Stanford School of Medicine
Academic Affairs–

In This Chapter

Chapter 2: The Professoriate

2.63a Faculty Appointment: Documentation

  1. Transmittal Memo from Department Chair to Senior Associate Dean for Academic Affairs recommending the faculty appointment with a focus on the candidate
    • Programmatic need and why this candidate is the best fit
    • Expected role this candidate will fulfill
    • Name of mentor, for all Assistant Professors
    • Explanation of any unusual circumstances or negative remarks in the package

  2. Complete Faculty Appointment Form (Use form appropriate to line and rank of appointment)
    • Copy template of form onto appropriate color and use pages as dividers
    • Signed by Department Chair
    • Leave actual dates blank; they will be determined by date of approval
    • Helpful tips: spell out acronyms; order lists chronologically; separate peer reviewed publications, books and book chapters. Appointment forms indicate numbers of letters of evaluation, or see this chapter, above, Details at a Glance)
    • For appointment of Associate Professor or Professor, append reprints of five published articles written by the candidate

  3. California Medical Licensure form (see this chapter, Forms)) if applicable and if not submitted previously for this individual, with anticipated effective dates of this appointment

  4. Completed Faculty Appointment: Checklist

    Note: Do not resubmit salary information; it is contained in the offer letter.

2.63b Faculty Appointment: Process

 

2.63c Faculty Appointment: Checklist

(Sign, date and place on top of package)

___ 1 Transmittal Memo

___ 2 Faculty Appointment form

___ 3 California Medical Licensure form

___ 5 For MCL actions, please include PI Waiver form, if applicable

We cannot review incomplete packages. If an item does not apply to this package, please submit a written explanation.

 

Signature of Faculty Affairs Contact Phone Date

2.64a Faculty Reappointment: Documentation
  1. Transmittal Memo from Department Chair to Senior Associate Dean for Academic Affairs recommending the faculty appointment with a focus on the candidate
    • Programmatic need
    • Expected role this candidate will fulfill
    • Name of mentor, for all Assistant Professors
    • Explanation of any unusual circumstances or negative remarks in the package

  2. Complete Faculty Reappointment Form (Use form appropriate to line and rank of reappointment)
    • Copy template of form onto appropriate color and use pages as dividers
    • Signed by Department Chair
    • Leave actual dates blank; they will be determined by date of approval
    • Helpful tips: spell out acronyms; order lists chronologically; separate peer reviewed publications, books and book chapters. Reappointment forms indicate numbers of letters of evaluation, or (see this chapter, section 2.60)
    • For reappointment of Associate Professor or Professor, append reprints of five published articles written by the candidate.

  3. Counseling Memo from Chair to candidate (Assistant Professor and Associate Professor, Nontenured only. This includes Associate Professors MCL)

  4. Completed Faculty Reappointment: Checklist

    Note: Do not change salary as part of the reappointment process; do this during annual salary setting.

2.64b Faculty Reappointment: Process

 

2.64c Faculty Reappointment: Checklist

(Sign, date and place on top of package)

___ 1 Transmittal Memo

___ 2 Faculty Reappointment Form

___ 3 Counseling Memo, if applicable

___ 4 If reappointment to tenure, please include biography for Board of Trustees

___ 5 For MCL actions, please include PI Waiver form, if applicable

We cannot review incomplete packages. If an item does not apply to this package, please submit a written explanation.

Signature of Faculty Affairs Contact Phone Date

2.65a Faculty Promotion: Documentation
  1. Transmittal Memo from Department Chair to Senior Associate Dean for Academic Affairs recommending the faculty promotion with a focus on the candidate
    • Programmatic need
    • Expected role this candidate will fulfill
    • Name of past and/or current mentor(s) for all Assistant Professors being recommended for promotion
    • Explanation of any unusual circumstances or negative remarks in the package

