Department of Medicine Faculty Updates and Announcements

 
Department of Medicine Faculty
Meeting
January 24, 2017
 
Announcements
Clinical Update
ACO Readiness, Context and
Contributions to Success
 
Announcements
 
Update on Section Chief searches
Medical Data Science retreat on February 27 at
12:30 pm in EBRC 714/715
Suggestions for 2017 
Evans Days Speakers 
sought
Faculty and trainee 
Dim Sum 
tentatively scheduled
for Saturday February 18, 2017 (details to follow)
Update on Searches
ID
Heme Onc
Chair searches: Surgery, Neurology, Otolaryngology
 
BU Benefits
 
Final agreement near on reducing fringe rate on
departmental (non-grant) portion of salaries to low
20% from high 20% range
Retroactive to July 1, 2016
Clearer definition of “full time” for purposes of
benefits
No major changes in existing benefits
Improvements in HR and other administrative services
sought
Depending on overall financial performance, seek to
increase faculty compensation/incentive payments
 
Upcoming Grand Rounds
 
January 27, 2017-
CLINICAL / RESEARCH
Activity Title: 
"Is Calorie a Calorie? The Redox Approach to
Understanding Metabolism"
Speaker: 
Dr. Caroline Apovian & Dr. Nawfal Istfan
February 3, 2017
Activity Title: 
Philip Kramer Lecture
Speaker: 
Dr. Vijay Shah & Terri Johnson
February 10, 2017
Activity Title: 
TBD
Speaker: 
TBD
February 17, 2017- 
CLINICAL / RESEARCH
Activity Title: 
TBD
Speakers: 
Dr. Frederick Ruberg and Dr. Lawreen Connors
February 24, 2017
Activity Title: 
Joint Grand Rounds for Internal Medicine and
Hematology-Oncology
Speakers: 
Dr. Linda Sprague-Martinez & Dr. Karen Winkfield
 
 
4
 
March Grand Rounds
 
March 3, 2017
Activity Title: 
Beldon Idelson VP
Speaker: 
TBD
March 10, 2017
Activity Title: 
TBD
Speaker: 
Elizabeth McGlynn
March 17, 2017
Activity Title: 
IM Residency Alumni Speaker
Speakers: 
TBD
March 24, 2017
Activity Title: 
TBD
Speakers: 
Dr. Nicholas Hill & Dr. Harrison Farber
March 31, 2017- 
CLINICAL / RESEARCH
Activity Title: 
TBD
Speakers: 
TBD
 
 
 
5
 
Faculty Development Seminars
 
Making Effective Use of BU Profiles for Graceful
Self-Promotion
Christopher Shanahan
January 25
th
 from 12-1pm in computer lab L1110
Giving Effective Presentations
Rob Lowe
February 2
nd
 from 12-1pm in Evans 118
 
 
Faculty Development Seminars
 
How to Navigate BU/BUMC Resources for Finding
Funding
Rick Ruberg
February 6
th
 from 12-1pm in Evans 118
Effective Communication for Leading High
Performing Teams
David Coleman & Mark Braun
February 6
th
 from 5-6pm in Evans Seminar Room (112A)
How to Publish on MedEd Portal
Rachel Simmons, Jenny Siegel, and Gail March
February 6
th
 from 12-1pm in Evans 118
 
 
 
DOM Networking Dinners
 
Educators’ Dinner
January 25
th
 from 6:30 to 8:30
 
Enjoy 
good food 
and 
meaningful discussion 
with
your DOM colleagues.
Emelia Benjamin’s home in Brookline
RSVP to Robina Bhasin at 
rbhasin@bu.edu
 
Application deadlines for longitudinal
faculty development programs
 
Academy for Faculty Advancement: early career
February 1
st
 – March 19
th
Mid-Career Faculty Leadership
February 13
th
 – March 26
th
 
Women’s Leadership
March 20
th
 – April 23
rd
Under-Represented Minority Faculty Development
April 3
rd
 – April 30
th
 
