… in the Minneapolis Star Tribune notes that the most charitable description of what’s been going on at the clubby University of Minnesota medical school would be “bizarre.”
Wednesday, January 1, 2014
A Question of Accountability
Accountability: The obligation of an individual or institution to account for its activities, accept responsibility for them, and to disclose the results in a transparent manner
A Question of Accountability
Each year the administration presents to the Regents the University Plan, Performance, and Accountability Report. Here are some excerpts from the September 2013 Report:
1. Compensation
Sibson also found that employee compensation in these four areas [human resources, budget & finance, information technology, and purchasing services] is at market rates for higher education and slightly lower than in the private sector.
See p. 73 of the 2013 Accountability Report.
The Sibson Consulting report on "spans and layers" does not even use the word "compensation" much less make any finding about market rates for higher education. See the August 2013 Sibson report.
Nor does the Huron Consulting report on administrative services benchmarking make any such finding. Huron refers to compensation simply to note that the U of M Office of Human Resources is preparing a compensation study. See p. 101 of the June 2013 Huron report.
For a report that does have information on the compensation of U of M senior administrators see On The Cost of Administration Part IV.
2. Facilities Management
Focusing on service [for Facilities Management] represents a shift away from taking care of the University's buildings and toward caring for the needs of the people and programs in them. This includes focusing on a culture that enhances productivity, demands accountability, and places a premium on clear communication.
See p. 86 of the 2013 Accountability Report.
On November 26, 2013 the U of M vice president for university services appeared at the meeting of the faculty Senate Committee on Finance & Planning. The minutes of the meeting record the following:
See p. 5 of the November 26, 2013 SCFP report (emphasis added).
On that same day KMSP reported:
KMSP report of November 26, 2013 quoted in A Cover Up Culture.
3. Costs of Administration
See p. 4 of the 2013 Accountability Report.
The administration did reduce certain costs in mission support and facilities and in leadership, but there were increases in other expenditures in those two categories that were even greater. There was a net increase of $41.7 million in expenditures for mission support & facilities. There was a net increase of $7.9 million in expenditures for leadership. The 2013 Accountability Report fails to mention these net increases. See A Complete Accounting.
4. Medical School.
See p. 8 of the 2013 Accountability Report.
The "integrated structure" is just the beginning of the long term efforts necessary to restore the Medical School. In its June 2013 report the Strategic Planning Committee described numerous "key initiatives" that must be implemented to enable the Medical School "to regain its position of excellence" by 2025. The Medical School Faculty Advisory Council released its own report describing major obstacles to achieving the "key initiatives." See An Institution Adrift Part II. The 175 page 2013 Accountability Report fails to even mention these reports much less review their analyses of the problems facing the Medical School.
5. Clinical Research Trials.
On November 26, 2013 the U of M vice president for university services appeared at the meeting of the faculty Senate Committee on Finance & Planning. The minutes of the meeting record the following:
He [Professor Luepker] noted that he had been informed that most of the construction work done on campus is by private contractors; Vice President Wheelock affirmed that almost all of it is done through competitive bids and that University staff only do small projects.
See p. 5 of the November 26, 2013 SCFP report (emphasis added).
On that same day KMSP reported:
University investigators dismissed a complaint that Louden appeared to organize the bidding process to minimize the competition for Skyline, but according to e-mails, it appears that she and her staff did just that.
Instead of considering the inspection of several buildings as one project, which would have to be put out for bidding, she told them to break up the inspections building by building. That kept prices low enough that Skyline would be given the work without bidding for it.
A pile of purchase orders show Skyline pulled in hundreds of thousands of dollars over the past 5 years.
KMSP report of November 26, 2013 quoted in A Cover Up Culture.
3. Costs of Administration
[The administration] reduced administrative costs by $32.6 million, eliminating and consolidating administrative offices and processes.
See p. 4 of the 2013 Accountability Report.
The administration did reduce certain costs in mission support and facilities and in leadership, but there were increases in other expenditures in those two categories that were even greater. There was a net increase of $41.7 million in expenditures for mission support & facilities. There was a net increase of $7.9 million in expenditures for leadership. The 2013 Accountability Report fails to mention these net increases. See A Complete Accounting.
4. Medical School.
Tackling another priority to return the Medical School to national prominence, the University, University of Minnesota Physicians, and Fairview agreed on a new "integrated structure" to better serve patients, increase funding for the Medical School, and enhance the University health sciences training and research.
See p. 8 of the 2013 Accountability Report.
The "integrated structure" is just the beginning of the long term efforts necessary to restore the Medical School. In its June 2013 report the Strategic Planning Committee described numerous "key initiatives" that must be implemented to enable the Medical School "to regain its position of excellence" by 2025. The Medical School Faculty Advisory Council released its own report describing major obstacles to achieving the "key initiatives." See An Institution Adrift Part II. The 175 page 2013 Accountability Report fails to even mention these reports much less review their analyses of the problems facing the Medical School.
5. Clinical Research Trials.
Key steps taken in 2012 [to translate scientific breakthroughs into improved health] include:
Initiated new resources and consultative services for research teams, including the Clinical Research Ethics Consultation Service . . .
Added expert staff members to guide, serve, and collaborate with research teams, including an Institutional Review Board specialist . . . .
See p. 60 of the 2013 Accountability Report.
The Institutional Review Board reviews research projects to ensure that human subjects are not placed at undue risk and that they give uncoerced, informed consent to their participation. See the IRB description.
In May 2004 Dan Markingson committed suicide while he was a participant in a U of M clinical trial. His psychiatrist recruited him for the trial as an alternative to a civil commitment as a mentally ill person likely to do harm to himself or others. An FDA investigation in 2005 concluded that there was no misconduct.
The U of M administration uses this 2005 FDA conclusion as a primary reason to reject calls for another investigation. But in 2012 the Minnesota Board of Social Work took corrective action against the social worker who was the study coordinator. Perhaps the most damning findings were these:
See pp. 3--4 of the report of the Minnesota Board of Social Work (emphasis added).
Yet the U of M president still refuses to conduct a new and independent investigation of the Markingson case. Is this being true to the principle of accountability? See Time To Do The Right Thing.
Michael W. McNabb
University of Minnesota B.A. 1971; J.D. 1974
University of Minnesota Alumni Association life member
2(g)(1) Despite the large amount of data gathered as part of the CAFE study, the records are devoid of any evidence that the data was critically analyzed or used in the treatment planning process. . .
2 (g)(4) There were critical omissions in Licensee's [U of M study coordinator] documentation that were relevant to suicide prevention and chemical dependency treatment. . .
2(h) On March 17, 2004 Licensee received an e-mail message from the CAFE study sponsor warning of a new risk of hyperglycemia and diabetes for patients taking medications used in the CAFE study. This new information effectively invalidated client #1's [Dan Markingson's] original informed consent.
See pp. 3--4 of the report of the Minnesota Board of Social Work (emphasis added).
Yet the U of M president still refuses to conduct a new and independent investigation of the Markingson case. Is this being true to the principle of accountability? See Time To Do The Right Thing.
Michael W. McNabb
University of Minnesota B.A. 1971; J.D. 1974
University of Minnesota Alumni Association life member
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