Governance

Bylaws

THE UNIVERSITY OF IOWA CARVER COLLEGE OF MEDICINE
FACULTY PRACTICE PLAN

ADOPTED SEPTEMBER 7, 1994
REVISED SEPTEMBER 18, 1995
REVISED JULY 1, 2001
REVISED 2005\
Amended June, 2006

 

I

INTRODUCTION

The Carver College of Medicine (CCOM) University of Iowa Physicians (to be designated as UIP formerly known as the “Faculty Practice Plan” and "University of Iowa Medical Services Plan") was established by the Board of Regents, State of Iowa (then the "Iowa State Board of Education") in 1946. It has been, and continues to be, a Carver College of Medicine endeavor, and participation therein constitutes a condition of employment for certain clinical faculty. It is subject to the organizational structure of that faculty within the framework of the University under the continuing authority of the President granted by the Board of Regents.

University of Iowa Physicians (UIP), amended and restated in its entirety herein, represents operational changes consistent with the changing times regarding third party payors, governmental regulations, contractual arrangements with managed care health plans, and other issues. Management of the total clinical physician enterprise has become an essential feature of academic health systems. There is no change in UIP’s dedication to teaching and to the care of indigent patients.

II

STATEMENT OF PURPOSE

The CCOM University of Iowa Physicians (UIP) is established to coordinate and develop the physician clinical enterprise in a group practice setting within the clinical teaching and academic environment of The University of Iowa. The purpose of UIP is to maintain an efficient professional clinical enterprise which assists the CCOM (a) in meeting its primary goals of teaching, research and patient care; (b) in the recruitment and retention of a medical faculty of high quality; (c) in providing faculty incomes which are competitive with the incomes of faculty members in the same disciplines at comparable medical centers in the United States; and (d) in providing financial stability for the faculty by ensuring appropriate charges are made and received for health care services rendered; and in providing governance organization and operations to ensure optimal management of the group practice in its delivery of health care. To carry out this purpose, individual participants in UIP have delegated authority to UIP to enter into contracts and agreements with patients, third party payors and others to facilitate the provision of health care services provided by clinical faculty members and other participants under UIP.

The provisions of UIP are not to be applied or construed or influence the medical decisions and judgments of clinical faculty members in providing health care services to patients, nor shall it be applied or construed to impede or impinge upon any aspects of the traditional relationship recognized to exist between a patient and his or her physician.

For purposes of clinical income management governed by UIP, all contracts for the clinical practices of participants under UIP will be negotiated and managed by UIP with the approval of the UIP Board.

Patients of UIP are the personal and identifiable responsibility of a particular clinical faculty member, other participant under UIP, or other provider approved to practice in the facilities of the University. Such personal and identifiable provision of service is coordinated with the educational programs for students, residents, and fellows.

The clinical faculty members are organized in specialty groups for practice which are identical to the academic and administrative clinical units (departments and other such programs as identified by the UIP Board). Each clinical unit participates in UIP. The head of a department is the administrative leader of both the patient care and academic programs of that unit. Subject to the approval of the UIP Board, each clinical department or program shall develop and maintain policies, practices, procedures and rules to the generation, billing, collection, reporting and fiscal management of clinical income derived from the clinical practice conducted by such unit.

All clinical faculty members of the CCOM must participate in the clinical practice of their respective units as determined by their respective departmental or program practice policies, procedures and rules.

UIP recognizes that as an entity of the CCOM its primary partner in the delivery of clinical services is the University of Iowa Hospitals and Clinics under the umbrella of UI Health Care. As such, one of its primary guiding philosophies is to ensure a continuing relationship with the University of Iowa Hospitals and Clinics that is intended to support the joint tripartite missions of education, research and patient care.

Furthermore, it is recognized that UIP has exclusive purview over matters related to clinical practice negotiated fees, billing, collection and distribution of physician service revenue; the Carver College of Medicine has exclusive purview over the determination of physician salaries.

III

OPERATIONAL POLICIES AND PROCEDURES

The following policies and procedures shall be applicable to the generation, billing, collection, reporting and fiscal management of clinical income:

A. DEFINITIONS.

Membership in UIP

1. "Clinical faculty member" shall mean (1) a tenure-track member of the faculty of the CCOM, or a non tenure-track salaried member of the professorial faculty of the CCOM, who (a) holds a license to practice either Medicine and Surgery or Dentistry in the State of Iowa; (b) has met the residency and fellowship requirements of the Specialty Board of the discipline in which he or she practices, or can demonstrate equivalent qualifications in that discipline; and (c) maintains clinical staff privileges in his or her respective discipline at the University of Iowa Hospitals and Clinics (UIHC), or at other sites approved by the UIP Board; and (2) a non physician health care practitioner who is a tenure-track or non tenure-track salaried member of the professorial faculty of the CCOM and who provides health services under the UIP. An individual who ceases to meet the foregoing standards will no longer be a participant under UIP. Notwithstanding the foregoing, a CCOM faculty member, with the approval of his or her department head, may elect to accept a CCOM faculty appointment on academic salary to devote all of his or her time to teaching and research not involving patient care.

Participation in UIP

2. "Participant under UIP" shall mean (1) a clinical faculty member as described above; (2) a CCOM Physician Associate licensed to practice in the State of Iowa who provides health services under UIP; and (3) a non physician non faculty health care practitioner employee licensed to practice in the State of Iowa who provides health care services under UIP.