Early Career:
Academy for Faculty Advancement (AFA)
 
10
 
Target audience
BUMC Instructors & Assistant Professors
Number of Faculty
Up to 30 per year
Program Structure
9 months from September to May
Meets 2 ½ hours two Mondays each month
Applications accepted February 1 - March 19, 2017
Program Elements
Professional development experiential seminars
Individual academic project with content mentor
Peer mentorship across BUMC schools
Career mentorship provided by AFA core faculty
 
Mid-Career Faculty Leadership Program
 
11
 
Target audience
BUMC Late Assistant Professors & all Associate Professors
Number of Faculty
14 FPF faculty + up to 6 BUSM & SPH faculty
Program Structure
July – June
Meets off campus for six 2-day modules
Applications 
accepted February 13 – March 26, 2017
Program Elements
360 evaluation & coaching
Team leadership projects
Senior and peer mentorship
Meetings with inspirational leaders in health sciences
Experiential seminars focused on developing leadership skills
 
Women’s Leadership Program
 
Slide 12
 
Target audience
BUMC women faculty
Number of Faculty
 Up to 20 per year
Program Structure
10 months from September to June
2 hours every three weeks
Applications accepted March 20 – April 23, 2017
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
Conversation Cafes 
with inspirational leaders
 
Minority Faculty Development Program
 
13
 
Target audience
BUMC under-represented minority in medicine faculty
Number of Faculty
Up to 20 per year
Program Structure
9-months from October to June
1.5 hours every three weeks
Applications accepted April 3 – April 30, 2017
Program Elements
Experiential seminars 
focused on career and leadership
development skills, and the experiences of URM faculty
Individual career coaching 
to identify resources and mentors,
successfully negotiate challenges, and achieve identified goals
Conversation Cafes 
with inspirational leaders
 
Goals of URM Post-Graduate & Faculty Development
Program
 
Increase recruitment, retention & advancement
of URM trainees & faculty in DOM
Enhance vitality and visibility of URM trainees &
faculty
Foster sense of community among URM
trainees & faculty
Create an inclusive environment in DOM
 
14
 
Activities (1 of 2)
 
 
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Support Residency Program interview season with morning
presentation, interviewing, and URM resident and faculty
support at end of interview day dessert.
Meet with prospective URM faculty candidates
 
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Pilot unconscious bias talk at pre-clinic ambulatory conference
for residents
Longitudinal leadership & faculty development program
»
Eleven URM faculty from BUSM
»
Program includes an individualized development plan
(IDP) for each participant to support participants with
mentoring and career planning
Stay interviews of all URM faculty in DOM are underway
 
 
 
15
 
Activities (2 of 2)
 
 
 
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URM & Allies Dinner at Emelia Benjamin’s home in
November 2016
»
Attended by faculty, residents and fellows from
BUMC
»
Next URM & Allies Dinner in May 2017
URM faculty and trainee networking event at local
restaurant in December 2016
»
Quarterly networking events planned
 
16
 
Clinical Update
 
New Documentation Policy being unveiled by FPF,
delinquent notes distributed in February
Clinician satisfaction Advisory Group have
interviewed 20 clinicians from 10 clinical
sections-data being analyzed
Physician coaching (Patient Experience initiative)
starting in Endocrine section
Clinical Faculty Compensation Committee report
due soon
wRVU’s up 6.9% compared to AY 16
 
Clinical Volume FY YTD
 
Source: MassHealth communication January 2016
 
MassHealth approaching 
40% of
their budget
 
Commonwealth is looking to reduce
spending off trend 
2.5% over 5
years
 
… and fundamentally alter the
trajectory of healthcare cost growth
in the longer term
 
Recap: The Commonwealth is aiming to
reduce spending off trend 2.5% over 5
years…
 
