3 Antecedentes
3.4 Nuevos sistemas en desarrollo
3.4.3 Bombas axiales
1.6a Description of the budgetary and allocation processes, including all sources of funding supportive of the instruction, research and service activities. This description should include, as appropriate, discussion about legislative appropriations, formula for funds distribution, tuition generation and retention, gifts, grants and contracts, indirect cost recovery, taxes or levies imposed by the university or other entity within the university, and other policies that impact the fiscal resources available to the school.
Background and Overview. On July 1, 2013, the Public Health Program became the School of Public Health, and separated from the Division of Biology and Medicine, where the Medical School is located, and the reporting line and budgetary authority for the Dean of Public Health (reporting to the Provost) became the same as the reporting line and budgetary authority for the Dean of Medicine and Biological Sciences. The School of Public Health entered into an agreement with the university in which a 5-year financial plan detailing revenue and expenses was approved as a separate academic budget within the university. The data presented for FY 10-13 reflect our previous arrangement in which the Public Health Program reported to the Dean of Medicine and Biological Sciences, but the narrative information presented in this section reflects the budgetary and allocation processes that are in place as of FY 14.
Revenue. The School does not receive an appropriation from the State of Rhode Island.
Sources of revenue are:
1) 100% of tuition from Masters programs 2) Endowment and current use or directed gifts 3) University support:
transfer for undergraduate teaching
3 semesters of doctoral student support and travel funds for Master’s and doctoral students
support for strategic initiatives and transitional funding to balance budget until the other sources of revenue (especially endowment and current use gifts) are sufficient to balance the operating budget
4) Direct and a portion of indirect costs related to externally sponsored training grants and research grants and contracts (including a contract from the RI Department of Health to support faculty and sponsor graduate student Research Assistantships)
5) External support for graduate student Research Assistantship from several public health agencies and organizations
6) Reserve funds from Public Health Research Centers and the school. These sources of funds are described below.
Tuition
In FY 14, the School of Public Health’s share of all Master’s tuition increased from 97%-100%.
Endowment
The School of Public Health now has a dedicated staff member (Catherine Nellis) in the University Advancement Office to oversee fund raising initiatives and opportunities. The School of Public Health is one of the university’s high priorities for fundraising and President Paxson has been very actively involved in fundraising efforts. Over the past 18 months, nearly $5 million in endowment has been raised. Once donor payments reach a prescribed level, endowments begin to generate income for the School of Public Health in accordance with payment levels which are set annually by the Corporation of Brown University.
Endowments which are generating income are described below:
The Norah Kahn Piore Awards
This endowment provides support for students who wish to undertake research in health services, with a focus on health status and access to health care by poor and underserved groups. The awards provide funding for research, travel and related costs in a range of fields including but not limited to health services, policy and practice; behavioral and social sciences; epidemiology; political science and economics. Awards are made on a competitive basis each year.
The Dr. and Mrs. Frederick W. Barnes Jr. Lectureship in Public Health
The Barnes Lectureship, now in its fifteenth year, honors the late Brown Professor Emeritus of Medical Science Frederick W. Barnes Jr., MD, PhD, and his late wife, Catherine, and is supported by a modest endowment. Its mandate is to address issues pertinent to public health that speak most meaningfully to the interface between
medicine and society. Each year the Barnes Lecture serves as the centerpiece of Brown’s annual Public Health Research Day. Recent speakers have included Elliott Fisher, Bernard Guyer, Kelly Brownell and David Satcher.
The Levinger Lecture
The School of Public Health is also responsible for organizing the annual endowed Levinger lecture on the Economics of Health Care. Recent speakers have included Gail Wilensky, Judith Feder, Troyen Brennan, Tom Trikalinos, and Amy Funkelstein.
The Surdna Endowment
This endowment provides funds for clinical faculty to develop research expertise in geriatrics and gerontology.
Donald G. Millar Endowment
This endowment supports faculty conducting research in the Center for Alcohol and Addiction Studies.
David S. Greer Professorship in Geriatrics
This endowment supports the Director of the Center for Gerontology and Healthcare Research.
Endowed Scholarships for Masters Students
Four endowments generated income of $98,600 in FY 15 to support students in Master’s programs.
Current Use/Directed Gifts The Public Health Annual Fund
This fund was established in 2008 and it generates a modest amount of discretionary income for the School of Public Health. As the number of alumni continues to grow, we are optimistic that the amount of revenue from this source will continue to increase. In addition to the annual fund, there are several restricted gifts which are used in
accordance with the donor’s wishes.
The Littaurer Foundation Loan Repayment Assistance Program
This competitive program will assist graduating students and recent graduates who are choosing to serve in positions that impact improving population health and reaching underserved populations, but may not provide substantial compensation.
