February 19, 2015 - MCOB

UNIVERSITY OF VIRGINIA
BOARD OF VISITORS
MEETING OF THE
MEDICAL CENTER
OPERATING BOARD
FOR THE UNIVERSITY OF
VIRGINIA MEDICAL CENTER
FEBRUARY 19, 2015
UNIVERSITY OF VIRGINIA
MEDICAL CENTER OPERATING BOARD
Thursday, February 19, 2015
8:30 a.m. – 1:00 p.m.
Auditorium of the Albert and Shirley Small Special Collections
Library, Harrison Institute
Committee Members:
Stephen P. Long, M.D., Co-Chair
Edward D. Miller, M.D., Co-Chair
L.D. Britt, M.D.
Hunter E. Craig
William H. Goodwin Jr.
Victoria D. Harker
Michael M.E. Johns, M.D.
William P. Kanto Jr., M.D.
Constance R. Kincheloe
George Keith Martin
Charles W. Moorman
The Hon. Lewis F. Payne
Ex Officio Members:
Teresa A. Sullivan
Randolph J. Canterbury, M.D.
Dorrie K. Fontaine
Robert S. Gibson, M.D.
Patrick D. Hogan
Richard P. Shannon, M.D.
John D. Simon
Pamela M. Sutton-Wallace
AGENDA
PAGE
I.
II.
OPENING COMMENTS FROM THE CO-CHAIRS
REPORTS FROM THE EXECUTIVE VICE PRESIDENT FOR HEALTH
AFFAIRS
A.
Remarks from the Executive Vice President for
Health Affairs (Dr. Shannon)
B.
Remarks from the Chief Executive Officer of the
Medical Center (Dr. Shannon to introduce Ms.
Pamela M. Sutton-Wallace; Ms. Sutton-Wallace to
report)
C.
Medical Center Operations Report (Dr. Shannon to
introduce Mr. Robert H. Cofield; Mr. Cofield to
report)
D.
Medical Center FY 2015 Finance Report (Dr.
Shannon to introduce Mr. Larry L. Fitzgerald; Mr.
Fitzgerald to report)
E.
Medical Center Capital Projects
F.
Health System Development
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3
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III.
EXECUTIVE SESSION
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Discussion of proprietary, business-related
information pertaining to the operations of the
Medical Center, where disclosure at this time would
adversely affect the competitive position of the
Medical Center, specifically:
– Strategic personnel, financial, market and
resource considerations and efforts, including:
potential joint ventures or affiliations; report
on the performance of Culpeper Hospital; other
marketing and clinical growth efforts; long range
financial plan and assumptions and operating and
capital budget assumptions; review of performance
measures and metrics;
– Confidential information and data related to the
adequacy and quality of professional services,
competency, and qualifications for professional
staff privileges, and patient safety in clinical
care, for the purpose of improving patient care;
– Consultation with legal counsel regarding
compliance with relevant federal and state legal
requirements, licensure, legislative, and
accreditation standards; all of which will
involve proprietary business information and
evaluation of the performance of specific
personnel.
The relevant exemptions to the Virginia Freedom of
Information Act authorizing the discussion and
consultation described above are provided for in
Section 2.2-3711(A)(1), (6), (7), (8) and (22) of the
Code of Virginia. The meeting of the Medical Center
Operating Board is further privileged under Section
8.01-581.17 of the Code of Virginia.
UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING:
February 19, 2015
COMMITTEE:
Medical Center Operating Board
AGENDA ITEM:
II.A. Remarks from the Executive Vice
President for Health Affairs
ACTION REQUIRED:
None
BACKGROUND: Richard P. Shannon, M.D., is the Executive Vice
President for Health Affairs for the University of Virginia.
Before joining the University, he served as the Frank Wister
Thomas Professor of Medicine at the University of Pennsylvania
Perelman School of Medicine, and as chairman of the Department
of Medicine of the University of Pennsylvania Health System. An
internist and cardiologist, Dr. Shannon is widely recognized for
his work on patient safety.
DISCUSSION: The Executive Vice President for Health Affairs
will inform the Medical Center Operating Board (MCOB) of recent
events that do not require formal action.
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UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING:
February 19, 2015
COMMITTEE:
Medical Center Operating Board
AGENDA ITEM:
II.B. Remarks from the Chief Executive
Officer of the Medical Center
ACTION REQUIRED:
None
BACKGROUND: Pamela Sutton-Wallace is the Chief Executive
Officer for the University of Virginia Medical Center. Before
assuming this position on July 1, 2014, she served as Senior
Vice President for Hospital Operations of Duke University
Hospital where she was responsible for several key operational
areas, including Perioperative, Emergency/Trauma, Diagnostic,
Medical-Surgical Critical Care, and Facility and Support
Services. Ms. Sutton-Wallace joined Duke in 1997 as an
administrative fellow and held several management positions
during her 17-year tenure at the Duke University Health System.
DISCUSSION: The Chief Executive Officer of the Medical Center
will inform the MCOB of recent events that do not require formal
action.
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UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING:
February 19, 2015
COMMITTEE:
Medical Center Operating Board
AGENDA ITEM:
II.C. Medical Center Operations Report
ACTION REQUIRED:
None
BACKGROUND: The Medical Center provides a report of significant
operations of the Medical Center occurring since the last MCOB
meeting.
Robert H. (Bo) Cofield has served as the Medical Center’s
Associate Vice President for Hospital and Clinics Operations
since February 2010. In this position, he is responsible for
the effective daily operations of the Medical Center’s inpatient
and outpatient clinical services. Before coming to the
University of Virginia, he served for 10 years in a variety of
leadership roles at the University of Alabama at Birmingham
Health System.
DISCUSSION:
Clinical Operations
Ambulatory Operations
The Care Connection program has scheduled over 12,000
appointments during the first half of fiscal year 2015. The
program is being reviewed, along with other areas in the Health
System, by EY (formally Ernest and Young) as part of our Patient
Friendly Access effort.
The Pulmonary Clinic was the recipient of the 2013-2014
Cystic Fibrosis Foundation’s Quality Care Award for Outstanding
Quality Improvement Processes and Accomplishments for its Cystic
Fibrosis work. Our program was among nine recipients out of 110
total cystic fibrosis care centers in the United States.