. . . By moving providers into MassHealth
Accountable Care Organizations
 
“ACO is an organization of healthcare
providers that agrees to be 
jointly held
accountable
 
for achieving measured
quality improvements
, 
reductions in rate
of spending growth
, and 
overall care 
of
patients who are assigned to it”
 
Despite uncertainty of transition in Federal
government, MassHealth is still aggressively
pursuing reform on the same timeline
 
Jan 16
 
Apr 17
 
Jul 17
 
Oct 17
 
Apr 17
 
Jul 17
 
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We are gaining
experience using
MassHealth data and
collaborating across a
broader group of
physicians
 
1.
Core BACO: 
Health Centers: 
Codman Square, Dorchester House, Greater Roslindale, Mattapan, South Boston,
Sound End 
Hospital: 
Multiple BMC primary care and pediatric practices
 
We are on track to form partnerships with a significant number of organizations across MA in
Model A ACO/MCO arrangements…
Mercy/Riverbend (30)
 
High-potential partner organizations by region
Number of lives in thousands
BACO
Existing BACO (42)
BHCHP (3)
South
Sturdy (10)
Greater NB CHC (9)
HealthFirst (3)
SSTAR (2)
South Shore (1)
 
West
Holyoke Med Ctr. (8)
Cooley Dickinson (11)
Cape Cod (13)
Outer Cape CHC (4)
Duffy Health Ctr. (2)
Others still considering
Merrimack Valley ACO
1
 (45)
Signature Brockton (31)
 
1. Greater Lawrence Family Health Center and Lawrence General Hospital
 
We project that our current partnerships will
result in ~200K lives statewide
Southcoast (24)
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The Department of Medicine faculty meeting shared important updates on ACO readiness, benefits agreements, upcoming events like Grand Rounds and Faculty Development Seminars, and more. From clinical updates to faculty development opportunities, the meeting covered a range of topics aiming to enhance faculty engagement and excellence in healthcare practices. Additionally, there were announcements regarding section chief searches, training opportunities, and benefits improvements for faculty members.

  • Department of Medicine
  • Faculty Updates
  • Announcements
  • ACO Readiness
  • Benefits Agreements

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  1. Department of Medicine Faculty Meeting January 24, 2017 Announcements Clinical Update ACO Readiness, Context and Contributions to Success

  2. Announcements Update on Section Chief searches Medical Data Science retreat on February 27 at 12:30 pm in EBRC 714/715 Suggestions for 2017 Evans Days Speakers sought Faculty and trainee Dim Sum tentatively scheduled for Saturday February 18, 2017 (details to follow) Update on Searches ID Heme Onc Chair searches: Surgery, Neurology, Otolaryngology

  3. BU Benefits Final agreement near on reducing fringe rate on departmental (non-grant) portion of salaries to low 20% from high 20% range Retroactive to July 1, 2016 Clearer definition of full time for purposes of benefits No major changes in existing benefits Improvements in HR and other administrative services sought Depending on overall financial performance, seek to increase faculty compensation/incentive payments

  4. Upcoming Grand Rounds January 27, 2017-CLINICAL / RESEARCH Activity Title: "Is Calorie a Calorie? The Redox Approach to Understanding Metabolism" Speaker: Dr. Caroline Apovian & Dr. Nawfal Istfan February 3, 2017 Activity Title: Philip Kramer Lecture Speaker: Dr. Vijay Shah & Terri Johnson February 10, 2017 Activity Title: TBD Speaker: TBD February 17, 2017- CLINICAL / RESEARCH Activity Title: TBD Speakers: Dr. Frederick Ruberg and Dr. Lawreen Connors February 24, 2017 Activity Title: Joint Grand Rounds for Internal Medicine and Hematology-Oncology Speakers: Dr. Linda Sprague-Martinez & Dr. Karen Winkfield4

