We've had an interesting year and many things have happened. Last year, we had a big financial turnaround, which obviously
was important to us. We eventually won [an appropriation from]
the tobacco
settlement - the whole idea of it going to health and
health improvement in the state of Arkansas was very important
to us .
We
opened the [Donald
W.] Reynolds Center on Aging. It seems like years ago,
but it was within this past year. Everyone will agree, I think,
that it's been an incredible success for us.
We opened [a jointly operated facilty with Central
Arkansas Radiation Therapy Institute (CARTI)] and we are feeling
our way through our relationship with CARTI.
But it's going to turn out well.
We
recruited a new
dean for the College of Medicine, and we started a new College
[of Public Health] right from scratch.
It's amazing just to start a new College and have it
ready to receive students in January and to receive Master's
degree students next fall.
I
would like to tell you a little bit about these things. First of
all, I want to tell you about our financial situation and what
happened as I see it. A lot of different people in the room
might have somewhat different ideas, but I think this is fairly
close to what happened. Between July of 1998 and June of 2000,
we lost over 50 million dollars on an accrual basis. So, in two
years we lost over 50 million dollars. You balance your
checkbook in cash, but an accrual takes the business that you
have done during the year - not what you've been paid, but
what you will be paid - then subtracts what you were paid
during the previous year. So it looks at just the year's
business. That's the way it's preferred in accounting, but
it can get you into trouble, I think, as I've seen. When
things are changing and you are going downhill or uphill
rapidly, then accrual doesn't work nearly as well.
Then,
the other problem that we had is that we lost $50 million. We
started with about $60 million in cash when we went into this
process. We have this habit here on campus that turns makes out a lot
of purchase orders in June because everybody wants to spend
their budget so they don't have anything left behind at the
end of the fiscal year. All
that money goes out in July and August, and we spent a lot of
money last year in July and August.
By the middle of July we were actually in deficit. We had
no cash. We had a
$15 million line of credit and we were dipping into that on and
off during the fall. Actually, in December we made a decision to
slow our payments. We
didn't tell our vendors we were doing that, but we just
stopped making payments for three weeks; then we started back on
the regular schedule. We asked the state to give us the money
they allocate to us every month two weeks early. We were in
trouble.
It's
interesting now that I look back in retrospect - 1998 to 1999
was probably worse than the accounting figures made it look. In
1999-2000 we had already started to turn around although we were
still losing quite a bit of money. We didn't lose as much
money that year as our accountants said we did. But, overall
they are about right for the two years being over $50 million.
What
had been done? It
became apparent in December of 1998 that we were having
problems. Dr. Ward, the Chancellor at that time, cut three
percent out of everybody's budget, but the problem is if you
take three percent out of an annual budget in December at
mid-point of the fiscal year, it's really a six-percent cut
during the second half of the fiscal year. Then, in July of
1999, the six percent was made ongoing by taking another three
percent out of each budget. Actually, he took more out of
Administration's support services. Then in July of 2000, we
took another three percent out that wasn't ongoing, but it was
something that we had to make up that year. So the total cut was
nine percent for academic programs and turned out to be 13-14
percent for administration and support services. That was really
a big cut. I don't know how many of you noticed it, but you
must have had some sense of it happening.
At
the same time, we made a decision in the fall of 1999 to cut our
inpatient hospital beds. The idea there was that our length of
stay was too long. We couldn't reduce it as much as we wanted
to in any other way. What we did was to cut several of our
stations with the idea that everybody would be forced to move
the patients in and out faster - which would be more efficient
and we would actually do better. We actually got used to that,
but we didn't get used to it right away and we had a real
bottleneck. The number of physicians who referred to us became
upset because they couldn't get patients in the hospital. So,
for a period of time from January of 2000 to probably the fall
of 2000, we had a reduced census. That hurt because we didn't
have as much money coming in as we had in the previous years.
Now, we are busy again and things are going well.
We
also instituted a policy of no raises in July of 2000. A few
were given to retain key employees, but not very many. When I
came to this office, I just told everybody they had to end up
the year with at least as much in their reserves as when they
started the year. We
worked on that every month. Everybody thought they had reserves.
The College of Medicine with all its departments had the
aggregate of $34 million in reserves. But, there was no money in
the cash drawer to pay it. So those reserves were an illusion.
