State of the school

#SOTSOM15
State of the School of Medicine
January 28, 2015
Selwyn M. Vickers, M.D., F.A.C.S.
Dean, UAB School of Medicine
Senior Vice President for Medicine

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In Memoriam 2014
James Pittman, M.D.
former dean
UAB School of Medicine
In 2014, we said goodbye to some dear friends and colleagues
Gayle Stephens, M.D.
professor emeritus,
Department of Family and Community
Medicine; former dean, Huntsville Regional
Medical Campus
H. Cecil Coghlan, M.D.
retired professor emeritus,
Division of Cardiovascular Disease
Hugh Shingleton M.D.
retired former chair,
Department of Obstetrics and Gynecology
James Caulfield, M.D.
retired professor emeritus, Department of
Pathology
Sang Han, M.D.
retired,
Department of Radiology
Jiri Vitek, M.D.
retired,
Department of Radiology

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Acknowledgements
Ray L. Watts, M.D.
President, UAB

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Acknowledgements
James A. Bonner, M.D.,
Selwyn M. Vickers, M.D., F.A.C.S.,
Will Ferniany, Ph.D.

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Welcome
Accomplishments in made in 2014 :
Leadership and Recruitment
• Medical education
• Research
• Clinical programs
• AMC21 Reload and its impact across the broad
SOM mission

#SOTSOM15
SOM Snapshot
Right now in the School of Medicine and UAB
Medicine:
– 781 medical students on 4 campuses
– 950 residents in 4 program sites
– 1,000+ people receiving care inside UAB Hospital
– 2,321 appointments scheduled at The Kirklin Clinic
– 4,415 ongoing research studies
– 1,956,049.73 square feet of space

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Faculty
• The School of Medicine employs 1,318* full-
time faculty
• 111 of those joined UAB in 2014
*figures as of Jan. 14 , 2014

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Recruitment
Mitchell Cohen, M.D.
• Chair of Pediatrics and Physician-in-Chief of Children’s of
Alabama
• Renowned specialist in children’s digestive disorders.
Ravi Bhatia, M.D.
• Director of the Division of Hematology and Oncology and
deputy director of the UAB Comprehensive Cancer Center.
• Specializes in leukemia research, specifically studying the role
of stem cells as it relates to blood cell cancer progression

#SOTSOM15
Recruitment
Smita Bhatia, M.D., MPH
• Director of the Institute for Cancer Outcomes and Survivorship,
associate director of cancer outcomes research in
Comprehensive Cancer Center, vice chair for outcomes in the
Department of Pediatrics and co-director of the Center for
Outcomes and Effectiveness Research and Education
• Making significant contributions in identifying chronic health
issues in cancer survivors
James J. Cimino, M.D.
• Inaugural director of the Informatics Institute and co-director
of the Center for Clinical and Translational Science
• National leader in the burgeoning field of biomedical
informatics

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Dean’s Leadership Team
Anupam Agarwal, M.D.
Executive Vice Dean
• Developed outline for the Pittman Scholar program
• Review of large P and U grants
• Lead evaluation of Lung Transplant program
• Leader on many major Medical School recruitment and retention
efforts
• Liaison between department chairs, center directors and the Dean

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Hughes Evans, M.D., Ph.D.
Senior Associate Dean, Medical Education
• Oversight for:
– Full accreditation by LCME
– Multiple Mini-Interviews to enhance our holistic admissions
– Re-organization of GME to meet CLER and Next
Accreditation System guidelines and prepare for successful
CLER visit
– New campus opening for 5 MS3 students in Montgomery;
Tuscaloosa longitudinal integrated curriculum
S. Dawn Bulgarella, CPA, MSHA
CFO, UAB Medicine
• Oversees contracts negotiations for major medical school
recruits
• Financial leader for SOM and HS, UAB Medicine
• Helped developed background & foundation for Academic
Enrichment Fund

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Mona Fouad, M.D., MPH
Senior Associate Dean, Diversity and Inclusion
• Established the Diversity Task Force. The top priority for this
group is the development of a departmental strategic plan for
diversity.
• Developed Diverse Scholar Program.
• Hosted AAMC Chief Diversity Officer Dr. Marc Nivet in January
• Implementing Women in Medicine Program
David Rogers, M.D., MHPE
Senior Associate Dean, Faculty Affairs and Professional Development
• Facilitated a revision of the School of Medicine Appointment,
Promotion and Tenure document
• Identified a Faculty Recruitment and Awards Program Manager
• Led the “People” Task Force review of recruitment, development
and retention of School of Medicine Research Faculty
• Collaborated in a comprehensive audit of leadership
development programs in UAB Medicine and UAB
• Co-Chaired the AMC-21 Satisfaction/Engagement Committee

