409th MEETING OF THE MEDICAL SCHOOL COUNCIL
3 p.m., Wednesday, April 11, 2012
School of Medicine Administration, Board Room 103
PRESENT: Drs. Ahn, Ahuja, Akpek, Barker, Barone, Bienvenu, Carroll, Chanmugam, Claypool, Crino, Dlhosh, Gonzalez-Fernandez, Gottesman, J. Green, James Herman, Ishii, Kondo, Matunis, Poynton, Puttgen, Resar, Shuler, Solomon, Tan, Taverna, Tufaro, Williams, Wolfgang, Messrs. Mandell, Rini and Ms. Foy
ABSENT: Drs. Comfort, Fine, R. Green, Joseph Herman, Keefer, Molinaro, Nyhan, Pavlovich, Tis, Wade, Zachara, Mr. Johnson and Ms. Matthys
GUESTS: Drs. Dillon Jones, Greene, Rothman, Yousem, Ms. Smith
The minutes of the March 21, 2012 meeting were approved.
II. Vision for Johns Hopkins Medicine- Dr. Paul Rothman, Dean/CEO Elect
Dr. Rothman thanked the Medical School Council for the opportunity to meet and share his views for the mission of Johns Hopkins Medicine. He reviewed his academic career and noted in his present position at Iowa he is addressing many of the same issues, only on a smaller scale, that are facing Johns Hopkins Medicine due to health care reform and shrinking federal support for research.
Dr. Rothman identified the biggest challenges facing academic medical centers as changes in the health care system, the ability to provide care in a different mode, flat NIH funding for research, and the ability of institutions to adjust to these changes in a facile fashion while maintaining the educational mission. He noted additional revenue streams in addition to clinical income will be necessary to attract and maintain the best faculty.
Dr. Rothman indicated there may be opportunities for additional growth in Johns Hopkins International as there is a large demand for assisting the international community in providing health services.
In response to questions from the Council, Dr. Rothman indicated he will need input from the faculty in order to make informed decisions. He plans to work with other deans to develop inter-professional educational programs.
A number of challenges relating to a large and expanding health system will need to be addressed including how to value those faculty who do work that is from a new class of faculty. The clinical expansion has created a new set of challenges that as a group the school must address.
In addressing whether the institution is appropriately sized for its mission, Dr. Rothman suggested probably yes for the clinical side but additional work needs to be done in assessing the research side. A strategic planning process is planned for next year which will address the capital plans for the next decade.
Dr. Rothman noted the impact of cuts in federal spending and the relatively flat NIH budget will create budgetary challenges for Johns Hopkins because so much of the school’s budget is dependent on federal support. As dean, he plans to take an active role in Washington.
Dr. Rothman thanked the Council for the opportunity to meet and indicated his intention to meet on a regular basis in the future. Dr. Ishii thanked Dr. Rothman for today’s presentation and noted the Council’s interest in the Dean’s future participation.
III. Chair’s Report- Dr. Ishii
Dr. Crino, Chair of the Charter Sub-Committee will present a draft document for review and discussion at the May meeting. A summary of the major changes will accompany the document.
Dr. Ishii called attention to a number of events scheduled for the next month including a symposium in honor of Dr. Edward Miller on June 11, 2012.
Dr. Fivush called attention to a movie “Miss Representation” that will be shown on May 9, 2012 in the Chevy Chase Auditorium (Zayed Room 2119A). The movie addresses the messages that mass media give to young women regarding youth, beauty, and sexuality and how these messages may affect their ability to reach their full potential and obtain leadership positions.
Dr. Jonathan Ellis, CEO of All Children’s Hospital will present a “Policy Grid” developed for All Children’s faculty at the May meeting. The grid indentifies which JHUSOM policies apply to which category faculty.
IV. Update on Meaningful Use – Dr. Peter Greene
Dr. Greene outlined the steps taken to date in restructuring the information technology systems in order to comply with health care initiatives. Over 150 individuals have been hired and trained to build the EPIC system which will encompass multiple systems into one electronic medical record system.
The Meaningful Use system, based on the American Recovery and Reinvestment Act (ARRA, 2009) provides incentive payments from CMS to providers who meet specific milestones in a defined timeline. The financial incentives to Johns Hopkins are large and if timelines are met up to $100 million over seven years may come to the institution.
Dr. Greene reviewed the timeline for rollout with the first phase, the ambulatory system rollout, scheduled for April 2013. Should institutions not meet specific timelines there are negative incentives starting in 2015.
Dr. Greene reviewed the various meaningful use requirements and noted meaningful use requirements are embedded in the EPIC system.
Dr. Ishii thanked Dr. Greene for his presentation.
V. Associate Dean for Professional Development- Dr. David Yousem
A new position, Associate Dean for Professional Development, has been created in the Vice-Dean for Faculty office. This position will assist senior faculty in developing mentee skills for mentoring junior faculty, provide time management skills, and develop a grant review system where junior faculty will have a first pass review of a grant application by a senior faculty member. Mentorship modules are being developed and workshops are planned. Council members were encouraged to inform their constituents of this new service.
VI. Other Business
There being no further business this meeting was adjourned at 4:30 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.
May 9, 2012
June 20, 2012