Uab Medicine Enterprise

“Uab health system manages and coordinates the health care delivery operations, including revenue cycle functions, delegated to it by its members, the board of trustees of the university of alabama for the university of alabama and the university of alabama health services foundation, p.c. As of october 1, 2016, navigant cymetrix corporation, a delaware corporation ("navigant cymetrix") began managing and performing certain revenue cycle management services for uab health system pursuant to a services agreement ("agreement") with an initial seven (7) year term. Uab health system has not delegated full control over these management duties to navigant cymetrix, as the agreement sets forth a shared governance structure whereby management and oversight committees with equal representation from uab health system and navigant cymetrix participate in and are responsible for reviewing operations, setting and reviewing strategy, reviewing any fundamental changes in governance structure, and addressing ongoing operational issues and any matters the parties agree should be addressed through the committees. In addition to shared governance and a relatively short term, uab health system has the ability to terminate the agreement without cause after october 1, 2018 with twelve months notice. This is in addition to the many for cause termination provisions in the agreement.”

“Uab health system ("uabhs"the organization") has two members, the board of trustees of the university of alabama and the university of alabama health services foundation, p.c. Each member appoints 9 of the directors of the uabhs board.”

“Member approval is required for: 1) sale, lease or other disposition, other than in the ordinary course of business, of any uabhs material operating assets; 2) uabhs assignment of its rights to a third party; 3) addition of new members to uabhs; 4) issuance or incurrence of debt by uabhs; and 5) any capital expenditure by uabhs with its own funds over $5,000,000.”

“The form 990 is prepared by pricewaterhousecoopers, llp. After the form 990 is prepared, it is reviewed by the organization's finance staff, the chairman of the board, two additional board members, and the chief executive officer.”

“Annual disclosures are required and are reviewed by the university of alabama at birmingham health systems board.”

“A compensation consultant is engaged to advise the board of directors on the ceo's compensation and the compensation of other key members of management. The compensation committee of the board annually reviews the ceo's total compensation and submits its recommendation of the ceo's compensation for the coming year to the board for its approval.”

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“To provide common management of the existing and future healthcare delivery operations of the board of trustees of the university of alabama and the university of alabama health services foundation.”

“Section 1: mission statement and uabhs introduction the uab health system (uabhs) is an alabama nonprofit corporation that oversees the academic medical center activities of its two members, the university of alabama board of trustees and the university of alabama health services foundation, which collaboratively provide quality health care to the citizens of alabama and individuals from across the nation and the world. Uabhs mission is to improve the health and well-being of society, particularly the citizens of alabama, by providing innovative health services of exceptional value, quality, and safety; a superior environment for the education of health professionals; and support for research to advance medical science. Uabhs supports the activities of the uab school of medicine by overseeing hospital and clinic operations, fostering residency and fellowship training programs, supporting the recruitment and training of faculty, and creating highly innovative, well-coordinated interdisciplinary clinical programs and relationships that serve as models for health care education and delivery. Uabhs is internationally recognized for its tripartite mission of providing the highest levels of patient care, outstanding education of medical professionals, and the advancement of science in medicine through groundbreaking research in areas such as oncology, neurosciences, transplantation, cardiology, trauma and burn treatment, rehabilitation, immunobiology, virology, gene therapy, and genomics. Uabhs encompasses the largest multispecialty group of health care professionals in alabama, with approximately 1,380 physicians serving patients from every state in the nation and many countries around the world. It is a major regional tertiary referral center that treats some of the most critical patients in the southeast. In fy 2017, uabhs entities discharged 50,646 patients and had 115,180 emergency department visits. Despite the financial strain it places on the organization, uabhs cares for the sickest, most vulnerable patients, serving as a safety net for those who are turned away from other care providers. Uabhs provides significant charity care to indigent patients not covered by insurance. Uabhs estimated cost incurred for charity care provided to indigent individuals in fy 2017 was $50,752,565. Uabhs also provides care to a large number of individuals covered by governmental programs that may reimburse below cost. In fy 2017, uabhs unreimbursed cost for treating medicaid patients was $9,902,519. In addition, uabhs entities provide health care services to many individuals who cannot pay for all or any of their medical care. In fy 2017, the cost for this bad debt was $91,092,522. Uncompensated care costs do not include other unfunded costs of care, such as underpayment from medicaid and medicare. Section 2: uabhs entities uabhs flagship facility is the 1,157-bed uab hospital, one of the nations largest public hospitals. It includes the uab women & infants center, spain rehabilitation center, the center for psychiatric medicine, and the freestanding uab hospital-highlands. As alabamas only level 1 trauma center (as designated by the american college of surgeons), uab hospital provides care for many of the most serious injuries that occur anywhere in the state through its emergency department, operating rooms, trauma/burn unit, and spain rehabilitation center, which is one of the southeasts foremost providers of comprehensive rehabilitation care. The women & infants center offers advanced services and the latest medical technology to care for healthy and high-risk pregnant women, healthy and high-risk newborns, and women receiving care for a variety of gynecological problems, including gynecological cancers. It includes uabs regional newborn intensive care unit (rnicu), the states largest. Together with children's of alabama, uab offers the only level iv nicu in alabama designated by the american academy of pediatrics as the highest and most”