We couldn't let people spend down their reserves because they
didn't have any. That actually helped a lot, I think.
Why
did we get into trouble? A major reason that nobody really talks
about is that Arkansas is a small state, population-wise, with
about two-and-a-half million people in it. Then if you look at
the per capita income, it's in the lower percent of the
country probably; so the tax base in Arkansas isn't very
great. A lot of other states have much bigger populations and a
bigger tax base to support their academic health centers, but we
don't get as much from the state as many of our competitors
around the country get. We
are living on the edge. Because we are a poor state, we also
have more people who need our help and come to us for health
care, but they don't have the ability to pay.
We
also made a decision that we would - I think it's not been
collective but we've all made it together - subsidize
education slightly more than other institutions would. Our
tuition rates always tend to be in the lower half of state
schools and all of our colleges. That combination of not
charging as much for tuition and having a lot of indigent
patients without a lot of state support -- generous at $77
million - it's not little, but it's nowhere what other
institutions are getting. We tend to live on the edge.
The
final thing is Arkansas is one of the unhealthiest states in the
country. It's rural and we have always felt we needed to
address the health issues of Arkansas. If you look at our
institution and then you look at other institutions, we have a
much broader input into the whole state. We have programs almost
everywhere in the state. We have an [Area
Health Education Centers] system that's developed far
beyond what other state AHEC systems are like; except in a few
states like North Carolina.
So
we have a broad mission, we have a lot of indigent patients, and
we have subsidized education. Our tuition income this year will
be just slightly over $10 million. We spend $550 million, so
tuition is a very small part of our income here. If we were a
typical private institution, we would probably bring in $30
million in tuition, which would make a big difference. But we
wouldn't get the state money, so there's a trade-off for
that.
The
other reason we lost money, and I think nobody would argue this
- even [Vice Chancellor for Clinical Programs] Dick
Pierson
would not argue this - the [University Hospital] billing
system became dysfunctional for over a three-year period and our
collection rate fell. When you look at collection rates, the
denominator is your charges. If charges are raised, you expect
the collection rate to fall down if you don't expect to
collect all that money. But it fell faster than it should have.
The director of the Patient Billing Services and the chief
financial officer of the hospital left. There was an internal
university audit. It was quite critical of the situation, and it
reached the press and the legislature. They really didn't
understand the problem. I think they focused on a couple of
things that really were not very important, but the big problem
was that we weren't doing very well.
The
turnaround really started, I think, with the hiring of a new
director. Then Mr. Pierson employed an interim chief financial
officer from one of the big six accounting companies. They
wanted to do our business for the future, but intellectually
they were very helpful to me, at least, because they
familiarized me with the concept called "the revenue cycle."
It's very complex, but the fact is collecting money in a
hospital is not like collecting money from your local drug store
or your local hardware store - it's far more complicated.
You have all these insurers, each insurer has multiple contracts
with different companies and then we have people coming in to
all sorts of doctors here, in and out of the hospital, and
different charges for each. The point of the revenue cycle is,
start out and make sure people can get to the hospital and make
sure they are registered properly. To get a registration
correct, someone has to put about 20 different items into the
fields of a computerized record. If one is wrong, we probably
will not get paid right away. Then, we have to make sure
everyone who comes here actually gets a bill for whatever was
done. All those things are being done now, but not done as well
before. We worked through the patient billing services and made
sure the charges were correct and made sure contracts are
correct. Dick [Pierson] also hired Art T. Finley to look at our
contracting to make sure we are contracting for as much as we
possibly can for the business that we do.
It
has been largely corrected, as I said. The numerous changes have
resolved and we have had the best year in the hospital, by far
ever, in the amount of cash collected. Our collection rate has
gone up, on an annual basis, probably about $20 million in the
last year. It's just incredible what's happened. I really
feel proud of that group and the hospital for accomplishing
that. Dan Riley, who was hired as the CFO, is by far the best
CFO the hospital has ever had. It's really good to have him
here. Everyone should be proud of him and what he has done. It
hasn't hurt that the hospital census has gone up in the past
eight months, and that additional business has driven us
forward. We are so efficient right now that many days we have
patients waiting to get in. We might have 10 patients cured who
are waiting to be transferred. I came in on Monday about three
weeks ago and there were six people waiting for a bed on Monday
morning in the hospital emergency room. That's pretty
incredible. We are going to try to open 14 to 16 beds during
this next year.
