Showing posts with label SOM. Show all posts
Showing posts with label SOM. Show all posts

Friday, April 22, 2022

04/22/22 President's Report

Dear colleagues,

It was great to see so many of you join the General Membership meeting earlier this month. It’s been a big year for the union, and a big learning curve for me coming into this role as president. I set a few personal goals this past year:

1) Implement the new contract and keep systems running smoothly (i.e., don’t let the wheels fall off during the transition to new leadership).
2) Prevent administration from cutting the salaries of tenured faculty in the School of Medicine.
3) Start to get structures in place to make our union more transparent, more democratic, more member-driven and member-engaged.

We achieved the first goal: Last fall we got five different 2N admin/union committees in place. These were agreed upon during contract negotiations, and made up of half union appointees and half admin appointees. The committees are looking at the Flexible Work Arrangement policy, the way we use the Student Evaluation of Teaching (SETs), promotion factors for Teaching Faculty, and online teaching.

Most of those committees are getting close to making recommendations. A few highlights: The group making recommendations regarding the Flexible Work Arrangement policy is engaged in debate over who approves requests, whether that decision should come solely from an employee’s direct supervisor, and clarity around who that direct supervisor is. We’re hoping to get some kind of appeal process in place so decisions are not solely dependent on one person. We raised the possibility of implementing a remote 2-day a week minimum, but the full committee did not reach consensus on this. Antoinette Cunningham, Academic Advisor in Biological Sciences, and the whole union team have been doing phenomenal work trying to get an equitable system in place.

The Teaching Faculty committee has finalized its recommendations for university-level factors for promotion to Associate or Full Professor of Teaching. We were frustrated because it became clear in early March that the earliest that Teaching Faculty will be able to submit packets to go up for promotion will be next Spring 2023, for promotions going into effect in 2024. That is because faculty will be evaluated at the university, college, and department levels, and, although we have made great progress toward establishing university-level factors, factors still need to be developed at the college and department levels. Those will need to be developed in the fall. We tried hard to find a way for faculty to go up for promotion this year, but we could not make it happen. On the plus side, the union side of the committee did a lot of work looking at other institutions and coming up with guidelines that make sense for the Teaching Faculty, and there has been agreement on most of the proposed recommendations. Christine Knapp, from French/CMLLC, has been leading that effort with a very engaged committee.

One of the groups working on the SET is also getting close to making recommendations for changing the SET. They recognized that the SET is a flawed mechanism for accurately gauging quality of instruction, and explored other options such as peer reviews of teaching. But, after discussing the reality of implementing other evaluation methods, they returned to the SET with a proposal to drastically revise the questions. The committee is proposing to replace the three global questions with five questions that specifically focus on teaching outcomes, and hopefully counter biases that disproportionately impact faculty of color in SET evaluations. Sean Hickey from Chemistry has been the lead on that. These proposals will need to be reviewed by Academic Senate before they will be ready to be implemented. Patricia McCormick (Communications) is chairing another committee on SETs that will pick up other aspects of this work. Pramod Khosla (Nutrition and Food Science) is chairing the online teaching committee, where they’re getting close to making recommendations about intellectual property rights, workload, and enhanced professional development opportunities.

While this has been going on, the union Contract Enforcement Team (CET) has been meeting every week to talk about issues that individual faculty and academic staff members are facing. This group includes:

• Charlie Parrish, Grievance Coordinator for Faculty;
• Ricardo Villarosa, Grievance Coordinator for Academic Staff;
• Michelle Fecteau, the union Executive Director;
• Barbara Jones, Contract Implementation Officer for Academic Staff;
• Pramod Khosla, Contract Implementation Officer for Faculty;
• Christine Knapp and Kristen Chinery, who are assisting with faculty and academic staff issues, respectively;
• Mark Dilley and Michael Williams, Director of Organizing and Executive Assistant for the union, respectively.

When someone says you should “go to the union,” this is who you’re going to. CET members dedicate hours of their time week after week talking to members, hearing what problems may be going on, figuring out if and when there might be a contract violation, and how to help members resolve a situation. Most of the time, there is not a contract violation, in which case they talk about other ways to address issues. In any given week, this group is handling dozens of member concerns across the university. You should always feel welcome to email or call any member of the CET team with questions or concerns.

Last fall, we hired a new Executive Assistant for the union, Michael Williams, who worked with Michelle Fecteau to implement the childcare subsidy program. Also last fall we worked with the university administration to agree to commit $100k toward salary equity adjustments this year, $200k next year, and $200k the following year. These funds are meant to go to raise salaries for faculty and academic staff that are out of sync with others in comparable positions.

Overall, after a lot of changes last fall, systems are settling down and we are finishing the academic year with a strong union infrastructure.

My second big goal of the year was to prevent attempts to cut the salaries of tenured faculty in the School of Medicine. Last November we were faced with the possibility that a proposal from the Dean of the SoM could cut faculty salaries by as much as 50%. After an uproar from faculty, some union organizing, and the release of a survey that showed the Dean had an abysmal rate of support among faculty and academic staff, he has been replaced, and the administration has agreed to a one year moratorium on any discussion of “restructuring” (cutting) salaries. This took a lot of time and energy by a dedicated group of faculty and academic staff from across the SoM, solidarity from colleagues all across campus, and proved why a strong and vibrant union is so vital.

The third goal of the year, perhaps less exciting, but crucial for building a more engaged, democratic and transparent union, was to address some of our internal processes, policies and structures. In order to open up our union more, we need to establish or codify certain procedures and agree on how we want to run things. A group from the Executive Board and the Council of Representatives, chaired by Reuther archivist Kristen Chinery, met weekly for the better part of five months to review the union’s bylaws, which we have not looked at in a comprehensive way since 2003. We went through each article with a fine tooth comb to regularize a lot of processes, and make explicit things that were implicit. One of the big changes we’re proposing is to make all four Member-at-Large seats elected by the general membership (right now, two of the four seats are elected). All the changes to the bylaws can be seen here.

You should have received an election ballot on April 18 from ballots@ballotsonline.org for three union officer positions (Vice-President, Treasurer, Member-at-Large), and you will also have the opportunity to vote on the bylaws changes. Please vote YES on the bylaws! We need these to pass with 2/3s support by those who vote.

My goal for the next 6–12 months is to get us to orient toward the next contract campaign. Our contract will be up for renegotiation in 2024. Many of us are going to want to look at salaries and benefits. I hope to set up working groups to prepare us to go into the 2024 negotiations with clear “asks” around raises, equity adjustments and other kinds of benefits. The other issue that a lot of us are concerned with is increased workloads caused by understaffing, and I would like to pull together a working group to think about how that can be addressed within the contract. And a third big issue that affects a lot of us are building and facilities issues — this year faculty in Art and Art History have come together collectively to bring attention to the extensive damage to the Art building caused by last summer’s catastrophic floods. But there are facilities issues across campus, from Scott Hall to the College of Education. We’ve seen the new Provost, Mark Kornbluh, the new CFO Dave Massaron, and the Director of Facilities Rob Davenport more engaged in this very significant problem of late, but we should look at how we can, as a union, focus on building issues. These affect us, the students, and all campus workers.

It’s been a busy year, but I’m optimistic about the power of our union. We have engaged members on Council, on the 2N committees, in the LSC, the ASSC, the Social Justice Committee, and serving as representatives on Academic Senate committees. We are seeing groups come together collectively around issues — such as African-American faculty in the School of Medicine, and faculty and staff in Art & Art History — and we are supporting one another and our students.

I look forward to continuing to build with all of you so we’re in the best shape we can be going into 2024.

In solidarity,
Danielle

PS: I hope to see many of you either at the LSC study break on Gullen Mall on Tuesday, April 26, 3–5 pm, or at Tony V’s, April 28, 4–7 pm. Come, and bring your colleagues! RSVP to office@aaupaft.org if you can so we can get a head count for pizza.

