Centers and Institutes Application

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Please complete the application below. If you have any questions, please contact Dr. Mitzi Norris, Felicia Clerk or Jennifer Kennedy at 601-815-5000 or centersandinstitutes@umc.edu.

Thank you!

For Questions or Concerns, contact:

Centers and Institutes Committee: centersandinstitutes@umc.edu

Meagan Follett-Peterson: mfollett@umc.edu

Application Type

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Center

Institute

Clinical Center

Externally-Designated Center

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For CLINICAL CENTER applications, please attach a letter of support for the proposed center from the department chair.

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CENTER APPLICATION

Centers are programs that have predominant education and/or research functions. A center may also have health care functions.

Provide the information requested in the following section and include supporting documentation as indicated for the proposed center. The proposed Director or Chair of the Operating Board will be asked to present the information to the UMMC Centers & Institutes Committee when the proposal is considered by the committee. The center will be notified prior to the meeting. Additional considerations include the following:

• Approved centers may be required to provide information to the Board of Trustees for State Institutions of Higher Learning (IHL), our governing board.

• Approved centers must develop a website.

• Centers and institutes at UMMC do not provide academic degrees.

CLINICAL CENTER APPLICATION

The primary purpose of a clinical center is to provide and coordinate health care for a specific patient population or specific health issue. A clinical center may also have education and research functions, but its primary purpose is health care delivery.

Provide the information requested in the following sections and include supporting documentation as indicated for the proposed clinical center. The proposed Director or Chair of the Operating Board will be asked to present the information to the UMMC Centers & Institutes Committee when the proposal is considered by the committee. The center will be notified prior to the meeting. Additional considerations
include the following:

• Approved clinical centers may be required to provide information to the Board of Trustees for
State Institutions of Higher Learning (IHL), our governing board.

• Approved clinical centers must develop a website.

• Centers and institutes at UMMC do not provide academic degrees.

INSTITUTE APPLICATION

Institutes are large multidisciplinary programs involved in all three missions: education, research, and health care. Institutions involve multi-departmental collaboration.

Provide the information requested in the following section and include supporting documentation as indicated for the proposed institute. The proposed Director or Chair of the Operating Board will be asked to present the information to the UMMC Centers & Institutes Committee when the proposal is considered by the committee. The institute will be notified prior to the meeting. Additional considerations include the following:

• Approved institutes are required to provide information to the Board of Trustees for State Institutions of Higher Learning (IHL), our governing board.

• Approved institutes must develop a website.

• Centers and Institutes at UMMC do not provide academic degrees.

Proposed Center Name

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Proposed Institute Name

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Director Name

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Director's E-mail Address

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Administrative Contact Name

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Administrative Contact E-mail Address

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Administrative Contact Phone Number

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Date of Proposed Implementation

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Proposed Web Address

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Upload proof of national designation.

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Purpose: Describe the primary mission(s) and any secondary missions. Explain how the proposed center will provide added value and synergy to UMMC. How will the proposed center help meet the priorities/goals of the UMMC strategic plan?

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Purpose: Outline how the proposed clinical center will contribute to the healthcare mission, and indicate how the proposed center will provide added value and synergy to UMMC.

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Purpose: Outline specific missions in healthcare, education, and research and indicate how the proposed Institute will provide added value and synergy to UMMC. How will the proposed institute help meet the priorities/goals of the UMMC strategic plan?

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Goals: Describe one year and five year goals and mission area(s) addressed by goals. Goals should include activities and measurable outcomes related to that goal.

Examples of measurable outcomes:
Research
i. Externally funded projects
ii. Publications
iii. Presentations at national/international meetings
iv. Patents/commercialization
v. Public outreach
Education
vi. New or continuing educational programs
vii. Participating trainees and trainee outcomes
viii. Courses/workshops
Healthcare
ix. Services offered
x. Changes in patient and provider metrics

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Administration/Organization: Describe how the proposed center will be administered including the name, title, and role of person(s) who will be responsible for the Center.

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Administration/Organization:
• Describe how the proposed Institute will be administered including the name, title, and roles of person(s) who will be responsible for the Institute.
• Will it be necessary to add faculty and staff to operate the proposed Institute? If so, give the desired qualifications of the persons to be added, a timetable for adding new faculty and staff, and the associated costs.
• Will the organization of this institute be consistent with the academic unit structures of peer institutions?
• Provide an organizational chart that outlines key personnel including governance and reporting structure.

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Administration/Organization: Provide an organizational chart that outlines key personnel including governance and reporting
structure.

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Financial Support: Describe sources of financial support for both programs and personnel including amount and duration of internal and external funding, clinical revenue, etc.

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Business Plan/Source of Financial Support:
Provide a budget with justification and itemized expenditures during each of the first six years including estimates of any new costs to UMMC related to the Institute and any sources of the funding that will defray those costs.

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Physical Resources Plan: Describe space, facilities, and equipment needs, and plans for meeting these needs.

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Physical Resources Plan: Describe space, facilities, and equipment needs, and plans for meeting these needs. Describe advertising or marketing materials that you plan to use that will include the Center by name.

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Oversight: Provide plan for regular internal and, if appropriate, external reviews, and outline the process by which feedback will be incorporated into the Center's goals and activities.

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Oversight: Provide plan for regular internal review, and outline the process by which feedback will be
incorporated into the clinical center's goals and activities.

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Oversight: Provide plan for regular internal and external reviews, and outline the process by which feedback will be incorporated into the Institute's goals and activities.

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Synergy and Added Value: What has the Center/Institute accomplished beyond that of its individual components? How has the Center/Institute promoted cohesiveness and identity? Is there any clear overlap with other centers/institutes on campus of which you are aware?

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Reporting Commitment: All centers and institutes must provide an annual update online through the Centers and Institutes website. Centers and institutes must also submit a five year report to the Centers and Institutes Committee. The director will present the report to the committee as part of the director's review. Please acknowledge and agree to comply with this reporting commitment.

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PowerPoint Presentation Template

Attachment:New Center PowerPoint Template.ppt

PowerPoint Presentation: Upload completed PowerPoint presentation here.

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