There's
a second major development in the finance area. Federal
government money is very important to institutions like ours,
especially Medicaid. In this state, Medicaid is largely devoted
to children and pregnant women. We don't take care of children
here; that service is located at Arkansas
Children's Hospital. University Hospital takes care of
pregnant women and their infants born here.
Let
me explain briefly how Medicaid works. If you are in a family of
four and you live in Minnesota, you qualify for Medicaid with
family income up to about 300 percent of the federal poverty
level.That level is now about $17,000 for a family of four, so a
family living in an affluent state like Minnesota gets some
Medicaid support even though it makes about $50,000. That sounds
like a lot to most people. This points out the difference
between Arkansas and other states. Here, families qualify for
Medicaid only if their income is about 27 percent of the poverty
level. Considering $17,000 as 100 percent, then 27 percent of
that is about $5,500. Think about being in a family four and not
having health care and not qualifying for Medicaid because you
earn "too much" -- $6,000 a year. So there's all these
people who are working 40 hours a week - probably many
families are working two or three jobs at low pay and with no
benefits - yet can't qualify for Medicaid because they are
considered "too rich."
Arkansas
made a choice. Because it had limited money, it decided to focus
on children. I
think that's fine, but it hurts us because UAMS
Medical Center doesn't provide health care for
children. Meanwhile, almost all of the children at ACH are fully
covered by Medicaid.
We wanted
to do some other things. There are two programs - one is
called disproportionate share. It's a program that takes
people that are either on Medicaid or have no way to pay their
bill. They are supported in relation to the share of these
people in the population; that's why it's called
disproportionate share, or "DISH" as the acronym. In the
late 80s and very early 90s, a lot of states decided to buy into
this, but Arkansas never had the required matching funds. They
closed off the program in 1991 because it was becoming too
expensive for the federal government.
[Louisiana State University] gets $106 million a year
from DISH. We get $150,000. That doesn't seem quite fair. LSU
has more than one hospital in the system, but it still gets a
lot of money from disproportionate share. Then you go around and
look at other academic health centers around the country and
many of them are getting $20-50 million a year from DISH. This
year, the Congress reopened disproportionate share just a little
bit. They said that any state could bring down one percent of
its Medicaid revenue in disproportionate share. For our state,
that meant we would receive $14 million more through DISH.
We're going to get $9.5 million of that. The state didn't
have matching funds available for the entire $14 million, so we
offered to use our state match to pull the whole thing down. We
are going to net $9.5 million that we had before we used our
state line item to pull down the match. [Vice Chancellor for
Administration] Tom Butler, who has done a great job, has
figured out how the state could get about $80 million out of
doing it this way. . [I]t's going to help hospitals all over
the state. I have learned the value of Washington lawyers. They
are really good - not that ours aren't - but, they are
really very helpful.
Our
Washington lawyer, Barbara Iman - by the way, if you see a
statue [of] her in the state, it would be appropriate - has
helped us in another way. Dick Pierson actually got us onto
this, but she took it from there. Medicare is able to pay
whatever it can pay by law. Medicaid can only pay what Medicare
pays, and it cannot pay more than Medicare. So Medicaid pays the
same or less. If it pays, there's often a gap between what
Medicaid pays and what Medicare pays. One can take advantage of
that to get more money into the state if the matching money is
available. Medicaid in Arkansas probably pays about 75 percent
of what our Medicare pays. Working with the [Arkansas]
Department of Human Services, we put in a proposal to Medicaid.
Harry Ward, Dick Pierson, Tom Butler, Rick Smith, Joe Thompson,
Cherry Duckett, Ray Scott, [University of Arkansas President]
Alan Sugg, and Joyce Wroten were all involved in this with me; I
got in towards the end of it. The proposal to the federal
government was to use this upper payment limit, so called, to
bring us more money. When [President] Bill Clinton talked to the
legislature in December and said, "I saved UAMS," which is
what he said, he said basically that "I helped . get this
upper payment limit for UAMS Medical Center." It's going to
be for approximately two years, but for 1-1/8th year
we've gotten $33.5 million out of it. That really has helped
our cash and we will get some during the next year. It's
one-time funding, so we have to be very careful not to fall into
the trap of starting to spend it as though it's ongoing money.
