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Starting A New Osteopathic GME Program Margaret J. Hardy, JD Director, Graduate Medical Education Policy & Development December 2011 Challenges • Physician Workforce Shortages • New Colleges of Osteopathic Medicine & Allopathic Medical Schools • Increasing Number of Medical Graduates • Uncertain Economy • Hospital & Program Closures Challenges • Hospital Sales & Mergers • Medicare “Caps” on Existing Teaching Hospitals • Need for More Training Slots (Primary Care, Non-Primary Care, Fellowships) • Additional Geographic Areas Osteopathic Medical Students • > 20,600 Osteopathic Students (c.f. 78,000 DOs) • 1 in 5 Medical Students = an Osteopathic Student • 26 COMs/34 Locations/25 States • 9 COM Applicants in Pipeline Osteopathic Residents • 12,875 Interns/Residents in Training • Nearly 1/2 Training in FM, IM, EM, Pediatrics & Anesthesiology • 5,805 (45%) in AOA-Approved Programs • 7,628 (55%) in ACGME Programs Osteopathic Residencies • 9,819 Intern/Resident Positions in 934 Internships/Specialty Programs • Osteopathic Training in 38/50 States • 75% of Training in 7 States: MI, PA, NY, OH, FL, NJ, IL OGME Development Initiative Marshalls the Resources of the AOA & the Osteopathic Profession to Help Hospitals Start OGME Programs OGME Development Initiative Employs • A Strategic Approach • Expert Consultants • Basic Information on Starting & Operating High Quality Programs OGME Development Initiative Answers Questions about • Medicare Payment & Requirements • Program Approval & Accreditation • Educational Standards & Policies • How to Get Started OGME Development Initiative Helps a Hospital Determine • What are the Benefits? • What Resources are Required? • What Assistance & Information are Available? • Where to Call for Assistance? Strategic Approach Helps Hospitals Understand • How OGME fits with Mission, Vision & Values • Benefits of OGME for the Hospital & the Community What Keeps CEOs Up at Night • • • • • • Competition for Well-Reimbursed Services Increased Cost of Physician Services/Recruiting Emphasis on Cost Containment Quality Oversight/Ties to Payment Shortage of Skilled Healthcare Workers Shortage of Physicians – Especially Primary Care Physicians Benefits of GME • • • • • Hospital Benefits Medical Staff Benefits Recruiting Benefits Patient Care Benefits Bottom Line Benefits Hospital Benefits • • • • • • • Physician Recruiting House Staff Coverage Culture of Education Educational & Technical Expertise Enhanced Service to the Community Competitive Advantage Revenue Stream Medical Staff Benefits • • • • • • • Environment of Life-Long Learning Expanded Referral Network Prestige in the Community Tighter Ties: Medical Staff & with Nursing Enhanced CME Opportunities Succession Planning Mentoring New Physicians Recruiting Benefits • “Grow Your Own” Medical Staff • Interns & Residents Tend to Remain Where They Train • Known Caliber of Training • Trainees At Home in the Community • Reduced Physician Recruiting Costs Patient Care Benefits • • • • • • • Access to Care/Addressing Community Needs Enhanced Coverage & Quality Expanded Scope of Services Presence of Residents 24/7 More Patient Contact with Physicians Increased Comfort Level for Nursing Opportunity for Clinical Trials & Research Bottom Line Benefits • • • • Medicare Direct & Indirect GME Payments Reduced Medical Staff Coverage Expenses Increase in Physician Referral Base Financial Support also may be available from Medicaid, the Veterans Administration & Other Federal or State Programs OGME Consultants • Include · Specialty College Representatives · Teaching Hospital CEOs/COOs/CFOs · DMEs & Program Directors · Deans · OPTI Directors/Academic Officers OGME Consultants • • • • • Peer-to-Peer Approach Answer Questions Share Expertise & Experience Advise on Requirements, Costs & Payment Explain AOA Accreditation Process Keys to Success • • • • • Local Champions Physician Leadership Medical Staff Support Faculty Resources Adequate Medicare Percentage for Reasonable Payment Keys to Success • • • • Sufficient Patient Load Scope, Variety & Volume OPTIs OGME Development Initiative OGME Development Initiative Margaret J. Hardy, JD Director, GME Policy & Development American Osteopathic Association 1090 Vermont Avenue, NW, Fifth Floor Washington, DC 20005 Phone: (800) 962-9008, ext. 0155 Direct: (202) 414-0155 Email: [email protected] http://www.osteopathic.org/ogmedevelopment