  2. Complete Faculty Promotion Form (Use form appropriate to line and rank of promotion)
    • Copy template of form onto appropriate color and use pages as dividers
    • Signed by Department Chair
    • Leave actual dates blank; they will be determined by date of approval
    • Helpful tips: spell out acronyms; order lists chronologically; separate peer reviewed publications, books and book chapters. Promotion forms indicate numbers of letters of evaluation, or see this chapter, above, Details at a Glance
    • Append reprints of five published articles written by the candidate


  3. Source of Salary Support Form (see this chapter, Forms)
    • Signatures of Department Chair and Department Finance Administrator
    • If VA appointment, include estimated VA contribution to salary
    • Amount or salary level and percent to be supported
    • Billet number

      Note: Include a recommendation for salary increase that is separate from the annual merit increase

  4. Support Memo for any committed or backstop funding, signed by authorized guarantor (includes the "eighths" memo from VAPAHCS)

  5. Counseling Memo from Chair to candidate (see this chapter, above, Sections at a Glance)

  6. Completed Faculty Promotion: Checklist

2.65b Faculty Promotion: Process

 

2.65c Faculty Promotion: Checklist

(Sign, date and place on top of package)

___ 1 Transmittal Memo

___ 2 Faculty Promotion Form

___ 3 Source of Salary Support Form (See this chapter, Forms)

___ 4 Support Memo(s)

___ 5 Counseling Memo

___ 6 For MCL actions, please include PI Waiver form, if applicable

We cannot review incomplete packages. If an item does not apply to this package, please submit a written explanation.

Signature of Faculty Affairs Contact Phone Date

2.66a One-Year Extension of Professorial Appointment: Documentation
  1. Transmittal Memo from Department Chair to the Senior Associate Dean for Academic Affairs explaining reason(s) for extension

  2. Recommendation for Amendment of Professorial Appointment (see this chapter, Forms)
    • Signed by Department Chair
    • Indicate beginning and end date of one-year extension

  3. Counseling Memo from Chair to candidate
    • When candidate's rank is Assistant Professor (all lines) or Nontenured Associate Professor (UL)

  4. Completed One-Year Extension: Checklist

    Note: Do not change salary as part of the one-year-extension process; do this during annual salary setting

2.66b One-Year Extension of Professorial Appointment: Process

 

2.66c One-Year Extension of Professorial Appointment: Checklist

(Sign, date and place on top of package)

___ 1 Transmittal Memo

___ 2 Recommendation for Amendment of Professorial Appointment

___ 3 Counseling Memo

We cannot review incomplete packages. If an item does not apply to this package, please submit a written explanation.

Signature of Faculty Affairs Contact Phone Date

2.67a Changes to Salary or Funding: Documentation

Use when administrative duties are added to a faculty member's responsibilities; changes are made to VA "eighths"; or in similar situations, such as transferring to a different Division, etc. May also be used when changing financial terms of an existing Joint or Courtesy appointment.

Note: To request a special mid-year salary change for faculty without any change in appointment circumstance, address Justification Memo to Senior Associate Dean for Finance and Administration and submit directly to Finance. All other documentation remains the same.

  1. Justification Memo
    • Department Chair to Senior Associate Dean for Academic Affairs
    • Detail changes requested and reason

  2. Source of Salary Support Form (see this chapter, Forms)
    • Signatures of Department Chair and Department Finance Administrator
    • If VA appointment, include estimated VA contribution to salary
    • Amount or salary level and percent to be supported
    • Billet number
  3. Support Memo for any committed or backstop funding, signed by authorized guarantor (includes the "eighths" memo from VAPAHCS)

  4. Completed Changes to Salary or Funding: Checklist

2.67b Changes to Salary or Funding: Process

 

2.67c Changes to Salary or Funding: Checklist

(Sign, date and place on top of package)

___ 1 Justification Memo

___ 2 Source of Salary Support Form

___ 3 Support Memo(s)

We cannot review incomplete packages. If an item does not apply to this package, please submit a written explanation.