The one-time money has allowed us to put our reserves back up so
the College of Medicine, which thinks they've got $34 million,
actually does now. But, they can't spend it - we're not
going to let them do that. Anyway, that was really wonderful. On
an accrual basis - if you take that money out, we still will
have a margin that's positive this year, but with that money,
we had a really nice margin. It's been very helpful to us and
gotten us back on track.
We
spend $550 million a year. Anybody in their right mind would say
we're big business as well as being an educational and health
care institution. We have lots of customers. What can you do to
help our enterprise? You can do two things.
One
is treat all of our customers - whether they be students,
patients, legislators or people in the state of Arkansas who
support us - really well like you treat everyone. We want
everybody treated well.
The
second thing is we really have to dedicate ourselves to this
institution - it's a great institution. We all have to do
our job as well as we possibly can. That's what is going to
make us better in the future. We need your help.
Concerning
Act I - Act I started out as an idea developed by [Arkansas
Health Director] Fay Boozman and Harry Ward to get all of the
tobacco settlement money allocated for health care in the state
of Arkansas. When it started out, they were predominantly
thinking of UAMS and the Department of Health, but it was
broadened with time. I think it turned out to be a good
proposal. We had a lot of help from [Psychiatry Chair G. Richard
Smith, M.D.,] Joe Thompson, M.D., Joyce Wroten and Tom Butler
and Governor [Mike] Huckabee.
For those of you who don't remember what happened,
I'll just refresh you. It started out as the so-called CHART
Plan. CHART was the Coalition for a Healthier Arkansas Today,
and they championed the plan around the state. The plan went to
the legislature during a special session, and it passed
unanimously in the Senate. But it never reached the floor in the
House, so it was defeated. Then the Governor, who supported the
plan all along, said he'd take it to the public for a vote of
the people. He didn't take more than 10 seconds to make that
decision. He really led the way. As you remember, the vote tally
was 64 percent for, 36 percent against the plan. But then we had
to get an appropriations bill through the Senate and the same
House that didn't approve it previously. It was pretty
interesting, but it finally happened.
UAMS
doesn't get a lot of money from this source that can be moved
around - it's not flexible. It is like a restricted grant,
in a sense. We get a new AHEC in Helena with branches in West
Memphis and Lake Village, and they are already well along the
way. We get seven satellite Centers on Aging around the state;
each connected with an AHEC facility in the district. We provide
the education and the local hospitals provide clinical support
and the facilities. I think that is going to be absolutely
magnificent.
We
will start a College of Public Health and I will comment on that
in just a few seconds. It's
the first college we have started here in about three decades,
and may be the first one other than the College of Medicine that
was really started from scratch here without any predecessor.
We
will have a research part of the tobacco settlement funds. Next
year we will receive about $5.5 million, and it will go on
roughly at that level in perpetuity; that is, if people keep on
smoking - which we hope they don't. Anyway, two-thirds of
that amount will stay on this campus and one-third will go to
our faculty at Arkansas Children's Hospital.
We'll
get two new buildings. The College of Public Health will be set
on top of the [Education Building III]. It will be four floors,
and if we can figure out how to fund an additional floor for
nursing, we will put a floor for them on top of that. The
Biomedical Research Center, a research building was estimated to
cost $25 million, but we built it for $22 million ten years ago.
For $25 million now, we can only get three floors without as big
a footpad. It's really kind of interesting. We decided that
for $6 million we are going to use some of the reserve and put
three more shell floors on it. That will cap it off; we won't
stress it for anything more. We will try to fill out those
floors in the future as we can use them. The one thing that will
be fundable for us, in a sense, is the Medicaid expense -
there will be a Medicaid benefit associated with this.
I
would like to comment a bit about the College of Public Health.
I am really excited about what's happened here. We decided in
January that even if we couldn't get the appropriations bill
through, we ought to act like it's going through. So we went
ahead and started planning. We put together a broadly based
committee chaired by [College of Nursing Dean] Linda Hodges and
then Joe Bates, who was previously on our faculty but is now the
associate director at the [Arkansas] Department of Health. They
prepared a vision, a mission, and put together most of a
curriculum. They
started a search for a new dean. They started thinking about the
departments we would need and about in June, they came to me and
said, "We need a dean right now - we can't wait until we
get a fulltime dean." Tom Bruce, [M.D.,] was sitting there
smiling. I asked Tom to do it.