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Robert P. Kimberly, M.D.
Senior Associate Dean, Clinical and Translational Research
• Led grant renewal application for the CCTS
• Recruited inaugural director, Informatics Institute
• Recruited inaugural director, Clinical Trials Office
• Formalized CCTS partnership with the UAB
Comprehensive Cancer Center for Phase I clinical
trials unit
Etty (Tika) Benveniste, Ph.D.
Interim Senior Associate Dean, Research Administration and Development
• Identified 12 areas of focus to fund high impact research and
improve graduate education issues
• Created 3 RFAs for the following areas:
− 2015 SOM Planning Grants for Multi-Investigator Programs
− Blue Sky (Innovator) Awards:
− Incentive for 1 R01 Investigators to Submit 2nd R01
• Developed incentive for T32 Grant Submissions

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Regional Campus Leaders
Robert M. Centor, M.D.
Huntsville Regional
Campus
Richard H. Streiffer, M.D.
Tuscaloosa Regional
Campus
Wick Many Jr., M.D.
Montgomery Regional
Campus

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Department Leadership

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Recognition
This year two exemplary leaders
stepped down from leadership
positions:
• Sergio Stagno, M.D. after 25
years as chair of Pediatrics
• Kirby Bland, M.D. after 15
years as chair of Surgery and
surgeon-in-chief of UAB
Hospital

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Recruitment Efforts
2015 Recruitment goals:
• Associate Dean for Global Health
• Chair of the Department of Surgery
• Chair for Biomedical Engineering
• Director of the Personalized Medicine Institute
• 8-10 funded investigators

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Department of Medical Education
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LCME Accreditation
• 8 full years of accreditation granted after a
rigorous, two-year self-study process!
• This could not have been done without the
work of Drs. Hughes Evans, Bob Rich, Craig
Hoesley, Laura Kezar and Kristina Panizzi
Woodley and the work of their team in
preparation for the intensive visit last March

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• SOM commended in 2 areas:
– Diverse scope of medical student electives
– Present and anticipated financial stability
• 2 citations:
– Dependence on lectures during preclinical years
rather than self-directed or active learning
– Reported faculty observations of students’ core
clinical skills low in some clerkships
LCME Accreditation

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• 3,764 applications for the class
matriculating in 2015
– 483 from Alabama
• Interviewing approximately 420
applicants
– Conducted 288* interviews to date
*as of Jan. 16; number does not include interviews for Early Medical School
Acceptance Program and Rural Medical programs
Admissions
Nathan Smith, M.D.
Assistant Dean for Admissions

#SOTSOM15
Enhancement of Holistic Admissions
Multiple Mini-Interview
• Interview tool to evaluate an applicant’s abilities beyond
academics
• Presented individually with series of realistic scenarios
– Eight minutes to discuss answers to questions
• Considers empathy, ethical decision making, communication
and teamwork
• Added to admissions process, fall 2014
Admissions

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Learning Communities
• Small groups of students dedicated to a
specific academic purpose
–11 learning communities to date
–60 students (15-20 students per class)
• Three primary roles:
–Longitudinal and peer mentoring
–House wellness training and programs
–Provide a sense of community

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• Unique opportunity to teach
copings skills for pressures of
medical school
• Facilitates interaction with
faculty and older students
• Students assigned to an LC
before arriving on campus;
stay in the same LC all four
years
• 42 % (66) of AAMC member
schools offer similar programs
Learning Communities

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• Prompted by student request for integration
of service learning into curriculum
• Task force led by Erin Snyder M.D.
– Composed of students and faculty, representation
from multiple campuses
• Team currently developing specific
recommendations
Service Learning

#SOTSOM15
Service learning is a method of teaching that
combines classroom instruction with meaningful
community service. This form of learning
emphasizes critical thinking and personal
reflection while encouraging a heightened sense
of community, civic engagement and personal
responsibility.
Service Learning

#SOTSOM15
Albert Schweitzer Fellowship
• Early planning stages for an ASF chapter, comprised of several UAB schools
as well as other area graduate schools
– Currently 13 ASF chapters in the US, very few in the South
• Schweitzer Foundation Program: A national program focusing on
leadership development in service learning
– Graduate-level students
– Competitive application process
– Recipients implement service project of their own design
• Fellowship connects students to reasons for pursuing medicine
– Builds resilience and association with what it means to be a patient
– Opportunity to learn about health disparities, cultural competency
and social determinants of health
Service Learning