  5. March Grand Rounds March 3, 2017 Activity Title: Beldon Idelson VP Speaker: TBD March 10, 2017 Activity Title: TBD Speaker: Elizabeth McGlynn March 17, 2017 Activity Title: IM Residency Alumni Speaker Speakers: TBD March 24, 2017 Activity Title: TBD Speakers: Dr. Nicholas Hill & Dr. Harrison Farber March 31, 2017- CLINICAL / RESEARCH Activity Title: TBD Speakers: TBD 5

  6. Faculty Development Seminars Making Effective Use of BU Profiles for Graceful Self-Promotion Christopher Shanahan January 25th from 12-1pm in computer lab L1110 Giving Effective Presentations Rob Lowe February 2nd from 12-1pm in Evans 118

  7. Faculty Development Seminars How to Navigate BU/BUMC Resources for Finding Funding Rick Ruberg February 6th from 12-1pm in Evans 118 Effective Communication for Leading High Performing Teams David Coleman & Mark Braun February 6th from 5-6pm in Evans Seminar Room (112A) How to Publish on MedEd Portal Rachel Simmons, Jenny Siegel, and Gail March February 6th from 12-1pm in Evans 118

  8. DOM Networking Dinners Educators Dinner January 25th from 6:30 to 8:30 Enjoy good food and meaningful discussion with your DOM colleagues. Emelia Benjamin s home in Brookline RSVP to Robina Bhasin at rbhasin@bu.edu

  9. Application deadlines for longitudinal faculty development programs Academy for Faculty Advancement: early career February 1st March 19th Mid-Career Faculty Leadership February 13th March 26th Women s Leadership March 20th April 23rd Under-Represented Minority Faculty Development April 3rd April 30th

  10. Early Career: Academy for Faculty Advancement (AFA) Target audience BUMC Instructors & Assistant Professors Number of Faculty Up to 30 per year Program Structure 9 months from September to May Meets 2 hours two Mondays each month Applications accepted February 1 - March 19, 2017 Program Elements Professional development experiential seminars Individual academic project with content mentor Peer mentorship across BUMC schools Career mentorship provided by AFA core faculty 10

  11. Mid-Career Faculty Leadership Program Target audience BUMC Late Assistant Professors & all Associate Professors Number of Faculty 14 FPF faculty + up to 6 BUSM & SPH faculty Program Structure July June Meets off campus for six 2-day modules Applications accepted February 13 March 26, 2017 Program Elements 360 evaluation & coaching Team leadership projects Senior and peer mentorship Meetings with inspirational leaders in health sciences Experiential seminars focused on developing leadership skills 11

  12. Womens Leadership Program Target audience BUMC women faculty Number of Faculty Up to 20 per year Program Structure 10 months from September to June 2 hours every three weeks Applications accepted March 20 April 23, 2017 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 Conversation Cafes with inspirational leaders Slide 12

  13. Minority Faculty Development Program Target audience BUMC under-represented minority in medicine faculty Number of Faculty Up to 20 per year Program Structure 9-months from October to June 1.5 hours every three weeks Applications accepted April 3 April 30, 2017 Program Elements Experiential seminars focused on career and leadership development skills, and the experiences of URM faculty Individual career coaching to identify resources and mentors, successfully negotiate challenges, and achieve identified goals Conversation Cafes with inspirational leaders 13

  14. Goals of URM Post-Graduate & Faculty Development Program Increase recruitment, retention & advancement of URM trainees & faculty in DOM Enhance vitality and visibility of URM trainees & faculty Foster sense of community among URM trainees & faculty Create an inclusive environment in DOM 14

  15. Activities (1 of 2) Support recruitment of URM trainees & faculty Support Residency Program interview season with morning presentation, interviewing, and URM resident and faculty support at end of interview day dessert. Meet with prospective URM faculty candidates Increase retention & advancement of URM trainees & faculty Pilot unconscious bias talk at pre-clinic ambulatory conference for residents Longitudinal leadership & faculty development program Eleven URM faculty from BUSM Program includes an individualized development plan (IDP) for each participant to support participants with mentoring and career planning Stay interviews of all URM faculty in DOM are underway 15