3. "Clinical practice" means the act or acts by participants under UIP of providing all forms of health and medical care for patients, including consultations, for which a fee or other compensation for service is customarily charged and received.

4. "Clinical income" means all earnings, fees and other income received from the clinical practice of participants under UIP, including salaries paid by the Veterans Administration for clinical services. Expert witness fees, royalties, honoraria, federal government consulting fees, industry consulting fees (within established University guidelines) and other non clinical income received by participants under UIP are not considered to be clinical income of UIP.

5. The "Academic Service Component" of the compensation of a clinical faculty member is to be compensation for teaching, CCOM administrative responsibilities, and research, in an amount to be determined by the department or program head with the approval of the Dean of the CCOM. The funding sources for the payment of the Academic Service Components shall include but not be limited to (1) University General Funds; (2) CCOM Academic Enrichment Fund allocations; (3) Extramural grants, contracts and gifts; (4) faculty endowments; (5) VA Career Awards; (6) Department Trust Funds; (7) available departmental clinical income generated from the services of participants under UIP; and (8) direct medical education funds provided for education of residents. It is intended that periodic increases in the amount of the Academic Service Component of clinical faculty members' compensation shall be subject to limitations, if any, applicable to University faculty salaries.

6. The "Clinical Service Component" of the compensation of a clinical faculty member is to be performance-based variable compensation for clinical services and clinical administrative responsibilities, in an amount to be determined by the department head or program director with the approval of the Dean of the CCOM. The funding sources for the payment of the Clinical Service Components shall be the available departmental or program clinical income generated from the services of participants under UIP. Services rendered to indigent patients and Veterans Administration clinical assignments will be given credit in the calculation of Clinical Service Components as care rendered to paying patients. Services rendered to other categories of patients with low collection rates, such as Medicaid patients, will also be considered for credit in the calculation of the Clinical Service Components.

7. "Expert witness fees" are fees received by participants under UIP for services as an expert witness with respect to matters unrelated to clinical practice under UIP or CCOM-sponsored programs.

8. "Extramural clinical activities" are services by participants of UIP in CCOM-sponsored programs outside of the University.

B. CLINICAL INCOME.

Each clinical department shall have an identified University UIP account to be known as the Department Service Fund. Clinical income generated and received by the clinical practice of participants under UIP is to be credited to the respective Department Service Fund and used in part to pay clinical practice expenses of the department and to fund the Clinical Service Components of the clinical faculty members' total compensation. Income from any extramural clinical activities of participants under UIP is to be handled in the same manner.

Ten percent of the total clinical income of each department or program excluding salaries paid by the Veterans Administration, is to be transferred monthly from each Department Service Fund or relevant program fund to the CCOM Academic Enrichment Fund. The UIP Board will also determine the level of contribution from each department necessary to pay expenses of the UIP Board including contracting, billing, collections, payroll, investments, and other expenditures approved by the Board.

Subject to the annual approval of the UIP Board, each department or program is to establish policies for the calculation of the Clinical Service Component of the compensation of its clinical faculty members.

C. COMPENSATION.

Each clinical faculty member will receive compensation which shall consist of an academic component and a clinical component for their clinical practice. In addition to other factors, the general guideline to be used in determining salaries of clinical faculty members shall be to provide total compensation at a level appropriate to national norms such as the comparative tables published by the Association of American Medical Colleges (AAMC) by rank and specialty.

Compensation for other participants in UIP (CCOM Physician Associates, physician non faculty licensed health care practitioners, and non faculty non physician licensed health care practitioners) shall be based upon factors established by the head of the department or program director in which the participant is employed, in consultation with the UIP Board.

D. THE FOLLOWING MEDICAL SERVICES ARE INCLUDED IN THIS PLAN:

Anesthesiology Service
Cardiothoracic Surgery Service
Orthopaedic Surgery and
Rehabilitation Service
Dermatology Service
Emergency Medicine Service
Otolaryngology Service
Pathology Service
Family Medicine Service
Pediatrics Service
Internal Medicine Service
Psychiatry Service
Neurology Service
Neurosurgery Service
Radiation Oncology Service
Radiology Service
Obstetrics and Gynecology Service
Surgery Service
Ophthalmology Service
Urology Service

The UIP Board is authorized to amend the listing of medical services.

E. DEPARTMENT SERVICE FUNDS.

All accounts are to be maintained in the CCOM Business Office for UIP. Each participating clinical department is to have a separate Department Service Fund to which clinical income is to be credited and department operating expenses are to be charged.

The Dean of the CCOM, and the Board should receive a monthly statement of account of each Department Service Fund from the UIP Business Office. Each department head shall also receive a monthly statement of account for his or her own Department Service Fund from the UIP Business Office.

Requisitions and/or vouchers are to be submitted on approved forms. Vouchers are to be itemized in accordance with accounting practices determined by the University Business Office. Vouchers are to be signed by the head of the initiating clinical department or by his or her designee. All requisitions and vouchers are to be approved by the UIP Finance Committee and by the Dean of the Carver College of Medicine, or by their approved designees.

• Salaries are payable on the basis of budgets prepared and approved in the same manner as the salary budgets of other departments of the University. Salary expenditures are to be made by way of University payroll disbursements out of funds transferred from the respective Department Service Funds. Expenditures for wages of temporary employees are to be made in similar manner on the basis of monthly vouchers.

