Clinical Funds Flow at UCSF Has Changed
The financial relationship between UCSF Health and the School of Medicine (SOM), known as the “Clinical Funds Flow Model” is changing effective October 1, 2023. This updated framework will deepen the partnership between the School of Medicine and UCSF Health, emphasizing operational efficiency, medical education, and clinical productivity. It is important to note that while the Funds Flow model represents the financial relationship between UCSF Health and the SOM, it does not directly represent faculty compensation. Faculty compensation is governed by each SOM Department’s individual compensation plan, and paid for with funding from many sources, including Clinical Funds Flow revenues.
The key changes to the model include increased funding for GME residents and fellows and a net increase of funds invested into the model. The primary goals of these changes are to improve the way we work together and serve our patients, while also strengthening the financial footing of both entities. The updated model will align growth and productivity incentives, while also providing for commitments to optimize operational efficiency. Additionally, going forward UCSF Health and the SOM will work more closely together on critical issues such as faculty recruitment, ACGME program expansion, and optimizing use of clinical facilities.
Implementation Milestones:
- October 1, 2023: New rates for Tier 1, Tier 4, and assessments will go into effect. Full mitigation guarantees will be in place to ensure that no department is worse off under the revised model.
- October 2023 through June 2024: Work will be ongoing to address changes to GME, cFTE and productivity reporting, governance changes, and productivity enablers.
- October 2023 through June 2025: Evaluation and revision of current SOM Department practices to support and align with these changes.
- July 1, 2024: Tier 1 and Tier 4 rates will begin to float upward based on productivity. Full mitigation guarantees will continue to ensure that no department is worse off under the revised model.
- July 1, 2025: In addition to floating upward, Tier 1 and Tier 4 rates will begin to also float downward based on productivity. Mitigation guarantees will be lifted, through structural challenges will be addressed.
Please continue to check this website in the coming weeks for additional details to be shared