Signature of Faculty Affairs Contact Phone Date

2.68a Joint Appointment: Documentation

When a joint appointment is recommended, all faculty members of the secondary department must first vote on the joint appointment. Although it is preferable at the time of appointment, reappointment or promotion, .a joint appointment may be recommended at any time during a faculty member’s term. If recommendation for the joint appointment is made at another time, submit the following:

  1. Transmittal Memo to the Senior Associate Dean for Academic Affairs
    • Justification for the joint appointment
    • Signed by Chairs of both the primary and secondary departments

  2. Recommendation for Amendment of Professorial Appointment ("Blue Form")
    • Signed by Chairs of both the primary and secondary departments
    • Joint appointment would become effective following the Advisory Board meeting at which the recommendation is considered and would end with the current term. In the cases of faculty who are tenured or hold continuing terms, the joint appointment is without limit.

  3. Source of Salary Support form (see this chapter, Forms)
    • Submit only if source of salary changes, e.g. if secondary department assumes a portion. In this case, must be signed by both Department Chairs and both Department Finance Administrators

2.68b Joint Appointment: Process

 

2.68c Joint Appointment: Checklist

(Sign, date and place on top of package)

___ 1 Transmittal Memo

___ 2 Recommendation for Amendment of Professorial Appointment ("Blue Form")

___ 3 Source of Salary Support Form

We cannot review incomplete packages. If an item does not apply to this package, please submit a written explanation.

Signature of Faculty Affairs Contact Phone Date

2.69a Courtesy Appointment: Documentation

Use when the courtesy appointment is not made at the same time as the primary department’s appointment, reappointment or promotion of the candidate.

Note: The duration of the courtesy appointment may be equal to or less than the current faculty appointment in the primary department. For individuals who are tenured or hold a continuing term in their primary department, the Courtesy appointment may be for three years.

  1. Transmittal Memo from Department Chair to Senior Associate Dean for Academic Affairs
    • Purpose of the request
    • Appointment title

  2. Recommendation for Amendment of Professorial Appointment ("Blue Form")
    • Signed by Chairs of both the primary and secondary departments
    • Indicate beginning and end date of courtesy appointment

  3. Source of Salary Support Form, if secondary department is contributing funds (see this chapter, Forms)
    • Signature of Department Chair
    • If VA appointment, include estimated VA contribution to salary
    • Amount or salary level and percent to be supported
    • Billet number

  4. Support Memo for any committed or backstop funding, signed by authorized guarantor (includes the "eighths" memo from PAVAHCS)

  5. Completed Courtesy Appointment: Checklist

2.69b Courtesy Appointment: Process

 

2.69c Courtesy Appointment : Checklist

(Sign, date and place on top of package)

___ 1 Transmittal Memo to Senior Associate Dean for Academic Affairs

___ 2 Recommendation for Amendment of Professorial Appointment ("Blue Form")

___ 3 Source of Salary Support Form

___ 4 Support Memo(s)

We cannot review incomplete packages. If an item does not apply to this package, please submit a written explanation.

Signature of Faculty Affairs Contact Phone Date

2.70a Emeritus or Emerita Recall to Active Duty: Documentation

Professors emeritus or emerita may be recalled to active duty in any department, regardless of previous departmental affiliation.

  1. Transmittal Memo to the Senior Associate Dean for Academic Affairs
    • Justification for the recall
    • Signed by Chair

  2. Recommendation for Amendment of Professorial Appointment ("Blue Form")
    • Signed by Chair

  3. Source of Salary Support form (see this chapter, Forms)
    • Signed by Chair and Department Director of Finance and Administration

  4. Support Memo for any committed or backstop funding, signed by authorized guarantor (includes the "eighths" memo from PAVAHCS)

  5. Offer letter (For initial recall only), See "Sample Letters" for form letter

  6. Completed Emeritus or Emerita Recall to Active Duty: Checklist

2.70b Emeritus or Emerita Recall to Active Duty: Process

 

2.70c Emeritus or Emerita Recall to Active Duty: Checklist

(Sign, date and place on top of package)

___ 1 Transmittal Memo

___ 2 Recommendation for Amendment of Professorial Appointment ("Blue Form")

___ 3 Source of Salary Support Form

___ 4 Support Memo

___ 5 Offer letter (Suggested, if useful, but not required.)

We cannot review incomplete packages. If an item does not apply to this package, please submit a written explanation.

