The University of Tennessee College of Medicine

1
The University of TennesseeCollege of Medicine

• Annual Report to Faculty
• May, 2005

2
UTHSC Mission

• The Health Science Center aims to improve human
  health through
• Education
• Research
• Public service
• With an emphasis on improving the health of
  Tennesseans

3
Educational Initiatives

• Institute of Medicine report (IOM) Crossing
  the Quality Chasm
• STEEEP principles
• Safety
• Timeliness
• Effective care
• Efficient care
• Equitable care
• Patient-centered care

4
UME Education Initiatives

• Improving Care as Well as Providing Care
  Interdisciplinary Education
• Medicine
• Pharmacy
• Nursing

5
COM Education

• Undergraduate
• New curriculum
• MUH rotations
• GME
• Merged residencies
• MUH rotations
• CME
• Working toward joint program

6
UME Curriculum Changes

• Clerkship in patient safety and quality
  improvement
• Longitudinal groups report to system

7
UME Curriculum Changes

• Interprofessional Education
• M-1
• Web-based
• What is a professional?
• Do No Harm
• Chancellors Hours

8
UME

• Educational challenges to faculty
• Information is more than can be delivered or
  absorbed
• Choosing what to teach
• Delivery tools to access additional information

9
GME

• Curriculum
• Merged residencies _at_ MUH
• STEEEP and Core competencies
• Right-sizing residencies
• Tougher RRC standards

10
CME

• Working toward integrating activities among three
  main campuses

11
Research Funding
12
Research Space

• New Cancer Research Building
• Biocontainment Laboratory
• Pharmacy Building

13
COE Status

• Center funding issues

14
Clinical Service

• UTMG
• 37 TNCare
• 17 self-pay

15
Clinical Service

• UTMG
• Improve payor mix
• MUH
• Germantown building
• Breast Diagnostic Center
• Rental of 3rd Floor

16
Clinical Services

• UTMG
• Focused Care
• MED MedPlex
• Child Health
• MUH/Germantown
• Other
• Variable incentive pay
• Hiring practitioners

17
Clinical Service

• The Elephant in the Room
• TNCare

18
Services

• Telehealth
• Center for Health Services Research
• Womens Health
• Service Learning Efforts

19
Hospital Relations

• MED
• RVU vs traditional
• VA
• More stringent guidelines from DC
• Contracts, time, etc.
• MUH
• Slow progress
• Taxes, GCRC, residency programs
• LBCMC
• Aggressive recruiting partnership

20
New Leadership

• Chancellor Bill Owen
• Chief of Staff Ken Brown
• Chair, OB/GYN Veronica Mallett
• Chair, Urology Bob Wake

21
Recognition for Excellence

• Hamilton Eye Institute
• Top 10 clinical programs
• Neuroscience Institute
• Top 10 in NIH funding
• MUH
• Top 50 Leapfrog facilities
• Telehealth
• 3rd largest network in nation

22
Commitment to the Future

• Produce outstanding physicians
• Focus on world class science in selected areas
• Service the state, our patients and our community
  with high quality care and intellectual capital

23
Challenges

• Fiscal stability of hospital patients
• TNCare uncertainty
• How to select areas we can excel in
• Sustaining research growth
• Excessive demands on clinical faculty
• Compromising the educational mission