Meeting Minutes: November 16, 2000

Attendance

Present: Edward Adelstein, Tobias Baskin, David Geary (for Nelson Cowan), Bruce Cutter, Michael Devaney, Judith Goodman, Wayne Hess, Tom Hurley, Robert Jerry, Philip Johnson, Norman Land, Sudarshan Loyalka, Michael McKean, Anne McKendry, Loren Nikolai, Catherine Parke, Peggy Placier, David Rayl, Nancy Knipping (for MaryEllen Sievert), Pam Norum (for Robert Weagley), Bill Wiebold, Russ Zguta, Herbert Tillema (AAUP), Charles Cramer (Retirees), and Pat Timberlake (Librarians). Absent: Gordon Christensen, Dan Edidin, Jeffre Firman, Daniel Hooley, Alice Kuehn, and Mable Grimes (Black Faculty and Staff).

Approval of Minutes

Chair Russ Zguta called the meeting to order at 3:30 p.m. in room S203 Memorial Union. The minutes of the October 25, 2000 General Faculty Meeting were approved as submitted.

Report of Officers

Zguta reported that the ballot, incorporating the post-tenure review resolution approved at the General Faculty Meeting on October 25, had been sent to the faculty. There will be a special meeting of the Executive Committee on Tuesday, November 28 at 3:00 p.m. to discuss the design of the second ballot concerning the proposal to revise the post-tenure review procedures.

Judith Goodman, Vice Chair, reported that Intercampus Faculty Council (IFC) was discussing post tenure review and issues concerning the copyright of web-based materials. Goodman said that Peoplesoft was currently scheduled to begin April 1, 2001 with modules to be added through 2002.

Discussion Items

Guests: Dan Winship, Vice Chancellor Health Affairs & CEO and John O'Shaughnessy, Executive Director of Clinical Affairs & COO. Zguta introduced to Council Dan Winship, John O'Shaughnessy, and Rose Porter, Dean, School of Nursing. Dr. Winship presented an overview of the financial problems of the Medical Center citing both external and internal factors that have contributed to a 23 million dollar loss in fiscal year 2000. Mr. O'Shaughnessy continued with a description of Operation Recovery, a combination of cost reductions and revenue enhancements that includes the recommendations on cost containment made by Johnson and Johnson's consultants. O'Shaughnessy outlined recruitment, a comprehensive cancer center designation for Ellis Fischel, a use plan for Regional Hospital, and a women's health initiative. Council's guests then opened the meeting up for questions.

Goodman asked how patient satisfaction would be improved. Winship replied that attitudinal changes to create a "service mentality" were needed. He acknowledged loss of faculty resulting in reduced coverage and said that improvement will require pervasive changes in recruitment and training.

Edward Adelstein observed that leadership was instrumental in causing the Medical Center's problems and will be crucial in correcting them. Winship noted that such changes require time. O'Shaughnessy added that cutbacks will be painful but that problems are clear and will be addressed.

Bruce Cutter asked what was meant by "faculty". O'Shaughnessy said he meant those who care for patients but that his orientation is not academic and that he is generally unaware of whether faculty members are tenured, tenure track or clinical track. Herb Tillema asked when the decision to buy Regional Hospital was made and why there is no plan for its use. O'Shaughnessy said the purchase decision was made before his arrival. He pointed out that the local patient population will not support three hospitals and that the university is trying to incorporate Regional, a community hospital, into an academic medical center.

Michael Devaney asked how Regional Hospital was paid for. O'Shaughnessy said bond had been sold to finance the purchase.

A question was asked about faculty on the clinical track rather than the tenure track. O'Shaughnessy replied that he knew little about the academic aspects of faculty appointments. Adelstein remarked that many excellent faculty members left because of poor management by the previous Medical School Dean. O'Shaughnessy replied that the hospital has increased its subsidy to the Medical School.

Goodman observed that many physicians at Ellis Fischel have patient loads too great to permit time for research. O'Shaughnessy agreed that there are such problems. A question was asked about lobbying efforts. O'Shaughnessy replied that in addition to other lobbyists he deals with federal issues and Winship acts on the state level. Porter added that the Health Sciences Center now has its own lobbyist in Jefferson City.

Zguta asked, on behalf of Alice Kuehn, about the involvement of nurses in current planning activities. O'Shaughnessy replied that a Chief Nursing Executive is involved in overall planning with five other nurses working on other aspects of planning. He added that staffing problems exist, and further commented that while nurses may have to assume more duties, it was unlikely that nursing staff would be reduced. [Recorder's Note: The next day it was announced that significant layoffs, including nurses, would take place at the Medical Center.]

Bill Wiebold asked why the university owns a hospital. O'Shaughnessy replied that the training of doctors, nurses, and allied health care workers requires a hospital if the university is to control the clinical elements of that training. He further stated that the hospital serves as a safety net in a non urban environment which is consistent with the land grant status of the university and its service mission.

Tom Hurley pointed out that many are concerned with the endeavor to pursue a comprehensive cancer center designation for Ellis Fischel in that it may divert resources from other projects with greater long-term prospects for success. O'Shaughnessy replied that rural population distinguishes Ellis Fischel from urban cancer centers. He further explained that it also benefits from being located near a unique combination of academic units capable of supporting its mission. The current plan is to move critical care to the university and use space freed at Ellis Fischel for research.

Tobias Baskin asked about the distribution of indirect costs. Porter and Adelstein said it varies among different academic units.

Goodman asked if 25 percent of the staff would be laid off. O'Shaughnessy said no, and added that some layoffs would be announced the next day.

Standing Committee Reports



Fiscal Affairs: Robert Jerry, Chair, reported on the Provost's plan to implement faculty performance shares and sought input from Council.

Special Projects: Bruce Cutter, Chair, reported that they are working on a questionnaire for the purpose of evaluating administrators.

Student Affairs: Mike Devaney, Chair, reported that they are currently looking at the M-Book for possible revisions and are revising a statement concerning alcohol use among students.

Any Other Business

Charles Cramer, representing the MU Retirees Association, distributed a brochure describing his organization and its purpose.

Adjournment

Baskin requested that the Dean of the School of Medicine be invited to a future meeting of Council. Zguta replied that an invitation would be extended. Council then went into a closed session at 5:00 p.m.

Respectfully submitted
Thomas Hurley, Recorder