Regents' Policy Manual - Section 3.5: UNM Health Sciences Center Committee

Adopted Date: 12-14-2010
Amended: 02-14-2012
Amended: 02-11-2013
Amended: 09-10-2013
Amended: 06-12-2015
Amended: 03-14-2016

Applicability

This policy applies to the clinical, operational, financial, research, and educational affairs of the UNM Health Sciences Center (“HSC”) and the UNM Health System established under RPM 3.4. This policy defines the roles and responsibilities of the Regents' Health Sciences Center standing committee (“HSC Committee”). 

Policy

The Regents hereby create and designate the HSC Committee as a standing committee of the Board of Regents to oversee the clinical, operational, financial, research, and educational affairs of the HSC and the UNM Health System.  

1. Composition

The HSC Committee shall consist of three (3) Regents, to be selected by the Board of Regents in accordance with RPM 1.2.

2. Scope of Authority

In accordance with RPM 1.2, the Regents hereby delegate to the HSC Committee the responsibility to oversee the affairs of the HSC and the UNM Health System.  The Regents retain the right to consider, determine, and act upon any matter relating to the HSC and its component units in the exercise of their sound discretion.  Subject to the foregoing, the Regents hereby delegate to the HSC Committee as follows:

2.1. The HSC Committee shall have authority to act upon the following:

1. Compliance by the HSC and each of the component schools, colleges, and units within the HSC and the employees thereof with applicable federal and state health care regulatory requirements as well as HSC-wide policies with respect thereto.

2. Compliance by the HSC and each of the component schools, colleges, and units within the HSC and the employees thereof with the Health Insurance Portability and Accountability Act (“HIPAA”), the Health Information Technology for Economic and Clinical Health Act, the HIPAA Regulations, and the University’s HIPAA compliance program as well as HSC-wide policies with respect thereto.

3. The licensure, accreditation, planning, patient care, medical staff matters, quality assurance, and relationship with the component schools and colleges within the HSC and the other component units of the HSC. This shall include monitoring the outcomes of accreditation reviews and other peer evaluations. As to the UNM Hospital, the UNM Cancer Center, and UNM Sandoval Regional Medical Center (“SRMC”), review at least annually reports relating to licensure, including special services, accreditation, planning, patient care, medical staff matters including quality assurance, and any appropriate corrective action, and relationships with the schools and colleges comprising the HSC.

4. At appropriate intervals to be determined by the HSC Committee, reports of financial matters relating to each school or college comprising the HSC as well as the Office of Research for the HSC, the UNM Hospital, UNM Cancer Center, UNM Medical Group (“UNMMG”), UNM SRMC (and such other and future clinical enterprises and/or subsidiaries as may exist as a part of the HSC) including expenses and revenue by source, patient days and visits, and other pertinent financial data and information and financial planning.

5. The substantive aspects of policies and programs related to the educational philosophy and objectives of the HSC; assessing the HSC’s educational and student activities, research activities, and associated support programs for their relationship to the University’s mission, vision, and values, as well as quality measures, productivity, and cost; oversight of the manner in which the University’s policies are administered as they affect the HSC and HSC faculty.

6. The HSC’s strategies in enrollment management, retention, and student diversity at each of its component schools and colleges and in their respective educational programs.

7. Assuring effective input from the HSC student, faculty, and staff advisors to the HSC Committee.

8. Subject to RPM 7.8 (describing financial settlements), claims and/or lawsuits involving the HSC and/or the schools and colleges comprising the HSC, the UNM Hospital, UNMMG, UNM SRMC (and such other and future clinical enterprises and/or subsidiaries as may exist as a part of the HSC) and the development of a loss control program with respect thereto.   

2.2.  Matters as to which the HSC Committee shall review and make recommendations to the Regents for final approval:

1. Strategic planning and master facility planning for HSC clinical, educational, and research enterprise activities. 

2. Developments, including pending legislation, involving significant changes in health care delivery and financing.

3. New degrees, courses, and curriculum changes required by State law or desired by the colleges and schools comprising the HSC to promote academic excellence at the HSC.

4. Tuition and fees to be charged at the colleges and schools comprising the HSC.

5. The establishment or disestablishment of colleges, schools, and graduate divisions, organized multi-campus research units and other major research activities, special training programs, and public service undertakings.

6. Establishing an annual HSC educational and research enterprise strategic plan for the University.

7. Proposing changes to Regents’ policies relative to HSC academic and student affairs.

8. The HSC faculty tenure and promotion process to ensure expected outcomes are achieved in attracting and retaining outstanding faculty at the HSC and making recommendations to the Regents with respect to potential improvements thereto.

9. The appointment of individuals to serve as members of the Boards of Directors of UNMMG and UNM SRMC, and such other and future subsidiary corporations formed to support the HSC consistent with the provisions of the University Research Park and Economic Development Act (“URPEDA”).

10. The formation of one or more corporations in the future under the URPEDA to support the strategic plans and mission of the HSC and its component units.

11. The transfer of money, personal property, and real property to any one or more URPEDA corporations formed by the Regents to support the HSC and its component units and the proposed terms thereof.

12. Review budget requests and proposed legislation.

References

 University Research Park and Economic Development Act, NMSA 1978 § 21-28-1 et seq.; RPM 3.4 “Health Sciences Center and Services”;  RPM 3.6 “UNM Hospital Board of Trustees”; RPM 3.7 “Institutional Compliance Program”