University Support
In addition to direct services provided by the university (e.g., registrar, library, facilities, human resources, advancement), the School of Public Health receives direct financial support from the university in its annual operating budget.
University support for undergraduate teaching ($3.1 - $3.4 million) recognizes the significant number of undergraduates enrolled in courses taught by School of Public Health faculty (undergraduate enrollment in FY15 exceeds 2,400).
Doctoral students in Brown University doctoral programs are guaranteed 5 years of support (tuition, health fee, health insurance and stipend). School of Public Health doctoral
programs receive from the university financial support for the first 3 semesters and
intervening summer for 4 incoming doctoral students per year for each PhD program; during this period, incentives exist in which all or part of these funds can be “banked” for future use if the graduate program has other sources of funding (e.g., training or research grants) to support the student. The university also provides travel funds for Masters/Doctoral students for attendance at a professional meeting to present a paper or poster.
The Provost sets aside funds for unanticipated opportunities and strategic initiatives in the School of Public Health and the university is providing transitional support for the School in an amount necessary to achieve a balanced budget. This amount is approximately $1.1 million and we anticipate that it will decrease as income from endowment and current use gifts increases.
Grant/Contract Direct and Indirect Costs
Most sponsored research activities are conducted within the Public Health Research Centers/Institutes. Eight research centers/institutes are based at Brown University (Center for Alcohol and Addiction Studies, Center for Gerontology and Healthcare Research, Center for Statistical Sciences, International Health Institute, Institute for Community Health Promotion, Center for Population Health and Clinical Epidemiology, Center for Environmental Health and Technology, and Center for Evidence-based Medicine). In addition, there are two research centers at The Miriam Hospital (Brown University Aids Program and the Centers for Behavioral and Preventive Medicine) and one at the Memorial Hospital of RI (Center for Primary Care and Prevention). The Brown-based centers/institutes had over $34 million direct and indirect costs in 2014
and the hospital-based centers had just over $14 million. The Brown-based sponsored projects include 4 post-doctoral and pre-doctoral training grants, and many physicians who are fellows in one of the post-doctoral training programs are enrolled in our Masters’ programs. In addition, many fellows who are not in a degree program, take courses of particular interest to them. The wide array of research projects provide students with an opportunity to gain valuable experience while they pursue their degrees. The direct costs on research grants and contracts provide support for PhD students in Biostatistics, Epidemiology, Health Services Research and Behavioral and Social Health Sciences; and also support Research Assistantships in all Masters programs in the School of Public Health. External funds from community agencies and Brown affiliated hospitals are also an important source of support for Public Health doctoral and masters students.
The School of Public Health receives 44% of indirect costs from external awards and the university retains 56%. The operating budgets of the Brown-based Public Health
Research Centers/Institutes are set each fiscal year as a percentage (31.5% in FY 15) of the indirect cost recovery from the previous fiscal year. At the close of each fiscal year, remaining balances are transferred to the Centers’ reserve accounts. Similarly, year-end deficits in operating accounts are covered by the Centers’ reserve accounts. This
incentive-based model of support for Centers/Institutes has been effective in growing their research programs. Reserve funds are used to support pilot research projects, new initiatives and bridge funding for faculty and staff who have short-term gaps in their research funding.
Contract from the RI Department of Health
The continuing contract from the Rhode Island Department of Health, now in its 22nd year, provides support for 3 faculty and 5-6 graduate student Research Assistantships.
The faculty have primary responsibility for ongoing projects at the Department of Health, but under the terms of our agreement, they have protected time for mentoring and advising students.
Reserve Funds
Financial reserve funds in the School of Public Health total nearly $9.7 million. These funds are distributed as follows:
Research Centers/Institutes $7.17 million Doctoral programs $0.68 million Academic departments $0.15 million Dean’s reserve $1.70 million
These discretionary funds provide a financial safety net for the School of Public Health, and its research and academic programs.
1.6b A clearly formulated school budget statement, showing sources of all available funds and expenditures by major categories, since the last accreditation visit or for the last five years, whichever is longer. This information must be presented in a table format as appropriate to the school. See CEPH Data Template 1.6.1.
See next page for table.