For those of you just recently here - recent being 16
years or less - Tom was the dean of the College of Medicine
for a decade during the 70s and 80s. He came back to Little Rock
and was finding all sorts of things to do with his life in
retirement. He has earnestly taken over this responsibility and
has been just incredible with it. A proposal for a master's
degree and a certificate degree is pending with both the
Department of Higher Education and the [University of Arkansas]
Board of Trustees for their next meeting. He's got six interim
department heads lined up, collaborations with a number of
colleges to work with us, including [the University of Arkansas
at Little Rock, the University of Arkansas at Fayetteville, the
University of Central Arkansas, the University of Arkansas at
Pine Bluff, maybe Arkansas State University]. What was divisive,
in part, about creating this college was everybody thought UAMS
was getting all of it, but they wanted a piece of it. Tom has
gone a long way to solve this. They now have 30 students taking
courses in our Graduate School in anticipation they will qualify
for admission to this college and can transfer credits. They
have had over 160 calls and letters asking for information
without any advertising about the M.P.H. degrees. I think this
is going to be really successful. I'm extraordinarily pleased
with the way it has started.
As
I said, we started the Reynolds Center on Aging. I'm not going
to say too much about that except that as you remember that was
a marvelous gift from the Donald W. Reynolds Foundation. They
gave us originally, in total, about $28.8 million. About $18.8
million was for the building and another $10 million was to help
get the Donald W. Reynolds Department of Geriatrics [in the
College of Medicine] off the ground. We had a number of things
we had to do in five years. Every one of those points has been
completed just 3-½ years after the grant, and we now have a
course in geriatrics in the College of Medicine. The research
program is going incredibly well. We now have several huge
grants over there, so it's working well from that point of
view. They had the fastest growing clinic in the hospital. The
whole idea is to keep senior patients well and healthy, but they
do end up in the hospital given their age. So it's been very
helpful in a lot of ways. I'm very proud of that .
Finally,
about the dean of the College of Medicine. The [search] process
was a good one. Aubrey
Hough, [M.D.,] chaired a committee and it had a lot of people
- Don McMillan, [Ph.D.,] served as his vice chair. They had
nine finalists out of a large group of candidates. Looking at
the demographics of the group, it had four white males, two
white females, an Asian American, and two black Americans.
It's pretty remarkable that we got such a diverse group. We
invited four back - one woman, two white males and a black
male. We chose the black male because in our opinion he was the
best qualified in the group. His name is Albert Reece. He's
got a M.D., a Ph.D. in biochemistry, and an M.B.A.
He's the chair of obstetrics/gynecology at Temple
University; he's been in that position for 10 years. He's in
the Institute of Medicine - he's our only faculty member who
is in the Institute of Medicine, which is part of the National
Academy of Sciences. He is full of energy and ideas and loves to
work, so those of you who work for him, I have a certain amount
of pity for you. He's coming for about four or five days a
month, and then he will be here full time in January.
We've
had some other changes. John Shock, [M.D.,] is now the executive
vice chancellor of the campus. He's going to help me with a
lot of things, but his main interest is in clinical issues and
he will work hard on that. Tom Bruce, as I said, is the Dean Pro
Tem of the College of Public Health, and he has been one of
my better choices ever. James
Suen, [M.D.,] is now the director of the [Arkansas
Cancer Research Center] and Bart Barlogie, M.D., Ph.D, has
moved to run his own Multiple
Myeloma Institute. Stephen Warren is the Vice Chancellor
for Finance. Tom Butler is Vice Chancellor for Administration
and Legislative Affairs. Larry Milne, [Ph.D.,] is the Vice
Chancellor for Academic Affairs in addition to being dean of the
College of
Pharmacy. We are trying to find out what to do about the
vice chancellor for research and the dean of the Graduate School
- whether to put them together or not.