• Operating expenses, other than personnel costs, are all expenditures approved by the department head in accordance with policies adopted by the UIP Board. Operating expenses are to be charged as paid regardless of the period in which the expenses are incurred.

• Clinical income is credited to each Department Service Fund as received, regardless of the period during which it is earned.

• Expenditures for equipment or capital items are not to be made from Department Service Funds as operating expenses.

F. TRANSFERS OF UNEXPENDED ANNUAL INCOME TO DEPARTMENT TRUST FUNDS.

As of June 30 each year, the Dean of the CCOM shall authorize the transfer of the balance of each Department Service Fund to the respective Department Trust Fund after provision has been made for the current monthly transfer of ten percent of the total clinical income, excluding salaries paid by the Veterans Administration, to the CCOM Academic Enrichment Fund, the payment of department expenses, and the transfer of sufficient funds to provide for the payment of approved Clinical Service Component amounts for the clinical faculty members in that department.

G. DEPARTMENT TRUST FUNDS.

A Department Trust Fund is maintained for each clinical department participating in UIP. The balance of each departmental trust fund should exceed three months of operating expenses for that department. If a departmental trust fund balance is less than three months of operating expenses, the department must bring the departmental trust fund balance to more than three months of operating expenses within two years. A Department Trust Fund is to be credited annually as of June 30 with the transfer of the unexpended annual clinical income from the respective Department Service Fund.
Expenditures from Department Trust Funds are to be made in accordance with procedures approved by the UIP Board and applicable University regulations for the following purposes:

• Academic Service Components of salaries of clinical faculty members – on the basis of approved salary budgets by way of University payroll disbursements.

• General Expense – on the basis of approval of the respective department head, the Finance Committee and the Dean of the CCOM.

• Other Costs – solely to enhance the academic, clinical and financial environment of the CCOM and its constituent departments and programs.

The unencumbered Department Trust Fund balance on June 30 each year, including the transfer of the unexpended annual clinical income from the respective Department Service Fund for the current year, is to be carried forward to the succeeding year.

The Dean of the CCOM, and the Finance Committee shall receive a monthly statement of account for each Department Trust Fund from the CCOM Business Office. Each department head shall also receive a monthly statement of account for his or her own Department Trust Fund from the University Business Office.

H. CCOM ACADEMIC ENRICHMENT FUND.

The CCOM Academic Enrichment Fund is to be used by the Dean of the CCOM solely to enhance the academic, clinical and financial environment of the CCOM and its constituent departments and programs. The UIP Board may advise the Dean of the CCOM regarding such expenditures. The Dean will provide the UIP Board at least annually with a report of the activities of the CCOM Academic Enrichment Fund.

• The Dean of the CCOM shall receive a monthly statement of account for the CCOM Academic Enrichment Fund from the University Business Office.

I. LIMITATIONS ON EXPENDITURES OF DEPARTMENT SERVICE FUNDS, DEPARTMENT TRUST FUNDS AND CCOM ACADEMIC ENRICHMENT FUND.

No part of the Department Service Funds, the Department Trust Funds or the CCOM Academic Enrichment Fund shall inure to the private benefit of any individual, except that such Funds may be used to pay reasonable compensation for services rendered by participants under UIP who provide direct services on behalf of the UIP.

No substantial part of the activities by or on behalf of UIP shall consist of carrying on propaganda or otherwise attempting to influence legislation. No activities by or on behalf of UIP shall be conducted to participate in, or to intervene in (including the publishing or distribution of statements) any political campaign on behalf of or in opposition to any candidate for public office.

J. CONTROL OF DEPARTMENT SERVICE FUNDS, DEPARTMENT TRUST FUNDS AND CCOM ACADEMIC ENRICHMENT FUND.

The University acts as an agent for UIP in receiving and disbursing funds on behalf of UIP. The monies in Department Service Funds are administered and held by the University as agency funds. The monies in Department Trust Funds and the CCOM Academic Enrichment Fund are to be administered and held as University funds and used only for the purposes specified for UIP. All expenditures and transfers to and from all of such Funds are to be made in conformance with applicable University regulations. All funds generated and administered under UIP shall be accounted for and audited pursuant to applicable University and Board of Regents rules, regulations and practices, and state and federal law.

K. EMPLOYEES PAID FROM DEPARTMENT SERVICE FUNDS AND DEPARTMENT TRUST FUNDS

All employees, including personnel of the UIP Board Management Office, paid from funds transferred from Department Service Funds and Department Trust Funds are employees of the University to the same extent as other University employees.

L. PATIENTS' CHARGES AND COLLECTIONS.

Charges for services to patients and other clinical practice acts shall be initiated by participants under UIP who performs the service subject to departmental or program policies. An adjustment in a charge for services rendered can be made in accordance with UIP policies.

All payments for services of participants under UIP, including payments from or on behalf of patients, will be made directly to the collection service/agency as approved by applicable University rules and regulations, or shall be delivered to the collection service/agency upon receipt if received by a participant under UIP or a clinical department or program.

