In the summer of 2012, a committee comprised of leaders from the Clinical Departments, School of Medicine Dean’s Office and the Medical Center (Funds Flow Committee) began a detailed process to redesign the financial relationship between the Medical Center and the Clinical Departments.
The purpose for the redesign was two-fold:
- To create greater financial alignment among the School of Medicine, Clinical Departments and the Medical Center
- To develop the systems to support UCSF as an integrated health care delivery system
Both of these pillars are critically important to promote the success of the UCSF clinical care enterprise in a time of very rapid change and strong competition in health care.
The Funds Flow Committee identified seven specific features important to the success of this new clinical funds flow:
- Incentivizing growth of clinical programs
- Ensuring that productive and efficient programs are financially sustainable
- Recognizing UCSF’s academic missions and mechanisms to support these missions
- Driving efficiency and quality in care delivery
- Increasing patient access
- Enabling competitive provider compensation
- Employing a model that is strong and flexible enough to adapt to fundamental changes in the health care market
The clinical funds flow model that was implemented on July 1, 2014 addresses each of these seven features yet will undoubtedly require modification in the coming years as the health care market changes.
A different committee comprised of leaders from the Clinical Departments, School of Medicine Dean’s Office and the Medical Center (Funds Flow Transition Oversight Committee) was formed and charged with overseeing the transition.