.D.Adam Rose, M.D.Alisa Rosen, M.D.Amy Rubin, Ph.D.Frank Schembri, M.D.Richard Sherva, Ph.D.Karin Sloan, M.D.Winnie Suen, M.D.Judith Tsui, M.D.Andrew Wilson, M.D.
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Initial Appointment as Instructor 2008-9
Sonia Ananthakrishnan, M.D.Anthony Annese, M.D.Aaron Bartoo, Ph.D.Wanda Blanton, M.D.Xueping Fan, M.D., Ph.D.Vandana Gupta, M.D.
Peter Hoffmeister, M.D.Won Lee, M.D.Sara Pietras, M.D.Andres Solorza, M.D.Lisa Usdan, M.D.Steven Vlad, M.D.Jean Yeung, M.D.
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September 15, 2009
Research Program
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Research Initiatives 2008-9
• Bridge (10) and Pilot (22) Funding• Nanomedicine initiative• Instrumentation cores (analytical, imaging, animal
phenotyping, Immunohistochemistry, HTS)• Clinical research core (with CTSI)• First Step grant internal grant review• Researchers’ luncheons• Research space review• Evans Junior Faculty Merit Award (E. Pearce, J Lu, M Zang) and
Evans Scholar Award (R Cohen, D Felson)• Research symposia (Obesity, Stem Cells, Nanomedicine)
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Evans Junior Faculty Research Merit Awardees 2009
Tuhina Neogi, M.D., Ph.D.Ravi Jasuja, Ph.D.Gerald Denis, Ph.D.
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Department of Medicine Research Funding 2006-9 (in millions $, excludes NEIDL, VA, Roger Williams)
30
40
50
60
70
80
90
100
110
2006 2007 2008 2009
BUSM
BMC
Total
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Research Goals 2009-10
• Enhance Faculty success in securing research support
• Improve IT support of research• Refine and further develop research cores• Develop strategic space allocation plan to
promote programmatic affiliations• Refine pilot, bridge, and Award programs• Improve mentoring and faculty development
initiatives
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Research Goals 2009-10
• Enhance translational and interdisciplinary research
• Enhance the research and training ambiance• Increase efficiency of research program• Enhance impact of research program in
vulnerable patient populations• Enhance capacity to derive and analyze
biological material for diagnostic, prognostic and therapeutic uses
• Improve impact of preventive health interventions
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September 15, 2009
Clinical Program
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Clinical Initiatives 2008-9
• Increase number of clinical faculty (22) and clinical faculty ftee (7.5%)
• Improve access for new patients (23%)• Increase clinical volume• Patient satisfaction• Increase productivity expectations of clinicians• Department (Quality Council) and Section specific quality
improvement• Increase communication at transitions of care• Conversion to new billing company, electronic billing system
and use of EMR on inpatient service• Develop new and enhancing existing clinical programs• Increase primary care services
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Sections Receiving Incentive Payments based on 08-9 Performance
New Patient Access
– Hematology-OncologyNew Patient Volume Increase
– Gastroenterology– General Internal Medicine– Geriatrics– Pulmonary
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Total Clinical Volume
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
FY 2005 FY 2006 FY 2007 FY 2008 FY 2009
wRVU's
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Ambulatory VisitsDepartment of Medicine
100000
120000
140000
160000
180000
200000
220000
240000
260000
FY 2007 FY 2008 FY 2009
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12000
12500
13000
13500
14000
14500
15000
15500
16000
FY 2008 FY 2009
Discharges Medical Service
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Boston AMC’s Inpatient Volume(FY 2009, 9 mo’s)
11.46 14,379 Tufts
2.20 22,274 BMC
-3.28 30,612 BID
0.87 38,180 MGH
1.83 39,951 BWH
% Increase YTD Discharges Hospital
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Average Length of Stay (Days) Medical Service
4.5
4.6
4.7
4.8
4.9
5
5.1
5.2
5.3
5.4
5.5
2006 2007 2008 2009
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Clinical Collections
2008/Jul 2008/Aug 2008/Sep 2008/Oct 2008/Nov 2008/Dec 2009/Jan 2009/Feb 2009/Mar 2009/Apr 2009/May 2009/Jun
Rolling 12 Months $1,589,644 $1,961,296 $1,657,605 $2,030,098 $2,110,705 $2,335,879 $2,071,940 $1,963,911 $2,588,018 $2,767,721 $2,819,894 $2,254,359
Previous 12 Months $1,920,993 $1,931,716 $1,879,565 $2,073,948 $2,032,879 $2,021,549 $2,138,419 $1,993,452 $2,015,558 $2,187,155 $1,638,786 $1,922,170
Variance -$331,350 $29,580 -$221,959 -$43,850 $77,826 $314,330 -$66,478 -$29,541 $572,459 $580,566 $1,181,108 $332,188
$0
$500,000
$1,000,000
$1,500,000
$2,000,000
$2,500,000
$3,000,000
Rolling 12 Months vs. Previous 12 Months - Payments Trending
Payments increased 10% or $2.4m from the same time prior year.
