Medicine Faculty Meeting Announcements and Research Updates

Department of Medicine Faculty Meeting November 14, 2016 Announcements Research at BMC-BU

Announcements BMC Strategic Planning- Healthy Community Credit for Maintenance of Certification to be awarded through the CME office for QI/PS activities-details to be released soon DOM website being re-designed Update on Searches Department Chairs (BU-BMC) Hematology-Oncology Section Chief Infectious Disease Section Chief 2

November Grand Rounds November 18, 2016 - CLINICAL / RESEARCH Activity Title: The Dementia Dilemma Speakers: Hollis Day, MD and Dr. Lindsay Farrer, Ph.D. November 25, 2016 Thanksgiving Week/No Grand Rounds 3

December Grand Rounds December 2, 2016 Activity Title: AIDS LECTURE for World AIDS Day Speaker: Dr. Martin Hirsch December 9, 2016 Activity Title: Speaker: Dr. Robert Lowe December 16, 2016 - CLINICAL / RESEARCH Activity Title: Speakers: Dr. Allan J. Walkey and Dr. Daniel G. Remick December 23, 2016 Christmas Week/No Grand Rounds December 30, 2016 New Years Week/No Grand Rounds 4

Residency Program Update Interviewers needed for Internship candidates (see Gopal Yadavalli or Rachel Simmons) Initial Board Certification of Medical Residents: 41/42 passed New Pathway created in Residency Program- Framingham Pathway 5

Research Update Immunohistochemistry Core will stay open in AY 17 Research funding increased YTD although fluctuates from month to month Medical Data Science Initiative underway Computational Biomedicine Clinical Epidemiology Preventive Medicine Biomedical Genetics 6

Congratulations to BUMC Mid-Career Faculty Leadership Program grads! Name Liz Klings Section Pulmonary Project Mapping Efforts, Seeking Solutions: Readmissions at BMC K to R Transition K to R Transition Jane Liebschutz Tuhina Neogi Elizabeth Pearce Maria Ramirez Rick Ruberg GIM Clinical Epi Endocrinology K to R Transition Pulmonary K to R Transition Cardiology K to R Transition 7

Faculty Development Grant Recipients October 2016 Jennifer Britton-Colonnese, Endocrinology William Evan Johnson, Computational Biomedicine Charlene Julien, Gastroenterology Michelle Long, Gastroenterology Asher Tulsky, General Internal Medicine 8

Faculty Development Seminars How to Teach in a Flipped Classroom Shoumita Dasgupta November 22nd from 12-1pm in Wilkins Understanding the CTSI and opportunities they offer you David Felson November 29th from 12-1pm in Wilkins Measuring Retirement Readiness: For faculty under 50 Larry Kotlikoff November 29th from 3-5pm in Hiebert Disseminating Your Education Work to Get Promoted Kitt Shaffer & Dan Alford December 6th from 12-1pm in Wilkins 9

DOM Networking Dinners Under-Represented Minorities & Allies Dinner (with residents & fellows) November 30th from 6:30 to 8:30 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 10

3/20/2025 AY2017 REVENUE PROJECTION AND BUDGET REMEDIATION 11

AY2017 Revenue Projection 3/20/2025 AY17 BudgetAssumptions*: NPSR-BD $/wRVU based on November 2015 12-months YTD rolling data Free Care Revenue amount provided by BMC through the FPP NPSR-BD 44.48 $ FC 3.99 $ NPSR-BD+FC $ Q1 AY17 48.47 AY17 Budget 46.35 $ $ 4.92 $ 51.27 Variance $ (1.87) $ (0.93) $ (2.80) AY16 45.08 $ $ 4.18 $ 49.26 Variance $ (0.60) $ (0.19) $ (0.79) AY17 Revenue Projection*: Projected revenue loss (variance to budget) for remainder of year will be $(1.6m) (573k RVUs * $2.80 lower payment/RVU than budget) Q1 YTD 30,274,635 $ 30,299,857 $ (25,222) $ Budget Q2-Q4 Revenue Adj 92,901,064 $ 94,164,756 $ (1,263,692) $ Proj. Ending 121,570,566 $ 124,464,613 $ (2,894,047) $ Budget 123,714,268 $ 124,816,194 $ (1,101,926) $ Total Operating Rev Total Operating Exp Income/(Loss) (1,605,133) $ $ - 12