Patient Care Services
Neurosciences Center of Excellence
A University of Virginia Health System physician is playing
a key role in advancing the safety and quality of advanced brain
surgery. In an initiative coordinated by U.Va. neurological
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surgeon Jason Sheehan, M.D., Ph.D., FACS, the American
Association of Neurological Surgeons, and the American Society
for Radiation Oncology are developing a first-of-its-kind
patient registry in order to establish national benchmarks for
stereotactic radiosurgery (SRS). SRS uses precise, intensely
focused radiation beams to target cancerous cells without
damaging healthy tissue. The University of Virginia was one of
the first health systems in the country to use a Gamma Knife,
which is considered the most advanced form of SRS. The patient
registry will draw data from 30 high-volume surgery sites
throughout the U.S. and produce information from thousands of
patients. In a move intended to spur additional, wide-ranging
research into SRS outcomes, the neurosurgery organizations plan
to make the anonymized data available to the public. The
information drawn from this new trove of data is expected to
ultimately lead to safer surgeries and refined SRS techniques,
among other benefits.
The Department of Neurology’s Epilepsy Fellowship has
received official accreditation by the Accreditation Council for
Graduate Medical Education (ACGME) starting July 1, 2015. We
have had an epilepsy fellowship for at least 35 years; however,
official accreditation of epilepsy fellowships was just
initiated this year by the ACGME.
Transplant Center Program of Excellence
The Scientific Registry for Transplant Recipients (SRTR)
released the semi-annual Program Specific Reports (PSR)
detailing outcomes data for all Transplant Centers in the U.S.
The University of Virginia’s data reflect the majority of our
adult and pediatric solid organ transplant programs performing
above the expected and national average for both patient and
graft survival outcomes, with several boasting 100% patient
survival during the first year. These outstanding outcomes
reflect the strong commitment of the entire multidisciplinary
team to ensuring our patients receive expert, comprehensive care
through every phase of the transplant process from the first
evaluation visit, through the waiting period, and posttransplant.
Centers for Disease Control and Prevention (CDC) Visit
On November 18, 2014, the CDC Rapid Ebola Preparedness
(REP) came to U.Va. Health System to review our Ebola planning
efforts as a designated Ebola Treatment Center. At the time,
the U.Va. Medical Center and Virginia Commonwealth University
(VCU) Medical Center had already been designated as Ebola
Treatment Centers for the Commonwealth through a cooperative
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agreement between the Virginia Hospital and Healthcare
Association (VHHA) and Dr. William Hazel, Jr., Secretary of
Health and Human Resources for the Commonwealth of Virginia.
U.Va. and VCU Medical Centers were among 35 (now ~50) CDCdesignated Ebola Treatment Centers across the United States.
These designated centers serve regions in the U.S. with a high
proportion of returning travelers or residents from West Africa
or jurisdictions for the five international airports screening
returning travelers for Ebola. Virginia has a large population
of residents from West Africa, with the 5th highest number of
returning travelers from West Africa, and is home to Dulles
International Airport.
Ebola preparedness planning at U.Va. has included a large,
multidisciplinary group of experts who have developed a
comprehensive Ebola management plan and incident management team
for the Health System. Representatives from all of our internal
groups as well as senior leadership and Secretary Hazel were in
attendance during the day long CDC REP visit. The REP team
included CDC representatives as well as individuals from six
federal and state health associations (ASPR, NIOSH, VDH, VHHA,
APIC, SHEA), the University of Nebraska and VCU Health System.
In turn, U.Va. Ebola planning team members traveled to Richmond
for the CDC REP visit of VCU on November 19.
Feedback received from the CDC REP team was very positive
with recommendations for continued growth and training. The
commitment and readiness of the U.Va. clinical care team members
were noted to be significant strengths. U.Va.’s ability to care
for both pediatric and adult patients was also noted to be an
important strength. CDC supported our readiness to care for an
adult patient immediately and a second adult patient and/or
pediatric patient in early 2015. They were particularly
impressed with the expanded and innovative uses of Telemedicine
in many aspects of care and patient support. Laboratory
Services received positive comments in relation to their
readiness with specific protocols, training/simulation, and
readiness checks. U.Va.’s waste management capability was an
absolute strength as well.
Federal Communications Commission (FCC) Visit
The Federal Communications Commission (FCC) announced plans
in 2014 to hold a series of roundtable conferences across the
United States as a part of their Connect2Health Taskforce to
discuss leveraging broadband technologies and telehealth
resources to improve access to healthcare and advance economic
development. Led by FCC Commissioner Mignon Clyburn, the
series, “Beyond the Beltway,” chose the U.Va. Health System and
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its Center for Telehealth for the inaugural meeting of these
national roundtables.
Citing the leadership role U.Va. has played in the
development of national telemedicine practice and policy,
Commissioner Clyburn focused the review on the Health System’s
and Virginia’s efforts to enhance the intersection of broadbandenabled technologies and the provision of medical care,
particularly in rural and underserved areas. The roundtable
served as a forum for discussion about the social and economic
benefits of broadband-enabled health care beyond traditional
hospital settings.
In addition to Commissioner Clyburn, leadership from the
FCC, the U.Va. Health System, and the Commonwealth of Virginia
attended the event on November 18. Attendees included Karen R.
Jackson, Virginia Secretary of Technology; Dr. William A. Hazel
Jr., the Commonwealth’s Secretary of Health and Human Resources;
Dr. Richard P. Shannon, U.Va. Executive Vice President for
Health Affairs; Pamela M. Sutton-Wallace, Chief Executive
Officer of the U.Va. Medical Center; P. Michele Ellison, FCC
Deputy General Counsel and Chair, Connect2Health Task Force; and
Dr. Karen S. Rheuban, Director of the University of Virginia
Center for Telehealth.
Physician leadership from the U.Va. Center for Telehealth
provided a demonstration of multiple telemedicine programs and
outcomes, including the C3 patient home monitoring program, the
Center’s work in Southside and Southwest Virginia, a tele-stroke
connection to Culpeper Regional Hospital with Dr. Nina Solenski,
and tele-obstetrics with Dr. Christian Chisolm. The Center for
Telehealth also discussed the work within its comprehensive
telehealth network that currently spans more than 130 sites
within the Commonwealth.
The U.Va. Center for Telehealth has used this network to
deliver a steady stream of medical and educational services
including thousands of hours of distance learning for patients
and health care professionals, hundreds of technical
consultations that have helped sites across the state go live,
and, most importantly, more than 44,000 patient encounters in
more than 40 subspecialties. Over the last 20 years, these
efforts have saved Virginia patients from traveling more than
15.4 million miles to receive health care.