Checks made payable to an individual participant under UIP are to be promptly endorsed and delivered by the individual to his or her Department Service Fund or appropriate program account. Checks made payable to a clinical department or program do not require the endorsements of individual participants. Checks made payable to a clinical department or program, or endorsed to that department or program by a participant under UIP, are stamped with the following endorsement upon being turned over to the collection service/agency: "Pay to The University of Iowa, Agent, for Deposit in _______________________ Service Fund."

M. UNIVERSITY OVERHEAD CHARGE.

The UIP Business Office is to make a monthly charge to each Department Service Fund and appropriate program fund for the reasonable cost of University services to UIP based on a formula to be negotiated from time to time with the University by the Dean of the CCOM and the UIP Board.

N. FISCAL YEAR.

The fiscal year of the Plan shall be from July 1 to June 30, inclusive.

O. PATIENT CARE POLICY.

All patients of the Plan are the responsibility of an attending clinical faculty member or other participant under UIP.

The attending clinical faculty member or the other participant under UIP is responsible for providing professional services and procedures to patients admitted to his or her care, whether inpatient or outpatient. This responsibility is in every way analogous to the responsibilities of any other practicing provider. Attending clinical faculty and other participants under UIP shall bill for services in a manner that is consistent with applicable laws and regulations relating to professional fee reimbursement for all payors.

P. SPECIFIC PHYSICIAN REQUIREMENTS.

Attending physician services and services of other participants under UIP may be billed only when the attending physician or other participant has met the physical presence, supervision, and documentation requirements as determined by UIP policies and third party payors, and governmental law and regulations.

Q. RETIREMENT.

CCOM faculty members may retire under the provisions of the University's faculty retirement policies, with the possibility that the retired individual, at the discretion of the department head or program director and the members of the tenured faculty with the approval of the Dean of the CCOM and other appropriate University administrators, may be assigned to part-time teaching and/or research and/or clinical functions. Such appointments shall be for up to one year, subject to renewal.

R. RESEARCH.

The proper development of the CCOM requires that encouragement and support be given those who have the ability and interest to carry on investigative programs. Pursuit of research is a function and responsibility of the CCOM. Therefore, UIP funds may be used to support research.

IV

GOVERNANCE

A. UNIVERSITY OF IOWA PHYSICIANS Board (UIP Board).

UIP shall be controlled and governed by the UIP Board. The UIP Board shall have the responsibility to approve, develop and promulgate all policies, practices, procedures and rules for the control, governance and implementation of UIP.

The members of the UIP Board shall consist of (1) the clinical department heads as non-rotating permanent members; (2) six members to be elected at large from the clinical faculty members equally representing Professors, Associate Professors, and Assistant Professors; (3) the Dean of the CCOM who will be, ex officio; and also an ex officio member of all standing committees; (4) one basic science department head appointed by majority vote of the basic science department heads on a rotational basis every two years; (5) the Executive Director of UIP will be a non voting, ex officio member and an ex officio member of all standing committees; (6) the Associate Dean for Finance, who will be a non-voting ex officio member and an ex officio member of all standing committees; and (7) the Director of the University of Iowa Hospitals and Clinics, who will be a non-voting, ex officio member.

The elected members of the UIP Board are to be elected by vote of the clinical faculty members in March each year from a slate of eligible candidates submitted by the Nominating Committee selected from among the clinical faculty members of UIP. The procedure for the election of members of the UIP Board shall be established by the Board and shall include secret written ballots and equal voting rights for clinical faculty members. Newly elected members of the UIP Board are to assume office at the April meeting of the Board.

The Dean of the CCOM will serve as Chair of the UIP Board. There will be a Vice Chair and a Secretary, both department heads elected by the UIP Board from recommendations by the Nominating Committee. The Vice Chair and Secretary shall serve terms of two years at which time the Secretary will become the Vice Chair unless the Board selects an alternative candidate. Two years after the expiration of the Vice Chair's last preceding term of office, he or she shall be eligible for re-election as Secretary. An individual serving as an interim head of a clinical department shall be a member of the UIP Board during his or her incumbency as an interim head of a clinical department. If the Department Head is unavailable to attend a Board meeting, he or she may appoint a substitute representative but only the department head may vote. If a department head knows he/she will be absent, and wishes to vote on an item to be brought to the UIP Board, he/she may vote in the week prior to the meeting of the Board. A vote can be submitted electronically.

A vacancy of elected members on the UIP Board shall exist if and when an incumbent member of the Board ceases to be a participant under UIP for any reason.

The UIP Board shall fill any clinical faculty member vacancy occurring on the Board from a nominee or nominees of clinical faculty members of appropriate rank for the vacancy named by the Nominating Committee. The person named by the UIP Board will serve the unexpired term of the vacancy so filled.

1. Terms of Office.

Each elected member of the UIP Board shall serve a two-year term and may be re-elected for a second term. If a clinical faculty member is first elected to the UIP Board as an Assistant Professor or an Associate Professor and is promoted before the expiration of his or her term of office, he or she may serve the balance of such term, but shall be eligible for re-nomination for a second term only at his or her then attained rank. Two years after expiration of a Board member's last preceding term of office, he or she shall be eligible for re-election as a member of the Board. The terms of members will be staggered to permit the election of approximately one-half of the members each year.

2. Meetings of UIP Board

Regular Meetings. The UIP Board shall meet at least monthly on the first Monday of the month unless different dates are set by the Board at the beginning of each calendar year.