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Piloting innovative third year curriculum
– the Tuscaloosa Longitudinal
Community Curriculum (TLC2)
– Rather than 1-2 months in each area,
students work with community
physicians and follow patients through a
disease or diagnosis in:
• Pediatrics
• Internal medicine
• Surgery
• Family medicine
• Psychiatry
• Ob-gyn
• Neurology
– Gives students an immersive,
community-based experience
Tuscaloosa Regional Campus

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Montgomery Regional Campus
• Opened in May 2014
with it’s first 5, third-
year medical
students
• 20 more students will
join the campus in
spring 2015

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• 40th anniversary in February
– Established in 1971 as part
of the University of
Alabama in Huntsville
– Began training residents in
family medicine in 1973
– Third-year medical students
started in 1974
• Huntsville faculty currently
train 70 third- and fourth-year
medical students and 60
residents
– 36 in family medicine and
24 in internal medicine.
Huntsville Regional Campus

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• 781 total students* on 4 campuses
• 98 percent placed in residency on Match Day
• 161 graduated in May
• 186 new students in the first year class
• 950 residents across 4 program sites
SOM Student Stats
* as of 9/8/14

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Graduate Medical Education
CLER VISIT
• Staff from the ACGME performed the first Clinical Learning
Environment Review (CLER) at UAB Hospital on August 26-28,
2014.
• Residents accompanied the site visitors to patient care areas to
interview staff and observe hand-off procedures.
• The emphasis of the visit is on the responsibility of the
sponsoring institutions for the quality and safety of the
environment for learning and patient care.
• The information collected on the first round of CLER visits will
results in a national framework for assessment that includes
comparison data
• CLER visits will occur approximately every 18 months

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Office of Interprofessional Education: Launching
interprofessional simulation sessions in every
preclinical organ module and several clerkships;
rolling out on all regional campuses
The only medical school in the country
that has accomplished this!
Interprofessional Education
Robert R. Rich, M.D.
Associate Vice President,
Interprofessional Education

#SOTSOM15
Since Oct. 2014, OIPS has
• Facilitated training and faculty
development
• Signed affiliation with the
Center for Medical Simulation in
Boston
• Provided Ebola care team
training and mock Code Stroke
in the UAB Health System
• Conducted outside review of
Clinical Skills Center
• Implementing simulation to
other UAB Health schools
− simulation now in every
semester of BSN nursing
curriculum
Interprofessional Simulation
Marjorie Lee White, M.D.
Director, Office of
Interprofessional Simulation

#SOTSOM15
Acknowledgements
Richard Marchase, Ph.D.
Vice President, Research and Economic
Development

#SOTSOM15
UABSOM NIH Rankings and Trends
18 17 19
22 22
25 25
28 29 31
R² = 0.9679
0
10
20
30
UABSOMNIHRank
(a) Blue Ridge estimated ranking at 33 because JHS departments
were not included in the total. The corrected rank is shown.
(b) Estimated using NIH data and including Mayo. Identical to rank
released by Blue Ridge more recently.

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Strategic, Step-Wise Progression to NIH Top 10
31
$134M
20
$180M
15
$250M
10
$300M
Step 1.
Have at least 3
departments in top 15
3 Tiers of Funding:
Consortiums and Centers - U (2-5 new awards)
Collaborate – P60, P50, P20, P01 (10-20 new awards)
Recruit and Grow New R01 investigators (50-75 new awards)
Step 2.
Have at least 6 departments
in top 15
Step 3.
Have at least 6 departments in the top 10
and another 6 in top 20
UAB
BROADLY INCLUSIVE OF
ALL FEDERAL AWARDS
The Promise of UAB Medicine: Poised to Lead in
this New Era

#SOTSOM15
Source: Federation of American Societies for Experimental Biology Office of Public Affairs
30.1 Billion
2014
Future of Academic Medicine

#SOTSOM15
20.6%
26.2%
27.1%
16.7%
17.4% 15.3%
19.2%
25.9% 25.5%
16.3%
17.8%
14.9%
18.6%
22.0% 22.0%
15.0%
17.0%
13.0%
0%
5%
10%
15%
20%
25%
30%
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
SuccessRate
Success Rates for New (Type 1) Applications,
Including First-time R01 Award
Research Project Grants (Type 1)
R01 Equivalent (Type 1) Awards
First-time R01 Equivalent Award
Source: Federation of American Societies for Experimental Biology Office of Public Affairs
Future of Academic Medicine

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Proposals Submitted (All Types)
1608
1735
0
250
500
750
1000
1250
1500
1750
2000
Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
NumberofExtramuralSubmissions FY13 FY14

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FY14 NIH Grant Dollars (in millions) by Series
R
$77.4
T
$4.0
P
$26.8
U
$42.0
F
$0.6
K
$5.6

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NIH Ranking
18 17 19
22 22
25 25
28 29 31
26
0
10
20
30
UABSOMNIHRank
(a) Blue Ridge estimated ranking at 33 because JHS departments were not
included in the total. The corrected rank is shown.
(b) Estimated using NIH data and including Mayo. Identical to rank
released by Blue Ridge more recently.
(c) BlueRidge has not linked Case Western and Cleveland Clinic. Actual
ranking should be 27.