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Clinical Ancillary Services
Medical Laboratories
The Clinical Microbiology Laboratory is now offering new
in-house testing which improves turnaround time:
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A DNA probe test (BD AFFIRM) for the detection and
identification of Candida species, Gardnerella vaginalis,
and Trichomonas vaginalis nucleic acid;
A direct DNA probe test for Mycobacterium tuberculosis on
respiratory specimens;
Analysis for the presence of the heparin induced platelet
antibody (HIT) is now being performed by Medical Labs in
the Special Coagulation section.
Radiology and Medical Imaging
The project to move the MRI units from the pavilion to the
main hospital is underway. The design phase is complete.
Construction is scheduled to start on the Crispell Drive site in
early January in anticipation of a June 2015 delivery of a
mobile MRI unit.
Radiology’s PACS (Picture Archiving and Communication
System) was upgraded in January 2015. The upgrade offers
enhanced functionality for the radiologists.
Therapy Services
With the successful recruitment of a new laryngologist from
Vanderbilt, a comprehensive voice clinic has been developed and
implemented. This new program involves having a Speech Language
Pathologist see patients in conjunction with the physician on
clinic days and perform independent treatment sessions on the
other days.
Patient Experience Office
Patient Experience Results: The November 2015 Fiscal Year
to date Inpatient (HCAHPS) score of 67.9% (percentage of 9s and
10s for overall hospital rating) is below the goal of 75%.
After a strong FY 2014, the FY 2015 goal was increased from 70%
to 75%. The trend for FY 2015 is flat and below goal. Key
attributes that impacted the overall score were communication
with nurses and doctors, responsiveness of staff, and pain.
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The components of the former Press Ganey Weighted Average
have been revised and this roll up of non-inpatient results is
now called the Patient Experience Index. The November 2015
Fiscal Year to date index of 86.7 is slightly below the goal of
88.1 and trending favorably from the prior quarter.
All managers have identified two behaviors that they will
focus on to improve the patient experience. They range from the
existing interventions of Daily Leader Rounding, Hourly Nurse
Rounding, Bedside Shift Change Reporting, Quiet Time Hours,
White Boards, Care Partner Involvement, “Walk with Me,” and
Elevator Etiquette programs to more recent changes in family
access.
To be more patient and family centered, the Medical Center
has eliminated visiting hour restrictions. Prior to this
change, visitors, except the identified Care Partner, could not
see their loved ones between 9:00 pm and 9:00 am. Now the
patient (within some guidelines) has the ability to decide who
they would like to visit and for how long.
The addition of email patient satisfaction surveys has
increased the total number of returned patient surveys by 40%.
We have also increased the surveys for Medical Practice. The
increased number of surveys will enable us to provide more
robust physician level reporting of their patients’ experiences.
Real-Time Feedback pilots using iPads continue at the
University Medical Associates (UMA) clinic and the Emergency
Department. These surveys are highly customized to meet the
departments’ specific operational needs. The number of
completed surveys is exceeding the typical survey mode by
multiple factors.
The Patient, Family, and Community Advisory Forum met in
December 2014. The Forum members received an update on MyChart
and then provided direction and feedback on public reporting of
quality outcomes and patient experience results.
Community Outreach
Pathway to a Health Career
The Health System will collaborate with others to identify
and engage 40 unemployed or underemployed young adults ages 18
to 25 for skills training, mentoring, education, and employment.
The goal is to equip them for an upwardly mobile career path in
healthcare. We have received a grant from the Jessie Ball
duPont Fund in the amount of $128,012 distributed over 24 months
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to support our pilot “Pathway to a Health Career”. In addition,
the Health System will invest $90,000. Internal collaboration
between Community Relations, Medical Center Human Resources,
Nursing Education, and the Health System Development Office led
to the successful grant submission.
Commonwealth of Virginia Campaign (CVC)
Continuing a decade long tradition of employee giving, the
2014 CVC effort is again projected to be the largest agency of
the Commonwealth in dollars pledged. Final totals will be
released in February; however, pledge contributions through
December 2014 indicated that U.Va. leads in giving. As a
result, the majority of Top 10 charities funded by CVC are from
the greater Piedmont Area.
Environment of Care
Art Committee
The University of Virginia Health System Arts Committee
presented the exhibition, “Through the Photographer’s Eye” in
the Hospital lobby from November 7, 2014 to January 9, 2015.
Photographer John Hulburt has traveled the world looking for
“the perfect light” that shows nature, places, and things in
interesting ways, yet many of his photographs feature the beauty
of Albemarle County. Teaching photography at the University of
Virginia provides him the opportunity to share with others what
he has learned in over 50 years of photography.
Auxiliary
The Lights of Love Tree Lighting and Caroling was held in
the University Hospital Lobby on December 11, 2014. Music of
the season was presented by the Choirs of Charlottesville High
School, directed by Will Cooke. Handmade “Lights of Love”
ornaments could be purchased for the tree for $10 each, with
proceeds supporting the mission of the U.Va. Hospital Auxiliary
to serve Health System patients and families.
Facilities
The groundbreaking for the Education Resource Center (ERC)
was held on December 12, 2014. The ERC, which will be located
between the Emily Couric Clinical Cancer Center and the Lee
Street Parking Garage, will house Ambulatory Imaging, an
Outpatient Pharmacy, Graduate Medical Education support and
teaching functions, and meeting space.
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Nutrition Services
An article entitled “Providing Outpatient Nutrition
Services Using an Activity Based Costing Method”, co-authored by
Wendy Phillips and Cynthia Moore of Nutrition Services and Keith
Batt of Environment of Care at the Medical Center, was the
featured article in the Clinical Nutrition Management Practice
Group of the Academy of Nutrition and Dietetics’ Fall
newsletter.
Patient and Guest Services
Mary Ann Himes and Vickie Marsh of Patient and Guest
Services developed a case study for CyraCom, the largest
provider of interpretation services operating solely in the
U.S., and the second largest provider worldwide. The case study
entitled “Video-Remote Interpretation Efficiencies” showcased
the benefits of video-remote interpretation (VRI) currently
being used at the Medical Center. The case study outlined how
the Health System developed a language services program that was
strong, cost effective, and high in compliance, that structured
a multifaceted language services program, optimized program cost
effectiveness, implemented VRI throughout the hospital, and
encouraged physician engagement with VRI.
On November 18, 2014, Language Assistance Services hosted
the Virginia Department for the Deaf and Hard of Hearing (VDDHH)
in a demonstration of assistive technology for patients who are
deaf or hard of hearing. A display of communication devices to
help patients with hearing loss or a voice, speech, or language
disorder was available for team members to review.