Signature of Faculty Affairs Contact Phone Date

2.71 Forms Used during Appointment & Promotion Process

Forms Included in This Chapter Section

Note: For Faculty Appointment Forms, see the "White Binders:."
University Tenure Line Appointment Form Templates with Guides
Medical Center Line Appointment Form Templates with Guides
Nontenure Line (Research) Appointment Form Templates with Guides
Teaching Line Appointment Form Templates with Guides or look online at http://med.stanford.edu/academicaffairs/forms.

 

2.81 Sample Letters for the Faculty Appointment & Promotion Process

  

2.103 Rules of Practice for the Faculty Physician

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Table of Contents
  1. Scope and Purposes
  2. Definition of Practice Income and Approved Sites of Professional Practice
    1. Practice Income
    2. Sites of Approved Practice
    3. Malpractice Coverage
  3. Individuals Covered by Rules
    1. Definition of Individuals Covered.
    2. Department Designation
    3. Rights and Obligations of Faculty
    4. Duties of Faculty
    5. Maintenance of Qualifications
  4. Financial Relationships
    1. Departmental Accounting
    2. Accounting and Reporting
  5. Departmental Incentive Plans
    1. Overall Incentive Plan Guidelines
    2. Personal Incentive Payments
  6. Other Matters
    1. Amendments to the Rules
    2. Adjudication of Matters
    3. Subordinate to Other Rules
    4. Effective Date

I. Scope and Purposes

This document provides the rules pertaining to the faculty and staff professionals in the School of Medicine involved in clinical care activities and the revenue generated by such professionals. The clinical care activities and revenue of such professionals shall be governed by these rules ("Rules").

II. Definition of Practice Income and Approves Sites of Professional Practice

A. Practice Income

1. Any income derived from direct or indirect patient care services requiring physician or other licensure for professional services, including physicians, psychologists, and doctors of philosophy involved with clinical activities, provided by the professionals defined in Part III.A ("Faculty") of these Rules as part of their employment by Stanford University is practice income, regardless of the source of payment for those services or the purpose for which the professional service/opinion is rendered. In addition, income generated by voluntary clinical faculty members who engage in patient care services under the auspices of the School shall be included in practice income. All practice income shall be irrevocably assigned to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital by all persons who generate such income. Except as provided in these Rules, none of such persons shall have any right or title to such practice income. Nonmedical professional services of individual Faculty shall not be covered by these Rules. Any amendment or exception to this Part II.A or any other parts of these Rules, which narrows the definition of practice income, must be approved in writing by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital. Practice income includes but is not limited to the following sources:

a. All professional fee-for-service or contract income derived from direct, indirect or consultative patient care services requiring medical licensure regardless of whether they are of a recurrent or nonrecurrent nature;

b. Cost recoveries collected by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital on behalf of its hospital facility or others based on the effort of the Faculty from third parties and customarily distributed to the former Faculty Practice Plan Departments prior to September 1, 1994.

2. An exception to the income policy described in 1 above is that income from patient related services (requiring medical or professional licensure) provided during scheduled vacation periods is excluded from practice income if:

a. The vacation is of at least two consecutive weeks (14 consecutive calendar days) duration and is approved beforehand by the responsible Department Chair; and

b. Prior written authorization to conduct professional patient-related services during the vacation period is received from the Faculty’s Department Chair.

3. Practice income includes all income related to claims consulting or testifying as an expert or professional consultant or witness on the medical condition or treatment of any person, unless the services involve consulting or testimony that (a) is based solely on a review of medical records (including x-rays, tracings, lab results and photographic material) of a person who is not a current Faculty patient, (b) does not involve use of any Stanford Hospital and Clinics and Lucile Packard Children’s Hospital staff, laboratories or other facilities, and (c) does not involve personally examining or interviewing the person, or unless the income from such services accrues to the Medical School or a Department solely for academic purposes and such accrual has been approved by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital.