The annual meeting of the UIP Board with the clinical faculty members shall be held on the fourth Monday in January of each year unless the Board causes notice of a different date to be given not less than twenty days prior to such date, to all clinical faculty members.

No further notice of the regular meetings of the UIP Board is required.

Special Meetings. The Chair, or any five members of the Board may call a special meeting of the Board. Insofar as possible the Chair of the Board will give not less than seven calendar days advance notice for each special meeting of the Board. Advance notice of a meeting may be waived by Board members. Presence at a meeting of the Board shall constitute a waiver of notice of that meeting.

Each member of the UIP Board is to give attendance at all Board meetings priority over most other activities. Personal presence at the time of voting is required in order to vote on a matter considered at a Board meeting, unless a Board member needs to be absent and has exercised their right to vote prior to the meeting as outlined in IV A. Each department head may designate one person from his or her department, usually the Vice Chair of the department, as a substitute to attend any UIP Board meeting that the department head is unable to attend. It is expected that a department head will not miss more than one meeting of the UIP Board in any fiscal year unless there are extenuating circumstances recognized as such by the Board. Attendance of substitutes on behalf of clinical faculty members and ex officio members shall be at the discretion of the UIP Board.

A majority of all members of the Board shall constitute a quorum. The action of a majority of the members present at any meeting at which a quorum is present shall constitute the action of the Board.

The Secretary of the UIP Board shall arrange for the preparation of minutes of each meeting of the Board to be distributed and approved by either (1) electronic vote; or (2) by the Board at the next UIP Board meeting. Upon Board approval, a summary copy of the minutes, including attendance, shall be provided to each clinical faculty member.  

B. STANDING COMMITTEES OF THE BOARD

1. The number and responsibilities of the standing committees may change with the needs of the Board. The UIP Board will have the authority to determine if a current standing committee should continue its activity or not and if a new committee or committees are needed. Announcement of these changes should occur at a minimum of 30 days from when the activities of the committee will begin or be changed or terminated.

The initial committees of the UIP Board will include the following:

$ Agenda and Implementation

This committee will be chaired by the UIP Chair or the Vice Chair in the absence of the Chair and will consist of the Secretary and three other committee chairs (Finance, Practice Management and New Initiatives and Marketing). It will meet on the last Monday of the month and establish the agenda for the next Board meeting. It will consult with each committee to determine appropriate items for review. This committee will also prepare for discussion by the Board, possible ways of implementing committee recommendations.

$ Finance

This committee will be responsible for reviewing and making recommendations to the Board regarding UIP income and expense statements, balance sheets, billing, collections, expenditures which are outside of the usual UIP expenditures and long-term capital plans.

$ Clinical Practice Management

This committee will be responsible for reviewing and making recommendations to the Board concerning departmental compensation plans, clinic management, clinic personnel, multi-disciplinary clinics, new clinical practice proposals, improved utilization of resources, improvements in clinical performance, setting guidelines for and measuring outcomes of care.

$ New initiatives and marketing

This committee will be responsible for reviewing and making recommendations to the UIP Board concerning proposals for off-site clinical practice, advertising, outreach and contracting.

$ Compliance, Credentialing, Malpractice

This committee will make recommendations to the board concerning malpractice insurance and self insurance premiums to be assessed to individual departments, issues regarding individual cases that are going through the malpractice review process, new and existing regulations regarding compliance and new and existing regulations regarding credentialing for clinical practice.

$ Nominating

The responsibilities of the committee are detailed under section IV.C. of the bylaws.

2. The membership of each Standing Committee shall be composed of a department head, appointed by the Dean of the Carver College of Medicine as the Committee Chair, and at least two additional department heads, at least two representatives of the clinical faculty who may or may not be members of the UIP Board, and departmental administrative personnel as needed by the committee.

These committee members will be nominated by the nominating committee and approved by the UIP Board and the Dean of the Carver College of Medicine. The members of the committee will serve two-year terms with an effort to ensure that no more than three members of the committee will turn over each year. Members of the committee may be eligible for an additional two-year term if renominated by the nominating committee.

The committees of the UIP Board will meet preferably on Mondays with the exception of the first Monday of the month at 4 pm. The committee membership may decide on the frequency of the meetings but at least one meeting per month will be required.

C. NOMINATING COMMITTEE.

The Nominating Committee will consist of the Vice Chair and Secretary of the UIP Board, and the chairs of the three Committees (Finance, Practice Management and New Initiatives and Marketing). The Vice Chair of the UIP Board shall serve as Chair of the Nominating Committee.

A vacancy on the Nominating Committee shall exist if and when an incumbent member of the Committee ceases to be a participant under UIP for any reason. Any vacancy shall be filled by appointment by the Chair of the UIP Board to serve for the unexpired term.

On the first Monday of February each year, the Chair of the Nominating Committee shall solicit clinical faculty members to determine those who are interested in serving as at-large members of the UIP Board. The deadline for response to such solicitation shall be fourteen days.

In the first week of March each year, the Nominating Committee shall submit to the clinical faculty members a slate of candidates for election to the Board consisting of the names of clinical faculty members. No more than one at-large individual is to be nominated to serve on the Board from each department, and the election may not result in more than one at-large member from each department. Ballots are to be returned to the UIP Management Office by five p.m. on the 14th day following distribution.