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Charge Lag
2009/Jan 2009/Feb 2009/Mar 2009/Apr 2009/May 2009/Jun
> 30 Days $2,792,298.00 $2,392,609.00 $1,921,808.00 $1,155,432.00 $674,577.00 $1,074,096.00
15 - 28 Days $2,584,924.00 $3,028,315.00 $3,037,860.00 $2,874,536.00 $2,435,182.00 $2,561,767.00
< 15 Days $2,668,160.00 $3,230,894.00 $4,544,995.00 $4,987,890.00 $5,828,724.00 $5,743,524.00
$0.00
$1,000,000.00
$2,000,000.00
$3,000,000.00
$4,000,000.00
$5,000,000.00
$6,000,000.00
$7,000,000.00
$8,000,000.00
$9,000,000.00
$10,000,000.00
Charge Lag Trend - Service Date to Posting Date
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Clinical Goals for 2009-10
• Improve patient access• Increase clinical volume• Improve communication among internal and external
providers at transitions of care• Enhance quality of care and patient safety• Improve financial performance • Enhance provider and patient satisfaction• Promote integrity of the clinical practice• Disseminate results of clinical innovation
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September 15, 2009
Education Program
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Medical Student Education 2008-9
• Established Evans Student Educator positions • Tom Barber, M.D. hired to direct ambulatory
medicine clerkship• Ambulatory medicine clerkship moving to fourth
year• Student satisfaction on medicine rotation
improved
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Residency Program 2008-9Two new Associate Program Directors:
Subha Ramani, M.D.Charlene Weigel, M.D.– EBM curriculum establishedEvans Educators appointed:
Adam Segal, M.D.Julie Crosson, M.D.Renee McKinney, M.D.Tuhina Neogi, M.D.Steve Vlad, M.D.Rob Lowe, M.D.Elaine Hylek, M.D.Craig Gordon, M.D.
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Residency Program 2008-9
Excellent match results:• 60 positions (41 cat, 14 prelim, 5 primary
care)• 32/60 women• 9/60 under-represented minorities
Primary Care Training Program awarded three year grant from HRSA Title VII ($1.01 m)
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Fellowship Programs 2008-9
• Fellowship curriculum committee being established
• Following programs received full accreditation following RRC site visit
– Infectious Disease– Nephrology– Hematology-Oncology
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Education Goals for 2009-10
• Develop and evaluate a rigorous residency program curriculum
• Foster a spirit of inquiry and scholarship• Expand training and modeling in professionalism and
communication • Aggressively recruit best and diverse candidates• Develop externships at international sites• Develop central resources for fellowship training• Develop faculty skills in teaching and curriculum
development• Integrate doctoral training in DOM• Enhance and evaluate medical student education• Enhance Graduate Program in Molecular Medicine
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Administrative Goals 2009-10
• Improve timeliness and ease of use of all financial transactions and controls
• Improve accuracy and usefulness of the budgeting process
• Enhance staff development• Augment information technology resources• Reduce expenses
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September 15, 2009
Final Thoughts
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Evans Center for Interdisciplinary Biomedical Research Examples of Pre-ARC’s
• CV consequences of Metabolic Disease• Biomarkers of Disease• Protein Trafficking and Neurodegenerative Diseases:
Alzheimer Disease as a first model system• Sex differences in adipose tissue remodeling:
mechanisms and role in disease risk• Regenerative Medicine• Mitochondria: one organelle, multiple organs• Immunobiology of trauma• Blood microbiome