Meeting Minutes: February 1, 1996

Attendance

Present were: Edward Adelstein, Craig Anderson, Lloyd Barrow, Benedict Campbell, Joe Charlson, Leonard Forte, Jere Francis, Allen Hahn, Peter Hall, Usha Chowdhary (for Jean Hamilton), Edward Hunvald, Nancy Knipping, Charles Knowles, Marian Minor, Alex Pickard, Glenn Pierce, Ron Plain, Patricia Plummer, Michael Porter, Donald Ranly, Ray Rothenberger, Dennis Sentilles, Mary Ellen Sievert, Harry Tyrer, Gilbert Youmans, Bob Almony (Librarians), and Roy Utz (Retirees). Absent were: Gary Allee, Hardeep Bhullar, Susan Taylor, Sara Walker, and Mabel Grimes (Black Faculty and Staff).

Approval of Minutes

Chair Patricia Plummer called the meeting to order at 3:40 p.m. in Room S110 of the Memorial Union. The minutes of the December 7, 1995 meeting were approved after a small correction in the fifth paragraph of the first page. Secondly, the minutes of the January 18, 1996 meeting were approved as presented.

Report of Officers

Ed Hunvald has reported that the next issue of Faculty Forum will be out soon. It was approved for the Chair of Faculty Council to extract materials from the files of standing committees for use of the current chair of the committee and to send the rest to Archives. The Task Force on Student Fees has prepared a report, which will be the subject of an open meeting on Monday, February 5, and this report is available in the Faculty Council Office. The Chair of Faculty Council has received a letter from the CUE Subchair on the Undergraduate Seminar stating that there is no funding for the Undergraduate Seminar in the foreseeable future. Pat reminded this Chair that Faculty Council has voted to accept an indefinite delay in the implementation of this seminar. She then reminded him of the steps necessary to bring this back to Faculty Council for some type of future action. The Chair has also received a letter from the Graduate Professional Council requesting support for their resolution to allow spouses and dependents to have use of the Student Health Center by paying a standard fee. Faculty Council will discuss at a future meeting the possibility of supporting a resolution for some form of affordable health care for the dependents and spouses of graduate students. This is obviously a complex issue and will need quite a bit of study. Next, Pat reported that the Graduate/Professional Council is requesting some action on the part of the Committee on Intercollegiate Athletics to look into the problem of student seating at basketball games.

Action Items

No action items at this meeting.

Discussion Items

President's Managed Care System. Guests present at meeting: Michael J. Paden, Director of Faculty and Staff Benefits and Keith Schrader, Professor of Mathematics. Mike Paden, Keith Schrader, Andrew Twaddle, and Mark Hulse all gave brief reports on the current status of the Managed Care System at the University of Missouri. After their report Dennis Sentilles stated that we want to be sure that any new program, or any renewal of a program, does not have a "gag rule" on the participating doctors. It should be stated at present that GenCare does not have a "gag rule" on participating physicians. The AMA (American Medical Association) has just come out against such rules because of their prevalence among HMOs and recent filings of physicians who violate the "gag rule". Andrew Twaddle then gave a report in which he stated there are several issues and recommendations that he expects the Health Plan Oversight Committee to make in their next report. These recommendations are as follows.
  1. That patients be provided with a card with the names, disciplines, and phone numbers of each member of the team providing their care. They should know who works with their PCP (principal care provider) and what each of them can do.
  2. No person employed by GenCare who is not fully qualified to deliver and judge medical services should be allowed to deny coverage for a test, treatment, or a referral if the health care professional seeing the patient deems that care necessary to restore or enhance the health of the patient. Steps need to be taken to ensure that decisions are made promptly. Delays of more than a few minutes should be defined as unacceptable. If a decision to deny authorization is not made within approximately five minutes, it should be construed that the treatment or procedure is authorized.
  3. The decision to hospitalize and the duration of hospitalization should be made by the health care providers. Criteria for making these decisions should include disease, illness and sickness, as well as the likelihood of death.
  4. A statement should be issued to every University employee in their next paycheck informing them that GenCare has a policy of not paying bills fully or in a timely manner in order to see if providers will write off the charge or bill the balance to the patient. GenCare owes that money and will pay when confronted. All University faculty and staff should be instructed not to pay any bill for services covered by GenCare without first consulting the Faculty and Staff Benefits Office. The University should immediately negotiate with GenCare to see that it stops the practice of floating bills and obstructing the payment process so as to induce patients to pay bills covered by the program. Should this practice continue, appropriate legal action should be taken.
  5. The Department of Family Medicine should be allowed to take measures to distribute patient loads with the consent of the patients involved in order to meet the goal of creating access for routine care with a six-week time frame. We further reiterate that consideration should be given to expand the use of nurse practitioners and resident physicians as PCPs.
  6. We recommend that Staff Benefits Committee consult with physicians, nurses, and others with expertise in clinical management and health care system organization to review the appropriateness of treatment options and the system. That committee should specifically consider the inclusion of urgent care in Fayette at night, long-term ambulatory mental health care, chiropractic care, birthing services, and eye care.