Thursday, April 14, 2022

04/13/22 Message from African American Faculty in SOM

Dear colleagues,

Please click here to read the letter collectively written by African American faculty members in the School of Medicine expressing shared concerns. Faculty and academic staff in the SoM will have received this already earlier this week, but, as it’s an important issue, I have been asked to share more widely across campus. Please read the letter, and join me in supporting our colleagues advocating for better learning and working conditions for Black and Brown students, faculty, and staff in the SOM.

In solidarity,
Danielle Aubert
President, AAUP-AFT Local 6075
Wayne State University Chapter

Tuesday, March 01, 2022

03/01/22 Union Update on the School Of Medicine

Dear Colleagues,

This morning, President Wilson announced that the Chair of the Department of Pathology, Wael Sakr, will step in as Interim Dean of the School of Medicine and Chair of the board of directors of Wayne Health. Dr. Mark Schweitzer will continue as VP of Health Affairs and conduct work with external stakeholders, such as fundraising and building new hospital partnerships.

The administration has taken some other important steps to address SoM faculty and academic staff concerns since the union held a Town Hall in January. First, they paused discussion of tenured research faculty salary cuts for a year. Second, they have begun sharing more detailed financial information with relevant faculty and academic staff governance committees.

Announcements regarding the latest reorganization have been coming out over the last week, since we received results of the morale survey of the School of Medicine. We conducted the survey because of mounting concerns in the School, including: restructuring of clinical faculty salaries, threats to tenured research faculty salaries, new policies regarding research funding on grants, departures of mid- and upper-level administrators from the School, the move of the Emergency Medicine faculty practice plan to Central Michigan, and perceptions from faculty and academic staff in the School that the Dean was failing to build consensus, articulate a vision, be transparent with the budget, or even listen and consult with others.

The survey was sent to all School of Medicine faculty and academic staff in the bargaining unit. The response was overwhelming - nearly 50% responded, indicating an unusually high level of engagement for an online survey. The results demonstrated exceedingly low confidence in the Dean, Mark Schweitzer. Three quarters of respondents supported replacing him. More than 70% found that consultation with faculty and academic staff on matters related to the school have gotten worse since his arrival in 2020.

The move to bring Dr. Sakr in as Interim Dean will be welcome news in the School of Medicine. But there are still questions about whether Dr. Schweitzer is the right person to represent the Wayne State SoM in building external relationships and partnerships, especially given the news that he recently applied for a position at the University of South Florida.

These serious issues and developments affecting the School of Medicine need our continued collective attention and engagement from across campus. If you are in the School of Medicine, please continue to communicate with your union Council Representative or the union office as these changes go into effect.

In solidarity,
Danielle Aubert
= = = = = = = = = =
Danielle Aubert
President, AAUP-AFT Local 6075
Wayne State University Chapter

Tuesday, February 08, 2022

02/08/22 Union Updates: SOM, SETs, Education Labor United

Dear colleagues,

Faculty and academic staff in the School of Medicine saw today that the administration is tabling any discussion about changing tenured research faculty salary structures for at least a year. This temporary reprieve is a positive development, and it is due to the efforts of all of those in the School of Medicine—and on main campus—who spoke up over the last three months.

While this is a piece of good news, preliminary results of the morale survey of faculty and academic staff in the SoM indicate that there continue to be widespread concerns with the leadership of the School. We expect to receive full results of the survey around February 22, and will share them when they come in.

KNOW YOUR CONTRACT
We have posted an unofficial copy of the new contract here. Now that it has been in place for a few months, it is a good time to review what’s in it. Please let us know what topics and questions you would like to see covered in a general info session or special topics session: Submit questions here.

STUDENT EVALUATIONS OF TEACHING (SET)
Many, if not most, faculty are dissatisfied with the existing SET instrument and its usage in Selective Salary and for promotion. Despite the use of only 3 questions from the SET and the bias inherent in the instrument, the use of SETs for promotion will become increasingly relevant for Teaching Faculty as they are evaluated for service and teaching. Members of the joint union/admin (2N) committees reviewing the SET seek your feedback: Share your thoughts here.

EQUITY ADJUSTMENT REQUESTS
We are excited that the university is committing funds toward salary equity adjustments for the next three years. Please see the Letter of Agreement for specifics. If you have questions about how to request an equity adjustment, contact your Council Rep or email Michelle Fecteau at mfecteau@aaupaft.org.

SELECTIVE SALARY COMMITTEES THIS YEAR
Questions have arisen regarding the work of salary committees this spring, since we did not receive a selective salary increase this year (we received a bonus instead). Please note that selective salary recommendations in 2022 will count toward an increase. Because we skipped a year, the work of this year’s committees is even more important. It was the 2021 selective salary scores that did not count toward a merit increase. As a reminder, annual reports should consist of “a summary of the last three (3) years of the [faculty or academic staff] member’s activities.” We know that some salary committees put more weight on the most recent year. In 2022, committees are encouraged to focus on the full window, as stated in our Collective Bargaining Agreement, in recognition of the fact that this year’s selective salary increase will be the first one in two years.

HIGHER EDUCATION LABOR UNITED
Join me in signing up to participate in the Higher Education Labor United Winter 2022 Summit. During this Summit, we will collectively create an action plan to transform the U.S. higher education system so that it secures our nation’s democratic future, serves as a vehicle for addressing inequities, and is led by workers, students, and communities. The summit will take place over February 23, 24, 26, and 27 on Zoom, with a detailed schedule to come soon. Registration is now open to all members of the higher education labor community.

In solidarity,
Danielle Aubert



Saturday, August 01, 2020

07/30/22 Message regarding the SOM Clinical Faculty

Message to Members on Clinical Faculty in the School of Medicine

Charles J. Parrish, President, WSU AAUP-AFT, Local 6075


On July 27th the Union sent a letter to the Administration that demanded to bargain the remarkable change in a personnel policy that had been followed for decades in the School of Medicine. The first concrete steps in implementing this new policy were taken today when letters of termination were sent to all members of our clinical faculty in the School of Medicine.

We understand that the next step will be to offer them a contract renewal that is not based on their present contracts, but will treat them as new hires who will be appointed at a half-time position at a severely lower salary base. The difference in salary is proposed to be made up for the monetary losses involved by the WSUPG, the principal faculty practice plan. This is contrary to past policies and will be destructive to the goals of the School of Medicine.

Further, it will constitute a subsidy to the WSUPG, the principal faculty practice plan. By keeping the appointment at .5 full-time equivalent, the faculty will continue to be covered at the same cost by the University health benefits program so that the WSUPG does not have to offer a similar benefit.

The Schweitzer proposal will not make up the 10% retirement salary match that faculty members presently receive from the University on their higher salary level. The base for the retirement match, given the much lower salary being offered, will also be much lower than it is under the present contract.

The Administration has responded to our letter demanding to bargain the policy changes we cited in our July 27th letter and has agreed to schedule talks with the Union. They also argue that there has been no change in personnel policy and that they have the power to proceed as they are now. We will meet with their bargaining representatives and keep you informed of the negotiations as they progress. We still have two months between now and the September 30th termination date. Let us hope that the Administration will be reasonable and we can come to a satisfactory resolution of this unfortunate situation.

Stay tuned.

Charlie
--
Charles J. Parrish
President, AAUP-AFT, Local 6075, WSU Chapter
Vice President-at-Large, AFT Michigan
President, AAUP Michigan Conference
Member-at-Large, National Council, AAUP
5057 Woodward Avenue, Suite 3301
Detroit, MI 48202
313.577.1750

Monday, July 27, 2020

07/27/20 Governor O'Brien's Response to President Wilson-Demand to Bargain

Dear Colleagues:

The following is Governor Sandra Hughes O'Brien's message to President Wilson regarding the Demand to Bargain and the situation with the Clinical Faculty in the School of Medicine.