Safety
An Employee Safety Fair was held in late October. Displays
on employee safety, needle safety, and the latest minimal lift
equipment were available for team members to view.
Sustainability
The Sustainability Workgroup hosted a fall/winter fair to
help team members learn ways to reduce energy costs while
creating a safer holiday season. There were tips on winterizing
homes and cars, choosing safer and cheaper holiday lighting
options, and selecting healthier food options from our local
bounty. Featured displays were provided by U.Va. Sustainability
Partners, the Virginia Extension Office, LEAP (Local Energy
Alliance Program), Black Bear Composting, Nutrition Services,
and many more.
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Information & Technology Services
The Medical Center and the University Physicians Group have
decided to implement the revenue cycle components of our Epic
electronic medical record system. This will include systems
supporting patient registration, scheduling, and hospital and
physician billing. The project is in the planning phase until
summer of 2015, at which point the two year implementation will
begin.
The Medical Center is 30% complete in the project to
replace all physiological patient monitors and to add additional
monitoring capability. This project will result in both added
monitoring functions and more extensive inpatient monitoring
throughout the Medical Center.
Human Resources
Organizational Development
On September 30, 2014, the Uteam Leadership Forum was
hosted at the John Paul Jones Arena for the first time. Almost
700 leaders from across the Health System were in attendance.
This session focused on leadership expectations as well as Be
Safe tools and methods to help leaders transform the culture.
Kate Ebner, founding Director for the Institute for
Transformational Leadership at Georgetown University, joined us
as our keynote speaker on the topic of “Coaching: Leading
through Communication.” Another forum was held on January 27,
2015 and continued our Be Safe learning journey with a focus on
operational stability. Bruce Tulgan, keynote speaker and
founder of Rainmaker Thinking, centered his message on
leadership behaviors that promote retention and engagement.
The Medical Center conducted an employee engagement “pulse”
survey from January 14 – 28. The survey included all Medical
Center team members hired prior to October 13, 2014, as well as
facilities employees, contracted staff, and house staff (i.e.,
GME residents). We continue to share best practices for
improving engagement through a three-part educational series
offered to all leaders across the Medical Center. Based on the
information being shared in the classroom, we anticipate a
slight increase in the engagement mean score. In addition, we
plan to offer a similar educational program for front-line team
members starting in March. The purpose of the front-line
training is to help team members better understand the intent of
the Q12 Elements and to empower them with tools and resources
that will enhance action planning efforts at the departmental
level.
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The Uteam Leadership Academy is conducting two new series
of classes for leaders. The first, entitled “Influential
Leadership – Leading in a Be Safe Environment,” is geared
towards Administrators and Directors. This series focuses on
learning how to motivate and enable vital behaviors which propel
the Medical Center towards becoming the safest place to work and
receive care. Topics include: coaching to improve performance
and development, influencing others, leadership standard work,
and promoting personal responsibility. This series incorporates
a high level of individual coaching for each participant. The
second series, “Developing Leadership Competencies,” will be
offered starting in January to all levels of leadership. The
content of this series will be based on the low-scoring
competencies from 360 feedback surveys that have been conducted
over the past three years. The series is designed to
incorporate deliberate practice for the following six
competencies: Conflict Management, Priority Setting, Planning,
Building Effective Teams, Motivating Others, and Confronting
Direct Reports. Unlike most of our course offerings, learners
do not have to commit to an extended engagement. Instead they
are encouraged to only attend the classes that are of interest.
Talent Acquisition
The Medical Center initiated its “Step it Up” Experienced
Registered Nurse and Pharmacist campaign on October 9, 2014.
The campaign has a theme of Balance, highlighting the clinical
opportunities of our world class healthcare system and all the
benefits of living in Charlottesville. Step it Up offers an
enhanced employee referral bonus along with a new hire sign-on
bonus and relocation assistance for RNs with a Bachelor’s degree
and at least two years of experience. As of December 15, 2014,
33 program eligible RNs have been hired including five employee
referrals. This is a national recruitment effort, and hiring
activity is expected to increase after the first of the year.
Through November 2014, the Medical Center hired 302 RNs
(194 experienced and 108 Clinician 1) in FY 2015, compared to
174 over the same time period in FY 2014, representing a 74%
increase.
Recognition and Rewards
Uteam Members of the Month
The Uteam Members of the Month program recognizes team
members for their outstanding service to the Medical
Center. Nominations are based on the following criteria:
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Demonstrates a caring manner and a strong customer focus
Works well with others
Makes the department a better place to work
Serves as a role model for others
Demonstrates a commitment to patient safety/patientcentered care
Recent Uteam Members of the Month are:
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July - Irene Wing
August - 3 East Team Members
September - Lillian L. Shoffstall-Tyler
October - Liz Cook
November - Edward Sidebottom
December - Eunice Jones
Prior to Halloween 2014, Uteam partnered with Morrison’s to
host the annual “No-carve for a Cure” pumpkin decorating
contest. More than 20 decorated pumpkins were turned in from
various departments throughout the health system and team
members, patients, and visitors voted on “Most Unique”, “Most
Creative”, “WOW Factor” and “Best Breast Cancer Theme.”
Additionally, Uteam served $1 fall treats each Friday and raised
$932.00 for the U.Va. Breast Care Program.
Uteam has taken the lead on finding locations where
breastfeeding mothers who have returned to work can pump breast
milk. Uteam has identified breastfeeding friendly spaces
throughout the Health System and provided appropriate signage.
Renovations to current locations and an additional room will be
added in the coming months.
During the week of December 8, 2014, Uteam hosted its
annual Health System Holiday Celebrations. Uteam hosted tented
events at the following locations:
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Fontaine – 650 team members attended
Northridge/TCH – 250 team members attended
Medical Center - Over 9,000 team members attended or were
served through Uteam To-go
North Fork – 350 team members attended
Additionally:
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Over 1,000 team members celebrated at off-site locations
(managers received $10 per team member to design their own
celebration)
500 boxes with a personal message from Pamela SuttonWallace and candy canes were delivered to units with team
members working the weekend shift
Nearly 600 team members working the weekend of December 12
and 13 were served a full holiday meal
Similar celebrations were held for team members working
Christmas Eve and Christmas Day. All planned events were 100%
compostable, and all leftover food was donated to local
shelters. Local vendors included Sweethaus Cupcakes, Carters
Specialty Breads, and Black Bear Composting. Information booths
for Hoo’s Well and the CVC were well attended by team members.