Committee on Undergraduate Education-Glenn Pierce. Glenn Pierce reported on discussions and recommendations from the Academic Affairs Committee regarding the Committee on Undergraduate Education. The Academic Affairs Committee concurs that a new, broadened committee should supplant the present CUE, and that the new committee should additionally be responsible for the following three broad issues.

  1. The academic area, i.e. campus-wide policy relative to the general education program.
  2. Administrative aspects, i.e. advising of the Provost relative to new courses and agreed policies.
  3. Steering and implementation

After Glenn's report it was moved to suspend the rules to allow Faculty Council to take action on Glenn's report. However, the move to suspend the rules did not pass. A specific proposal will be drafted and brought back to Council for additional discussion.

Board of Curators Report - Gary Allee

Dr. Gary Allee handed out a brief Board of Curators report from the January 19, 1996 meeting. A copy of this report is available in the Faculty Council Office.

IFC Report - Dennis Sentilles

The following report was given by Dr. Dennis Sentilles. IFC has decided to delay until March , 1996, any discussion of "methods of evaluating and rewarding excellence in teaching". Secondly, he reported on four forums conducted around the state by a group of consultants, on "perceptions of the University of Missouri". Additional information is available from the Chair of Council. Next, it was reported to IFC that enrollment management was a significant topic at the last Board of Curators meeting. Curator Combs is particularly interested in the interplay between this topic and faculty workload and overall appropriations to the University. Regarding a common calendar of the four campuses, IFC adopted and forwarded to Vice-President for Academic Affairs Richard Wallace the following recommendations: 1) The fall semester should fall on the fourth Monday in August and the spring semester should begin on the second Monday in January; 2) Wednesday should be a part of the Thanksgiving holiday and Spring Break should begin in the month of March; and 3) Each semester should include 74-76 class days. Next, Dennis reported that the Benefits Report was a subject of much discussion at IFC. The issues are subtle, with sometimes large implications. The present retirement plan is a "defined benefit" plan vs. a "defined contribution" plan and leans towards rewarding loyalty rather than "passing through". Recommendations for improving benefits are not particularly costly, but are not likely to be enacted. It was reported that President Russell has indicated that he would rather put money into infrastructure to support teaching and research rather than into benefits. The recommendations of the benefits committee to President Russell were distributed and will be discussed by Council on February 15.

Standing Committee Reports

Academic Affairs: Glenn Pierce reported that he has met with the Undergraduate Deans Committee and that Academic Affairs agrees with their proposal that any grade below a C- would eliminate the writing intensive portion of a writing-intensive course credit. Extensive discussion followed on this issue. A quick vote showed that the majority of Faculty Council supports this recommendation; however there was some dissension. Glenn also reported that a letter has been received by Academic Affairs again questioning the +/- grading system.

Student Affairs: Mike Porter has also met with several groups of students regarding the +/- grading system. He would like a group of students to meet in the future with Faculty Council and present their arguments on eliminating the +/- grading system, as it is currently implemented at MU. These students would like a commission of faculty and students to reexamine this issue.

Fiscal Affairs: No special report.

Special Projects: Pictures were taken today for the new Web site for Faculty Council. The Web site will be up and operating very soon.

Other Business

Al Hahn reported on current House Bill 918 which would give faculty at Missouri institutions the right to have a faculty member, in a non-voting capacity, on the governing boards of Missouri's colleges and universities. Professors Hahn and Ranly spoke in support of this bill before the Higher Education Committee of the House on Wednesday. Faculty Council moved into closed session at 5:30 p.m. Faculty Council adjourned at 5:55 p.m.

Respectfully Reported,

Robert Almony, Recorder