============================================================

Date: 07/27/2020 11:39 AM

Subject: Re: Demand to Bargain -- School of Medicine Clinical Faculty


Roy, what in the world is going on? By my calculations, this is the 3rd time I've asked why your Dean is moving forward with this plan. My requests have been met with silence. The governing board has not been advised as to the strategy behind this move, despite requests. This is totally unacceptable. Perhaps my prior requests were unclear; so I'll make this quite plain...What is the purpose or strategy of a move like this? 

A Dean of a college or school has neither the power nor authority to unilaterally change the faculty salaries of an entire school/college by purposefully sidestepping the Union; ignoring the negotiated collective bargaining agreement; and deliberately concealing his intentions from the governing board. I sincerely hope that your Dean is not trying to sidestep the Union and the Board concerning faculty salaries. Schweitzer was not hired to undermine University policy and process. Violating University policies and process and attempting to sidestep or undermine our rules and regulations around the salaries of our faculty would be the surest way for a dean to find himself on the bad side of the Board and that never ends well.

Schweitzer trying to force this unilateral move makes me think that you're trying to balance the university's books on the backs of our revenue-generating clinical faculty. But I wouldn't know, because you've not kept us informed.

No compensation documents should be sent to any of our represented faculty without a negotiation with the Union under the Collective Bargaining Agreement followed by approval of any compenstaion action by the Board. No faculty member should feel obligated to sign any document that has not been transparently negotiated with the Union on their behalf under the Collective Bargaining Agreement and then submitted to the Board for approval.

Non-transparency does not work. You need to fix this now.

Thank you!
Sandy
Sandy Hughes O'Brien, Esq.

==========================
Charlie
--
Charles J. Parrish
President, AAUP-AFT, Local 6075, WSU Chapter
Vice President-at-Large, AFT Michigan
President, AAUP Michigan Conference
Member-at-Large, National Council, AAUP
5057 Woodward Avenue, Suite 3301
Detroit, MI 48202
313.577.1750

07/27/20 Demand to Bargain -- School of Medicine Clinical Faculty

Good Morning, Boris:

Attached please find a Demand to Bargain regarding Clinical Faculty in the School of Medicine.

Please contact me regarding this matter.

Sincerely,

Charlie

--

Charles J. ParrishPresident, AAUP-AFT, Local 6075, WSU ChapterVice President-at-Large, AFT MichiganPresident, AAUP Michigan ConferenceMember-at-Large, National Council, AAUP5057 Woodward Avenue, Suite 3301Detroit, MI 48202313.577.1750



Tuesday, June 23, 2020

06/22/20 Message Regarding School of Medicine Clinicians

Dear Colleagues:

Latest Administration Proposal.


It is difficult to imagine that physicians - members of a greatly esteemed profession, can be transformed into threatened and exploited employees. Yet, this is the case of the clinicians on the faculty of the Wayne State University School of Medicine (SOM).

The Failures of WSUPG Leadership.

The story of the leadership of the WSU SOM is not one of unvarnished success. In fact, it is the opposite. Most medical schools of the size of ours have over 1,000 clinicians who generate an income stream for their medical schools through their provision of services to patients. At Wayne, that number currently stands at around 300. The number of faculty clinicians at Wayne has decreased substantially over the past five years with a corresponding revenue decline that was a major factor in the bankruptcy of the Wayne State University physician practice plan, UPG. The departure of the overwhelming number of the faculty clinicians in Pediatrics to the medical school at Central Michigan has only worsened this situation. During the past five years, neither the WSU SOM nor the UPG have been attractive places for clinicians to work, and they have had problems recruiting clinicians and keeping them as employees. While the WSU UPG may have emerged from bankruptcy, its shaky financial situation has not been overcome. That Dean Mark Schweitzer announced cuts in the salaries of UPG clinicians of 20% in May, 30% in June and 50% in July is not an indicator of a stable financial situation. In any organization that finds itself in such a situation: the responsibility first falls on management.

Uncertainties in the Relationship between the SOM and UPG.

The situation of the faculty clinicians in the SOM is uncertain at best under the present situation and proposed changes. These faculty members have been paid until now from two sources: the University and the UPG (or one of the other smaller practice plans). They mostly have year-to-year term contracts with the University and a separate employment contract with their practice plans. Mostly, their contracts end in September, 2020. It was the Dean’s proposal that such faculty members be terminated on that date and be employed in the future solely by their practice plans. That plan has been superseded by a newly announced plan. The average period of service for the clinical faculty is almost two decades, with the dates of first hire going as far back as the 1970s. These faculty entered academic medicine due to a commitment to scholarship, teaching and service and have served the University for many years. The Dean’s proposals erases the basis for this and transforms our clinicians from faculty colleagues into ordinary employees of a business enterprise. Although alternative proposals have been generated in the past few days, each is likely to have the same outcome if allowed to be implemented.

Within the practice plans, employees have at-will contracts under which they can be terminated for any reason, or no reason, with only 60-days notice. In addition, there is a non-compete provision whereby if the clinician leaves or is terminated by the practice plan, she/he cannot be employed in the Metropolitan Detroit area. Moreover, the benefits in health insurance and retirement provided under the practice plans are in no way comparable to those provided by the clinicians’ present University appointments.

Latest Administrative Action.

Vice Dean for Financial Affairs, Douglas Skrzyniarz has announced that the Administration would unilaterally impose a new compensation scheme for members of our clinical faculty. There is no doubt that this would constitute a change in the salaries, terms and conditions of employment for these faculty members. There was no negotiation with the Union over these changes. The Administration has been notified that implementation of these new compensation rules cannot be carried out until they are negotiated with the Union. Our present Collective Bargaining Agreement (CBA) does not end until March, 2021. Our notice to the Administration is attached to this message.

Academic Governance.

The University gives lip service to the idea that it operates under constraints exercised by the operation of the structures of academic governance. In the WSU School of Medicine, there are regular elections to the Executive Committee of the Faculty Senate, which is made up of all faculty members on at least one-half time appointments. The Senate elects the members of the Executive Committee, which is charged to: “advise the Dean on matters of policy pertaining to the functioning and organization of the School.” Article VII of the Bylaws lays out the committees of the Senate that deal with important academic governance activities, making decisions on salary increases, promotion and tenure, advising the Dean on the finances of the School through the Budget Committee, and on Curriculum, Technology, Graduate Affairs and Research. These committees are replicated in each department to carry out similar functions at that level.

Participation in such activities of academic governance is commensurate with being a faculty member. It provides responsibility and professional autonomy. If the Dean’s proposal is implemented, all of these professional activities on the part of the affected clinicians will be lost. In addition, their critical contributions to multiple activities within the broader University mission will likewise be lost. They may no longer be professors, but could become employees of the practice plan which has no structures comparable to those of academic governance that ensure participation in the formulation of the policies.

Who has power over what?

A consideration that one must always take into account when thinking about organizations is the structure of power within them. Power in the practice plans is overwhelmingly in the hands of management. The setting of the monetary value of work units (used to compensate clinicians), the administering of patient appointments, and the general management of the delivery of patient services are all in the hands of the managers. When there is a change in policies, there is no requirement that management consult with those who are most affected by them. The reality is that, while the rationale for changing the employment situation of our clinicians is that the SOM is in a financial crisis, the result is also that it further concentrates power in the hands of the Dean. If his proposal had been adopted, every clinician would be more under his personal power. He is already in a position of dominant power through his present control of the WSUPG. But, increasing one’s control over a shrinking organization may be self-defeating in the longer run.

What Solutions Are There?

