Transcript Slide 1

OGME Development Initiative
Consultant Training Seminar
June 21, 2011 (updated)
OGME Development Initiative
Marshalls the Resources of the AOA &
the Osteopathic Profession to Help
Hospitals Interested in Starting New
Osteopathic GME Programs
OGME Development Initiative
The purpose of the OGME Development
Initiative
is to provide effective, timely
assistance to nonteaching hospitals
that want to start new OGME
programs.
OGME Development Initiative
 Key
to the Initiative is a corps of consultants
knowledgeable about OGME and ready to work
with
– Prospective teaching hospitals
– Hospitals seeking dual accreditation
– Osteopathic programs that are struggling.
Consultants’ Role
Knowledgeable Consultants
Initiative Corps of Consultants includes
 Seasoned
Teaching Hospital CEOs & Senior
Administrative Staff
 Directors of Medical Education
 Deans
 Program Directors
 Other Medical Educators
Consultants’ Role
Provide Peer-to-Peer Assistance, by
Conference Call & On Site, to  Answer Questions
 Work One-on-One with Colleagues
 Share Expertise & Experience
 Advise on Start-Up Costs & Medicare Payment
 Guide Hospitals Through the Accreditation
Process
Consultants’ Role
Help Identify the Keys to Success
 Local Champions
 Physician Leadership
 Medical Staff
 Hospital & System Administration
 Hospital & System Boards
 The Community
 OPTIs
Consultants’ Role
Focus on Critical Components  Faculty Resources
 Community Needs
 Adequate Medicare Percentage for Reasonable
Payment
 Sufficient Patient Load
 Scope, Variety & Volume of Trainee
Experiences
The AOA
 Professional
Association Representing 100,000
Osteopathic Physicians Medical Students
 Primary Certifying Body for DOs
 Accrediting Agency for Osteopathic GME,
Colleges of Osteopathic Medicine, Hospitals &
Other Health Care Facilities
The AOA
 Consultants
are working on behalf of the
American Osteopathic Association
Where to find Resources?
Resources
 “New”
OGME Development Initiative web
page
 http://www.osteopathic.org/ogmedevelopment
Resources
Resources
Provides Easy Access to Web-Based
Resources on:
 Medicare Funding
 Program Approval & Accreditation
 Educational Standards & Policies
 Physician, Hospital & Trainee Agreements
 Templates, Models & Forms Designed to Help
Smooth Your Way to a Quality Program
Contact
 American
Osteopathic Association
 142 E. Ontario St.
 Chicago, IL 60611-2864
 Phone: (800) 621-1773, ext. 8010
 E-mail: [email protected]
Flow of Consulting
Initial Contact
Initial Contact
from Hospital
Initiative Sends
Pre-visit
Information Form
Information
Received (Moveon)
No information
Received (Done)
Teleconference
Schedule for
Video/Teleconference
or Web-cast
Yes – Hospital Ready
to Move Forward
No – Schedule
Periodic Contact
Site Visit
Site Visit Scheduled
Yes – Hospital Has
Selected OPTI and
Moves Forward
OPTI Contacted
No – Schedule
Periodic Contact
Site Visit
Benefits
Benefits of OGME
 Hospital
Benefits
 Medical Staff Benefits
 Recruiting Benefits
 Patient Care Benefits
 Bottom Line Benefits
Hospital Benefits
 Physician
Recruiting
 Culture of Education
 In-House Physician Coverage
 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 Bonds Among Medical Staff & Among
Attendings, House Staff & Nursing
 Enhanced CME Opportunities
 Succession Planning
 Mentoring & Molding Future Physicians
Recruiting Benefits
 Ability
to “Grow Your Own” Medical Staff
 Reduced Physician Recruiting Expenses
 Caliber of Training is a Known Quantity
 Trainees are Already Known & At Home in the
Community
 Interns & Residents Tend to Remain in the Area
Where They Train
Patient Care Benefits
 Access
to Care
 Enhanced Coverage & Quality
 Enhanced Ability to Meet Community Needs
 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
 And…
Osteopathic GME
 Primary
Care Focus + Medical & Surgical
Specialties
 Community-Based Clinical Education
 1 in 5 Medical Students now attends a College of
Osteopathic Medicine
 Osteopathic Medicine is One of the Fastest
Growing Health Professions
Strategic Considerations
Hospital Goals & Objectives
Hospital Goals and Objectives
 Physician
Workforce Shortages
 New Colleges of Osteopathic Medicine &
Medical Schools
 Increasing Number of Medical Graduates
 Increased Interest in Starting GME Programs
= New Hospital Opportunities
What Keeps CEOs Up at Night?
