UTMB Faculty Senate
February 13, 2012
4:30 6:00 pm
Present: Drs. S. Croisant, Chair, S. Al-Arabi, B. Ameredes, L. Cain, C. Cooper, J. Davis, S. Elsaid, L. Farmer, J. Graham, A. Jones, J. LeDuc, J. McBride, N. Mendias, H. Pine, E. Protas, C. St. John, C. Utsey, H. West, D. Wild and D. Young
Absent: Drs. J. Badalamenti, K. Beal, B. Bryant, P. Crane, R. Ellis, C. Houston, T. Riall, S. Sarna and C. Wiggs
I. The meeting was called to order at 4:35 pm by Dr. Sharon Croisant, Faculty Senate Chair.
II. The Approval of the January 9, 2012 minutes. The minutes of January 9, 2012 were voted and approved by email on February 2, 2012.
III. Provost, VP and Deans Report
Interim Executive Vice President, Provost and Dean, Graduate School of Biomedical Sciences report provided by Dr. Cooper.
Interim Dean, School of Medicine, Dr. Donald Prough report provided by Dr. Prough.
Dean, School of Health Professions report provided by Dr. Protas.
Dean, School of Nursing and Vice President for Education report provided by Dr. Watson.
IV. Reports by Faculty Senate Chair
· Dr. Croisant distributed her Faculty Senate Chairs Report which was discussed. Some of the topics include: The SOM Dean search is progressing and we will hopefully have a list from the Search firm this month. The HRI awards were discussed and to date we have five nominees, please encourage your colleagues to apply. At the January FAC meeting, they discussed the campus reports, as well as the students list of issues and suggestions related to the graduate student time off, among other concerns. The FAC Academic Affairs and Faculty Quality Committee will take this up. The BoR meetings structures have changed. The FAC has petitioned for faculty representation on the BoR as is the case now with students. The Post Tenure Review Policy was reviewed and the FAC Governance Committee in response to the Regents revised version vs. the version recommended by the FAC task force including the Chancellor and UT System attorneys. They voted to accept the Task Force version, Rule 31102. Chancellor Cigarroa met with Mr. Obama in December, who is very concerned about minimizing student debt. Under the leadership of Pedro Reyes, the System is making good progress on the Framework through working groups. UT research cyber-infrastructure group has established data repositories at both Arlington and the UT-Austin TACC. Investigators from all UT campuses will be able to store their data in the same repository.
V. UTMB Financial Update William R. Elger, CPA, Executive Vice President, Chief Business and Finance Officer
Mr. Elger presented the Senate with a PowerPoint presentation. Some highlights from his presentation include:
Challenges We Are Currently Managing:
General Revenue Reductions
for the FY12-13 biennium (~20%) $57.1M ($114.2M biennium)
Medicaid Reduction (~2%) $0.5M
TEFRA and CHIP Prenatal Reduction $3.2M
School of Medicine Contracts
Family Planning Reduction $6.6M
Correctional Care Reduction $46.6M ($96.0M biennium)
Medicaid Reduction (~2%) $2.6M
Indigent Care Fund $3.5M
(increase in portion of CSW that
UTMB will need to fund)
UTMB Connect $12M
Reduction in NIH Salary Cap
(using Executive Level II instead of EL I)
Elimination of Expense Inflation $1.5M
(increases in all NIH award issued in FY12;
NIH is also no longer awarding inflation in out years)
Spending Prior Year Balances
· Considerable misinformation about spending prior year balances
· No accounting rules that preclude or prohibit spending prior year balances
· Have developed a process to allow spending of prior year balances.
Fund Balance Form form linked here
Questions were asked about the possibility of a percentage of research indirects coming back to the department or to individual researchers. Senators discussed pertinent issues such as increased faculty workload and less administrative support since Ike. Because of the shortages, lab personnel are spending more time writing grants and doing more administrative work as opposed to basic research. Mr. Elger acknowledged that this is understood and that proposed solutions include the possibility of adding staff members to larger groups or departments who can assist with these types of tasks.
VI. Quality of Healthcare, Joint Commission and CMS Performance Measures Steve Quach, MD, Chief Medical Officer, Health System Administration
Dr. Quach presented the Senate with a PowerPoint presentation. Some highlights from his presentation include:
What is a Core Measure?
· Set of performance measures by which hospital are judged in terms of quality.
· Born from the Joint Commission ORYX initiative in 1995.
· In partnership with CMS and NQF.
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
Communication with nurses
Communication with doctors
Responsiveness of hospital staff
Communication about medicines
Cleanliness of hospitals environment
Quietness of hospital environment
Overall rating of hospital
Willingness to recommend hospital
CMS Readmission Payment Reduction
· Applies 30 day all cause readmission rates for Acute, MI, Heart Failure, and Pneumonia
· Beginning in FY13, prior year readmissions in excess of average will result in a payment withhold equivalent to the excess charges
· Withhold will be capped as follows:
FY13 1% of all inpatient payments
FY14 2% of all inpatient payments
FY15 3% of all inpatient payments
HAC Payment Policy
Foreign Object Retained After Surgery
Stage III and IV Pressure Ulcers
Falls and Trauma
Manifestations of poor glycemic control
Catheter-Associated Urinary Tract Infection (UTI)
Vascular Catheter-Associated Infection
Deep Vein thrombosis or pulmonary embolism
Certain Surgical Site Infections
Value Based Purchasing
CMS will withhold a portion of a hospitals payment
The hospital will earn back that withhold based on quality of care and quality of service
Potential to lose entire withhold or earn more than the original withhold
Senators posed questions about premature discharges and if there are red flags built into the electronic medical record to prevent errors, specifically in real time rather than after the fact.
The meeting was adjourned at 6:00 pm. The Subcommittees met following the general meeting.