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NIH Grant Dollars
$154 $158
$146 $144
$133
$156
$0
$20
$40
$60
$80
$100
$120
$140
$160
$180
2009 2010 2011 2012 2013 2014
NIHGrants($inMillions)

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NIH Grants* by Selected Type
2009 2010 2011 2012 2013 2014
1 Year
Change
5 Year
Change
TOTAL 363 368 354 347 330 341 3.2% -7.3%
R-Series Total 239 241 238 241 227 225 -0.9% -6.6%
R01 185 194 189 187 172 164 -4.9% -15.5%
R21 25 27 24 26 35 33 -6.1% 22.2%
P-Series Total 20 19 20 21 18 17 -5.9% -10.5%
P01 4 5 4 4 3 3 0.0% -40.0%
P30 12 10 10 10 9 8 -12.5% -20.0%
P50 & P60 4 4 5 5 4 4 0.0% 0.0%
U-Series 26 28 24 22 23 35 34.3% 25.0%
F-Series 14 18 20 19 20 17 -17.6% -5.6%
K-Series 45 41 35 31 28 32 12.5% -22.0%
T-Series 17 18 15 12 13 15 13.3% -16.7%
*Does not include ARRA awards.
Supplements to active awards are not counted separately.

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484
374
340
255
252
218
258
236
241
0
100
200
300
400
500
600
700 UCSF
JohnsHopkins
Penn
WashU
Stanford
Yale
Pitt
UWash
UCSD
Vandy
Duke
UMich
UNC
UCLA
Columbia
NewYorkU
Icahn
Emory
CaseWestern
Mayo
Baylor
Harvard
Northwestern
Oregon
UColorado
Einstein
UABSOM
UWisconsin
UChicago
UTSouthwestern
Schools of Medicine in Order of FY14 NIH Ranking
SOMNIHPrincipalInvestigators NIH Awards

#SOTSOM15
Strategic, Step-Wise Progression to NIH Top 10
31
$134M
20/10
$180M
15
$250M
10
$300M
Step 1.
Have at least 3
departments in top 15
3 Tiers of Funding:
Consortiums and Centers - U (2-5 new awards)
Collaborate – P60, P50, P20, P01 (10-20 new awards)
Recruit and Grow New R01 investigators (50-75 new awards)
Step 2.
Have at least 6 departments
in top 15
Step 3.
Have at least 6 departments in the top 10
and another 6 in top 20
UAB
BROADLY INCLUSIVE OF
ALL FEDERAL AWARDS
The Promise of UAB Medicine: Poised to
Lead in this New Era
#26

#SOTSOM15
• Personalized Medicine
• Informatics
• Fundamentals of Basic Science Discovery
• Inflammation, Infection and Immunity
• Population Health, Health Disparities and
Outcomes Effectiveness Research
Research Focus Areas

#SOTSOM15
• Cross-cutting
• Aligned with strategic scientific priorities for
federal funding
• Where we can/should be nationally prominent
• Not disease or organ specific
Selection Criteria

#SOTSOM15
UAB-Hudson
Alpha Center
for Genomic
Medicine
UAB
Informatics
Institute
Personalized Medicine

#SOTSOM15
• Partnership with Hudson-Alpha allowed
for the creation of the UAB-Hudson
Alpha Center for Genomic Medicine
• Recruited Haydeh Payami, Ph.D.
• Significant contributions
– DNA methylation profiling reveals novel diagnostic
biomarkers in renal cell carcinoma. BMC Medicine.
December 4, 2014. (Rick Myers, Ph.D.)
– Genetic variants associated with warfarin dose in
African-American individuals: a genome-wide
association study. The Lancet. June 5, 2013. (Nita
Limdi, Pharm.D, Ph.D.)
Personalized Medicine

#SOTSOM15
• Recruited James Cimino, M.D.
• Collecting, representing, storing,
retrieving and processing data to
improve human health
• Partnering with the UAB Center
for Clinical and Translational
Science
• Transforming UAB into a learning
health-care system
Informatics

#SOTSOM15
• Fuels translational ideas and research
• Strengthens our overall research
program
– Neurosensory perception of environmental cues
modulates sperm motility critical for fertilization.
Science May 16, 2014. (Mike Miller, Ph.D) Miller was
recently selected as one of 60 finalists for Howard
Hughes Medical Institute.
– Histone H2A.Z subunit exchange controls
consolidation of recent and remote memory. Nature
November 27, 2014. (David Sweatt, Ph.D.)
Basic Science Discovery