Also in March of the year that the Secretary’s term is expiring, the Nominating Committee shall submit to the UIP Board a candidate for election as Secretary of the UIP Board. The nominating Committee will also nominate candidates for all committee members whose terms are expiring.

The Nominating Committee shall submit to the Board the names of one or more clinical faculty members from which the Board shall name a person to fill an unexpected vacancy on the Board or a standing Committee to serve an unexpired term.

The Nominating Committee will meet when requested by the Chair, Vice Chair or Secretary of the UIP Board.

D. UNIVERSITY OF IOWA PHYSICIANS MANAGEMENT OFFICE

The UIP Management Office will function as follows:

1. The UIP Management Office will be located in the CCOM. The Management Office will be staffed by an Executive Director, to be selected by the UIP Board with the approval of the Dean of the CCOM. The Director shall perform such duties as may be determined and delegated by the UIP Board. The Executive Director will have a staff as authorized by the UIP Board to assist in monitoring UIP and will be responsible for coordinating activities of the administrative personnel of the clinical departments of the College, relevant to the UIP. The salary of the Executive Director and staffing and other costs incurred to maintain the UIP Management Office will be paid from the revenues determined by the Board through monthly transfers from the respective Department Service Funds or relevant program accounts.

2. Annual budgets are to be prepared for each clinical department or program by the department head or program director. The budgets are to be submitted to the Dean of the CCOM for his or her approval. The UIP Board may review each of these budgets and advise the Dean regarding such budgets.

3. Each clinical faculty member and CCOM physician associate under the UIP shall sign a written contract similar in appropriate form and content to those illustrated in Appendices A, B, and C, respectively. Such contracts are to incorporate all the provisions of this UIP, and shall be filed in the UIP Management Office.

E. PROCEDURE FOR MEETINGS

The conduct of meetings, the order of business and other procedures related to any meeting hereunder shall be determined by the Chair or the Vice Chair in the absence of the Chair, or Secretary, in the absence of the Chair and Vice Chair. The Chair shall make all parliamentary decisions based on recognized rules of order to be identified at the time of the meeting.

V

PROCEDURE TO AMEND THE PLAN

Not less frequently than once in each five year period the Dean of the CCOM with the concurrence of the UIP Board shall appoint a five member ad hoc committee from among the participating clinical faculty members to be known as the Review Committee to review the provisions of the UIP and to consider amendments thereto.

Within ninety days following appointment, the Review Committee shall file a written report with the UIP Board setting forth its recommendations, if any, for amendments to the UIP.

The UIP Board shall consider the recommendations of the Review Committee and adopt amendments to UIP as it determines to be advisable. A copy of UIP amendments adopted by the UIP Board shall be distributed to the clinical faculty members. The UIP Board shall give written notice of a meeting of all clinical faculty members for the purposes of disseminating information about the proposed amendments and of receiving comments and input regarding the same.

Following such meeting the amendments to UIP as approved by the affirmative vote of a majority of the members of the UIP Board shall become effective upon approval by a majority of the votes cast by the clinical faculty members voting by secret written ballot, the Dean of the CCOM, and the President of the University under the authority of the Board of Regents.

VI

IMPLEMENTATION PROCEDURES

Following approval of the amendments to UIP, the approved changes will be implemented the first day of the month after such approval.

CONTRACT IN REGARD TO MEDICAL PRACTICE
BY CLINICAL FACULTY MEMBERS OF THE
COLLEGE OF MEDICINE
OF THE UNIVERSITY OF IOWA

As a part of the contract with the Board of Regents, State of Iowa by which I have been appointed as a member of the faculty of the College of Medicine at the University of Iowa and will engage in medical practice, I hereby agree with the Board of Regents, State of Iowa that my medical practice shall be upon the following basis:

1

That my teaching in the College of Medicine and my duties at University of Iowa Hospitals and Clinics for the care of indigent as well as other patients as required by the Dean of the College of Medicine, the University of Iowa Physicians (UIP) Board, and my department or program shall have first call upon my services.

2

That my clinical practice shall be limited to intramural and extramural College of Medicine-sponsored programs.

3

That I will follow the Patient Care Policy of the College of Medicine UIP by providing personal and identifiable services to all patients for whom I am responsible. That my activities in the practice of medicine hereunder will be covered by the professional liability protection provided by the College of Medicine (UIP).
4

That I will participate in the College of Medicine UIP and the implementation thereof, and will fully account for all fees received by me from my practice and deposit the same as a part of said Plan to be administered and distributed according to the terms thereof, and that only such amount of money as is distributed to me under such Plan will be my own funds from my practice.
`
The terms and provisions of the University of Iowa College of Medicine UIP as the same now exists and as it may be amended from time to time are incorporated into this contract, and by this reference made a part hereof as if set forth in full herein.

Date at Iowa City, Iowa, the______day of_________________________, 20____.

_______________________________________

_______________________________________ _______________________________________
Department Head For UIP

CONTRACT IN REGARD TO MEDICAL PRACTICE
BY ASSOCIATES OF THE
COLLEGE OF MEDICINE
OF THE UNIVERSITY OF IOWA

As a part of the contract with the Board of Regents, State of Iowa by which I have been appointed as an Associate of the faculty of the College of Medicine at the University of Iowa and will engage in medical practice, I hereby agree with the University of Iowa Physicians (UIP) that my medical practice shall be upon the following basis:

1

That my teaching in the College of Medicine and my duties at University of Iowa Hospitals and Clinics for the care of indigent as well as other patients as required by the Dean of the College of Medicine, the UIP Board, and my department or program shall have first call upon my services.