4. Practice income includes all medical direction income, including that from serving as a medical director for any laboratory, diagnostic or therapeutic facility, or any other nonprofit or for-profit enterprise where the medical director has responsibility for the quality of medical service rendered (except that medical direction payments to the Medical School from Stanford Hospital and Clinics and Lucile Packard Children’s Hospital are excluded from this definition for purposes of Section 1.1.1(b) and 1.3 of the PSA). Practice income does not include serving only on an advisory board or governing board of such an enterprise.

5. Practice income shall not include income received by nonphysician employees and part-time physicians from work done for others outside of Stanford Hospital and Clinics and Lucile Packard Children’s Hospital work hours as approved by their supervisors.

6. Any exception to these income policies must be approved in advance by the Department Chair and the Senior Associate Dean who is also the Chief Medical Officer of Stanford Hospital.

7. Any questions on whether specific income items are private or practice income should be addressed to the Senior Associate Dean who is also the Chief Medical Officer of Stanford Hospital.

8. Income defined as practice income in this Part II shall not include any income generated Stanford faculty and staff employees, including voluntary clinical faculty, of the Department of Pediatrics and by pediatric subspecialties of other Departments as may be determined, as of the date that any separate set of rules of practice might be established for pediatric services. Consistent with Sections 1.1.1(b) and 1.3 of the SHS professional service agreement ("PSA"), such income from such pediatric services will not be revenue to which SHS is entitled pursuant to the PSA.

B. Sites of Approved Practice

1. The approved sites of practice for the Faculty are the facilities of Stanford Hospital and Clinics and Lucile Packard Children’s Hospital, and other hospitals and ambulatory care facilities owned, or managed by, or under an affiliation or other agreement with the University; and other health care agencies, institutions, and places designated by the Dean or his or her designee, after consultation with Stanford Hospital and Clinics and Lucile Packard Children’s Hospital, as sites of approved practice.

2. No Stanford University full-time Faculty may ever maintain a professional practice outside of the sites of approved practice. Part-time faculty and staff employees may do so only with the prospective written consent of their Department Chair with notification by the chair to the Dean and the CEO of Stanford Hospital and Clinics and Lucile Packard Children’s Hospital.

3. Provision of professional services at sites other than those of approved practice on a non-recurring basis may be approved by the Department Chair. Any income derived from such activities shall be practice income.

C. Malpractice Coverage

1. Stanford Hospital and Clinics and Lucile Packard Children’s Hospital malpractice coverage is provided only for patient-related activities performed by Faculty as part of their official Stanford Hospital and Clinics and Lucile Packard Children’s Hospital duties.

2. Stanford Hospital and Clinics and Lucile Packard Children’s Hospital malpractice coverage does not cover professional medical activities conducted during vacation, at unapproved practice sites or any other nonregular activities except for volunteer "Good Samaritan" emergency acts. In exceptional cases, malpractice coverage may be provided for activities which are not part of official Stanford Hospital and Clinics and Lucile Packard Children’s Hospital duties if approved by the program (e.g., School) that bears the costs of that malpractice coverage.

III. Individuals Covered by the Rules

A. Definition of Individuals Covered by Rules

1. All Stanford University employees with medical or other professional licenses, including physicians, psychologists, and doctors of philosophy involved with clinical activities, who engage in patient care services as part of their employment at Stanford University ("Faculty") will be covered and bound by these Rules. All Faculty may be eligible for incentive compensation at the discretion of their Department, subject to University policies.

B. Department Designation

Each Faculty member will belong to only one Department for purposes of these Rules, except as follows:

1. In the event of a joint appointment in two or more School of Medicine departments, the Faculty member shall be appointed for accounting purposes to the Department in which he/she will carry out the majority of his/her professional clinical activities. Other arrangements mutually agreeable to the Department Chairs involved may be made with the concurrence of the Dean.

2. For accounting purposes, the Faculty from the Stanford Hospital and Clinics and Lucile Packard Children’s Hospital Medical Group, the Stanford Hospital and Clinics and Lucile Packard Children’s Hospital Family Practice Group, the Internal Medicine Clinic of the Department of Medicine, and any future physicians employed by Stanford University who may practice primary care will not be assigned to their respective clinical departments but will reside in a Department of Primary Care whose finances will be the responsibility of Stanford Hospital and Clinics and Lucile Packard Children’s Hospital, if agreed by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital.