“Additionally, uabhs affiliates include medical west, a 310-bed acute care hospital offering a wide range of diagnostic, surgical, medical, and emergency services; and baptist health in montgomery, a primary provider of health care services in central alabama. Baptist health of montgomery comprises three hospitals: montgomerys baptist medical center south, baptist medical center east, and prattville baptist hospital. In addition to the collective 689-licensed-bed hospital, the affiliation includes management of a regional cancer center and a 60-bed behavioral health facility. In july 2016, baptist health and uab medicine opened the uab medicine multispecialty clinic at baptist medical center south. The clinic offers much-needed specialties including urology, gastroenterology, endocrinology, rheumatology, cardiothoracic surgery, and breast health. The uab medicine multispecialty clinic has created a convenient, high-quality health care option for the residents of central alabama, as many have been forced to travel outside of the montgomery area for medical services due to the overwhelming need, limited access, and the lack of specialists in the region. The clinics specialists have increased access to specialty care in a convenient, centralized location close to home that leads to earlier diagnosis and treatment. In addition, patients have access to clinical trials and research activities being performed at uab. Section 3: relief of the poor, distressed, or underprivileged/provision of charity care the main uabhs medical center is located in downtown birmingham, an area that includes a high number of medically underserved individuals. The state of alabama has many areas characterized by high levels of poverty and a population of numerous uninsured and underinsured individuals. Many of these people depend on uabhs medical professionals for their health care needs. Uabhs is dedicated to providing health care and screening and prevention programs to poor and underprivileged individuals. Uabhs many programs include the uab comprehensive cancer centers deep south network for cancer control, which works to eliminate disparities in cancer death rates between blacks and whites by targeting two poor rural and two poor urban areas in alabama and mississippi with community awareness programs, minority enrollment in clinical trials, and the development of minority junior biomedical researchers. Still another program that focuses on minorities and the medically underserved is the minority health and health disparities research center, a comprehensive educational, research, and community outreach center focused on eliminating racial and ethnic health disparities through various programs, including a health awareness and intervention storefront in downtown birmingham. Other programs that provide essential health care services to poor and medically underserved individuals include the tot shots program that offers free, walk-in, immunization services in community-based clinics in partnership with the jefferson county department of health and others; the valley foundation childhood immunization program, a program designed to remove educational and financial barriers to increase immunization rates of underserved children age 19 to 35 months; and equal access birmingham, a free clinic run by an interdisciplinary team of uab volunteer physicians, medical students, and other health care professionals who provide free medical care and health education to medically uninsured residents of birmingham. In fy 2017, 289 student and 41 physician volunteers provided care for 685 patient encounters both in and outside of acute and chronic care clinics. Uabhs affiliate baptist health has developed the careadvisor program, which provides patients at home with primary care services, medications, and transportation to office visits at no cost to those patients. The program was designed to reduce readmission rates and improve outcomes for the recently discharged as”

