LEM GOALS. Roll-out for Clinical Department Chairs. April 29, 2011

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1 LEM GOALS Roll-out for Clinical Department Chairs April 29, 2011

2 GOALS/GROUND RULES Achieve shared understanding prior to July 1 st rollout EVERYTHING is open for discussion 2

3 LEM Goals for Department Chairs Concerns Not consistent Too many Too specific Not all-encompassing Inability to measure Benefits of Templates Consistent approach to goals Better linking of goals to objectives Rollout more consistent Allows Dean to specify some consistent goals 3

4 Pillar Goals Education Research People Quality Service Growth Finance 4

5 Education All GME programs meet or exceed the institutional requirements promulgated by the ACGME. (Entire Goal is comprised of 6 areas) Accreditation status Fully accredited (1), Probation (0), Loss of Accreditation (-3) Annual report completed Yes (1), No (0) Citations Addressed Yes & N/A (1), No (0) Resident Satisfaction Scores None below neutral (1), None below good (2), None below outstanding (3) Percentage passed boards, 1 st attempt Below Nat l Avg (0) At or +2% of Nat l Avg (1), 3% or more above Nat l Avg (2) Percentage board pass rate Below Nat l Avg (0) At or +2% of Nat l Avg (1), 3% or more above Nat l Avg (2) 10 points possible for this goal 5

6 Education Results are measured related to numbers achieved throughout the year. Rating of 5 requires 9 points or above Rating of 4 requires 7-8 points Rating of 3 requires 6 points Rating of 2 requires 4-5 points Rating of 1 for 3 points and below 6

7 Education All UME programs meet or exceed the institutional and program requirements promulgated by the LCME. (Entire Goal is comprised of 6 areas with 9 points possible) Student final grades submitted within 4 weeks Yes (1), No (0) Program in place to ensure non-faculty instructors (e.g. Residents) prepared for their teaching role Yes (1), No (0) Student satisfaction scores (specific discipline from GQ) Poor rating above Nat l Avg (-1), Below Nat l Avg or N/A (1) Fair rating above Nat l Avg (0), Below Nat l Avg or N/A (1) Good rating above Nat l Avg or N/A (1), Below Nat l Avg (0) Excellent rating above Nat l Avg or N/A (1), Below Nat l Avg (0) Nat l exams for discipline (USMLE Step I topic areas) Below Nat l Avg (0), above Nat l Avg or N/A (1) Nat l exams for discipline (USMLE Step II topic areas) Below Nat l Avg (0), above Nat l Avg or N/A (1) Mechanism in place to ensure faculty observe student performance (Patient Hx, performing physical exam) Yes (1), No (0) 7

8 Education Results are measured related to numbers achieved throughout the year. *No more than 4 points can be earned via N/A Rating of 5 requires 9 points Rating of 4 requires 7-8 points Rating of 3 requires 6 points Rating of 2 requires 4-5 points Rating of 1 for 3 points and below 8

9 Research Need to Brainstorm (???) Increase research expenditures by 10%? Funding? Publications? 9

10 People 65% of faculty involved during the year in scholarly activity (articles in peer-reviewed journals, books, book chapters published, member of Nat l study sections or committees, journal editors or members of editorial boards, PI s on extramural grants) (Numerator Number of faculty involved in activities; Denominator Number of faculty) Rating of 5 is 90% and above Rating of 4 is 75-89% Rating of 3 is 65-74% Rating of 2 is 50-64% Rating of 1 is 49% and below Each faculty member can only be counted once 10

11 People Maintain attendance to regularly scheduled meetings at 90% Numerator=Attended meetings; Denominator=Scheduled meetings (less excused) Rating of 5 is 100% Rating of 4 is 95-99% Rating of 3 is 90-94% Rating of 2 is80-89% Rating of 1 is 79% and below 11

12 Quality *EXAMPLE* Improve clinic ranking for Ease of Obtaining Test Results to the 70th percentile for FY12 as measured by Press-Ganey. Rating of 5 is 90% and above Rating of 4 is 80-89% Rating of 3 is 70-79% Rating of 2 is 55-69% Rating of 1 is 54% and below 12

13 Service *EXAMPLE* Improve overall clinic patient satisfaction ranking to the 80th percentile for FY12 as measured by Press-Ganey. Rating of 5 is 95% and above Rating of 4 is 90-95% Rating of 3 is 80-89% Rating of 2 is 50-79% Rating of 1 is 49% and below 13

14 Growth Achieve clinic encounter/procedures at 100% of budgeted encounter/procedures. Numerator = Actual clinic procedures/encounters; Denominator = Budgeted procedures/encounters Rating of 5 is 105% and above Rating of 4 is % Rating of 3 is % Rating of 2 is % Rating of 1 is 97.9% and below 14

15 Finance Ensure a financially sound department by maintaining an appropriate cash reserve and operating margin. (2 Areas) Operating margin: 0% (0), 1-2% (1), 3-4% (2), 5% or more (3) Cash reserves on hand: 0-44 days (0), days (1), days (2), days (3), 180 days or more (4) Rating of 5 is 7 points Rating of 4 is 5-6 points Rating of 3 is 4 points Rating of 2 is 3 points Rating of 1 is 2 points and below 15

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