C. Rights and Obligations of Faculty

Faculty shall have the rights and obligations respectively provided for them in these Rules and in any applicable Department rules and regulations.

D. Duties of Faculty

Except as they are not relevant to Faculty such as psychologists or doctors of philosophy, the duties of each Faculty who provide services to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital under the PSA shall include the following:

1a. If providing services to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital under the PSA, provide services personally to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital patients in accordance with the terms of the Stanford Hospital and Clinics and Lucile Packard Children’s Hospital PSA as from time to time in effect, and to observe and be bound by all obligations imposed on Faculty and Stanford Hospital and Clinics and Lucile Packard Children’s Hospital pursuant to the PSA, including obligations under any third-party-payor contracts entered into by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital.

1b. If providing services to an affiliate like Stanford Hospital and Clinics and Lucile Packard Children’s Hospital to whom the School of Medicine is obligated to provide professional services ("Affiliate"), provide services personally to the patients of the Affiliate in accordance with the terms of the agreement with Stanford Hospital and Clinics and Lucile Packard Children’s Hospital as from time to time in effect, and to observe and be bound by all obligations imposed on Faculty and Stanford Hospital and Clinics and Lucile Packard Children’s Hospital pursuant to such agreement, including obligations under any third-party-payor contracts entered into by the Affiliate;

2. Maintain academic appointments at the School of Medicine and cooperate with, and assist, Stanford Hospital and Clinics and Lucile Packard Children’s Hospital, and other Affiliates in carrying out their academic functions, including supervision and training of medical students, interns, residents and fellows, supervision and training of physician assistants, and otherwise carrying out the faculty responsibilities applicable to them;

3. Cooperate, comply with and participate in any programs or systems of risk management (including the investigation and resolution of malpractice and other civil and criminal claims against Faculty, Stanford Hospital and Clinics and Lucile Packard Children’s Hospital or an Affiliate, or their trustees, directors, officers, employees, or agents), quality assurance and improvement, compliance, grievance procedures, peer review, case management and utilization review which are maintained or observed by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital and the School of Medicine and by an Affiliate;

4a. Comply with and observe the terms and conditions of any third-party payor or other contract entered into by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital or an Affiliate covering the provision of health care services by them, including without limitation, contracts with self-insured employers, preferred provider organizations, health maintenance organizations and indemnity insurers;

4b. Comply with and observe the statutes and regulations of all governmental payors, including the Medicare, Medicaid, Medi-Cal, and CHAMPUS programs, pertaining to the billing and payment of medical services and applicable to services or billings of the Faculty;

5. Cooperate with the credentialing procedures of the School of Medicine, Stanford Hospital and Clinics and Lucile Packard Children’s Hospital or an Affiliate, including the submissions of all current information necessary to comply with federal and state law and regulation and third-party payor requirements and the release of information to third-party payors;

6. Cooperate with Stanford Hospital and Clinics and Lucile Packard Children’s Hospital or an Affiliate in their billing and collection activities, including the assignment and collection of amounts receivable for services or otherwise by Faculty;

7. Comply with all Rules;

8. If providing services to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital under the PSA, look solely to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital for all compensation, benefits or other remuneration;

9. If providing services to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital under the PSA, render professional services to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital patients consistent with the terms of the PSA and the Stanford Hospital and Clinics and Lucile Packard Children’s Hospital affiliation agreement, with the understanding that such services are expected to meet quality of service standards as developed by the service chiefs in conformity with Stanford Hospital and Clinics and Lucile Packard Children’s Hospital policies;

10a. Execute the professional services income agreement or other documents necessary to assign to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital all billing rights and revenues generated from the provision of services by Faculty, and