I do want to have a vice chancellor for research; we are
getting big enough now so we should. Because Gwin Morris, [Ph.D.,] left, we are looking for a vice
chancellor for development and trying to figure out what we
ought to do with communications and media on the campus to make
it more logical. If you look at all the letterheads that go out
of here, it's amazing. Some don't even have UAMS printed on
them - we're lucky if somebody can figure out who we are. We
need to brand ourselves better and look more carefully at that.
We've
had a few new chairs. Barry Brenner, [M.D.,] in emergency
medicine; Vaneerat Ratanatharathorn, [M.D.,] is our new head of
radiation oncology; in the College of Health Related
Professions, Thomas Guyette is the head of audiology and speech
pathology; and Annie Burcher is the new director of Emergency
Medical Services. I can't go into the College of Medicine
because it's too long a list.
AHEC
is doing great and will start a new AHEC working with the Center
on Aging on seven different aging centers. It's going to be
very exciting for AHEC during the next two or three years. As
you know, they won the award a couple of years ago for being the
best AHEC - they're the second ones to win it.
The
College of Nursing
had a second class of graduating Ph.D.s. It's 18th
in NIH Research out of over 350 nursing colleges and schools in
the country. It would be much higher if not for the fact that a
couple of their best researchers are getting their grants
through the College of Medicine. They really did a nice job, and
I'm very proud of them for that.
They're in a kind of dilemma - they're very good,
but the country has an incredible need for practicing nurses
now. Although we can keep salaries up, a lot of places can't.
Faculty members are leaving for other jobs and we need to figure
out how to solve that and get more nurses into the pipeline.
It's really a problem.
The
College of Pharmacy is having another problem - it's got the
largest and best applicant pool it's had for quite a while.
It's a nice problem to have. It went from 75 to 90 students in
the first-year class this year. It's a little misleading
because they previously didn't count the repeaters in the 75;
now they count them in the 90, so the difference really becomes
how many repeaters there were. It's still an improvement, and
we want to increase that even more. If you want to make pretty
good money, go into pharmacy right now. A year ago in May, the
seniors averaged $65,000 a year for their salaries - this year
they averaged $73,000 and it's getting to the point where our
faculty, like in some of the specialties in medicine, are making
less than people who are leaving their training program to go to
work in a pharmacy. It's the same in gastroenterology and
other specialties in medicine. This creates a real problem for
keeping the faculty on board.
The
College of Health Related
Professions has fourteen departments - it's doing
very well. Its enrollment is up about 15 percent this year from
last year. I told
you about the College of Public Health.
This
last year and the year before, we hunkered down, and the year
before that too. And
now we don't have to do that anymore. It's time to get on
track and think again about what we want to be. Every dean,
director and vice chancellor has given me their one-year goals
and the next thing is to work on a four- to six-year plan of
things we want to accomplish at UAMS. We haven't even started
to talk about that, but there are a number of things I think we
need to do. I think we need to become more of a learning
institution in the sense of having enabling tools to do that.
If you are taking care of a patient, you need to know
what evidence-based medicinewould say about this case.
You need to be able to get to the Internet. You need to
be able to see that the drug you're giving doesn't really
fit with the other drugs people are receiving. But, we need to
think about how that might become part of our vision.
We
are now trying to get our patients into a computerized patient
record system, and we made the first step by signing a contract
to get all of our patient records from probably a year from now
onto computers. They will be scanned in. That leaves a gap of
what's happening right at the moment because you have to wait
until it gets scanned in. The hospital bought about 75 licenses
for Logician - an ambulatory patient medical record -
that will fit on top of the archiving system. We are looking
very hard, and we will probably buy Infomed; it's in
use at the cancer center. Probably three or four years from now
we won't be trying to get to the paper-based records, not
having them available, having channel charts . and things like
that. I think that's going to be something that we will do
during this period of time.
We're
in a period of time where we are facing very large shortages in
personnel in a number of our areas where we educate. I think
it's only going to get worse. Now with the baby boomers coming
and all the things that we can now do with advanced
technologies, we're probably going to have much more to
accomplish in terms of education and educating people for the
public. Then, Arkansas has very poor health status and we need
to work with the Department of Health to improve that.
Finally,
in research, Act I presents tremendous opportunities. Two of us
are flying down to Houston tomorrow to talk to somebody about
the possibility of heading our genomic, proteonic and
bioinformatic efforts here on campus. That's where science is
going. When I was in the lab, I might work for four to six
months and then spend a half-hour or a day analyzing my data.