Team members enjoyed the photo booth, peer-to-peer recognition
activities, and holiday and popular music. Over 400 volunteer
slots were filled by senior leadership, management, Human
Resources, and Employee Council members.
Compensation
The Medical Center implemented its market adjustment for
team members on November 23, 2014. This adjustment occurred
three months early to demonstrate our commitment to retaining
our team members. Approximately 70% of team members received
some adjustment due to market conditions. Significant market
adjustments were made for key patient care positions, primarily
Inpatient and Outpatient Nursing, and other key clinical
ancillary jobs in specialized areas.
Inpatient Registered Nurses (Clinician 2 and above)
received an hourly increase of $2.25, while Outpatient
Registered Nurses (Clinician 2-Ambulatory and above) received an
hourly increase of $1.57. We also increased the minimum hourly
hire rate to $11.76. This adjustment aligns with our values of
respect and dignity, and helps ensure that some of our lowerpaid team members are paid fairly and competitively for the
contributions they make to our patients and the communities we
serve.
Quality and Performance Improvement
Regulatory Update
The Medical Center’s unannounced, triennial Joint
Commission accreditation survey is expected to occur during
February 2015. The week long survey, which focuses on patient
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safety and will include our home care agency, also provides
deemed status approval for our continuing participation in the
Medicare program.
The biennial, unannounced lab accreditation survey by the
College of American Pathologists (CAP) is also due. The 90-day
survey window began on October 15, 2014.
The Medical Center Blood Bank (MCBB) recently completed a
two day survey by the American Association of Blood Banks
(AABB), a CAP affiliate. The MCBB was found to be in full
compliance with all AABB standards and has been recertified for
an additional two year period.
Recognition and Awards
The Health System had 13 posters accepted for presentation
at the 2015 Virginia Patient Safety Summit, which was held in
Richmond on January 29 and 30. U.Va. claimed 13 of the 44
available poster slots, more than any other institution in the
Commonwealth.
Recognition and Awards
A federal survey ranked the Medical Center in the top 5% of
hospitals nationally for its support of breastfeeding. U.Va.
ranked in the 95th percentile in a survey of 2,666 hospitals
conducted by the Centers for Disease Control and Prevention
(CDC). U.Va.’s overall score on the Maternity Practices in
Infant Nutrition and Care survey was 95 out of 100, compared
with an average score of 76 among Virginia hospitals and 75
nationally.
An article co-authored by University of Virginia School of
Medicine researcher Wladek Minor, Ph.D., has been named as one
of the most cited scientific papers of all time by the
prestigious journal Nature. Citations are used as a measure of
a paper’s influence and importance, reflecting how many other
researchers reference and build upon the work. Co-written with
longtime collaborator Zbyszek Otwinowski, Ph.D., of Southwestern
Medical Center at the University of Texas, the work describes
groundbreaking software to analyze X-ray diffraction data to
reveal the atomic architecture of molecules essential for life.
The work was number 23 on the list of the most cited papers, and
number seven among papers published in the last 20 years.
The Charlottesville Women’s Four Miler set a new
fundraising record this year, collecting $375,000 in donations
for the University of Virginia Cancer Center’s Breast Care
15
Program. The money raised through the Women’s Four Miler
supports various programs at the Breast Care Center, including
mammograms and genetic testing for women who would otherwise be
unable to afford services, resources for newly diagnosed breast
cancer patients, and breast cancer research at the U.Va. Cancer
Center. Over the past 22 years, the race has raised more than
$2.8 million to support the Breast Care Program.
Becker’s Hospital Review has honored the University of
Virginia Department of Neurosurgery and the U.Va. Spine Center
on its 2014 list of 100 hospitals with great neurosurgery and
spine programs. The programs named to the list "offer
remarkable spine and neurosurgical care as based on clinical
accolades and recognition from various healthcare groups and
agencies," according to Becker’s. In recognizing U.Va.'s spine
and neurosurgery programs, the national healthcare publication
noted that more than 1,500 spine procedures are performed each
year and that U.Va. offers a wide array of services in
neurosciences. Becker's also highlighted the work of John A.
Jane Sr., M.D., who was honored in 2014 with a Governor's Award
for Career Achievement.
Supply Chain
Supply Chain operations continued a redesign effort using
lean methodology. The effort focuses on all inpatient units,
imaging and the Emergency Department. The expected outcomes
will be managed stores closer to the bedside or other care
venue, less non-value added time spent traveling and searching
for supplies by care givers, and standardized stocking levels
and contents of stocking areas. In turn, this is expected to
reduce waste within the supply chain. Current test units are 6
Central and 6 West.
Working with Patient Care and physicians, Surgical Supply
Services continued its participation in an effort to standardize
supply utilization by eliminating practice variation. This
effort is being led by the Operating Room and Value Management,
with major data analysis now complete and faculty-led
discussions underway to eliminate unnecessary variation, thereby
reducing cost.
In an effort lead by U.Va. faculty, Value Management has
concluded two significant contracting efforts in Spine Surgery
and Orthopedic Surgery (hip, knee, and shoulder replacement)
which will deliver an anticipated annual cost savings of 5% of
the Operating Room supply budget. U.Va. faculty and Value
Management have also started a new effort centered on Structural
16
Heart Surgery and Endovascular Aneurysm Repair.
cost savings are in the 7-11% range.
17
Anticipated
UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING:
February 19, 2015
COMMITTEE:
Medical Center Operating Board
AGENDA ITEM:
II.D. Medical Center FY 2015 Finance Report
ACTION REQUIRED:
None
BACKGROUND: The Medical Center prepares a periodic financial
report and reviews it with the Executive Vice President for
Health Affairs of the University before submitting the report to
the MCOB.
Larry L. Fitzgerald is the Health System’s Chief Financial
and Business Development Officer. He has held similar positions
with the University of Pittsburgh Medical Center and American
Medical International. He has extensive experience with health
care mergers and acquisitions, the Medicare and Medicaid
programs, and strategic planning.
DISCUSSION:
After five months of operations in FY 2015, the operating
margin for all business units was 4.5%, which was above the
budget of 3.6%. In the first five months of FY 2015, our volume
has been generally above budget, revenue well above budget as a
result of the high acuity of our inpatients, and expenses
overall well controlled when adjusted for volume and the acuity
of our inpatients. The operating margin for the overall
clinical enterprise is supported by a strong tailwind from our
dialysis, imaging, and infusion centers, which averaged an
operating margin of 23%.
