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Department of MedicineFaculty MeetingJanuary 19, 2011
AnnouncementsBMC Update
Clinical updateEducation update
AnnouncementsBudget process for the 2011-12 academic year starting in
a few weeksExternal review of the Department to be arranged in 2011LCD screens to be placed on campus for information re
educational eventsDim Sum: China Pearl, Saturday, March 12, 11 am-2 Faculty Development Seminar: Feb 7 “Effective
Feedback”, Drs. Julie Crosson, Henri Lee, Rob Lowe, and Craig Noronha, 12-1 pm, Wilkins
Grand Rounds
January 21: Rita Blanchard, M.D. “Breast Cancer: More than One Disease”
January 28: Aram Chobanian, M.D., “Current Concepts in the Management of Hypertension”
February 4: Rob Lowe, M.D. and David Battinelli, M.D., Clinical Case Discussion
February 11: Ravin Davidoff, M.D., “Valvular Heart Disease: Update for 2011”
Kudos
Elected to ASCI:– Darrell Kotton, M.D.– Flora Sam, M.D.– Avi Spira, M.D.
BMC Update
Status of BMC lawsuit v Commonwealth of Massachusetts
Supplemental funds from CMS for FY 10 and 11FTI review of the department Income down and expenses down; currently
running better than budget
Proposal for Three Week Inpatient Attending Rotations
Pros– Would synchronize more often with residents/interns– More continuity of care and longer period of observation of
students and house staff than with two week rotations– Simplifies orientation and evaluation process– Can be synchronized with outpatient general medicine
attending schedule for continuity clinic supervision– Less disruptive to outpatient activities than with four week
rotationsCons
– More disruption to outpatient activities than with two week rotations
– More disruption to medical student observation and evaluation than with four week rotations
Clinical UpdateCompliance with coding requirements improving but still below
target of 85% compliantSatisfaction
– HCAHPS at 61% rate inpatient experience 9 or 10 (goal of 70%)Quality
– Access slightly improved in some areas but still below 14 day target
– Observed mortality down YTDVolume
– Visits up 4.3%– wRVU’s up 8.3% (up for every section YTD)– Charges up 8%– Collections up 10%– Days in Accounts Receivable down 26%
Comparison with other DOM’sDepartmental Revenue Sources
% of Revenue from SOM
Hospital Clinical Practice
Grants
BU DOM 1.5% (<25%ile)
24.6%(90%ile)
25.0% (<25%ile)
47.7% (90%ile)
AAIM DOM refGroup (’09)
10.0 12.6 40.5 26.5
Comparison with other DOM’s
Professional fees
No# Days in AR
Gross Collection Rate
BU DOM $35.4 m 33 28.0%
AAIM DOM Reference Group (’09)
38.2 46 40.5
10
BMC Volume – FY11 December YTDDischarges
Discharges: FY11 Bud 7,561 FY10 Act 7,655 FY11 Act 7,428 FY11 Act 7,428
% Var -1.8% % Growth -3.0%
Inpatient DischargesRolling 6 Month Average
2,4662,496
2,394
2,294
2,5682,588
2,583 2,513
2,741
2,556
2,506
2,668
2,486 2,501
2,526
2,286
2,6102,587
2,491
2,378
2,556