#SOTSOM15
• Tremendous immunology and
microbiology programs at UAB
• Increasing interest in the
microbiome and autoimmune
diseases
– Allelic-dependent expression of an activating Fc
receptor on B cells enhances humoral immune
responses. Science Translational Medicine.
December 18, 2013. (Bob Kimberly, M.D., & Jeffrey
Edberg, Ph.D.)
Inflammation, Infection &
Immunity

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• One of the best health disparities
and outcomes group in the
country
• Important nationally and here at
home
– Validation of the atherosclerotic cardiovascular
disease Pooled Cohort risk equations. JAMA.
March 29, 2014. (Paul Muntner, Ph.D. & Monika
Safford, M.D.)
Population Health, Disparities &
Outcomes

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Pittman Scholars
James A. Pittman, Jr., M.D., Scholars Program established
this year to support recruitment and retention of highly
competitive junior faculty members
• Provide ~$12,500 a year to support research activity or
scholarly enrichment
• Assistant professors (tenure track or non-tenure track)
within five years of their initial appointment
• Nominated by their chair
• Received 11 applicants

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André Ballesteros-Tato, Ph.D.
Division of Clinical Immunology & Rheumatology
(DOM)
Beatriz León-Ruiz, Ph.D.
Department of Microbiology
Lizhong Wang, Ph.D.
Department of Genetics
J. Michael Wells, M.D.
Division of Pulmonary, Allergy & Critical Care
Medicine (DOM)
Adam R. Wende, Ph.D.
Division of Molecular & Cellular Pathology (DOP)
Inaugural Pittman Scholars

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Clinical Care
#SOTSOM15

#SOTSOM15
Joint Operating Leadership
James A. Bonner, M.D.,
Selwyn M. Vickers, M.D., F.A.C.S.,

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UAB Health System
CEO
Reid Jones
COO
Dawn Bulgarella
CFO
Loring Rue, M.D.
Chief Medical Officer
Don Lilly
Sr. Vice President
David Randall
Sr. Vice President of Strategic
Planning and Business Development

#SOTSOM15
UAB Hospital
Anthony Patterson
CEO
Mary Beth Briscoe
CFO
Terri Poe
Chief Nursing Officer
Joan Hicks
Chief Information
Officer

#SOTSOM15
UAB Health Services Foundation
James Bonner, M.D.
President
Patricia Pritchett
Executive Vice
President
Mike Heckman
CFO
Marty Box
Executive Director,
Human Resources
Charles Fry
General Counsel

#SOTSOM15
UAB Health System
• RCO Development
• Evolution Funds Flow
• Volume to Value: quality scores,
readmissions, mortality, reductions
variations in care
• Foundations for the Future

#SOTSOM15
UAB Hospital and The Kirklin Clinic
Patient Data
Inpatient Discharges: 49,149
Total Beds: 2,262
Babies Delivered: 4,087
Outpatient Visits: 1.2 million
Number of Specialties: More than 33
Source: UAB School of Medicine Annual Report

#SOTSOM15
Population Health*
RCOs
UAB MEDICINE
Patient Experience*
HCAHPS/CCHAPS
Per Capita Cost*
CMS
Triple Aim*
UAHSF UABHSUABSOM
QUALITY
EFFECTIVE
CARE
FUNDS FLOW
Clinical Care
EFFICIENT
CARE
SAFETYQUALITY
Value Based Purchasing

#SOTSOM15
Kidney Transplant Chain
• the longest kidney-
transplant chain ever
recorded in the United
States
• began in December
2013
• matched 34 living
donors with 34
recipients

#SOTSOM15

#SOTSOM15
• UAB eMedicine launched in August 2014
• Alabama’s 1st medical provider to provide online
diagnosis and treatment of common conditions:
– Cold, sinus infection, sore throat, influenza
– Allergies
– Pink eye
– Bladder infection
UAB eMedicine

#SOTSOM15
Results
• Total uabemedicine.com site visits: 111,193
• Total encounters initiated: 2,536
• Total completed visits: 700 (28% completion rate)
– Of those who were triaged out of program or self-abandoned
the system during the visit, ~5% of patients completed a face to
face visit at UAB (Urgent Care or Prime Care) within 2 weeks*
• 40% of eMedicine patients are brand new to the UAB system
*Based on data from 1st 6 weeks of program
UAB eMedicine

#SOTSOM15
Children’s of Alabama
Mike Warren,
CEO, Children’s of Alabama
Patient Data
Inpatient Discharges: 13,993
Patient Days: 86,502
Emergency Department Visits: 55,062
Outpatient Visits: 659,914
Surgical Patients (inpatient and
outpatient): 22,937
Source: Children’s of Alabama Annual Report

#SOTSOM15
NICU and Neonatology
• 175 NICU beds
• Specialized services available
‒ extracorporeal membrane oxygenation
‒ multidisciplinary care for premature babies with
congenital heart disease
‒ pediatric cardiac surgery
‒ neonatal endoscopic surgery
‒ transplantation of heart, liver, kidney and bone
marrow
UAB/COA is the largest Level IV Neonatal ICU service
in the U.S.

