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Clinical Research Services: “ The Beat Goes On ”. CTSI Board of Directors ’ Meeting September 5 th , 2012. Major Challenges Impacting CRS. Nursing salary and benefit expense increases Reduction in CTSA grant support Lack of data for ‘ evidence-based ’ business decisions
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Clinical Research Services:“The Beat Goes On” CTSI Board of Directors’ Meeting September 5th, 2012
Major Challenges ImpactingCRS • Nursing salary and benefit expense increases • Reduction in CTSA grant support • Lack of data for ‘evidence-based’ business decisions • Increased administrative expenses to support the recharge model • “Grandfathering” needed for faculty buy-in • Liability must be funded but will decrease over time • Revenue ramp up will be slow
Opportunities:Specific Strategies • “Low-lying fruit” • Weekend closures • SFGH is open one weekend and one Saturday per month only if we have research subjects • Moffitt adult and pediatrics close nights/weekends if no research subjects/boarders • SFGH space consolidation • Outpatient space returned to hospital June 2012 • Outpatient activity moved to office space adjacent to inpatient unit to improve utilization and efficiency • Taking advantage of attrition • SFGH, NCRC and administration
Opportunities:Specific Strategies • Planning in progress for “right” sizing inpatient facilities to align with research utilization • Reviewing census and utilization at nursing sites • Analysis of SOC reimbursement/costs • Work with Department of Pediatrics and Medical Center to begin planning transition to Mission Bay • Review financial agreements and processes with UCSF Medical Center
Opportunities:Specific Strategies • Expand use of “scatter” staffing model to address fluctuating workload • Establish approved campus recharges • Targeting all proposals submitted by 9/1 • Recharge model will ‘right size’ subsidy % • Significantly improves efficiency in budgeting studies
Opportunities:Specific Strategies • Quantify ‘grandfathering’ liability • Best estimate requires grant funding information not currently available to CRS • Complete efficiency project for all areas • Will help with identifying specific functionality needed in new tools/systems • Will increase capacity to take on new customers and provide new services