2

That my clinical practice shall be limited to intramural and extramural College of Medicine-sponsored programs.

3

That I will follow the Patient Care Policy of the College of Medicine UIP by providing personal and identifiable services to all patients for whom I am responsible. That my activities in the practice of medicine hereunder will be covered by the professional liability protection provided by the College of Medicine UIP.

4

That I will practice under rules of the College of Medicine UIP, and will fully account for all fees received by me from my practice and deposit the same as a part of said UIP to be administered and distributed according to the terms thereof.

The terms and provisions of the University of Iowa College of Medicine UIP as the same now exists and as it may be amended from time to time are incorporated into this contract, and by this reference made a part hereof as if set forth in full herein.

Date at Iowa City, Iowa, the______day of_________________________, 19____.
_______________________________________
_______________________________________ _______________________________________
Department Head For UIP

CONTRACT IN REGARD TO PRACTICE
of NONPHYSICIAN FACULTY HEALTH CARE PRACTITIONERS OF THE
COLLEGE OF MEDICINE
OF THE UNIVERSITY OF IOWA

As a part of the contract with the Board of Regents, State of Iowa by which I have been appointed as a member of the faculty of the College of Medicine at the University of Iowa and will engage in the practice of __________, I hereby agree with the Board of Regents, State of Iowa that my practice shall be upon the following basis:

1

That my teaching in the College of Medicine and my duties at University of Iowa Hospitals and Clinics for the care of indigent as well as other patients as required by the Dean of the College of Medicine, the University of Iowa Physicians (UIP) Board, and my department or program shall have first call upon my services.

2

That my clinical practice shall be limited to intramural and extramural College of Medicine-sponsored programs.

3

That I will follow the Patient Care Policy of the College of Medicine UIP by providing personal and identifiable services to all patients for whom I am responsible. That my activities in the licensed practice of ______________ hereunder will be covered by the professional liability protection provided by the College of Medicine UIP.

4

That I will participate in the College of Medicine UIP, and the implementation thereof, and will fully account for all fees received by me from private practice and deposit the same as a part of said UIP to be administered and distributed according to the terms thereof, and that only such amount of money as is distributed to me under such Plan will be my own funds from private practice

The terms and provisions of the University of Iowa College of Medicine UIP as the same now exists and as it may be amended from time to time are incorporated into this contract, and by this reference made a part hereof as if set forth in full herein.

Date at Iowa City, Iowa, the______day of_________________________, 19____.

____________________________________
___________________________________________ ________________________________________
Department Head For UIP

Plan GOVERNANCE
January 28, 1993

Initial Faculty Practice Plan Board

Francois M. Abboud, M.B., Ch.B.. Professor and Head, Internal Medicine
Kent Bottles, M.D. Associate Professor, Pathology: At-large member
James A. Clifton, M.D. Interim Dean, Chair
Reginald R. Cooper, M.D. Professor and Head, Orthopaedic Surgery
Antonio R. Damasio, M.D., Ph.D. Professor and Head, Neurology
Charles R. Driscoll, M.D. Professor and Head, Family Practice
Bernard Fallon, M.B., Ch.B., B.A.O. Professor, Urology: At-large member
Edmund A. Franken, M.D. Professor and Head, Radiology
Rudolph P. Galask, M.D. Professor, Obstetrics & Gynecology: At-large member
Alan G. Goodridge, Ph.D. Professor and Head, Biochemistry: Basic Science Rep.
Michael Kienzle, M.D. Associate Professor, Internal Med.: At-large member
Richard G. Lynch, M.D. Professor and Head, Pathology
Brian F. McCabe, M.D. Professor and Head, Otolaryngology
Frank H. Morriss, M.D. Professor and Head, Pediatrics
Jennifer R. Niebyl, M.D. Professor and Head, Obstetrics & Gynecology
Robert G. Robinson, M.D. Professor and Head, Psychiatry
Robert T. Soper, M.D. Professor and Interim Head, Surgery
Robert T. Spector, M.D. Assistant Professor, Ophthalmology: At-large member
John S. Strauss, M.D. Professor and Head, Dermatology
John H. Tinker, M.D. Professor and Head, Anesthesia
Thomas A. Weingeist, M.D., Ph.D. Professor and Head, Ophthalmology
Richard D. Williams, M.D. Professor and Head, Urology
Donald C. Young, M.D. Assistant Professor, Radiology: At-large member

Faculty Practice Plan
Initial Management Committee

Francois M. Abboud, M.B., Ch.B. Head, Cluster I
James A. Clifton, M.D. Interim Dean, Chair
Reginald R. Cooper, M.D. Head, Cluster II: Vice Chair
Frank H. Morriss, M.D. FPP Board Vice Chair: Cluster I
Robert T. Soper, M.D. Interim Head, Cluster II
John H. Tinker, M.D. Head, Cluster III
Donald C. Young, M.D. Asst. Professor, Radiology: Cluster III