#SOTSOM15
• UAB, together with COA, is the only
university that has been selected by the
National Institutes of Health to be a
participating center in the three NIH
perinatal clinical research networks
– Two based in the Division of Neonatology in
the Department of Pediatrics
– The NICHD Maternal-Fetal-Medicine Units
Network based in the Department of
Obstetrics and Gynecology
NICU and Neonatology
Waldemar A. Carlo,
Director, Division of Neonatology

#SOTSOM15
New Renal Care Center opens February 2015
• Alabama’s only pediatric dialysis center
• Provides: Hemodialysis, Home Hemodialysis,
Peritoneal Dialysis, Continuous Renal Replacement
Therapy, Aquapheresis, Plasmaphersis
• Leadership: Sahar Fathallah, M.D., Suzanne White, R.N.
• Research and Quality Improvement
− National leader in 4 research trials
− Quality Improvement Program
Pediatric Nephrology

#SOTSOM15
Pediatric Nephrology
• Only pediatric renal transplant program in Alabama
• 4th busiest in the U.S. in 2014
‒ 25-30 per year
‒ 537 since founding
Renal Transplant Program
• USNWR: best transplant outcomes in the U.S.
• Research
− New immune suppression protocols
− Reduction of CV risk
− Improvement in medication adherence
− Post transplant viral infections

#SOTSOM15
Regional Care Organizations
RCO Population: 108,167
Est. Premium: $348,021,160
Avg. Premium per Eligible:
$268.12/month
Est. Premium: $202,461,070
$299.06/month
Est. Premium: $363,792,890
$292.91/month
Est. Premium: $799,981,390
$343.19/month
Est. Premium: $525,240,430
$279.23/month
*Premium assumes no RX risk, but includes savings
assumptions and administrative costs. Estimates
provided by Alabama Medicaid 7/22/2014.
Region A
Region C
Region E
Region B
Region D (?)
UAB 80%
UAB 60%UAB 60%UAB 60%UAB 80%
UAB TPA

#SOTSOM15
2015 and beyond
#SOTSOM15

#SOTSOM15
AMC 21
Four pillars under the AMC 21 Strategic Plan:
• Satisfaction / Engagement
• Quality
• Finance
• Advancement of Knowledge
Each of these pillars has an impact across the
tripartite mission of the SOM.

#SOTSOM15
SOM Board of Visitors
• Inaugural meeting held September 2014
• Advises on strategy, philanthropic initiatives and
community engagement and of providing
independent perspectives on SOM initiatives
• Creates advocates for the SOM
AMC 21: Engagement

#SOTSOM15
AMC 21: Engagement
SOM Board of Visitors

#SOTSOM15
Office for Diversity and Inclusion
Mona Fouad, M.D., M.P.H.
Senior Associate Dean for Diversity and Inclusion
Carlton Young, M.D.
Assistant Dean for Medical Student Diversity and Inclusion
Samuel Almódovar, M.D.
Chair, UAB Dean’s Council for Graduate Medical
Education Subcommittee on Diversity,
Multicultural Affairs and Inclusion
AMC 21: Quality

#SOTSOM15
SOM Office for Diversity and Inclusion
• SOM Department Liaisons
– Resource in the development of department strategic
plans
• Women in Medicine
– Includes ELAM alumna and department representatives
• Visiting Scholar Program
• Marc Nivet, Ed.D., M.B.A. – AAMC Chief Diversity Officer,
January 20-21, 2015
AMC 21: Quality

#SOTSOM15
SOM Office for Diversity and Inclusion
• Success will be assessed through:
‒ Recruitment
‒ Retention
‒ Career Development
‒ Faculty Engagement/Climate Survey
• Underrepresented Minorities
– 7.7 % current faculty
– 8.2 % medical students
• Gender
− 64.5 % men
− 33.5 % women
AMC 21: Quality

#SOTSOM15
SOM Office of Diversity and Multicultural Affairs
• Minority Pipeline Programs
− Middle and High School
− Undergraduate
− Post Graduate
• Diversity Education Programs
• URiM Recruitment
• Service and Outreach
• Student Advocacy and Support
• Diversity Training
AMC 21: Quality