10b. For Faculty providing services to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital under the PSA, take no action contrary to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital rights under the PSA to the assignment to all billing rights and revenues generated from the provision of such services by Faculty and to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital sole right to bill and receive any fees or charges for such services;

c. For Faculty providing services to an Affiliate, take no action contrary to any rights of an Affiliate under its agreement with Stanford Hospital and Clinics and Lucile Packard Children’s Hospital to the assignment to all billing rights and revenues generated from the provision of such services by Faculty and to any sole right of the Affiliate to bill and receive any fees or charges for such services;

11. Provide free care and community health services in accordance with the policies in effect from time to time of the School of Medicine and Stanford Hospital and Clinics and Lucile Packard Children’s Hospital or an Affiliate;

12. Comply with applicable conditions of eligibility under the general and professional liability policy or policies or programs of self-insurance of Stanford Hospital and Clinics and Lucile Packard Children’s Hospital, the School of Medicine or an Affiliate;

13. In the case of Faculty who are insured when providing services on behalf of Stanford Hospital and Clinics and Lucile Packard Children’s Hospital other than through policies maintained by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital, provide Stanford Hospital and Clinics and Lucile Packard Children’s Hospital with reasonable advance written notice in the event of cancellation or nonrenewal of such policy;

14. Perform all medical services to be provided under the PSA in accordance with then current standards of practice in the community;

15. Continue to pursue training and education as required to maintain and update skills compatible with standards of professional practice in the community and comply with all continuing professional education requirements of the relevant California licensing Board;

16. Conform to applicable Stanford Hospital and Clinics and Lucile Packard Children’s Hospital policies and procedures of the School of Medicine and Stanford Hospital and Clinics and Lucile Packard Children’s Hospital or an Affiliate and applicable law in making patient referrals and not transfer or divert any patient from them or any of their facilities or any other of their approved Stanford Hospital and Clinics and Lucile Packard Children’s Hospital practice sites, to other medical providers or facilities for professional care for the purpose of billing or receiving a payment in contravention of the Rules; and

17. Refrain at any time, including during vacation periods, from billing or receiving payment other than in accordance with these Rules for patient care and related services that are provided to patients at \Stanford Hospital and Clinics or any other approved sites of practice.

E. Maintenance of Qualifications

Each Faculty member shall maintain the following qualifications, unless waived by the Dean and if providing services to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital under the PSA also waived by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital, or unless they are not relevant to Faculty such as psychologists or doctors of philosophy:

1. An appointment as a member of the faculty of School of Medicine;

2. Certification or eligibility for certification under the applicable professional specialty board (except for a limited number of long-time Faculty members);

3. An unrestricted license to practice medicine in the State of California or be practicing under a license exception approved by the Medical Board of California and also be in good standing with the Medical Board of California;

4. An unrestricted Federal DEA number;

5. Unrestricted medical staff membership and clinical privileges, appropriate to the Faculty’s specialty, at Stanford Hospital and Clinics and Lucile Packard Children’s Hospital and any other facility at which the Faculty renders services unless otherwise agreed to in writing by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital; and

6. Be a participating provider in and agree to accept assignment from beneficiaries of Medicare, Medi-Cal and any other third-party payment, managed care or point-of-service arrangements entered into from time to time by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital.

IV. Financial Relationships

A. Departmental Accounting

Each clinical Department within the School will be a separate entity for practice income and incentive accounting and distribution purposes. Interdisciplinary programs may be approved as "departments" for such purposes under these Rules by the Dean in order to address clinical program needs that cannot be addressed through traditional departmental structures. The Dean or the administrator appointed by the Dean shall have the right to specify and modify all accounting and financial management procedures, policies and requirements that shall be used by the clinical Departments, provided that they conform to generally accepted accounting principles and Stanford Hospital and Clinics and Lucile Packard Children’s Hospital and Stanford University policies and procedures.

B. Accounting and Reporting

1. The Dean of the School of Medicine shall designate an administrator under these Rules and assign to him or her appropriate duties not otherwise specified in these Rules.

2. The administrator shall maintain such records as are needed to prepare reports of advances from practice income, utilizing as much as possible the financial and management reports supplied by Stanford Hospital and Clinics and Lucile Packard Children’s Hospital.