Not surprisingly, our solution is to do what good unions do: organize and represent the interests of the organized vigorously. That is the intention of the Union leadership. We have filed our objection with the Administration. We are expanding our consultation with our clinical faculty members. If the Administration is not responsive to our demand to bargain we have a number of legal remedies, and we intend to employ all of those to which we need resort. The Administration is attempting unilaterally to change the salaries, terms, and conditions of employment without bargaining them with the Union as they must. We are opposing this action on behalf of the clinical faculty members we represent.

In Solidarity,

Charlie

--
Charles J. Parrish
President, AAUP-AFT, Local 6075, WSU Chapter
Vice President-at-Large, AFT Michigan
President, AAUP Michigan Conference
Member-at-Large, National Council 
AAUP 5057 
Woodward Avenue, Suite 3301
Detroit, MI 48202
313.577.1750

 


06/11/20 MEETING WITH DEAN MARK SCHWEITZER

Dear Colleagues:

I had a meeting this morning with Dean Mark Schweitzer. It was a get-to-know you meeting arranged by the previous Dean, Jack Sobel, who also participated in the meeting.

After the usual pleasantries, current issues dominated the conversation. Of these, the one that took up most of the conversation was Dean Schweitzer’s floating of a proposal that all Clinical Faculty members be terminated as of September 30th, and become solely employees of the Wayne State University Physicians Group (WSUPG). They would no longer be regular WSU Faculty members as of that date. Many of these Clinicians have been on the WSU Faculty for decades, almost 50 of them were hired during the 1990’s, and some as far back as the 1970’s. An estimated 250 or so Faculty members would be affected.

I pointed out to Dean Schweitzer how unpopular the proposal was among the Faculty members of the Medical School. Many of the Clinicians felt that they were not being respected despite their many years of service to the University. Dean Schweitzer explained that he was having to deal with many problems, some of which were related to the bankruptcy of the WSUPG. (He had had to announce a cut in the WSUPG salaries by 20, 30 and 50 percent over the next three months in order to address its financial problems.) In this context, and that of the experience of the last several years in which outside consultants had a dominant role in SOM affairs, it should come as no surprise that the Faculty members being affected by the proposal viewed it with a jaundiced eye.

A consideration of many of the Faculty Clinicians also had to do with changes in health and retirement benefits that would come with a change to full employment solely in the WSUPG. Further, where employment as a WSU Faculty member was guaranteed by a term contract of a year or longer, employment contracts in the WSUPG can be terminated with only 60-days’ notice. The contracts also contain non-compete clauses that would prevent a dismissed Clinician from taking another job in the Detroit Metropolitan Area for a significant period of time.

Dean Schweitzer listened carefully and articulated his perspective throughout a reasonable discussion. Former Dean Sobel commented that the new Dean had been appointed in a difficult time, in the midst of a “tsunami.” I agreed with this, but there was no doubt that the Dean’s proposal had a strong, and, perhaps unanticipated, impact throughout the School. Dean Schweitzer recognized this and, without a clear commitment to particular future actions, stated that he appreciated my frank contributions to the discussion. I said that that would always be my approach to communications with him in the future.

The meeting ended with no commitment on the Dean’s part with respect to the controversial proposal. However, he also had not made up his mind on whether or not to go forward with it.

In solidarity,

Charlie

--
Charles J. Parrish
President, AAUP-AFT, Local 6075, WSU Chapter
Vice President-at-Large, AFT Michigan
President, AAUP Michigan Conference
Member-at-Large, National Council, 
AAUP 5057 Woodward Avenue, Suite 3301
Detroit, MI 48202
313.577.1750

Monday, May 18, 2020

05/08/20 Governor Busuito's Response To President Wilson's recent message

Dear Colleagues:

I appreciate President M. Roy Wilson’s thanking me for extending the discussion of issues between Board of Governors’ members and him in his most recent message to the Faculty and Academic Staff. The issues are important to the University. 

The conflict at the top level of the University has contributed to a loss of confidence in the President and the Board among the members of the Faculty and Academic Staff. Only 29% had strong confidence (11%) or confidence (18%) in the President, while 41% had little confidence (20%) or very little confidence (21%) in him with 30% having no opinion. The AAA survey found comparably low levels of confidence in the Board of Governors. (AAA Report, Ques.1f and 1g, pp. 15 and 16) 

The turmoil at the top levels of the University, budget cuts, and questionable leadership decisions have taken their toll on the morale on the Faculty and Academic Staff. When asked how they would assess the morale of the members of their unit or department, the AAA survey found that one-half (50%) said that it was either low (32%) or very low (18%), and only 19% said that it was either high (16%) or very high (3%). (AAA Report, Ques. 9, p. 52) When the survey asked whether or not the members’ morale had improved or gotten worse over the past five years (roughly the term of President Wilson), 54% said that it had gotten either worse (36%) or much worse (18%), while about one-third (32%) said that it was about the same. Those saying that morale had either improved (11%) or very much improved (3%) only totaled 14 %. (AAA Report, Ques. 10, p. 53)

When asked specifically about the contribution of President Wilson’s manager of health and medical affairs to the School of Medicine “Three-quarters of the applicable respondents rate Mr. David Hefner’s contribution to the development of the School of Medicine as negative or very negative. In fact, more than half (53%) rated his contribution as very negative.” (AAA Report, Ques. 6a, p. 46)

The picture that emerges is that leadership of Wayne State University leaves much to be desired in the view of the Faculty and Academic Staff. These survey results will be explored in the future and put into a broader context. But for now, I have been asked to forward Governor Busuito’s response to the President’s recent message to the members of our Bargaining unit. It follows below.

------------------------------------------------------------------------------------------------------

May 7, 2020

Dear Professor Parrish,

Please find attached my response to President Wilson’s message sent out to the WSU community on May 6, 2020. I again challenge him on the facts, and his message appears only to distract from, as opposed to clarify, the real issues that I raised at the BOG meeting of May 1, 2020. 

Medical School Tuition

I believe that the vote to approve tuition was based upon incorrect information presented to the BOG during its budget and finance committee meeting on May 1, 2020. They were told that 35% of our medical students leave WSU without debt, and the remainder of students leave with an average debt of only $100 thousand at graduation. Many medical students have indicated that these numbers are erroneous. They tell me that the numbers are closer to 8-10% without debt (meaning 90% plus have debt) with an average of $200 thousand in debt, NOT counting their undergraduate debt. Placing more debt burden on our students at this time when so many people have economic challenges is just wrong; especially when we have another source of funding (PEPPAP dollars) that could be used to protect our students from a tuition raise.

Racial Disparities and Enrollment

I used the Wayne State University Fact Book data for the period of President Wilson’s tenure. My specific concern was a drop in African-American enrollment to WSU by 32% under the tenure of President Wilson.

PEPPAP Funds

PEPPAP are acquired through Medicaid Claims generated by WSU faculty and affiliated groups. This is clinical revenue generated due to WSU faculty providing care to the underserved in the Detroit metropolitan area. This money is intended to reimburse care providers who do not otherwise receive payment from patients or insurance providers. These PEPPAP monies have been diverted to WSU accounts under David Hefner and Rebecca Cooke. These funds are now approximately 80 million dollars and their diversion from the care providers who earned them is currently before the courts. Hoarding this money, if legally diverted as this administration claims, is a disservice to medical school students, the faculty and the university at large. The faculty generated dollars should be retained by the physicians generating the dollars. This was the intent of PEPPAP. This was the point I raised in my letter to you.