#SOTSOM15
AMC 21: Quality
Facilities
• Joint Health Sciences (JHS)
facilities being identified for
upgrades in preparation for
a bond issue
• In 2015, Dr. Vickers will be
visiting multiple spaces in
the SOM footprint to see
needed updates

#SOTSOM15
AMC 21: Quality
Patient Care
• Commitment to providing the best care to our patients
• Demonstrated improvements in observed to expected mortality,
with 5 consecutive months below 1.0.
Loring W. Rue III, M.D.
Chief Medical Officer
UAB Medicine

#SOTSOM15
AMC 21: Quality
Patient Care
• Additionally, we continue to improve our composite score on
the UHC Quality and Accountability Scorecard
– A composite measure of our performance on Mortality,
Effectiveness, Safety, Equity, Patient Centeredness and
Efficiency
• Over the past 4 years, our overall rank has risen significantly
as we’ve continued to improve the care provided to our
patients

#SOTSOM15
Quality-Patient Care
AMC 21: Quality

#SOTSOM15
Patient Care
• To support communication between doctors and patients,
UAB Medicine deployed Emmi, interactive post-discharge
phone calls and corresponding multimedia programs that
encourage patients’ additional learning about their health
condition to improve care transitions and reduce readmission
rates
• Communications involve the patient’s “Circle of Care” who
can help patients manage their conditions proactively
AMC 21: Quality

#SOTSOM15
Patient Care
UAB Care
• UAB’s clinical effectiveness program
• Kicked off in the spring of 2014
• A focal point for performance improvement across the health
system
• In its first 9 months, the work of UAB Care has resulted in
improvements in several clinical outcome measures while
realizing cost savings of over $9M. These include sepsis, heart
failure, and hip and femur fracture care redesigns to name a
few.
AMC 21: Quality

#SOTSOM15
2014-2
2014-1
2013-4
2013-3
2013-2
2013-1
2012-4
2012-3
2012-2
2012-1
2011-4
2011-3
2011-2
2011-1
2.2
2.0
1.8
1.6
1.4
1.2
1.0
Discharge Quarter
MortalityIndex
Sepsis Mortality Index (O/E) at UAB
Sepsis Focus Began with
Intermountain Quality
Program
UAB Sepsis Task Force
Began Work
Code Sepsis &
UED Sepsis
Improvement
Projects
HQS Sepsis
UAB Care
Sepsis
AMC 21: Quality

#SOTSOM15
Patient Care
UAB Care Sepsis Project
• Purpose: Evaluate the use of an electronically-calculated Early
Warning Score (EWS) in addition to or in place of the current
sepsis rule/ sepsis alert
– Sepsis is a major cause of clinical deterioration but not the
ONLY cause.
– EWS may help identify non-septic patients who deteriorate
(respiratory failure, bleeding, etc.).
– Validated in surgical populations
AMC 21: Quality

#SOTSOM15
Patient Care
UAB Care Sepsis Project
• 1,014 patients enrolled through November 30, 2014.
• In October a pilot project was launched on 2 inpatient
hospital units to improve our ability to identify and treat
deteriorating patients using an EWS.
– The pilot was extended to additional units in November
and December.
• The score is derived from vital signs (temperature, heart rate,
respiratory rate, systolic BP), level of alertness, oxygen
saturation and administration of supplemental oxygen.
AMC 21: Quality

#SOTSOM15
AMC 21: Finance
FY 2014 SOM Sources of Funds
Federal Grants (Direct)
$158M
26%
Other Grants (Direct )
$35.7M
6%
Clinical Enterprise
(UH, HSF, HS)
$158.3M
26%
IER
$33.2M
6%
Tuition (Gross)
$20.4M
3%
State Appropriations $83.4M
14%
Philanthropy
$26.6M
4%
Other
$84.1M
14%

#SOTSOM15
AMC 21: Finance
FY 2014 SOM Use of Funds
Grants
$193.8M
35%
Space
$31.3M
6%
SOM Infrastructure $9.5M
2%Investment & Other
$26.1M
5%
Regional Campus, Depts,
Centers
$284M
52%

#SOTSOM15
AMC 21: Finance
• Total raised: $555,018,330
• Total raised in December 2014:
$16,814,085 – the biggest
month of the calendar year
Shirley Salloway Kahn, Ph.D.
Senior Vice President for
Development, Alumni and External
Relations
*Figures as of Dec. 31, 2014

