Steven Zweig, MD, Dean OPEN - HEALTH AFF - INFO 2-19 - - PowerPoint PPT Presentation

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Steven Zweig, MD, Dean OPEN - HEALTH AFF - INFO 2-19 - - PowerPoint PPT Presentation

Steven Zweig, MD, Dean OPEN - HEALTH AFF - INFO 2-19 June 18-19, 2020 SOM Mission and Vision Mission To improve the health of all people, especially Missourians, through exemplary


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Steven Zweig, MD, Dean

OPEN - HEALTH AFF - INFO 2-19 June 18-19, 2020

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SOM Mission and Vision

Mission

To improve the health of all people, especially Missourians, through exemplary education, research and patient-centered care

Vision

To be a transformational leader in improving health

OPEN - HEALTH AFF - INFO 2-20

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Year in Review – April YTD

  • Net Clinical Revenue: $5.9M
  • Research Growth FY19-FY20

– 10% Growth in Awards – 31% Growth in Expenditures

  • Capital Plan Execution
  • Clinical Faculty Growth: 36 (Net New)
  • Collaborative Clinical and Research

Strategic Plan Development

  • New strategic PHI research hires: 19 (7 joint

hires with other MU colleges)

  • 99% Resident Match Rate

OPEN - HEALTH AFF - INFO 2-21

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SOM Current Non-emergent Procedures

  • Surgical Cases: -40% down
  • Cath lab Procedures: -50% down
  • GI Lab (Endoscopy): -80% down
  • Orthopaedic Surgery: -60% down

OPEN - HEALTH AFF - INFO 2-22

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Immediate Actions

$

FY20 Estimated Savings

10% all faculty pay reduction: May–July (May only if incentive >30% of

compensation)

One week of furlough all staff OR 10% pay reduction May-July Eliminate or hold staff positions Minimize spending $3.8 million $4 million ~$5 million (annually)

OPEN - HEALTH AFF - INFO 2-23

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SOM FY21 Budget Actions

Personnel Other Spending

Workforce reductions Consolidation of administrative functions/unit Furloughs Travel reductions (50% of FY20) Faculty (fte) reductions Limit food expenses Tenure track effort reductions Capital deferrals Review of non-tenure track Expenses > $2500 require CFO approval Temporary increase of clinical effort (to address clinical backlog) Maintenance agreements require CFO approval No merit increases Dean’s office approval required for:

  • Use of locums
  • Use of recruitment firms
  • Use of temporary staff

OPEN - HEALTH AFF - INFO 2-24

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Challenges and Opportunities

  • Telemedicine -- Faculty went from 0 to 4,000/week virtual visits;

last week clinics at 88% pre-COVID-19 capacity

  • Emergency Department created virtual assessments, drive-thru

testing, and ED triage system

  • Hospital and ICU teams cared for COVID-19 and COVID-19-

positive patients

  • Pathology created collaboration for testing
  • Daily message from leadership and Clinician Wellness

Program to sustain confidence and morale

  • Plans going forward must include virtual visits for local and
  • utreach practices

Social response to pandemic transformed our practice

OPEN - HEALTH AFF - INFO 2-25

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Challenges and Opportunities

Lack of timely data and decisions on infections and PPE

  • MUHC created incident command process led by Mary Beck, CNO and Steve

Whitt, CCO with hospital and SOM team members – meeting twice a day to address problems and create policies Almost total decline in non-emergent surgical cases

  • Working with department and health system to make up backlog and care for

new patients Changing rules for reimbursement for telemedicine

  • UP staff learned new models of coding and documentation

Students kept from campus

  • Faculty created online curricula for pre-clinical and clinical medical students

Cancelled important rituals for our students

  • Created virtual Match Day and Graduation ceremonies (Honors & Awards,

Commencement)

OPEN - HEALTH AFF - INFO 2-26

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PHI: Research Investments FY20

Fac aculty N Nam ame Depar artme ment Joi Joint H t Hire PHI C Column mns Deans S Support Va Vascular Can ancer Neuro ro Emergin ging CARTS TS R R ALLEN, Lee-Ann MMI X 3,500,000 ANDERSON, Carolyn Chemistry/ Radiology A&S X 732,500 BAKER, Olga ENT/Biochemistry X 800,000 CHEN, Shiyou Surgery X 1,650,000 CURTIS, Ashley Psychiatry X 95,000 DHILLON, Jaapna NEP X 300,000 EDWARDS, Bernie Radiology/Biochemistry A&S X 822,750 FROELIGER, Brett Psychiatry A&S X 483,333 LANGE-OSBORN, Margaret MMI X 350,000 LI, De-Pei Medicine X 700,000 LI, Yuanyuan OB/Gyn X X

  • MA, Weijun

MMI CVM X 610,000 NAVARI, Rudolph Medicine X

  • RAO, Praveen

HMI COE X

  • SHIRWAN, Haval

Child Health X X X X 1,500,000 WAN, Henry MMI COE X 1,000,000 WARREN, Wes Surgery CAFNR X 175,000 Whiting, Rebecca Ophthalmology 500,000 YOLCU, Esma Child Health X X X X 1,500,000 14,718,583

OPEN - HEALTH AFF - INFO 2-27

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PHI Research: Addiction (Neuroscience)

Brett Froeliger, PhD Professor Psychiatry; Psychology

  • Dr. Brett Froeliger joined MU

this week coming from the Medical University of South

  • Carolina. He is bringing 4 NIH

grants (over $5 million in awards) supporting his research on brain imaging and addiction.

OPEN - HEALTH AFF - INFO 2-28

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PHI Research: Salivary Gland Function (Cancer)

Olga Baker, PhD, DDS Professor Otolaryngology-Head and Neck Surgery; Biochemistry

  • Dr. Olga Baker is bringing to MU

$1.5 million in funding (two NIH grants awards) from the University

  • f Utah to advance her research on

salivary gland regeneration and the effects of radiation treatment on salivary gland function.

OPEN - HEALTH AFF - INFO 2-29

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PHI Research: Aortic Aneurysms (Vascular)

Shiyou Chen, PhD Professor Surgery

Coming to MU in 2019, Dr. Shiyou Chen in the department of surgery and has add two new NIH awards worth $4.4 million to funding he brought to MU. His work is in the cellular inflammatory mechanisms contributing to the development of aortic aneurysms.

OPEN - HEALTH AFF - INFO 2-30

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PHI Research: Influenza (Emerging Infections)

Xiu-Feng “Henry” Wan, PhD Professor Molecular Microbiology & Immunology

Since arriving last year,

  • Dr. Wan has received
  • ver $8.6 million in

awards from NIH, USDA, and NSF on influenza structure, immunization, and transmission.

OPEN - HEALTH AFF - INFO 2-31

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Virtual Commencement – click to play video

OPEN - HEALTH AFF - INFO 2-32