Bottom line is that the purpose of PEPPAP is to “increase access to health care by boosting the pay of physicians who work in poor or underserved areas.” How is it not stealing from the physicians when they provide the care and then WSU takes WSUSOM faculty money so that WSU will not “be viewed negatively by the crediting agencies?” WSU takes the money of the physicians and then criticizes them for being a financial burden. This is wrong. WSU is now punishing our front line COVID-19 responders, our physicians, staff and students, by cutting salaries and raising student tuition after taking their generated funds. I say that the handling of the PEPPAP dollars has defeated their purpose of increasing access of health care to the poor. Questions posed to this administration regarding these issues are integral to the future of WSU. This administration chooses to attack BOG members who pose important questions regarding the stockpiling of the PEPPAP funds. In May, 2019, MDHHS reported that “it is not the state’s role to get involved with a dispute between a public entity and one of its subcontractors.” They went on to say that they “would be happy to review the results of any independent audit of Wayne State University’s administration of the PEPPAP program, should they choose to pursue such a formal review.” [source: Crains Detroit Business 4/16/2019 and 5/9/2019] Quit pretending that there is an impending state audit and proceed with a forensic accounting, as none has ever been presented to the Board.

Higher Learning Commission

Michigan’s three largest universities: WSU, MSU & U of M have boards that are elected by the people of Michigan. The purpose of university boards is to provide oversight representing the people of Michigan by sound fiscal policy. Our only employee is the president of the university. Those of us who ask questions about the President’s actions have been attacked by the President and his team. Asking questions of the President is our job. We are elected by the people of Michigan to oversee the use of university monies. To suggest BOG members should “resign for not supporting the President” indicates that there should be no oversight of the President and WSU funds. It is also inconsistent with the State Constitution and the bylaws of the University. This board must not act as a rubber stamp for President Wilson’s initiatives. There must be University oversight for his questionable financial practices. This is not a monarchy. We will continue to ask questions and demand a forensic audit.

Michael J. Busuito, M.D., F.A.C.S.
Member, WSU Board of Governors 
--------------------------------------------------------------
Stay well, stay safe and enjoy the weekend!

Charlie
--
Charles J. Parrish
President, AAUP-AFT, Local 6075, WSU Chapter
Vice President-at-Large, AFT Michigan
President, AAUP Michigan ConferenceMember-at-Large, National Council, AAUP5057 Woodward Avenue, Suite 3301
Detroit, MI 48202
313.577.1750

Monday, May 04, 2020

05/04/20 Board of Governors Discussion

Dear Colleagues:

The meeting of the Board of Governors (BOG) was not as personally contentious as have been other such meetings, but it was not without important controversy. The chief issue that sparked conflict was that of the proposed tuition increase for Medical School students. There were two discussions of the matter: first in the Budget and Finance Committee Meeting in the morning; and, second, in the formal meeting of the Board in the afternoon. In the morning committee meeting, there was representation of the Academic Senate and the student government. After a lengthy discussion, the Budget and Finance Committee voted to endorse the proposed increase in the Medical School tuition. The Academic Senate and the Student representative voted against the increase, but a majority of the committee, made up of members of the BOG, endorsed the increase.

In the formal afternoon meeting of the BOG, the tuition recommendation of the Budget and Finance Committee was on the agenda. There was an extensive discussion in which the newly appointed Vice President for Health Affairs and Dean of the School of Medicine, Dr. Mark Schweitzer, gave a detailed presentation in support of the Administration’s recommendation. In the course of the discussion, he also announced a 50% cut in the salaries of the Clinical Faculty in the School of Medicine. (This is not a cut in the WSU salaries of these physicians. They are protected by the Collective Bargaining Agreement; it is in the additional, and historically larger, salaries that they get from the faculty practice plans.) After a vigorous discussion, the Board voted 5 to 3 to endorse the tuition increase.

Late in the meeting (after the 42 minute mark), Governor Michael Busuito read a statement focused on the matter of the PEPPAP Medicaid funds that were at the heart of the court case between the University Pediatricians (the Faculty practice group that has cut its ties to WSU and moved to Central Michigan University). WSU won a favorable decision in court, and now has court sanctioned control of the $79 million in the PEPPAP account. Busuito argues that given the availability of these funds that a student tuition increase could be avoided.

At the end of Governor Busuito’s statement President Wilson stated that, “There were so many inaccuracies in there that I don’t know where to start but I’ll just say that we just move on and maybe at a later time I’ll be able to address some of the inaccuracies.”

If you would like to listen to the discussion for yourself, it can be found at: https://www.youtube.com/watch?v=f5SPUH8VZlk&feature=youtu.be

It is worthwhile to provide the larger University community with Governor Busuito’s statement so that a broader understanding can be had of issues confronting the University. This is particularly important given that the School of Medicine has been a multi-million dollar drain on the University budget over recent years. We can look forward to the President’s response to be able to evaluate whether it refutes whatever “inaccuracies” he found in Governor Busuito’s statement.

Governor Busuito’s statement:

I absolutely oppose a WSU School of Medicine tuition increase. We are in the midst of the greatest crisis to challenge this country since WWII. Currently our students are unable to adequately access the hospitals, the labs, the clinics and the classrooms, thus being denied the educational experience for which they paid. The pandemic is not the fault of the students or the university, however, to raise tuition at this time is dishonest, immoral and unconscionable. I add this proposal to the growing list of strategies that I have opposed coming from this administration. It is no secret that I believe that a change is long overdue.

We give this administration yearly tuition increases and the results have not been acceptable. As an example, they claim to be experts in addressing racial disparities. Over the past 8 years, despite an overall 7% decrease in enrollment, our enrollment of white students is up 4% while it is down 32% for African-Americans. The number of degrees and certificates awarded is up 20% for our white students and down 10% for our African-American students. While we bleed faculty our administration has bloated by 22%. This is not an acceptable trajectory.

Last week I asked why we would increase tuition on our medical students when WSU has an account of over $79 million dollars of PEPPAP monies. It was always my understanding that the intent of the PEPPAP dollars was to “increase access to health care by boosting the pay of physicians who work in poor or underserved areas.” That is what our WSU physicians do. The percentage of PEPPAP dollars that was paid to the physicians who provided their care to poor people was drastically changed after David Hefner was put in charge of Health Affairs by Roy Wilson. Traditionally, pre-Hefner, the tax on the PEPPAP dollars involved a 6% administrative fee and a 6% Dean’s tax. The rest of the money went to the physicians who delivered the care. Hefner set a goal to increase the tax on the physician’s payments from 12% to 60%. To justify this he brought in Larry Gage from Alston and Bird, an alleged expert in PEPPAP programs. Mr. Hefner never got a formal legal opinion but instead an initial “high level” assessment. I will quote from Hefner’s presentation to the board of February 8, 2018 regarding Gage’s opinion.

- “WSU has the ability to assess the following fees on the Program funds: Institutional Adjustments, Dean’s Taxes and Administrative Fees.”

- “Once the funds have been received from the State and the Health Plans, WSU has broad discretion in determining the uses for which adjustments may be applied.”

- “WSU’s established principle is that these adjustments are to be earmarked for specific purposes that align and contribute to the mission and goals for the program.”

- “Institutional Adjustments are applied towards academic support and mission-related clinical access programs. Some examples include but are not limited to: Training programs and institutional support to increase supply of specialist/sub specialist physicians and the health professions.”

Don’t all of these apply to the mission of our School of Medicine?

At a board meeting of May 7, 2018 the board was presented with a PEPPAP Funding Summary slide. It showed a fund balance of $61.5 million dollars after expenditures of over $11.5 million dollars. This was the first time that I know of that the board was made aware of this account. We asked what this money represented and we were told that these funds came from the PEPPAP dollars generated by our pediatricians. Governor O’Brien asked David Hefner why there were expenditures from the account of $11.5 million and he stated that it was for “consultants and to pay bills.” Governor O’Brien asked for an accounting of the monies spent and we still have not been provided with the data.