Faculty Practice Plan Staff

William L. Lillibridge Executive Director
Dennis M. Domsic Associate Director

Plan GOVERNANCE
January 1, 1996

Faculty Practice Plan Board

Francois M. Abboud, M.B., Ch.B. Professor and Head, Internal Medicine
Michael A. Apicella, M.D. Professor and Head, Microbiology: Basic Science Rep.
Phyllis Chang, M.D. Assistant Professor, Surgery: At-large member
Charles R. Clark, M.D. Professor, Orthopaedic Surgery: At-large member
Reginald R. Cooper, M.D. Professor and Head, Orthopaedic Surgery
Antonio R. Damasio, M.D., Ph.D. Professor and Head, Neurology
Rudolph P. Galask, M.D. Professor, Obstetrics & Gynecology: At-large member
Bruce J. Gantz, M.D. Professor and Head, Otolaryngology
R. Edward Howell, M.S. UIHC Director: Ex Officio
Robert P. Kelch, M.D. Dean: Chair
Evan W. Kligman, M.D. Professor and Head, Family Practice
Richard G. Lynch, M.D. Professor and Head, Pathology
Henri R. Manasse, Ph.D. Vice President for Health Sciences: Ex Officio
Charles R. McKay, M.D. Associate Professor, Internal Medicine: At-large member
Frank H. Morriss, M.D. Professor and Head, Pediatrics
Jennifer R. Niebyl, M.D. Professor and Head, Obstetrics & Gynecology
Matthew Rizzo, M.D. Associate Professor, Neurology: At-large member
Robert G. Robinson, M.D. Professor and Head, Psychiatry
Carol Scott-Conner, M.D. Professor and Head, Surgery
Wilbur L. Smith, Jr., M.D. Professor and Interim Head, Radiology
John S. Strauss, M.D. Professor and Head, Dermatology
John H. Tinker, M.D. Professor and Head, Anesthesia
Thomas A. Weingeist, M.D., Ph.D. Professor and Head, Ophthalmology
Richard D. Williams, M.D. Professor and Head, Urology
Donald C. Young, M.D. Assistant Professor, Radiology: At-large member

Faculty Practice Plan
Management Committee

Francois M. Abboud, M.B., Ch.B. Head, Cluster I : Vice Chair
Phyllis Chang, M.D. Assistant Professor, Surgery; Cluster II
Reginald R. Cooper, M.D. Head, Cluster II
Robert P. Kelch, M.D. Dean, Chair
Frank H. Morriss, M.D. FPP Board Vice Chair: Cluster I
John H. Tinker, M.D. Head, Cluster III
Donald C. Young, M.D. Asst. Professor, Radiology: Cluster III

Faculty Practice Plan Staff

Dennis M. Domsic, M.B.A. Executive Director

PLAN GOVERNANCE
January, 2001

Faculty Practice Plan Board

Francois M. Abboud, M.B., Ch.B Professor and Head, Internal Medicine
David L. Brown, M.D. Professor and Head, Anesthesia; Vice Chair
Joseph A. Buckwalter, M.D. Professor and Head, Orthopaedic Surgery
Michael B. Cohen, M.D. Professor and Head, Pathology
Antonio R. Damasio, M.D., Ph.D. Professor and Head, Neurology
Deborah J. Dehring, M.D. Associate Professor, Anesthesia: At-large member
Claibourne I. Dungy, M.D., M.P.H. Professor, Pediatrics: At-large member
Robert E. Fellows, M.D., Ph.D. Professor and Head, Physiology & Biophysics: Basic Science Representative
Daniel S. Fick, M.D. Associate Professor (Clinical), Family Medicine:
E.A. Franken, M.D. Professor and Interim Head, Radiology
Bruce J. Gantz, M.D. Professor and Head, Otolaryngology-Head and Neck Surgery
R. Edward Howell, M.S. UIHC Director: Ex Officio
Cynda A. Johnson, M.D. Professor and Head, Family Medicine
Robert P. Kelch, M.D. Dean, Chair
Ann Laros, M.D. Assistant Professor (Clinical), Obstetrics & Gynecology: Atlarge member
Frank H. Morriss, M.D. Professor and Head, Pediatrics
Jennifer R. Niebyl, M.D. Professor and Head, Obstetrics & Gynecology
Robert G. Robinson, M.D. Professor and Head, Psychiatry
Timothy C. Ryken, M.D. Assistant Professor, Surgery: At-large member
Carol Scott-Conner, M.D. Professor and Head, Surgery
Richard D. Sontheimer, M.D. Professor and Head, Dermatology
Thomas A. Weingeist, M.D., Ph.D. Professor and Head, Ophthalmology and Visual Sciences
Richard D. Williams, M.D. Professor and Head, Urology
Michael D. Winniford, M.D. Professor, Internal Medicine: At-large member

Faculty Practice Plan
Management Committee

Francois M. Abboud, M.B., Ch.B. Head, Cluster I; Vice Chair
David L. Brown, M.D. Head, Cluster III
Bruce J. Gantz, M.D. Head, Cluster II
Robert P. Kelch, M.D. Dean, Chair
Ann Laros, M.D. Assistant Professor, Clinical; Cluster II
Frank H. Morriss, M.D. Head, Cluster I
Timothy C. Ryken, M.D. Assistant Professor; Cluster II

Faculty Practice Plan Staff

Dennis M. Domsic Executive Director
Daniel S. Fick, M.D. Director of Risk Management and Compliance
Patty S. Hession Associate Director