Now people go into the lab for a day, and for some experiments
they have to spend weeks - maybe beyond that - on the
analysis because they just don't have the ability to do it.
Biofomatics is becoming extraordinarily important for that.
It's a very exciting time for us.
It's a chance for all of us to make a difference.
What
happened on September 11th - it was an incredible
tragedy - two things come to mind for me. One is that we
can't solve the world's problems here, but we can solve our
own problems and we can work to make this a better place.
That's what we all have to do is make the impact locally as
best we can through the way we lead our lives and what we do.
So, let's make UAMS better from that point of view.
The
other thing that was remarkable to me was we have over five
million Muslims in America and some of them have been
discriminated against and there's been racial stereotyping,
ethnic stereotyping or religious stereotyping, whatever you want
to call it, but it hasn't been as much as I might have
thought. In fact,
I'm very proud of what happened here. We've had a couple of
problems, one was at the VA, and one was probably due to
outsiders getting into our computer system
UAMS
had a retirement party for Shirley Gilmore last Friday and on
Saturday, we held a dinner for her. She told me her story about
looking for a job in 1962 as a young white female scientist.
Several places told her, "We don't take women." One place
wasn't quite that up front. They said, "We didn't have a
bathroom for you here." Imagine how far we have come in the
last 39 years since that happened.
I've
never seen diversity as a goal in itself; I see UAMS as a
talent-based organization.
We all have talents. A lot of people, most of them not on
the faculty, implemented the SAP system with very few problems
compared to what happened to the state with the same system.
Then you know how much talent we have on the campus. With people
of different races, religions, different ages, sexual
preferences - it really doesn't matter - then add the
other half of the world, which is women, you have a huge base of
talent to choose from. To me, that's what this is all about
- it's about talent. In recruiting talent, we have hired
people from all over the world. UAMS is the most diverse place
in Arkansas. It's not the goal; our goal is to make sure it
works. We want to treat everyone on the basis of what they do,
not on the basis of stereotypes. You have to judge them on their
performance. You have to be fair. It's something to celebrate.
We won't tolerate discrimination. I really feel very proud of
this place, and I'm happy that I got the chance to be
Chancellor. It's a wonderful feeling.
Thank
you.
Q&A
Question:
I'm glad to hear that the cash flow is positive and
things have turned around.
I think classified employees bore the burden of trying to
make it without an increase in pay. I wonder what the amount of
the reserves is; has any of that been dedicated to fund the CLIP
program?
Answer:
We are going to implement the CLIP program this year -
we have to figure out how to do it, but that is something that
we are going to do. The CLIP program is a state program for
classified personnel; it gives merit-based salary increases.
As you probably know, "one-time
money" can't be spent as though it's ongoing. One of the
reasons UAMS gave raises to everybody in April was that
classified personnel could get a raise only once a year. So that
raise actually counted for last year.
If we have a good year now, we will try to give another
raise to classified personnel during this year. That will allow
them to "catch up" in a sense. But I can't promise that.
It will depend on how we're doing financially.
Links on This Page
Chancellor Reviews: http://www.uams.edu/today/092701/state.htm
Audio: http://www.uams.edu/today/092701/audio.htm
Tobacco settlement: http://www.uams.edu/info/pdfs/fieldofdreams.pdf
Donald W. Reynolds Center on Aging: http://centeronaging.uams.edu/
New dean: http://www.uams.edu/today/072601/reece.htm
College of Public Health: http://www.uams.edu/coph/default.htm
Area Health Education Centers: http://www.uams.edu/ahec/ahec1.htm
Arkansas Children's Hospital: http://www.ach.uams.edu/
UAMS Medical Center: http://www.uams.edu/medcenter/
James Suen, M.D.: http://www.uams.edu/today/082301/myeloma.htm
Arkansas Cancer Research Center: http://www.acrc.uams.edu/
Multiple myeloma institute: http://www.uams.edu/today/081601/myeloma.htm
College of Pharmacy: http://www.uams.edu/cop/default.htm
College of Nursing: http://nursing.uams.edu/
College of Health Related Professions: http://www.uams.edu/chrp/
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