Table 1.6.1
program funds $222,545 $85,388 $59,643 $95,433 $962,849
University Funds
Undergraduate
Teaching Support $3,105,000
University Funds Transitional Support $1,139,000
University Funds Doctoral Students $555,768
Grants/Contracts $26,042,319 $29,765,854 $29,572,629 $26,796,438 $24, 803,959 Indirect Cost
Recovery $9,874,054 $11,533,012 $11,279,855 $10,350,599 $9,160,680
Annual Fundraising $7,850 $193,718 $231,200 $199,437 $66,133
Endowment $666,074 $522,338 $616,603 $500,577 $593,478
Other - Restricted
Gifts $1,341,366 $344,201 $394,605 $507,983 $209,922
TOTAL INCOME $40,391,739 $44,823,333 $45,015,329 $41,767,177 $45,071,331
RAships $475,000 $506,844 $653,946 $795,000 $796,811
University Share of
FY14 $987,405 $1,153,301 $1,127,986 $1,079,142 $5,118,363
Other Research Support $287,812 $654,003 $561,289 $416,105 $962,848
Other Facilities $2,939,693 $2,574,429 $2,662,410 $2,707,091 $3,269,740
Other
Direct Costs-Grants
and Contracts $26,042,319 $29,765,854 $29,572,629 $26,796,438 $24,803,959
Other Tuition scholarships $665,360 $672,863 $795,859 $1,071,242 $1,082,099
Other
Support for
Research Centers $3,110,327 $3,632,899 $3,553,154 $3,260,439 $3,251,450
Other
Assessment for Division of Biology and Medicine
Support Services $3,534,121 $3,271,449 $2,145,738 $974,758 N/A TOTAL EXPENSES $40,391,739 $44,823,333 $45,015,329 $41,767,177 $45,300,485 Deficit covered by
SPH Reserves -$229,154
1.6c If the school is a collaborative one sponsored by two or more universities, the budget statement must make clear the financial contributions of each sponsoring university to the overall school budget. This should be accompanied by a description of how tuition and other income is shared, including indirect cost returns for research generated by school of public health faculty who may have their primary appointment elsewhere.
Not applicable
1.6d Identification of measurable objectives by which the school assesses the adequacy of its fiscal resources, along with data regarding the school’s performance against those measures for each of the last three years. See CEPH Outcome Measures Template.
Target: Average of 25% tuition scholarships for Master’s students.
Target: Increase endowment income for student research projects and financial aid from
$15,000 in 2014 to $125,000 in 2017.
Target: Increase endowment in order to reduce the transitional funding from the university to the School of Public Health needed to achieve a balanced budget.
As mentioned in 1.6.a, the School of Public Health now has a dedicated staff member (Catherine Nellis) in the University Advancement Office to oversee fund raising initiatives and
opportunities. We are working with several donors who are interested in supporting school operations, student research and financial aid.
The Nora Kahn Piore Awards were created in 2013/14 in recognition of the lifetime work of health policy expert, Nora Kahn Piore, through the generosity of Margot Piore Onek, MD ’64, P’91 and Joseph N. Onek. These awards are made annually to support undergraduate, graduate and medical students who wish to undertake research in health services, with a focus on health status and access to health care by poor and underserved people. The awards provide funding of up to $5000.00 for research, travel, and related costs. $15,000 was awarded in FY14 and FY15.
There are 3 endowed scholarships for Master’s students and also a fellowship to support 2 students from the Ukraine. The latter endowment is currently supporting one MPH student;
when the final payment on the endowment pledge is received, we will be able to fully fund a second student from that country: $98,000 was awarded in FY 15.
As shown in the following table, the target for awarding an average tuition scholarship of 25%
tuition scholarship has been met. We will continue to monitor this annually. Endowment for student scholarships and research projects increased dramatically in FY15 and we are expecting continued growth as pledge payments are received. Finally, the transitional support from the university declined in FY 15 and we are anticipating a steady decline in this support as other sources of revenue (tuition, endowment, gifts, indirect cost recovery) increase.
Table 1.2C.7 Outcome measures for adequacy of resources
Outcome Measure Target 2012/13 2013/14 2014/15
Tuition Scholarships for Students
Average of 25% 25% 24.2% 25.5%
Endowment- Student Scholarships and Research Projects
Increase from
$15,000 to
$125,000 in FY 17
$0 $15,000 $113,000
Reduce Transitional Funding by Increasing Endowment
Transitional funding will cease
by FY 19
N/A $1,139,000 (transitional funding)
$593,478 (endowment
income)
$1,082,000 (transitional
funding)
$722,706 (endowment
income)
1.6e Assessment of the extent to which this criterion is met and an analysis of the school’s strengths, weaknesses and plans relating to this criterion.
This criterion is met.
Strengths: The Brown School of Public Health has considerable resources and an ongoing commitment from the university to provide the support needed for the School to fulfill its stated mission and goals, and its instructional, research and service objectives.
Challenges: Until endowment is raised, masters’ tuition and indirect cost recovery are the major sources of revenue for the School of Public Health. Because of this financial model, the decline in NIH funding over the past several years has been a significant financial challenge.
Faculty salary offset from research grants and contracts has declined, resulting in increased faculty salary support needed from the school. Declining research support has affected the funding available for doctoral students and programs have worked very hard to identify alternative sources of support.
Plans: The transition to the School of Public Health presents important opportunities for fundraising. Particular priorities are to name the school, secure endowments for faculty chairs and expand support for graduate students.
1.7 Faculty and Other Resources. The school shall have personnel and other resources adequate