#SOTSOM15
Total raised for SOM: $366,100,178
• 66 % of all funds raised
Of the total for SOM:
• $62.5M for programmatic support
• $7M for facilities
• $177.9M for faculty support
• $98.6M for research and innovation
• $19.8 for student support
AMC 21: Finance
Virginia Gilbert Loftin
Executive Director of
Development and Strategic
Planning,
School of Medicine
*Figures as of Dec. 31, 2014

#SOTSOM15
Development: Major Gifts
• $3.4M from Finley Family for a leadership scholarship and to
name the Reynolds-Finley Historical Library
• $7M from the Hugh Kaul Foundation to name the
Personalized Medicine Institute
• $5M for pediatric initiatives from Children’s of Alabama
• $3.75M for Ophthalmology from Dowd and Susan Ritter,
Research to Prevent Blindness and the EyeSight Foundation
• $3.5M for pediatric oncology, breast cancer, and the Institute
for Innovation/Entrepreneurship from the Goodrich Family
• $1.5M from the Anderson Family to Urology, Neurosurgery
and Nephrology
AMC 21: Finance

#SOTSOM15
Development: Outreach
• Alumni receptions in
Anniston, Dothan, Mobile,
Huntsville, Tuscaloosa,
Montgomery; Capital City
Medical Society reception
in Montgomery
AMC 21: Finance

#SOTSOM15
Academic Enrichment Fund (AEF)
• Strategic and directed commitment from the clinical
enterprise of UAB Medicine to support academic
programmatic growth
• Specifically targeted to grow nationally competitive academic
research programs
• Annual reporting of AEF investments with appropriate levels
of transparency, oversight, accountability, and return on
investment
• Annual Goal $55M
• Multi-year ramp up to achieve goal
• $21.5M expected in FY 2015
AMC 21: Finance

#SOTSOM15
Three Key Themes and Emerging Priorities for 21ST Century Medicine: Funding
Priorities for Recruitment and Growth
Personalized
Medicine, Genomics,
And Informatics
I3,Fundamentals of
Basic Science
Outcomes, Health
Disparities,
Population
Health
NIH Common Fund NIH Common Fund NIH Common Fund
Cancer Education Neurosciences
Cardiovascular Diseases Bioenergetics Primary Care ,Global Health
Diabetes, Obesity and
Metabolism
Regenerative Medicine and
Global Health
Transplantation
UABSOM Thematic Priorities
NIH Roadmap NIH Roadmap NIH Roadmap
AMC 21: Finance

#SOTSOM15
• Incentive for Investigators to Submit 2nd R01
• T32, K and F Awards
• Building Research Teams to Submit Multi-PI Grants, P01 and U
Grants
• Graduate Student Support
• Innovator Awards
• Consider Emerging Areas
• Tissue Sample Availability/IRB Issues
• Celebrate Successes/Low cost suggestions
• Research Infrastructure/Cores
• Increase effectiveness of Administrative Units
AMC 21:
Advancement of Knowledge

#SOTSOM15
AMC 21:
2015 Strategic Recruitments
• Associate Dean for Global Health
• Chair of the Department of Surgery
• Chair of the Department of Biomedical Engineering
• Director of the Personalized Medicine Institute
• 8-10 funded investigators

#SOTSOM15
Global Health & International Relations
• Lead development of partnership with South African MRC,
Peru, Zambia, Oman and Saudi Arabia; partnership with Chug
Shan Medical School in Taiwan
• Rubin Pillay, M.D, Ph.D., M.B.A., Assistant Dean for Global
Health Innovation
AMC 21:

#SOTSOM15
Strategic Objectives for 2015
• Sustained growth in academic programs
• Fiscal management in all aspects
• Strategic communications and faculty
engagement
For 2015

#SOTSOM15
At the end of the day what we do in UABSOM and UAB
Medicine matters for Alabama and beyond
• Leadership: emphasis on excellence and collaboration for the
benefit of the patient
• Discovery: advancing the understanding of human biology and
developing applications to improve health
• Social responsibility: fundamental commitment to access to
care for all people
• Education: meeting the local, regional and global need for
healthcare professionals and researchers
For 2015

#SOTSOM15
SOM Snapshot
Right now in the School of Medicine and UAB
Medicine:
– 781 medical students on 4 campuses
– 950 residents in 4 program sites
– 1,000+ people receiving care inside UAB Hospital
– 2,321 appointments scheduled at The Kirklin Clinic
– 4,415 ongoing research studies
– 1,956,049.73 square feet of space
Miracles occur everyday for our patients through
execution of great care, new discoveries in our labs and
new found insights by our trainees!

#SOTSOM15
Q & A
@UABSOM
#SOTSOM15
Tweet your questions
How will you contribute to the Miracles at
UAB that affect the lives of those whom we
serve in 2015?

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