2,628
2,467
2,487
2,445
2,200
2,300
2,400
2,500
2,600
2,700
2,800
Dec
-08
Jan
-09
Feb
-09
Mar
-09
Ap
r-09
May
-09
Jun
-09
Jul-
09
Au
g-0
9
Sep
-09
Oct
-09
No
v-09
Dec
-09
Jan
-10
Feb
-10
Mar
-10
Ap
r-10
May
-10
Jun
-10
Jul-
10
Au
g-1
0
Sep
-10
Oct
-10
No
v-10
Dec
-10
Rolling 6 Monthly
11
Inpatient Discharges & Observation December FY11 YTD
Discharges & Obs: FY10 Act 9,159 FY11 Act 9,348
% Growth 2.1%
Inpatient Discharges & ObservationRolling 6 Month Average
3,069
3,1973,189
3,285
3,093
2,976
3,065
3,171
3,225
2,842
3,077
3,0152,990
3,154
3,0453,070
3,272
3,032
3,212
3,157
3,118
2,837
2,919
3,0823,034
2,600
2,700
2,800
2,900
3,000
3,100
3,200
3,300
3,400
Dec
-08
Jan
-09
Feb
-09
Mar
-09
Ap
r-09
May
-09
Jun
-09
Jul-
09
Au
g-0
9
Sep
-09
Oct
-09
No
v-09
Dec
-09
Jan
-10
Feb
-10
Mar
-10
Ap
r-10
May
-10
Jun
-10
Jul-
10
Au
g-1
0
Sep
-10
Oct
-10
No
v-10
Dec
-10
Rolling 6 Monthly
12
BMC Volume – FY11 December YTD All Patient CMI
All Patient CMI: FY10 YTD 1.33 FY11 YTD 1.31 % Growth -1.1%
All Patient CMIRolling 6 Month Average
1.34
1.301.30
1.341.35
1.26
1.41
1.28
1.34
1.31
1.311.32
1.37
1.35
1.281.28
1.33
1.28
1.36
1.23
1.321.33
1.33
1.38
1.30
1.10
1.15
1.20
1.25
1.30
1.35
1.40
1.45
1.50
De
c-0
8
Ja
n-0
9
Fe
b-0
9
Ma
r-0
9
Ap
r-0
9
Ma
y-0
9
Ju
n-0
9
Ju
l-0
9
Au
g-0
9
Se
p-0
9
Oc
t-0
9
No
v-0
9
De
c-0
9
Ja
n-1
0
Fe
b-1
0
Ma
r-1
0
Ap
r-1
0
Ma
y-1
0
Ju
n-1
0
Ju
l-1
0
Au
g-1
0
Se
p-1
0
Oc
t-1
0
No
v-1
0
De
c-1
0
Rolling 6 Monthly
13
BMC Volume – FY11 December YTD Clinic Visits
Clinic Visits YTD: FY11 Bud 156,394 FY10 Act 151,443 FY11 Act 153,699 FY11 Act 153,699 % Var -1.7% % Growth 1.5%
Clinic VisitsRolling 6 Month Average
44,357
44,137
43,476
50,713 50,857
47,654
51,854
50,357
48,200
52,449 53,197
49,154
49,092
47,675
46,004
55,806
52,225
50,928
54,292
50,68151,665
52,892 52,589 52,657
48,453
35,000
40,000
45,000
50,000
55,000
60,000
Dec
-08
Jan
-09
Feb
-09
Mar
-09
Ap
r-09
May
-09
Jun
-09
Jul-
09
Au
g-0
9
Sep
-09
Oct
-09
No
v-09
Dec
-09
Jan
-10
Feb
-10
Mar
-10
Ap
r-10
May
-10
Jun
-10
Jul-
10
Au
g-1
0
Sep
-10
Oct
-10
No
v-10
Dec
-10
Rolling 6 Monthly
14
15
16
Research UpdateResearch Grants are up 14% YTD through Nov ‘10 Researchers Meeting, Tuesday, Mar 15, 12:30-1:30
pm, Wilkins Boardroom Specific Aims Page Review due March 1, send page to
[email protected] Core support request: Due Tuesday, February 1 Form
and information can be found at: http://www.bumc.bu.edu/medicine/research-in-the-department/dom-core-support-request-form/
Education Update
3 + 1 rotation format going wellIncreased student participation in subspecialty clinicsEducation Journal Club – Jan 20th, 12 noon, BUSM
Admissions Office Conference RoomCommunity Medicine Unit – Faculty development
session and breakfast, Crosstown, January 20, 2011 8AM-9AM
Duty hour reporting by residents is around 45%Intern applicant interviews continue through the end of
JanuaryLCME Visit for BUSM February 27-March 2, 2011