3. The fiscal year for accounting purposes under these Rules shall be the period September 1 through August 31.

V. Departmental Incentive Plans

Except as otherwise provided in these Rules, the Department Chair or Director of an Interdisciplinary Department shall administer the incentive plan for the practice income of the Department of which he or she is head.

However, all salaries and other compensation established through the procedures described in the Rules are only recommendations to the Dean, and are subject to the approval of or modification by the Dean in his or her sole discretion. Nothing in these Rules shall be deemed to give any Faculty or Department Chair or Director the right to set or determine any salaries or other compensation.

A. Overall Incentive Plan Guidelines

1. Each Department Incentive Plan is to be developed by the Department Chair or Director in consultation with department Faculty and shall be consistent with the guidelines and departmental compensation plans developed pursuant to V.A.3 below.

2. Personal incentive payments are bonuses available to pay Faculty over and above their base (fixed or at-risk) salaries as defined by University and Medical School policies.

3. The School of Medicine intends to:

(i) In consultation with Stanford Hospital and Clinics and Lucile Packard Children’s Hospital, establish guidelines for physician compensation (including incentive pay) for applicable Faculty that will include recognition of the level of clinical effort and excellence of clinical performance of individual physicians;

(ii) Engage a qualified consultant to conduct a comprehensive study of the physician compensation plan, including analysis of alternative incentive structures;

(iii) Develop specific compensation plans for each clinical Department using such guidelines; and

(iv) Implement such department plans, in part or whole, through a Departmental Incentive Plan and provide assurance to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital of such implementation.

4. Personal incentive payments shall be distributed based upon prospectively written criteria developed with the advice of each clinical department and/or division and approved by the respective Department Chair or Director.

5. A Departmental Incentive Plan shall be subject to general review and approval by the Dean and shall be consistent with the guidelines and departmental compensation plans developed pursuant to V.A.3 above.

6. Subject to University policies, all members of the Faculty Council of the Medical School shall be eligible for consideration for personal incentive payments, and at the discretion of Department Chair, staff physicians and other professionals described in Part III.A shall be eligible.

B. Personal Incentive Payments

1. The personal incentive payments to any Faculty shall not exceed total base salary including fixed base and any at-risk base (as defined by University and Medical School policies).

2. Personal incentive payments may be estimated and paid on a quarterly basis to individual Department Faculty from the Personal Incentive Fund.

3. The Departments will provide the administrator under these Rules with the information necessary to compute the personal incentive payments. The payment for the quarter ending August 31 shall reflect a final settlement for the fiscal year.

VI. Other Matters

A. Amendments to the Rules

To amend these Rules, the Chairs of the clinical Departments shall adopt a resolution setting forth the proposed amendment, which is subject to approval by the Dean and President of the University. Notice of any amendment shall be given to Stanford Hospital and Clinics and Lucile Packard Children’s Hospital sixty (60) days prior to its approval or effective date.

B. Adjudication of Matters under These Rules

The Dean of the School of Medicine shall have the authority to adjudicate problems regarding financial management, departmental and interdisciplinary programs and any other matter covered by these Rules.

C. Subordinate to Other Rules

The activities and matters covered by these Rules shall be administered subordinate to the rules, regulations, and policies of the Stanford Health University School of Medicine and Stanford Hospital and Clinics and Lucile Packard Children’s Hospital and in accordance with the terms of the PSA and Stanford Hospital and Clinics and Lucile Packard Children’s Hospital affiliation agreement.

D. Effective Date

These Rules become effective on September 1, 1999 and supersede the previous "FPP Rules and Regulations" dated September 1989.

All previous policies, procedures and resolutions adopted by the former Faculty Practice Plan administration, committees or departments shall remain in effect to the extent consistent with, and not superseded by, these Rules or any policies, procedures and resolutions adopted pursuant to these Rules.

ADOPTED:

 

CEO, Stanford University Hospital Dean, School of Medicine

 

President & CEO, Lucile Packard Children Hospital

 

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