Details by Section 3/20/2025 Actual Budget Variance Total NPSR- BD+FC /wRVU $ $ $ $ $ $ $ $ $ $ $ $ Total NPSR- BD+FC /wRVU $ $ $ $ $ $ $ $ $ $ $ $ Total NPSR- BD+FC /wRVU $ $ $ $ $ $ $ $ $ $ $ $ AY2017 P3 YTD Actual to Budget NPSR-BD / wRVU 44.56 $ 44.75 $ 45.69 $ 46.80 $ 40.81 $ 43.66 $ 41.16 $ 40.23 $ 43.49 $ 46.66 $ 44.64 $ 44.48 $ FC / wRVU 2.95 $ 5.18 $ 7.33 $ 4.22 $ 3.10 $ 1.25 $ 5.57 $ 3.86 $ 2.67 $ 2.71 $ 3.90 $ 3.99 $ NPSR-BD / wRVU 46.03 $ 46.99 $ 47.02 $ 49.07 $ 42.00 $ 45.10 $ 42.89 $ 43.62 $ 46.70 $ 45.95 $ 49.17 $ 46.35 $ FC / wRVU $ $ $ $ $ $ $ $ $ $ $ $ NPSR-BD / wRVU (1.47) $ (2.25) $ (1.33) $ (2.27) $ (1.18) $ (1.44) $ (1.73) $ (3.39) $ (3.22) $ 0.72 $ (4.53) $ (1.87) $ FC / wRVU (1.27) $ (1.21) $ (0.59) $ (1.32) $ 0.59 $ 0.07 $ (0.71) $ 0.15 $ 0.31 $ (0.78) $ (0.09) $ (0.93) $ Cardiology Endocrinology Gastroenterology General Internal Med. GIM - Hospitalist Geriatrics HemOnc Infectious Disease Nephrology Pulmonary Rheumatology DOM Total 47.51 49.93 53.02 51.01 43.91 44.92 46.73 44.09 46.15 49.38 48.54 48.47 4.22 6.39 7.92 5.54 2.51 1.18 6.28 3.71 2.36 3.49 3.99 4.92 50.25 53.38 54.94 54.61 44.51 46.29 49.17 47.33 49.06 49.44 53.16 51.27 (2.74) (3.45) (1.92) (3.60) (0.60) (1.37) (2.43) (3.24) (2.90) (0.06) (4.62) (2.80) P4-P12 Budget RVUs 95,338 53,289 59,738 126,347 31,813 28,734 48,238 26,286 40,033 55,593 22,732 Variance to Budget $/RVU (2.74) $ (3.45) $ (1.92) $ (3.60) $ (0.60) $ (1.37) $ (2.43) $ (3.24) $ (2.90) $ (0.06) $ (4.62) $ Revenue Projection for P4-P12 Revenue Impact (260,782) $ (183,954) $ (114,736) $ (454,376) $ (18,975) $ (39,299) $ (117,431) $ (85,185) $ (116,243) $ (3,603) $ (105,117) $ Cardiology Endocrinology Gastroenterology General Internal Med. GIM - Hospitalist Geriatrics HemOnc Infectious Disease Nephrology Pulmonary Rheumatology 13

Budget Remediation OPTIONs 3/20/2025 Increase Revenue: Generate more wRVUs to offset lower $/wRVU Will also increase MD wRVU support Improve revenue cycle performance, e.g. reduce denials, increase copay, etc. Reduce Expense: Reduce non-salary expenses (lower spending, find other sources of funding) Reduce personnel expenses Other Ideas? 14