Warren Gold, M.D., Chair

Meeting of September 27, 2000

PRESENT: Chair Warren Gold, Raymond Braham, Joseph Guglielmo, Susan Janson, Leslie Saxon, Joel White

ABSENT: Vice Chancellor Haile Debas, Richard Shafer, Scott Soifer

GUESTS: Mark Laret, CEO, Medical Center Administration

The meeting of the Clinical Affairs Committee was called to order by Chair Gold on September 27, 2000 at 9:00 a.m. in M-688. A quorum was present.


The minutes from August 27, 2000 were approved with corrections.

Announcement from Chair

Chair Gold announced that Mr. Laret would present an update on the Medical Center.

Medical Center

Mr. Laret listed three areas of concern for the Medical Center:

  • recruitment and retention of medical staff,
  • overcrowding in Emergency Department, and
  • need for increase of Medical payments

Mr. Laret indicated that UCSF’s inability to recruit and retain medical staff will affect place academic programs at risk and further the healthcare crisis. He stated that the Emergency Department is operating one-third less than usual. Medical payments have not kept pace with costs. Mr. Laret suggested that the Medical Center join with the unions to approach Governor Davis to increase Medical payments. This union demonstrates that not only are the hospitals affected by low Medical payments, but jobs are also at risk. Mr. Laret indicated that the faculty could assist in this process by informing everyone in the hospitals of the economic status. For example, Moffit/Long Hospital turned away 15 referral patients due to overcrowding. Raising awareness of this loss in revenue would also assist the Medical Center. Exploring ways to retain employees could provide further assistance. Mr. Laret indicated that he is open to improving scheduling and billing by centralizing those functions.

Dr. White felt that faculty must teach in their courses about finance and staff morale. He suggested that the clinics publicize deficits to faculty in order to increase awareness of how the financial crisis affects UCSF’s academic mission and patient care.

Mr. Laret agreed to produce a financial report on the Medical Center for the Committee by February 2001.

SFGH Academic Impact Report (AIR)

Chair Gold reported that he had spoken with Academic Senate Chair Larry Pitts on initiating the AIR. Chair Pitts reported that he had spoken with Chancellor Bishop, who indicated that the Committee should not go public about SFGH for fear of causing an adverse effect on negotiations with the City. The Chancellor suggested that Chair Gold consult with Dean Debas. Dean Debas also suggested holding off on going public on SFGH. Chair Gold said that no approval of the formal proposal for the AIR has been received.

The Committee proposed that Chair Gold request a report from deans of each School and chairs of each Faculty Council on how their academic mission will be impacted by the financial crisis at SFGH. The Committee suggested a deadline of November 1, after which time the Committee will study the information provided for inclusion in the AIR.

The next meeting will take place on October 25 from 9:00 a.m. to 10:30 in M-688.

The meeting was adjourned at 10:30 a.m.

Senate Staff:
Judy Dang
Administrative Analyst

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