For FY 2015, inpatient admissions were 0.6% below budget
and 3.2% above the prior year. The variance from prior year can
be explained by the addition of Culpeper Regional Hospital on
October 1, 2014. Culpeper admits approximately 250 patients per
month. On a same store basis, admissions were .9% below the
prior year. For the U.Va. Medical Center only, the case mix
adjusted average length of stay was 2.90 days, which was above
the budget of 2.73 days and above the prior year of 2.87 days.
Outpatient clinic visits for the U.Va. Medical Center were 2.6%
below budget in total, but 1.8% above the prior year.
18
Total operating revenue was $575.6 million for FY 2015
through November, which was 2.8% above budget and 10.3% higher
than the prior year. Total operating expenses were 1.9% above
the budget and 11.5% above FY 2014 expenses. However total
expenses per adjusted discharge, adjusted for patient acuity,
were $10,831 compared to a budget of $11,031.
Total paid employees, including contracted employees, were
58 below budget.
FY 2014
Employee FTEs
Salary, Wage and
Benefit Cost per FTE
Contract Labor FTEs
Total FTEs
FY 2015
2015 Budget
6,845
7,389
7,473
$78,111
$79,841
$79,339
171
213
185
7,016
7,601
7,659
OTHER FINANCIAL UPDATES
One of the most significant financial issues facing the
U.Va. Health System is Virginia’s decision on the expansion of
Medicaid. Following the provisions of the Affordable Care Act
(ACA), Medicaid Disproportionate Share (DSH) payments to
Virginia from the Centers for Medicare and Medicaid Services
will drop 12% in FY 2017, with the reduction growing to 39% in
FY 2019. The reduction to DSH is manageable if the Virginia
General Assembly votes to approve an expansion of the Medicaid
program. At this time, all indications are that the General
Assembly is not inclined to approve expanded Medicaid during the
2015 Session. Our Long Range Financial Plan assumes that
Medicaid will be expanded. If expansion does not occur, we will
be required to make a significant change to the Long Range
Financial Plan.
We are engaged in confidential discussions with several
health systems about collaborations and joint ventures. Since
the last MCOB meeting we have signed a nonexclusive Affiliation
and Collaboration Agreement with the Bon Secours system. Bon
Secours first approached U.Va. about the agreement. We are
likely to sign one or two similar agreements before the end of
the fiscal year.
19
University of Virginia Medical Center
Income Statement
(Dollars in Millions)
Most Recent Three Fiscal Years
Description
Net patient revenue
Other revenue
Total operating revenue
Operating expenses
Depreciation
Nov-13
Operating income (loss)
Nov-15
Nov-15
$472.8
$502.4
$559.2
$539.5
20.2
19.6
16.5
20.5
$493.0
$522.0
$575.7
$560.0
428.7
453.2
505.2
496.1
32.5
34.1
36.3
36.1
6.0
6.0
8.4
7.4
Interest expense
Total operating expenses
Nov-14
Budget/Target
$467.2
$493.3
$549.9
$539.6
$25.8
$28.7
$25.8
$20.4
Non-operating income (loss)
$12.3
$23.5
$7.9
Net income (loss)
$38.1
$52.2
$33.7
Principal payment
$11.7
$6.3
$6.9
20
$15.6
$36.0
$6.9
University of Virginia Medical Center
Balance Sheet
(Dollars in Millions)
Most Recent Three Fiscal Years
Description
Nov-13
Nov-14
Nov-15
Assets
Operating cash and investments
$156.5
$214.6
$207.8
Patient accounts receivables
128.2
129.5
164.4
Property, plant and equipment
741.4
793.8
842.3
Depreciation reserve and other investments
227.0
188.3
198.5
Endowment Funds
428.3
480.3
527.7
Other assets
219.1
263.7
284.8
$1,900.5
$2,070.2
$2,225.5
Current portion long-term debt
$22.1
$12.1
$11.8
Accounts payable & other liab
101.3
129.2
130.5
Long-term debt
400.5
436.2
Total Assets
Liabilities
464.6
.
Accrued leave and other LT liab
Total Liabilities
Fund Balance
Total Liabilities & Fund Balance
21
138.9
143.8
152.0
$662.8
$721.3
$758.9
$1,237.7
$1,348.9
$1,466.6
$1,900.5
$2,070.2
$2,225.5
University of Virginia Medical Center
Financial Ratios
Most Recent Three Fiscal Years
Description
Nov-13
Nov-14
Nov-15
Budget/Target
Nov-15
Operating margin (%)
5.2%
5.5%
4.5%
3.6%
Total margin (%)
7.5%
9.6%
5.8%
6.3%
Current ratio (x)
2.3
2.4
2.6
2.4
178.8
208.9
198.5
190.0
Gross accounts receivable (days)
50.6
47.2
47.8
45.0
Annual debt service coverage (x)
4.3
7.5
5.1
5.2
33.1%
33.4%
33.1%
31.8%
8.2%
8.1%
8.1%
8.1%
Days cash on hand (days)
Debt-to-capitalization (%)
Capital expense (%)
University of Virginia Medical Center
Operating Statistics
Most Recent Three Fiscal Years
Description
Nov-13
Nov-14
Nov-15
Budget/Target
Nov-15
Acute Admissions
11,948
12,078
12,470
12,542
Patient days
70,434
71,466
75,097
70,843
1,641
1,529
1,869
1,938
5.72
5.64
5.90
5.40
319,486
337,273
343,457
352,730
25,888
24,660
25,401
24,858
2.04
2.10
2.16
2.10
6,892
7,016
7,601
7,659
Observation Patients - MC
Average length of stay - MC
Clinic visits - MC
ER visits - MC
Medicare case mix index - MC
FTE's (including contract labor)
22
University of Virginia Medical Center
SUMMARY OF OPERATING STATISTICS AND FINANCIAL PERFORMANCE MEASURES
Fiscal Year to Date with Comparative Figures for Prior Year to Date - November FY2015
ADMISSIONS and CASE MIX - Year to Date
Actual
ADMISSIONS:
Adult
Pediatrics
Psychiatric
Transitional Care
Culpeper
Subtotal Acute
Budget
OPERATING STATISTICAL MEASURES - November 2014