Last Sunday I asked for an accounting of the PEPPAP monies in WSU accounts, especially the expenditures from those accounts. I still do not have the complete information but I will share with you my reasons for opposing the tuition increase based on the incomplete information that I received. The end balance in 2015, Hefner’s first year was $4.7 million. It then grew to $28.5 million in 2016, $47.4 million in 2017 and $62.4 million in 2018. The expenditures during that period were over $150 million. The balance on the account is currently $79 million.

When I asked last Sunday why would we increase tuition on our students when we had tens of millions of PEPPAP dollars available to us I was given the following response: “WSU did not withhold money owed to UPeds. Further the $61 million has no relevance to UPeds. These funds were never intended to defray the costs of medical education programs. Given increased scrutiny of these funds by the state and CMS, WSU is interpreting allowable uses of these funds very conservatively.”

Without a physician seeing a patient and generating a Medicaid claim there are no PEPPAP dollars. These are clinically generated dollars. I cannot find anywhere in the PEPPAP guidelines where it says that the intended use of these dollars is to hoard PEPPAP monies in a WSU account and let them collect dust. I see nowhere in the government’s guidelines where it says that it is OK to stockpile PEPPAP dollars in a WSU account in the hope that this board will change in the coming election to give the president a fifth vote so that he can try carry out his pet projects, like trying to give our school of medicine to Henry Ford Hospital, a deal that provided no solution to our problems and no pledge to support of our research. When the Higher Learning Commission president was recently brought in to push a Code of Conduct to silence the president’s critics on the board she was informed that four board members irreversibly lost confidence in this president. She was asked what she would do under the circumstances and she told us that she would resign. Mr. President, your failure to resign in the face of a split board has paralyzed this university. You split this board.

Now you hold $79 million dollars of the hard-earned money of our physicians and you want us to burden our students with an increase in tuition during a national crisis. By letting that money sit while you are waiting for political change how are we not stealing that money from the physicians who generated it and the School of Medicine? Is this why we lost our pediatricians to CMU? Is this why our pediatricians are suing us? Is this why WSUPG went bankrupt? Is this why the School of Medicine is in need of money? If we believe the justification of David Hefner and Larry Gage for taking the money in the first place then a perfect use for these dollars is to avoid a tuition increase on our students.

To avoid a tuition increase would entail using less than 2% of the hoarded funds. To ask the students to bear this burden would be dishonest, immoral and disgraceful. I will not support a tuition increase. Furthermore, since I don’t have a fifth vote I ask that the students, faculty and taxpayers support my request for a forensic audit in light of the blackbox accounting that has been used to manage our PEPPAP dollars.


Stay well,

Charlie

--Charles J. ParrishPresident, AAUP-AFT, Local 6075, WSU ChapterVice President-at-Large, AFT MichiganPresident, AAUP Michigan ConferenceMember-at-Large, National Council, AAUP5057 Woodward Avenue, Suite 3301Detroit, MI 48202313.577.1750

Saturday, March 07, 2020

11/06/19 Statement on the Present Leadership Situation at Wayne State University

Colleagues:

When I met with President M. Roy Wilson after he accepted the Wayne State University presidency, I found that there was much on which we agreed. First of all, that the problems of our School of Medicine were paramount. WSU is in the highest category of research universities only because of the scholarly activities of our medical school. Its success is vital for our future. We both agreed that the relationship between the medical school and the Detroit Medical Center was a burgeoning problem. I came away from my first meetings with President Wilson optimistic and full of hope that maybe we would be making progress under his leadership.

Wilson and Hefner.

After President Wilson came to town, things changed. He hired, with no search process and no consultation with the administrators and faculty of the medical and other affected schools, Mr. David Hefner as his Vice President for Health Affairs. Mr. Hefner is not a doctor; his only relevant degree is a Masters of Pubic Administration. He was to be paid an acknowledged $500,000 for a half-time position, and much later we discovered that he was also paid an unacknowledged amount that increased his pay to over $800,000 a year (Detroit News, March 14, 2019). Mr. Hefner brought in other expensive consultants. Mr. Hefner’s record at other institutions is that of a top-down, my-way-or-the-highway health business executive.

Wilson and Hefner’s Impact.

Mr. Hefner’s efforts were, in the end, disastrous. When he came to WSU, our Department of Pediatrics was among the top 20 programs in the country. Today, it is facing the final stages of its destruction. A major factor in this was Mr. Hefner’s heavy-handed tactics. In a meeting (August 2017) with the Pediatrics faculty, he told them, with President Wilson and the medical school Dean present, that if his proposed new agreement was not signed that faculty would not be paid from the coming November. He told the President of the University Pediatricians, “I will crush you,” if she did not support his proposed new agreement with the WSU Administration. When the University Physicians Group, the general faculty practice plan, went bankrupt, the Pediatrics faculty discovered that President Wilson had allowed Mr. Hefner to divert substantial Medicaid funds intended for service providers to other purposes as “institutional adjustments.” The Detroit News (October 30, 2019) has reported that there is a current FBI investigation into that matter. Today, as a result of the Wilson-Hefner decisions, our Pediatrics faculty members are facing a future that neither they nor anyone else wanted, as adjunct faculty members of the Central Michigan University medical school, and it appears that they will soon no longer be members of our faculty. It may not be too late to avoid this outcome, but nobody, particularly President Wilson, is trying to head it off. Without an effective Pediatrics Department, the medical school’s accreditation may be in jeopardy.

The Henry Ford Failure.

Mr. Hefner suggested to the School of Medicine’s Faculty Executive Committee that he, with his knowledge of the health business environment and his contacts, would negotiate a new and favorable agreement with the Tenet Corporation, the owners of the DMC. He failed. He and President Wilson then turned to the Henry Ford Health System to negotiate an agreement for it to become our clinical partner. This was done with little consultation with the medical school faculty or the WSU Board of Governors. When our Board of Governors came to understand the proposal’s details, a majority felt that it delivered far too much control over our medical school to Henry Ford. When I read the proposal, I agreed. A majority (6 to 2) of the Board rejected it and ordered the President to fire Mr. Hefner. He did.

WSU’s Urban Mission.

President Wilson’s leadership is also problematic in a different area: WSU’s urban mission. The University has increased its percentage of African-American students who graduate in six years. This was done, however, by dramatically cutting the overall number of African-American students attending WSU: in 2009 there were over 8,000; in 2018 there were just over 4,000. The Administration raised the entrance requirements to a level which excluded many less well-prepared Black students who came from academically weak high schools. The Wilson Administration has acknowledged that the much-publicized Detroit Promise program will have an impact on only around 100 or so students. Wayne State’s opportunity to help thousands of Detroit area African-American students through admissions and remedial help became, instead, a publicity stunt involving a small number of students that enticed both Governor Gretchen Whitmer and Mayor Mike Duggan to appear at its announcement.

Managing Board Relations.

The problems that face Wayne State are serious and stubborn. Much time has been lost in meeting them during the five-year tenure of President Wilson. Conflict escalated with the WSU Board over such matters as his contract extension, utilizing the votes of two members of the Board who had already been defeated in the recent election. Attempts to frame the conflict as a matter of race have only needlessly exacerbated quarrels. The political maneuvering at the Board level has undermined its and the President’s effectiveness. In any university, the management of its Board is a paramount job of its president. President Wilson has been ineffective in this role at WSU, leading to the current paralysis in leadership.

President Wilson’s Challenge.

Given the record, if President Wilson is to survive in the present situation, he must change. He must devise programs and plans that appeal to most, and preferably all, members of the Board and across the University. He has personally attacked individual members of the Board and that must stop. He must accept that all Board members are equally legitimate representatives of the voters of Michigan who elected them. However much it pains him, he must work with them all.

Can President Wilson do this? I do not know, but the past record does not inspire great confidence. But, the challenge is his and his alone.

