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327th MEETING OF THE MEDICAL SCHOOL COUNCIL
3 p.m., Wednesday, December 10, 2003
School of Medicine Administration, Board Room 103
PRESENT: Drs. Belzberg, Caterina, Clark, Colecraft, Dintzis, Hillis, Johnson-Greene, Koenig, Lee, Martinez, Miller, Niv, Roper, Sandone, Smith, Sterni, Sunness, Woolf, Mr. Watkins, Mss. McCall and Foy.
ABSENT: Drs. Adger, Ain, Bhattacharya, Blok, Campbell, Chan, Denmeade, Francis, Gabrielson, Hattar, Iacobuzio-Donahue, Kolodkin, Leffler, Liu, Lorsch, Martins, Nicolaou, Pomper, Ross, Schulick, Sukumar, Walker, Ziegelstein, Mss. Schaekel and Wahba, Mr. Grelotti
GUESTS: Drs. Clements and Nichols, Messrs. Amey and Gilbert, Ms. Pollak
The minutes of the November 12, 2003 meetings are approved.
II. Update on HIPAA – Joanne Pollak, VP & General Counsel
Ms. Pollak circulated a three page HIPAA update document addressing institutional compliance efforts. It has been six months since the legislation was effective and many challenges remain. The legislation requires a security plan and Hopkins has been working with other academic health centers in developing a risk assessment tool for security compliance.
Efforts to improve training compliance are underway and the HIPAA office is developing a matrix to identify training courses required for certain job types. The HIPAA office has received 41 patient privacy complaints and 6 anonymous complaints. Only two complaints were investigated by the Office of Civil Rights and both were resolved in the institution’s favor.
Federal and state law are not the same and efforts to change selected Maryland statutes have not been successful to date. The impact of these inconsistencies was discussed.
Ms. Pollak reviewed the HIPAA issues related to tissue donations and the impact on research. Discussion then focused on how the Medical School Council could help the institution in addressing HIPAA issues at a local and national level. The MSC discussed different options that could be used to bring HIPAA issues to the attention of legislators. Members were asked to discuss HIPAA issues with their constituencies and to submit problem lists to Joanne Pollak.
III. ACGME Update – Dr. Nichols
Dr. Nichols reviewed the ACGME issues triggered by a duty hours complaint against the Internal Medicine residency in July 2003 that resulted in a summary withdrawal of accreditation effective July 2004, which was subsequently changed to probation. The program was site visited in October and the leadership is hopeful for full accreditation status by mid-December. A number of institutional efforts were discussed including the outside audit of duty hours which showed all programs in substantial or full compliance with ACGME standards. The goal is to have 100 percent compliance.
A monitoring system (pagerbox) will be implemented for all programs that will facilitate communication as well as track duty hours. A task force has been charged with developing a institutional approach to creating a core competencies curriculum and another task force on Hospital Services and Education is addressing radiology, patient transport, and blood drawing issues. Dr. Nichols recognized the efforts the faculty has put forth in addressing Graduate Medical Education issues.
IV. Effort Reporting – Mr. Michael Amey, Associate Dean for Research Administration
Mr. Amey presented the University’s revised Effort Reporting Policy that will take effect 12/31/03. The NIH is looking closely at effort reporting and several institutions have actions pending relating to effort reporting. The University has reviewed its effort reporting practices and several enhancements are being recommended. The University is responsible for ensuring that faculty do not commit to effort levels that cannot be met and the University must have a system in place to obtain after-the-fact effort certification. Effective 12/31/03 faculty must certify their own effort using the University’s web-based reporting system. Administrative staff will no longer be able to report for faculty. An on-line training program has been developed to assist faculty in this endeavor.
V. Brief Overview of Initiatives for Faculty Development from Dean’s Retreat 11/22 & 11/23 – Drs. Clark and Clements
The Dean’s Retreat covered three major topics:
Science and our Scientific Impact
How do we continue to fuel the infrastructure? Discussion was initiated; no decisions were reached. The IBBS leadership is interested in developing more interaction between the basic science and clinical departments.
Developing multiple tracks could create additional problems. Recognized need to fix the one-track system. Recognized importance of rewarding faculty for what they are asked to do. Dr. Nichols is interested in developing metrics (both qualitative and quantitative) for measuring efforts of clinical educators. The Vice-Deans were charged with developing “action items”. Faculty appointment letters should be specific regarding an academic plan, expectations for promotion, and percent effort for teaching, research and clinical care.
Bioinformatics and Computational Biology
There was recognition that the IT system needs improvement.
VI. Other Business
There being no further business this meeting was adjourned at 4:25 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.