OTHER INSTITUTIONAL MEASURES - Year to Date
% Variance
Prior Year
10,113
1,223
505
124
505
12,470
10,187
1,188
507
169
491
12,542
(0.7%)
2.9%
(0.4%)
(26.6%)
2.9%
(0.6%)
10,246
1,202
500
130
12,078
1,869
1,938
(3.6%)
1,529
Total Admissions
14,339
14,480
(1.0%)
13,607
Adjusted Admissions
25,453
25,133
1.3%
23,555
Observation
CASE MIX INDEX:
All Acute Inpatients - MC
Medicare Inpatients - MC
2.03
2.16
1.98
2.10
2.5%
2.9%
1.97
2.10
Actual
ACUTE INPATIENTS:
Inpatient Days
All Payor CMI Adjusted ALOS - MC
Average Daily Census
Births
OUTPATIENTS:
Clinic Visits
Average Daily Visits
Emergency Room Visits - MC
Emergency Room Visits - CRH
SURGICAL CASES
Main Operating Room (IP and OP)
UVA Outpatient Surgery Center
Culpeper Surgery Center
Total
Budget
% Variance
Prior Year
75,097
2.90
490
776
70,843
2.73
463
767
6.0%
(4.6%)
5.8%
1.2%
71,466
2.87
467
724
343,457
3,513
25,401
4,958
352,730
3,596
24,858
4,714
(2.6%)
(2.3%)
2.2%
5.2%
337,273
3,414
24,660
0
7,412
4,361
570
12,343
7,049
4,585
610
12,244
5.1%
(4.9%)
(6.6%)
0.8%
7,468
4,192
11,660
OPERATING FINANCIAL MEASURES - November 2014
23
REVENUES and EXPENSES - Year to Date
($s in thousands)
NET REVENUES:
Net Patient Service Revenue
Other Operating Revenue
Total
$
EXPENSES:
Salaries, Wages & Contract Labor
Supplies
Contracts & Purchased Services
Depreciation
Interest Expense
Total
$
Operating Income
$
Operating Margin %
Non-Operating Revenue
$
Net Income
Budget
Actual
$
OTHER INSTITUTIONAL MEASURES - Year to Date
% Variance
Prior Year
559,165
16,470
575,635 $
539,455
20,477
559,932
3.7%
(19.6%)
2.8% $
502,434
19,551
521,985
253,367
129,982
121,869
36,308
8,382
549,908
25,727
4.5%
7,920
(0.3%)
(9.0%)
1.9%
(0.5%)
(13.9%)
(1.9%) $
26.4% $
$
252,608
119,209
124,263
36,133
7,362
539,575
20,357
3.6%
15,687
(49.5%) $
228,631
116,691
107,921
34,124
5,960
493,327
28,658
5.5%
23,522
33,647 $
36,044
(6.7%) $
52,180
$
$
$
($s in thousands)
NET REVENUE BY PAYOR:
Medicare
Medicaid
Commercial Insurance
Anthem
Aetna
Other
Total Paying Patient Revenue
OTHER:
Collection % of Gross Billings
Days of Revenue in Receivables (Gross)
Cost per CMI Adjusted Admission
Total F.T.E.'s (including Contract Labor)
F.T.E.'s Per CMI Adjusted Admission
Actual
$
$
$
Budget
% Variance
167,325 $
114,871
94,068
109,720
41,552
31,629
559,165 $
177,833
104,862
88,505
108,904
39,017
20,334
539,455
(5.9%) $
9.5%
6.3%
0.7%
6.5%
55.6%
3.7% $
29.74%
47.8
10,831 $
7,601
22.91
28.90%
45.0
11,031
7,659
23.95
2.9%
(6.2%)
1.8% $
0.8%
4.3%
Prior Year
165,629
97,666
82,431
101,430
36,340
18,938
502,434
30.61%
47.2
10,681
7,016
23.24
University of Virginia Medical Center
SUMMARY OF OPERATING STATISTICS AND FINANCIAL PERFORMANCE MEASURES
Fiscal Year to Date with Comparative Figures for Prior Year to Date - November 30, 2014
Assumptions - Operating Statistical Measures
Admissions and Case Mix Assumptions
Admissions include all admissions except normal newborns
Pediatric cases are those discharged from 7 West, 7 Central, 7 North, NICU and PICU
Psychiatric cases are those discharged from 5 East
TCH cases are those discharged from the TCH, excluding any Medicare interrupted stays
All other cases are reported as Adult
Short Stay Admissions include both short stay and post procedure patients
Case Mix Index for All Acute Inpatients is All Payor Case Mix Index from Stat Report
Other Institutional Measures Assumptions
Patient Days, ALOS and ADC figures include all patients except normal newborns
Surgical Cases are the number of patients/cases, regardless of the number of procedures performed on that patient
24
Assumptions - Operating Financial Measures
Revenues and Expenses Assumptions:
Medicaid out of state is included in Medicaid
Medicaid HMOs are included in Medicaid
Physician portion of DSH is included in Other
Non-recurring revenue is included
Other Institutional Measures Assumptions
Collection % of Gross Billings includes appropriations
Days of Revenue in Receivables (Gross) is the BOV definition
Cost per CMI Adjusted Discharge uses All Payor CMI to adjust
UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING:
February 19, 2015
COMMITTEE:
Medical Center Operating Board
AGENDA ITEM:
II.E.
ACTION REQUIRED:
None
Medical Center Capital Projects
BACKGROUND: The Medical Center is constantly improving and
renovating its facilities. We provide a status report of these
capital projects at each MCOB meeting.
DISCUSSION: The current Medical Center capital projects report
is set forth on the following page:
25
The University of Virginia Medical Center
Capital Projects Report
February 19, 2015
Scope
1.
BOV
Approval
Date
Projected
Completion
Date
Budget
Funding
Source
$20 M
Operating
Sept.
2013
2017
$202 M
TBD
TBD
2020
Planning
University Hospital 7th &
8th Floor Master Planning
A contract was awarded to HKS
in January 2014 for design
services for the 7th and 8th
floors. The project goals
are to upgrade and expand
capacity for Women and
Children’s in-patient
programs. The project is
currently in design.
Construction expected to
begin in Summer 2015.
Emergency
Department/Operating Rooms
(Plinth)
In the summer of 2013 the
Medical Center retained Jones
Lang LaSalle and Blue Cottage
to conduct a study of the
Medical Center’s need to
expand the Emergency
Department and the
interventional platform and a
review of inpatient bed need.