Charlie

--
Charles J. Parrish
President, AAUP-AFT, Local 6075, WSU Chapter
Vice President-at-Large, AFT Michigan
President, AAUP Michigan Conference
Member-at-Large, National Council, AAUP
5057 Woodward Avenue, Suite 3301
Detroit, MI 48202
313.577.1750

08/21/19 Update on Pediatrics

University Pediatricians at Wayne State University:
Here Yesterday, Gone Today

Charles J. Parrish, President

WSU AAUP-AFT, Local 6075

On August 6, 2019, The President of the University Pediatricians (UP), Dr. Mary Lu Angelilli, issued a statement announcing that a deal had been cut between the Director of Medicaid for the State of Michigan and the UP that will move the flow of Medicaid funds to it from Wayne State University Medical School (WSUSOM) to the School of Medicine at Central Michigan University.

This is almost the last step in the process of separation of the UP from the WSU. The UP had been the faculty practice plan for the WSU Department of Pediatrics for over two decades. The UP clinicians were compensated for the delivery of patient services primarily through Children’s Hospital. The conflict with the Wilson Administration has led to moving the affiliation of UP from WSU to CMU. There are a host of questions and disruptions that are unresolved in the pursuit of this by the UP leadership. There is no doubt that this was abetted by the reluctance of the Wilson Administration to deal with the UP and vice versa. The irony is that both sides maintain that they have always been open to negotiations with the other and blame the other for the lack of progress. But meanwhile, nothing got done.

Where Do We Stand Now?

The following is a brief summary of the situation as I see it:

1. Board of Governors Lawsuit Continues. The lawsuit over the question of whether or not the Board of Governors actions taken in the meeting in which the President, M. Roy Wilson, in his non-voting ex officio, was counted in order to establish a quorum, are still in court. A confusing ruling by Circuit Court Judge Cynthia Diane Stephens allowed WSU to act on the measures passed by the BOG in the questioned meeting, ruled against the plaintiffs on the open meetings issue of their suit, but allowed them to appeal the matter of whether the President legitimately could be counted as part of a quorum for the meeting. The plaintiffs have filed an appeal on the quorum issue with the Michigan Court of Appeals. If the plaintiffs prevail, it could negate the actions taken in the meeting in question, including the action on the acquisition of access to the building on Mack Avenue to house the new practice plan, Wayne Pediatrics, and force the Board to reconsider the matters in another meeting.

2. Conflict with UP. The tension with the WSU Administration and the UP has been long standing and has been primarily over finances. Issues came to a head in an August, 2017 meeting between the UP members and senior WSU administrators. President Wilson, Vice President for Health Affairs David Hefner and Dean Jack Sobel attended the meeting and demanded that the UP sign a new agreement with WSU. It was threatened that if the agreement was not signed, that the faculty would not be paid beyond November 2017. Such threats put increasing pressure on the UP leadership to pursue alternative options. Efforts by the UP leadership to get either the University of Michigan or Michigan State University to absorb the UP faculty became more intense. They ultimately failed.

3. Who’s to Blame? President Wilson blamed the UP leadership for the failure to get an agreement. He told Crains (August 8, 2019) that “the university was forced to create its own practice plan only after UP began planning in the fall of 2017 to leave Wayne State and began talking with the University of Michigan, Michigan State University and finally Central Michigan.” He failed to mention the contentious August 2017 meeting in which he threatened not to pay the faculty if the UP did not sign their new agreement. He also avoided discussion of the diversion of millions of dollars by WSU to its own purposes as “institutional adjustments.” These funds would have gone to the UP in Medicaid payments but for these diversions.

4. Wayne Pediatrics. The recruiting efforts of the WSU School of Medicine of clinicians to the faculty, led by the Chair, Herman Gray, of the WSU Department of Pediatrics, are proceeding. WSU has terminated a few faculty members associated with the leadership of the UP and is offering present faculty members two-year contracts with signing bonuses to stay at Wayne State and participate in the new faculty practice plan, Wayne Pediatrics (WP). Dr. Gray expressed concern to Crains (August 8, 2019) about whether the UP will oppose allowing WP physicians to practice at Children’s Hospital. Further, it is unclear as to whether or not the non-compete clauses of these faculty members’ employment contracts with the UP will be enforced. These factors introduce considerable uncertainty into the situation.

5. Rebuilding the Department of Pediatrics. In the mishandled politics of the Department of Pediatrics there is enough blame to go around. The past is past: the question is what to do in the future. The efforts to rebuild what was once one of our best departments, in clinical practice, in research and in teaching in the School of Medicine, are presently centered around the attempt to make the new faculty practice plan economically viable. The success of these efforts will depend where clinical practice will be carried out. Those faculty members who are primarily researchers will continue pretty much as they have in the past. But, the level of effort overall in rebuilding the Department should not be underestimated. It may take decades in the best of circumstances.

6. UP Becomes Just Another Physicians Business Group. There is little doubt that a goodly number of clinicians will remain with UP in its new form as a physicians’ business group. They will have to accept whatever faculty arrangements can be worked out with CMU and become faculty members in its medical school. The loss of prestige and collegial interaction that comes with being a faculty member in a department in a large research university will have to be accepted by those who remain with the UP as it becomes just another business group providing clinical services, primarily at Children’s Hospital.

7. The WSU School of Medicine Faces the Future. The problems of Pediatrics is but one of a series of complex issues that will shape the future of the WSU School of Medicine. The University is presently searching for a new Vice President for Health Affairs who will also be Dean of the WSU School of Medicine. The question can be raised as to what experienced medical school administrator would want to risk her/his career by plunging into a situation in which there are so many uncertainties? The question of a needed long-run hospital partnership is unresolved as are other serious issues.

8. Searching for a New Leader in Health Affairs. In a meeting between the Search Committee for the joint position of Vice President and Dean and the medical school faculty recently, I raised the question of whether or not we should delay the search and try to settle some of the unsettled dimensions of the present situation before proceeding with the search. President Wilson responded that he knew many people who he could convince to be candidates, and that he was sure that he could prevail on a well-qualified person to fill the position. I believe that that question remains open and that the alternative of delay should be considered. Both the University and the School of Medicine need stability. At present we do not have it.

04/22/19 Message to bargaining unit members

Response to President Wilson

President M. Roy Wilson, in a message to the Department of Pediatrics faculty, again mischaracterizes my position in relation to the controversies surrounding the conflict between the University Physicians (UP) and his Administration. The issue continues to be the matter of the proper allocation of the Medicaid Enhancement Physician Payment Program (MEPP) federal and state funds sent to the University by the Michigan Department of Health and Human Services (MDHHS). In his message he states that he has asked the MDHHS for a review of how these funds were handled and whether they were properly reallocated in appropriate amounts to the clinical services. Good! What has been asked of him in relation to this matter is for him to order a transparent accounting for these funds. This can be done without waiting on action by the MDHHS.

President Wilson called my last message to bargaining unit members as “misleading” because I relied on the report of facts by Jay Greene of Crain's Detroit Business. Mr. Greene’s statement that there needed to be a transparent accounting for the funds was quoted. President Wilson could have provided such an accounting anytime since the beginning of this controversy.

President Wilson also states that now that since he has called for a MDHHS investigation, he is instructing his administrators “not respond to media requests” about the MEPP funds, because the issues are “so difficult to understand.” My view is that the issues are not complicated. The Administration’s legal rationale for their actions may be complicated. But, even that has not been made public so that we can judge the matter.

The issue is separable into three easily understandable questions:

1. How much money came to the University under the MEPP program?
2. Where did the money go?
3. What is the legal justification for this allocation?

