January 2011

January 2011

Welcome to the January 2011 edition of Round Table.

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I hope everyone enjoyed the holiday season. The past year has been both rewarding and challenging, to say the least. We’ve celebrated as we became the most technologically advanced school of medicine in the nation, and we’ve worked together to weather continued budget stresses, with more to come. I hope you all feel as proud of your accomplishments as I do. I cannot stress enough how grateful I am to each of you for continuing to give more of yourselves, and work to help us find new ways to deal with our challenges.

As we look to 2011, we must continue to find creative ways to become more self-sufficient.  As we all know, we can expect little relief from the state in the year ahead. And with new health care competitors taking hold in our marketplace, the Health System will have to change the way it does business in order to remain a market leader.

The School of Medicine, Medical Center and HSF are collaborating on a new outreach strategy to meet the healthcare needs of Central Virginia’s growing population and maintain the market share of patients sufficient to enable us to train medical students and residents, continue our clinical research, and generate clinical income to sustain our operations and replace other clinical, research, or state funding that is expected to decline. This physician-led endeavor will increase growth in our primary markets by expanding our primary and first-line specialty care practices in communities we currently serve, and in new markets. The key to this strategy is to bring in new patients, not simply shift patients from our facilities on Grounds to clinics outside Charlottesville.

In January, we will take this proposed plan to the Medical Center Operating Board for approval. Oversight of this new group will be shared by Ed Howell, Brad Haws (as CEO of HSF), and me. I will provide you with more details on the plan and how it will impact you and your departments at the next State of the School meeting at 5 p.m. on Tuesday, February 1, 2011. Ray Costabile, our Senior Associate Dean for Clinical Strategy and Chief Medical Officer for Outreach, has been working with many of you to prepare us for this new effort.

In this issue of Round , we celebrate a strong FY2010 for our clinical operations, highlight awards for Dr. David Kaufman and Dr. Sheila Crowe, discuss staying safe on Grounds, and announce the next State of the School message.



Steven T. DeKosky, MD


Ambulatory and Inpatient Volumes Increase in 2010; Employee Connection Proves to Be Runaway Success

We have good news to report from our clinical operations: five months into this financial year, inpatient discharges have increased by 1.5 percent when measured against the same period last year.

Ambulatory visits have also increased this year and are 4 percent above budget. New patient access has also improved -- 55 percent of our primary care clinics have availability within three days and nearly 60 percent of our specialty clinics can see new patients within seven days. These are not yet at our targets of 2 and 5 days for primary care and specialty care appointments respectively, but we are getting there! Quality AND availability will be the mantra for our outpatient operations.

UVA Employee Connection—our offering of rapid access to appointments for all UVA faculty and employees—is a great success! In just under a year, the program has had more than 3,000 appointments scheduled. Of these appointments, 80 percent are for new patients and 75 percent are with specialists.

Patients and employees are telling us they want to be seen by UVA physicians, and we are doing a good job of getting them in the door. Our ability to add new patients is critical to our continued success. Thank you to all physicians, housestaff, and staff for meeting these needs.

The Honorable Louis W. Sullivan, MD, and Vivian Pinn, MD, to speak at UVA in honor of Dr. Martin Luther King, Jr.

On January 17 to honor the legacy of Dr. Martin Luther King, Jr., the SOM and SON are hosting an afternoon of events for the local community, high school and undergraduate students, faculty and staff, focusing on the challenges and successes of minorities in medicine.

Please join me and SON Dean Dory Fontaine in McLeod Hall Auditorium for a special speaking engagement beginning at 4:30pm with a reception to follow. Keynote speakers are Vivian Hall, MD, the second African American female to graduate from the UVA SOM, and the Honorable Louis W. Sullivan, MD, former United States Secretary of Health, to discuss disparities in health care in the U.S. A reception will be held 6 – 8pm (please RSVP to Judy Pointer at jjp5s@virignia.edu).

David Kaufman, MD, Leads Winning 2010 Charles L. Brown Award for Patient Care Quality Team

Congratulations to Dr. David Kaufman and his team for winning the 2010 Charles L. Brown Award for Patient Care Quality!

Dr. Kaufman’s team presented, "Coordination of Care - The Golden Hours for the <27 Weeks Gestation in the Neonatal Intensive Care Unit."  Dr. Kaufman's team included Jane Dwyer, RN; Sarah Wilson, RN; Robert Sinkin, MD; Teresa Dean, RN; Terri Host, RN; Laura Aurisy, NNP; Ellen Ford, NNP; Elizabeth Epstein, PhD; Janet Glass, RRT; Timothy Hicks, RRT; Daniele Ottinger, NNP; Brooke Vergales, MD; Cheryl Urban, RN; Paula Darradji, RN; Martina Stevenson, NNP; Catherine O'Donaghue; Lacey Colligan, MD; and Kamera Aulie, RN.

The Charles L. Brown Award was created to honor the late Charles L. Brown's Service and generosity to the Health System as a former member of the Health Sciences Council in the 1990s. He served as an advisor to the former Vice President for Health Sciences, Don E. Detmer, MD.  This fund awards $10,000 to Health System faculty and staff to recognize excellence in patient care.

Congratulations to Dr. Kaufman and his team!

Sheila E. Crowe, MD, Named One of the Nation’s Top 75 Gastroenterologists by Becker’s ASC Review

Congratulations to Dr. Sheila E. Crowe on being selected one of the Nation’s Top 75 Gastroenterologists by Becker’s ASC Review.  The selection recognizes a physician’s leadership in major organizations in the field, their work for GI journals and other publications, and distinguished service in a GI ambulatory surgery center.

Dr. Crowe is a Councillor-At-Large of the American Gastroenterological Association and in this role she chairs the AGA Publication Committee and is the Editor of AGA Perspectives. Previously, she was awarded the AGA 2008 Funderburg Award for her research relevant to gastric cancer and named as a 2008 Outstanding AGA Woman in Science.

Stay Safe on Grounds and In Our Facilities

As you are aware, there have been a number of criminal incidents against University students this past semester. Most—although not all—have occurred between midnight and daybreak in the vicinity of the Corner or in neighborhoods adjacent to the University where many of our students live.


Given the SOM’s proximity to the Corner and the odd hours our students, faculty and staff work, I share the University’s concerns about these continuing incidents. Most incidents have involved women walking alone. Obviously, walking in groups may help deter someone who is intent on doing harm.


University Police continue to encourage anyone who is involved in an incident or anyone who witnesses an incident to call 911 immediately. The sooner you do that, the better the chances that the perpetrator will be apprehended.


Please remember to wear your ID badge at all times throughout our facilities and remain vigilant in making sure doors are secure.

Save the Date: State of the School Address on February 1, 2011

The State of the School address will be on Tuesday, February 1, at 5:00pm in the Claude Moore Medical Education Building Auditorium, Room 3110.  We will share plans for the upcoming year.