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School of Medicine
406th MEETING OF THE MEDICAL SCHOOL COUNCIL
3 p.m., Wednesday, January 18, 2012
School of Medicine Administration, Board Room 103
PRESENT: Drs. Ahn, Ahuja, Akpek, Barker, Barone, Bienvenu, Carroll, Claypool, Comfort, Crino, Gonzalez-Fernandez, Gottesman, J. Green, James Herman, Joseph Herman, Nyhan, Poynton, Puttgen, Shuler, Solomon, S. Sharma (for Tan), Taverna, Williams, Wolfgang, Zachara, Messrs. Mandell, Rini and Ms. Foy
ABSENT: Drs. Chanmugam, Dlhosh, Fine, R. Green, Ishii (excused), Keefer, Matunis, Molinaro, Pavlovich, Resar, Tis, Tufaro, Wade, Mr. Johnson, Ms. Matthys
GUESTS: Drs. Clements, Dillon Jones, McVeigh, and Thompson, Mss. Campbell and McLean
Dr. Joseph Herman presided in the absence of Dr. Lisa Ishii.
The minutes of the December 7, 2011 were approved.
II. EPIC Update – Ms. Michelle Campbell
Ms. Campbell reviewed the progress to date on implementing the EPIC system. She provided a profile on the EPIC company which is privately held and employs over 5,000 individuals with over 35% engaged in research and development. EPIC has over 270 customers with many major academic medical centers as clients. The company’s key to success is its embedded innovation, team workflow, effective training, and model system. The EPIC product will provide an integrated electronic medical record system to support the clinical, research and training missions. It will unite the health system- physicians and hospitals, community and academic entities and it will instantiate patient-centered care for Johns Hopkins Medicine. Johns Hopkins will customize the system as needed to support the mission.
Examples of how using EPIC to support the clinical research mission were provided. The enterprise-wide integration features will simplify scheduling visits and managing follow-ups and research will be simplified by using a single system. The system will permit patient data sets to be built and automatically added based upon specified criteria. The real-time automated screening feature will notify users when a potentially eligible candidate presents. Other features of the system to support clinical research include a MyChart function which provides patient responses using a questionnaire feature, the system allows building tools that allow for ordering and documentation sets, ensuring the protocol is executed precisely for every enrolled subject. A multicenter trial feature allows clinical data to be transferred into study case report forms.
Implementation will be phased-in over a period of time. The ambulatory scheduling and registration implementation is scheduled for April 2013, followed by the EpicCare Ambulatory EMR from April through June 2013 and the community division implementation in June 2013.
In response to questions, Ms. Campbell acknowledged that EPIC requires a high performance support staff and this is an area in which we need to do better. It was commented that EPIC does not share what other users have developed. Information currently in EPR and POE can be downloaded into EPIC (ten years of patient notes and three years of lab data.) Ms. Campbell acknowledged the considerable training required before go-live and commented on the workflow impact experienced by other institutions during the implementation process.
Dr. Herman thanked Ms. Campbell for her presentation.
III. Proposed Gold Book Changes- Dr. Janice Clements and Ms. Patty McLean
A document outlining proposed changes was circulated prior to the meeting.
As background, Dr. Clements noted the Gold Book is a framework for good faith interactions between the faculty and institutional leadership. Dr. Clements noted the last Gold Book changes were made in 2005. As issues arise that require further clarification adjustments are made to the Gold Book to reflect current practices.
Currently the designation “Visiting Faculty” is used for true visitors to the institution and for new recruits at the Professor and Associate Professor ranks who are employed during the Committee review process. University benefits are not offered to visiting faculty and this has created work-around issues in the HR System.
The first recommended change is to create a new title Professor (Pending) and Associate Professor (Pending) to allow benefits for such faculty.
The second change is to clearly define the meaning of base salary and to exclude supplements for administrative duties and bonuses. As many departments now have an A-B-C compensation plan it is important to define the A component (base salary) in the event a salary reduction is required.
Other changes clarify: 1) the notice of non-renewal for instructors and special faculty ranks, and 2) salary and position guarantees for faculty who take professional leaves of absence.
In response to questions, Dr. Clements noted the School has a special leave policy that applies to faculty who participate in the Hopkins-Perdana University program.
The Medical School Council agreed to appoint a sub-committee to review the changes and report back to the Council.
Dr. Herman thanked Dr. Clements and Ms. McLean for their presentation.
IV. Faculty Salary Study- Dr. Clements and Dr. Richard Thompson, Executive Director, JH Biostatistics Center
Dr. Clements introduced Dr. Thompson who heads the Biostatistics Center in the Bloomberg School of Public Health and has participated in the salary study for a number of years.
Dr. Thompson reviewed the algorithm used in the study. The goal is the quantify differences between male and female faculty with otherwise similar characteristics; corresponding department, rank, years in rank, etc. Full time equivalent salary and full time equivalent plus bonuses were used in calculating differences. Some 1650 full time faculty were in the study. Department directors, former directors, deans, etc. were removed from the data set. One third of the faculty in the study were female.
The survey results showed female faculty were paid 2.2% less than male counterparts based on full time equivalent salary. On total salary (which includes bonus payments) the difference was 5.4% negative for females. This discrepancy can in part be related to the male dominance in high paying specialties with a C (bonus) salary component.
Dr. Clements reported she meets with Department Directors to review the results of the salary survey and adjustments in salary are recommended if warranted. The salary survey is posted on the faculty website at http://www.hopkinsmedicine.org/som/faculty/reports/. Dr. Fivush pointed out the important role of the Medical School Council and noted that Dr. Ishii is now co-chair of the Joint Oversight Committee and represents the views of the MSC. The Council has been instrumental in getting compensation plans from departments for posting on the MSC website.
Dr. Herman thanked Drs. Clements and Thompson for this report.
V. Coulter Collaboration Funding Opportunity- Dr. Elliot McVeigh, Director of the Department of Biomedical Engineering
Dr. McVeigh, Director of Biomedical Engineering (BME), informed the Council of a program between the Coulter Foundation and the Department of BME that provides opportunities to take innovations from BME laboratories into clinical practice by providing funding to bridge the gap between the laboratory and commercial support. There is bridge funding for five projects per year at $100,000 each and four pilot projects at $25,000.
Dr. McVeigh outlined the administrative and oversight structure of the program noting Dr. Youseph Yazdi has been appointed Coulter Program Director. A nine member Oversight Committee consisting of five University members and four outside members will approve funding. Dr. McVeigh reviewed the annual funding review timeline which starts in January and ends in early May. Dr. McVeigh encouraged faculty with an interest in applying to the program to contact Dr. Yazdi at firstname.lastname@example.org or Dr. McVeigh at email@example.com.
Dr. McVeigh also addressed a program involving BME students working in the Center for Bioengineering Innovation and Design. This program places undergraduate and master level students in clinical settings to design and develop engineering solutions to clinical problems and to construct a business plan for a start-up company based on their project. Dr. McVeigh noted examples of selected spinouts and start-ups from the last two classes of students.
Dr. Herman thanked Dr. McVeigh for his presentation.
VI. Other Business
There being no further business this meeting was adjourned at 4:35 p.m.
Mary E. Foy
Future Medical School Council meetings:
All meetings will be held in the School of Medicine Board Room (SOM 103), 3:00 to 5:00 p.m.
February 8, 2012
March 21, 2012
April 11, 2012
May 9, 2012
June 20, 2012