“Uab physicians performed their first kidney transplant in 1968; since that time the transplant program has performed more than 14,000 solid organ transplants. Uabs transplant program is the largest comprehensive program in the south and leads the nation in living donor transplantation, with almost 4,000 transplants to date. Uab performs kidney, liver, heart, lung, intestine, and pancreas solid organ transplants, and it currently has the nations longest ongoing kidney transplant chain, encompassing almost 100 transplants. Uab is also known as an innovator in providing access to transplantation for patients in need; uab seeks to increase the availability of organs for transplantation, offering treatment for highly sensitized patients, abo incompatible transplantation, and split-liver transplant, as well as efforts to optimize recovery and preservation of organs, including ex-vivo lung perfusion and normothermic preservation of livers. Uab also offers bone marrow transplantation for a variety of hematologic malignancies, as well as autologous islet cell transplantation for chronic pancreatitis. Additionally, through callahan eye hospital, uab offers corneal and retina transplants. The uab spinal cord injury model system (scims) is one of 14 such systems and the longest continually recognized model system since funding began in the early 1970s. Funded by the national institute on disability, independent living, and rehabilitation research (nidilrr), a part of the u.s. Department of health and human services (hhs), it helps recognize national leaders in medical research and patient care and provide the highest level of comprehensive specialty services, from the point of injury through rehabilitation and re-entry into full community life. It also includes long-term follow-up, research, and the provision of public and community education. Similarly, the uab traumatic brain injury model system has also received hhs funding since 1998, and it is currently one of 16 national traumatic brain injury model systems. These grants are awarded to national leaders in medical research and patient care to provide the highest level of comprehensive specialty services from the point of injury through eventual re-entry into full community life. Uab is one of only seven centers in the nation to become a member of two federal networks for research and care, those being the maternal-fetal medicine units network and the neonatal research network of the nih. These partnerships have produced groundbreaking achievements in obstetrics and neonatology research, helping reduce maternal and neonatal mortality and serious morbidities while investigating interventions aimed at stemming major perinatal complications. More than 600 low-birth-weight babies and nearly 1,000 preterm babies (fewer than 37 weeks of gestation) are born at uab hospital each year, representing the majority of the highest risk babies in the state. The obstetric unit cares for the most complex pregnancies (mother and/or fetus) in alabama. In addition, many critically ill neonates are transported to uab hospital from other hospitals for care in the states only level iv regional neonatal intensive care unit (rnicu). These combined services act as the obstetrical and neonatal "safety net." uab is the only facility in alabama and the neighboring region with neonatologists and maternal-fetal medicine specialists in-house 24 hours a day, 7 days a week. Uab school of medicine faculty direct the civitan international research center (circ) which has as its mission improving the well-being and the quality of life of individuals and families affected by intellectual and developmental disabilities, including individuals with rare disorders that often have difficulty finding a medical home that offers state-of-the-art treatment from qualified specialists. Circ faculty seek to expand knowledge about human development and developmental disabilities through conducting basic and applied research and using”

“Section 5: provision of essential health services uab hospital has been ranked on u.s. News & world report's "best hospitals" list for 25 consecutive years, and it is ranked no. 1 in alabama. The clinical enterprise offers cutting-edge patient care, technologically advanced facilities, doctors at the top of their fields of expertise, and nurses and medical staff who go above and beyond for their patients every day. To maintain and extend its excellence, uabhs has undertaken major processes to keep patient satisfaction, quality, safety, and other factors at a high level. Uabhs is a major referral center offering a comprehensive range of primary health care services as well as specialty and subspecialty care, including the provision of cardiovascular care; minimally invasive cardiac, urological, and gynecological surgical procedures; robotic surgery; neurosurgery; comprehensive cancer services; comprehensive treatment of hiv/aids; geriatrics; emergency hyperbaric wound care; rheumatology; dermatology; reconstructive surgery for adults and children; transplantation; and many others. More than 46,500 surgeries were performed in fy 2017. Alabamas diabetes and obesity rates are among the highest in the nation, and uabhs facilities include a comprehensive diabetes center whose faculty are engaged in providing the highest quality innovative care to patients with diabetes; conducting cutting-edge research into the causes and mechanisms of diabetes; and training future generations of diabetes clinicians and researchers. Uab hospitals inpatient diabetes and glycemic control program now identifies and treats all patients entering the hospital and refers new or problematic patients to newly formed follow-up clinics. The uab center for aids research (cfar) is one of the seven original centers established in 1988 by the national institute for allergy and infectious diseases to stimulate research and scientific advancement concerning aids and hiv. For 30 years, the cfar has played a vital role in supporting the cutting-edge research activities of its members, leading to paradigm-shifting discoveries. The common thread linking the many noteworthy discoveries is the proactive engagement of the cfar in enabling the dynamic collaboration among investigators from different basic, clinical, behavioral, and translational disciplines, and the fostering of genuine partnerships with community stakeholders. Stimulating and supporting multidisciplinary basic, behavioral, clinical, and community-engaged research so as to hasten the development of a fundamental understanding of the prevention, pathogenesis, therapeutics, clinical care, and psychosocial manifestations of hiv and related disorders in the community both in the southeast and around the world is the overall mission of the cfar. During the current five-year budget period, the cfar enabled core services in support of 61 unique, nih-funded projects and 404 other nih-funded projects, fostering more than $52 million in hiv/aids related grants to uab and over 1,300 unique, hiv-focused publications. The cfar partnered to recruit 17 new independently funded hiv investigators to uab while engaging 28 new investigators into hiv research from other disciplines at uab. An innovative service of the uab cfar is providing a "home" for all of the national and international hiv networks and program projects on campus, which allows the center to routinely leverage over $500k in additional salary support for center staff through the management of these large hiv program projects (i.e., cnics, cnihr, wihs, a-ctu, ryan white funding). The uab cfar has established a vibrant, broad platform for research of the social, behavioral, and clinical dynamics of hiv exposure and transmission throughout alabama via rich partnerships with all seven ryan white clinics in the state, the state department of public health, and a robust and meaningful statewide coalition of community partners who are engaged in hiv research with us”