At the conclusion of the
study the Board of Visitors
authorized the hiring of
Perkins and Will to further
pursue the feasibility of
expanding the ED and
interventional platform (the
plinth) and adding a patient
bed tower. With the
schematic design of the
plinth complete, the final
scope of the project needs to
be confirmed to proceed.
26
Scope
2.
Budget
Funding
Source
BOV
Approval
Date
Projected
Completion
Date
Bonds &
Other
Sept.
2013
2016
Under Construction
Education Resource Center
$29.4 M
A contract to CO Architects
was awarded in December 2012
for planning services for the
Education Resource Center
(ERC) to be located between
the Emily Couric Clinical
Cancer Center and the Lee
Street Parking Garage. The
ERC will house Ambulatory
Imaging, an Outpatient
Pharmacy, GME support and
teaching functions, meeting
space and a shell floor.
Groundbreaking occurred on
December 12, 2014.
Construction began
thereafter.
27
UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING:
February 19, 2015
COMMITTEE:
Medical Center Operating Board
AGENDA ITEM:
II.F.
ACTION REQUIRED:
None
Health System Development
BACKGROUND: Health System Development will provide reports of
recent activity to the MCOB from time to time.
DISCUSSION:
SIGNIFICANT GIFTS
September 1, 2014 – November 30, 2014
A grateful family member committed two gifts in honor of
his wife, totaling $1.25 million, to benefit Parkinson’s disease
clinical research. A five-year commitment totaling $250,000
will support a collaborative research project in the departments
of Neurosurgery and Neurology, and an additional endowment of
approximately $1 million will be established through a bequest
to benefit future Parkinson’s disease clinical research.
An anonymous donor has pledged $375,000 over five years for
a current use fund to support the U.Va. Fellowship in Clinical
Chemistry and Laboratory Medicine over the next five years.
On August 30, more than 3,500 women participated in the
Charlottesville Women’s Four Miler, raising $375,000 in support
of breast cancer care and research at the U.Va. Cancer Center.
A grateful patient and friend of the University committed
$250,000 to endow the Melton D. and Muriel Haney Conference
focused on compassionate and palliative care.
A former School of Medicine faculty member committed
$225,056 in support of the Wang Residents Education Fund in the
Department of Orthopaedics.
A School of Nursing alumna and former member of the
School’s Advisory Board pledged $150,000 over five years to the
Nursing Compassionate Care Initiative.
28
The ziMS Foundation, founded by Washington Nationals
baseball player and U.Va. alumnus Ryan Zimmerman to support
Multiple Sclerosis research, made a gift of $150,000 at their
annual gala in Virginia Beach in support of Dr. Myla Goldman’s
MS research at U.Va.
The U.Va. Medical Center received a two-year $128,012 grant
from the Jessie Ball duPont Foundation in support of its pilot
“Pathway to a Health Career” program, which provides mentoring
and training for underemployed and unemployed youth who are
interested in pursuing healthcare careers at U.Va.
The Department of Surgery received a $125,000 commitment
over the next five years in support of surgical resident
education from a grateful family.
In response to several gifts received for the Joseph Larner
Annual Memorial Lecture in Pharmacology, the Larner family has
agreed to match gifts on a 2:1 basis up to $100,000 in order to
endow the lecture.
A friend of the University verbally committed a $100,000
memorial gift in support of melanoma research.
Other gifts and pledges received include:
•
•
•
•
•
•
•
•
•
•
A $62,000 commitment in support for Adenoid Carcinoma
research;
A $50,000 commitment for unrestricted support of the Cancer
Center;
A $36,500 commitment in support of Pathology research;
A $30,000 commitment toward the Vesna and Slobo Todorovic
Excellence in Anesthesia Research Award;
Four separate $25,000 commitments for sponsorships of the
2015 Children’s Hospital Main Event;
A $25,000 commitment for obstetrics and gynecology;
A $25,000 commitment for U.Va. Children’s Hospital;
A $25,000 commitment for the Heart and Vascular Center in
support of atrial fibrillation research;
A $25,000 commitment in support of cancer research; and
A $25,000 commitment in support of research in hematologic
malignancies.
29
OTHER DEVELOPMENT INITIATIVES
Charles Seilheimer, Jr., and his wife, Mary Louise, hosted
an event on September 25 at their home to introduce Dr. Richard
Shannon and Dr. Tom Loughran to a select group of prospective
donors. The event resulted in a $50,000 gift from one of the
attendees for the Cancer Center.
On October 3, the Health System celebrated the dedication
of the Ivy Translational Research Building at Fontaine Research
Park. The event included remarks from President Teresa
Sullivan; Executive Vice President for Health Affairs Dr.
Richard Shannon; Dr. Peggy Shupnik, Professor of Endocrinology
and Molecular Physiology and Biological Physics; School of
Medicine Dean Dr. Nancy Dunlap; and Ivy Foundation President Dr.
Bobby Battle. Other attendees included members of the Ivy
Foundation, U.Va. Health Foundation, the Battle family, and key
research faculty. The building is the last of several capital
projects funded through the Ivy Foundation’s original $45
million gift to the Health System, which also helped fund the
Battle Building at U.Va. Children’s Hospital and the Emily
Couric Clinical Cancer Center.
On October 7, School of Medicine alumni and community
members attended a reception in Lynchburg, Virginia, to meet Dr.
Richard Shannon, new Medical Center CEO Pamela Sutton-Wallace,
and Dean Nancy Dunlap.
At the Health Foundation Board meeting held on November 21,
Teresa DiMarco (BSN ’73) was elected chair of the Health
Foundation Board, succeeding Becky Ruegger (BSN ’73), who
retired as chair after a two-year term of office. The board
also welcomed new trustees Dr. Jimmy Orr (A&S ’71, MED ’76), and
Dr. Christopher Casscells (MED ’81), as well as new Health
System leaders Pamela Sutton-Wallace and Dr. Randy Canterbury.
30
DEVELOPMENT PROGRESS THROUGH NOVEMBER 2014
FY 15
(through 11/30/14)
$38,000,000
FY 15 Actual
(through
11/30/14)
$16,439,105
FY 14
(through
11/30/13)
$8,636,923
$6,000,000
$2,406,428
$487,079
Total New commitments
(Excludes pledge
payments on
previously booked
pledges)
$44,000,000
$18,845,533
$9,124,002
New expectancies
Total new gifts,
pledges, and
expectancies
$8,500,000
$52,500,000
$2,968,622
$21,814,155
$2,370,000
$11,494,002
New Gifts
New Pledges
FY 15
Goal
31