President Wilson has not hesitated in the past to go to the media in these controversies when it suits his purposes. He informed Mr. Greene of Crain's (March 6, 2019) that he was ordering an investigation by “the university’s legal counsel” into some members of the Board of Governors who he concluded had “broken the board's ethics code.” No such code has ever been adopted by the Board. It is unclear on what legal authority the President can investigate those to whom he reports. President Wilson also released to the press an incendiary letter of resignation by Dwight Monson, his consultant who was paid millions, in which he made charges against a Board member. President Wilson has been quite willing to go to the media when is suits his purposes, but he now calls for media silence.

In his message to Pediatrics, President Wilson states that the further discussion of these controversies in the media, “only serves to advance the agendas of those who are not necessarily aligned with what is in the best interests of Wayne State University.” I am not completely sure whom he is accusing, but I suspect that they include anyone who questions him. As to the members of the Board of Governors, I have interacted personally with each of them and I respect their dedication to the difficult work of setting policy for the University. In my judgment, all of them, whether or not they support the President on whatever current issue is being discussed, have the best interests of the University foremost in their minds as they act in their unpaid official capacities.

Let us hope that as much information as possible will be made available and that the legalities of the situation will be resolved quickly. We need for these controversies to be put behind us quickly.

--
Charles J. Parrish
Professor, Political Science
President, WSU AAUP-AFT Local 6075
Vice President At-Large, AFT Michigan
Wayne State University
Detroit, MI 4820
(313) 577-8160 (office)

04/09/19 Pediatrics Department Update

Dear Colleagues:

The conflict that has been raging around the Department of Pediatrics and the University Administration is complex and difficult to understand even for those whose professional lives are deeply involved in it. This morning’s story in the Detroit News is informative, but it is still worthwhile to try to provide some context for these matters for our members whose professional lives are not directly affected by it. The entire University is involved in the problems of our School of Medicine (SOM). Its financial troubles have impacted the economic situation of the entire institution, as University resources have had to be channeled to it to cover budgetary shortfalls. The future of the members of the bargaining unit that our Union represents is bound up in the solution to these issues.

The Controversy over the Medicaid Enhanced Payment Program (MEPP). Medicaid funds are a mix of federal and state monies that fund patient services provided by physicians to lower income persons who qualify. A portion of these funds are provided by the State to WSU, and in turn, it has the responsibility of transmitting the funds on to the participating practicing plans based upon the services their members have provided to Medicaid patients. This MEPP program is part of the Affordable Care Act (ACA), or as commonly termed, Obamacare. Jay Greene, writing in Crains Detroit Business (April 5, 2019), explains this process:

“Under MEPP, which began in 2004 and is intended to pay physicians who treat Medicaid patients a higher rate to encourage their participation, Wayne State administers tens of millions of dollars of federal-state Medicaid money received from the state to pay 23 contracted clinical service groups, including UP [University Pediatricians], and their doctors for Medicaid services. It is unclear how much Wayne State is paid under the program.

Wayne State takes an administrative fee of 6 percent to manage the program, certify that each group receives the correct amount and that each doctor has performed the billed Medicaid service. It then reimburses the physician groups. There can be delays from three to six months from when the Medicaid service was performed until the group is paid, Wayne State officials said.”

The current controversy was exacerbated with the bankruptcy of the largest faculty practice plan, the University Physicians Group (WSUPG). For some unclear reason, the WSUPG administered the MEPP funds that came to the University for redistribution to the 23 contracted clinical service groups, including the University Pediatricians (UP), the pediatricians' practice plan. A review of the WSUPG bankruptcy documents revealed, to the UP leadership, evidence of WSU keeping much more of the MEPP funds than the 6 percent administrative fees referred to by Jay Greene.

After the present controversy over these matters erupted, the Wilson Administration announced, in conjunction with the Henry Ford Health System (HFHS), its intention to establish a new program, the Urban Children’s Health Collaborative (UCHC), whose goal is to address health problems of children in poverty in Detroit in conjunction with a new faculty practice plan, Wayne Pediatrics (WP). It is understood that the funds for this program are to come from the MEPP program retained by WSU as “institutional adjustments.” Jay Greene writes that: “These institutional adjustments, the amounts of which are unclear in court filings, pay for research, training programs and institutional support to increase supply of specialist and subspecialist physicians and the health-related professions; clinics in underserved neighborhoods; and direct support of primary and specialty departments for Medicaid program purposes.”

Questions are unresolved as to the legality of such expenses being charged to funds derived from a program with the goal of the Medicaid Enhanced Payment Program, which was established to provide higher pay to induce physicians to provide medical care for Medicaid recipients. It is difficult to see how the 6 percent administrative fees retained by WSU alone will provide a sufficient amount to fund the Urban Children’s Health project, and the other expenses that includes the payment of over $25 million for a building to house the WP.

The matter of how much of the MEPP funds WSU has withheld, whether those amounts are appropriate, and how they can be legitimately spent has sparked controversy in the discussions of our Board of Governors. As outlined by Jay Greene, the problem has been that the WSU Administration has, thus far, not provided to the WSU Board of Governors or the University associated faculty practice plans, or to the other associated clinical groups, an accounting of the MEPP funds it has received. The question is: Has WSU kept more of the MEPP funds than the small administrative fees over past years, and some amount for “institutional adjustments,” and in the process shortchanged the various WSU faculty practice plans and groups due reimbursements? This is the basis for the court filings by the UP leadership that have been joined by other clinical groups.

Some members of the WSU Board of Governors, concerned with the questions raised here and the University’s possible liabilities, have slowed the establishment of the UCHC with MEPP funding. Jay Greene stated in the commentary section of his Crains article: “WSU has not provided an accounting of how much institutional support it retains for Detroit-based projects [from the MEPP funds]. UP never knew until recently to ask this question, from my reading of the hundreds of pages of bankruptcy documents. This question should be answered.” There is no doubt that this controversy can be clarified by a transparent accounting of what funds were withheld and on what they were spent on the part of the WSU Administration.

All the members of the WSU Board of Governors are presently attempting to support policies that effectively address the problems of our School of Medicine. It is difficult not to see the situation in Pediatrics as being the most pressing problem that shapes this process. Today, the over 100 faculty clinicians in Pediatrics constitute almost 30 percent of all clinicians in the SOM. The 360 or so SOM clinicians are far fewer than the average number of over 1,000 clinicians in comparable medical schools nationally. It will be a much greater crisis if the University loses the clinicians in Pediatrics. The Pediatrics faculty practice plan is presently developing a relationship with the young medical school at Central Michigan University under which it will replace WSU as the intermediary for the MEPP funds. How that will work out is unclear. Presently, the WSU Administration has been reduced to filing a Freedom of Information Act action to find out what the arrangement is between CMU and the UP.

Conclusion. The conflict between President Wilson and members of the WSU Board of Governors is unfortunate and not helpful to the solution of our complex problems. Those members who are reluctant to endorse new Administration initiatives that are based on the use of MEPP funds have understandable reservations. They are concerned about potential legal problems related to the use of the MEPP funds and what liability the University has if they approve the uses recommended by President Wilson. They are asking how programs can be established or a building bought with money from MEPP funds that may be going through CMU in the future. These concerns are unlikely to be alleviated as long as it is unclear how so many of the issues surrounding these funds are to be resolved.

A first step should be a transparent accounting for the funds that have come to the University in the last five years. The Administration should reveal how much has come to the University, how much has been retained by it, and how much has been transferred to the various clinical service groups. Once the facts of this situation are clear, the parties to the various conflicts (the UP, the Wilson Administration and the Board of Governors) may be more able to work out their differences. A School of Medicine with a strong Department of Pediatrics is a goal that all the parties to this controversy say they seek. Why shouldn’t they sit down and talk about how that can be achieved?

In solidarity,

Charlie Parrish

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Charles J. Parrish
President, AAUP-AFT, Local 6075, WSU Chapter
Vice President-at-Large, AFT Michigan
President, AAUP Michigan Conference
Member-at-Large, National Council, AAUP
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