T H E I N D E P E N D E N T D A I LY AT D U K E U N I V E R S I T Y
The Chronicle
XXXDAY, MONTH TUESDAY, MARCHXX, 19,2013 2013
ONE ONE HUNDRED HUNDRED AND AND EIGHTH EIGHTH YEAR, YEAR, ISSUE ISSUE 117 X
WWW.DUKECHRONICLE.COM
New hires Patients down, revenue down might see Duke University Health System feels effects of economy, legislation total endoscopy cases new rules current year- to- date 14,009
Duke may require background checks for all new faculty by Elizabeth Djinis THE CHRONICLE
Prospective Duke faculty members may soon have to consent to background checks before being hired. Currently, all University staff and all faculty involved in clinical work must undergo criminal background checks before being employed by Duke. The Academic Council, however, will discuss expanding this policy to require background checks for all faculty in their meeting Thursday. The policy change being discussed mirrors a transformation happening at institutions across the country and will not be unique to Duke, said Vice President for Administration Kyle Cavanaugh, who oversees staffing and human resources for the University. “It’s become what is referred to as the best practice in virtually all employment in other types of industries,” Cavanaugh said. “This is a natural evolution of the issue of conducting due diligence in terms of new hires.” Cavanaugh stressed that it is crucial to keep the faculty informed of how the background checks will work. “The process that we use is very objective, very thorough and the confidentiality that is maintained throughout the process is critical,” Cavanaugh said. “We want to ensure that it’s being conducted in a uniform and objective fashion.” Academic Council chair Susan Lozier, Ronie-Richele Garcia-Johnson professor of physical oceanography, wrote in an email Monday that the decision has not been made yet and said that the issue will be further discussed at the Thursday meeting of the Academic Council. She declined to comment any further before then. Cavanaugh said that most of the faculty views the change positively and, ultimately, the verdict hinges on their opinion. He hopes to have the decision made as soon as possible and is “optimistic,” but notes that there is SEE BACKGROUND ON PAGE 16
14,649 prior year- to- date emergency department visits current year- to- date
113,631
116,451 prior year- to- date
total surgical cases current year- to- date 43,480 46,212 prior year- to- date CHRONICLE GRAPHIC BY ELIZA STRONG
The Duke University Health System is experiencing a decrease in revenue and in patient volume, as a result of shifts in the national economy and trends in health care. The decreases have hit almost every area of the system, including the Duke Cancer Center, pictured. by Danielle Muoio THE CHRONICLE
Overall patient volume and revenue at Duke University Health System have fallen in the past fiscal year, reflecting the current economic climate and national changes to health care. The decrease in patients has occurred in several major areas, including emergency room visits, surgical cases and endoscopy cases. DUHS leaders attribute
the decline to increased competition in the region, driven by the economy and the Affordable Care Act. Health professionals in private practice are looking to align themselves with bigger health systems with more financial security, taking their patients with them. Additionally, the slow economy has driven more people to avoid medical visits because of the cost. The decrease in patient volume re-
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West Union to offer better accessibility by Lucy Hicks THE CHRONICLE
The West Union Building renovation is slated to enhance the structure with unprecedented access for students with disabilities. The student-run Duke Disability Alliance has partnered with the administration as well as the West Union architects to make sure the new building will be completely accessible for all of Duke’s students. This is part of a broader campaign to expand accessibility in the house model and elsewhere on campus. The West Union plans feature fully integrated ramps and easily accessible elevators. Although the current building is partially accessible for those with disabilities, the new renovations will create a space that is fully accessible. “[The West Union architects] were
thinking about absolutely everyone being able to experience the space in the same way,” said senior Megan Barron, president of DDA. The construction plans for the new building meet and surpass the standards of the Americans with Disabilities Act, said Barron, who identifies as a disabled student. The original West Union Building was completed decades before the 1990 passage of the ADA, which bans discrimination based on disability. There is more to making a welcoming structure, however, than just fulfilling the ADA requirements, said senior Tyler Bray, vice president of DDA. “You can bring a building up to code, but still give a student the feeling that they are being isolated,” Bray said. In addition to the accessibility plans for West Union renovations, Barron said
ONTHERECORD
Women’s basketball NCAA Tournament preview, See supplement
sulted in a drop in revenue. Compared to the same point in the previous fiscal year, total surgical cases have decreased by 2,732, total endoscopy cases decreased by 640 and emergency department visits have decreased by 2,820, according to data from Kenneth Morris, senior vice president, chief financial officer and treasurer of DUHS. Additionally, DUHS
“Perhaps my perspective is unique, but...in some cases, I think dialogue is counter-productive...” —Patrick Oathout in ‘Shrink Dialogue.’ See column page 14
the administration is working to make the residential house model more accommodating for students with disabilities. In the past, only certain living areas were accessible to handicapped students, making greek houses or selective living groups more difficult to join, Barron said. The administration, however, has made new commitments to providing accessible housing in every building regardless of the building’s original accessibility level. There are specific funds set aside each year in order to provide these accommodations. “It’s not about just making my room accommodated,” Barron said. “It was the bigger picture of how are we going to accommodate any student that has a
Brackets 4 Life supports SIDS research, Page 2
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