  16. Activities (2 of 2) Increase vitality and foster community URM & Allies Dinner at Emelia Benjamin s home in November 2016 Attended by faculty, residents and fellows from BUMC Next URM & Allies Dinner in May 2017 URM faculty and trainee networking event at local restaurant in December 2016 Quarterly networking events planned 16

  17. Clinical Update New Documentation Policy being unveiled by FPF, delinquent notes distributed in February Clinician satisfaction Advisory Group have interviewed 20 clinicians from 10 clinical sections-data being analyzed Physician coaching (Patient Experience initiative) starting in Endocrine section Clinical Faculty Compensation Committee report due soon wRVU s up 6.9% compared to AY 16

  18. Clinical Volume FY YTD Relative to Budget Relative to FY 16 Discharges 1.5% increase 7.0% increase Clinic Visits 8.0% decrease 1.6% decrease

  19. Recap: The Commonwealth is aiming to reduce spending off trend 2.5% over 5 years MassHealth approaching 40% of their budget Commonwealth is looking to reduce spending off trend 2.5% over 5 years and fundamentally alter the trajectory of healthcare cost growth in the longer term Source: MassHealth communication January 2016

  20. . . . By moving providers into MassHealth Accountable Care Organizations ACO guiding principles Local accountability ACO is an organization of healthcare providers that agrees to be jointly held accountable for achieving measured quality improvements, reductions in rate of spending growth, and overall care of patients who are assigned to it Standardized performance management Payment reform

  21. Despite uncertainty of transition in Federal government, MassHealth is still aggressively pursuing reform on the same timeline Waiver approved 2016 9 2017 1 10 11 12 2 3 4 5 6 7 8 9 10 11 12 Jan 16 Apr 17 Oct 17 Jul 17 ACO selection MassHealth ACO contracting and rates finalized Member selection Auto- assign ACO launch ACO responses due ACO RFR released (incl. Model Contract) Databooks & pricing methodology released ACO ACO readiness reviews Apr 17 Jul 17 Pilot performance period begins Pilot performance period ends MCO RFR released (incl. Model Contract) MCO responses due MCO selection MassHealth MCO contracting MCO MCO readiness reviews MassHealth CP contracting Draft design document released for public comment CP selection Public comment due CP RFR released CP RFR responses due CP RFI released BH & LTSS Community Partners (CPs) CP readiness reviews

  22. Initially, we provided a route for potential partners to join BACO as limited members to take part in the MassHealth ACO pilot Expanded BACO MassHealth ACO Pilot: Core BACO (10 groups)1 22K HealthFirst Family Health Center (Fall River) 2K Greater New Bedford CHC 5K We are gaining experience using MassHealth data and collaborating across a broader group of physicians Family Healthcare Center at SSTAR (Fall River) 1K Upham s Corner Health Center 3K Boston Healthcare For The Homeless 1K Signature Healthcare (Brockton) 6K Sisters Of Providence Health System (Springfield) 2K 1. Core BACO: Health Centers: Codman Square, Dorchester House, Greater Roslindale, Mattapan, South Boston, Sound End Hospital: Multiple BMC primary care and pediatric practices

  23. We are on track to form partnerships with a significant number of organizations across MA in Model A ACO/MCO arrangements High-potential partner organizations by region Number of lives in thousands BACO Existing BACO (42) BHCHP (3) Others still considering Merrimack Valley ACO1 (45) South Sturdy (10) Greater NB CHC (9) HealthFirst (3) SSTAR (2) South Shore (1) West Mercy/Riverbend (30) Holyoke Med Ctr. (8) Cooley Dickinson (11) Signature Brockton (31) Southcoast (24) Cape Cod (13) Outer Cape CHC (4) Duffy Health Ctr. (2) We project that our current partnerships will result in ~200K lives statewide 1. Greater Lawrence Family Health Center and Lawrence General Hospital

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