 Competition
for Well-Reimbursed Patient
Services
 Increased Cost of Physician Services
 Emphasis on Cost Containment
 Quality Oversight/Ties to Payment
 Shortage of Skilled Healthcare Workers
 Shortage of Physicians – Especially Primary
Care Physicians
Strategic Considerations
Community & Customer
Needs
Community and Customer
Needs
Helps Determine How an OGME
Program Fits within the Hospital
Community and Customer
Needs
Mission: Why Does the Hospital Exist?
 Patient
Care & Physician Services?
 Service to the Community?
 Quality & Safety?
 Education?
 Research?
Community and Customer
Needs
Vision:
 What Image does the Hospital Want to Portray
as it Works to Accomplish its Mission?
Community and Customer
Needs
Values: What Guiding Principles Drive the
Hospital?
 Moral Values?
 Improving Community Health?
 Providing Care for Those in Need?
 Providing a Resource for Physicians?
SWOT Analysis
A Strategic Framework Helps You
 Analyze
How OGME Fits Into the Hospital by
Examining –
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Internal Strengths
Internal Weaknesses
External Opportunities
External Threats
Strategic Considerations
Cost & Payment
A Word about Costs
Start-Up Costs Include:
 Resident Salaries & Benefits
 Faculty Salaries
– DME & Program Director(s)
– Inpatient & Ambulatory Teaching Faculty
– Support Staff
 Certain
Capital & Equipment Costs (e.g., call
rooms, library, computers, resident lounge)
A Word about Payment
Medicare Pays Teaching Hospitals
 Direct
Graduate Medical Education (DGME)
Payments
 Indirect Medical Education (IME) Adjustment
Based on Formulas, Statutory Factors
& Certain Hospital-Specific Data
“New” Teaching Hospital
 Hospital
that Starts Training Residents for the
First Time on or after January 1, 1995
 Resident “Cap” is Set Based on the Number of
Residents in All Specialty Programs in the 5th
Year After Training Begins
 Once Caps are Set, Urban Hospitals Generally
Cannot Add Medicare-Funded Positions
 Rural Hospitals Can Add New Specialties but
Cannot Expand Existing Programs
Review
Critical Hospital Components
Identify the Keys to Success
 Local Champions
 Physician Leadership
 Medical Staff
 Hospital & System Administration
 Hospital & System Boards
Critical Hospital Components
Identify the Keys to Success
 Hospital & System Resources
 Hospital & System Metrics
– Types of providers
– Volumes (Hospital, ED, Clinic, Procedures)
 The
Community
 OPTIs
OPTIs
Characteristics of OPTIs
 Customer
service organization emphasizing
medical education
 Services will depend on the vision and financing
of the OPTI
 Services will be compliant with OPTI standards
Benefits of an OPTI?
 Formalizes
the community-based training
network
 Provides resources to the community-based
programs
 Formalized OPP instruction
Choosing an OPTI
 Location
Cost
 State vs. Private
 Benefits offered
 Needs of the training program
 Autonomy of the program
 Responsiveness of OPTI personnel

Application Process
Application Process
 Applications
 AOA
receives completed application
 Completed
staff
 AOA
found on www.osteopathic.org
application is reviewed by AOA
forwards completed application to the
Specialty College for review
Application Process
 At
the discretion of the Specialty College, an
on-site review may be scheduled
 If
site reviewed, the report is forwarded to
the Specialty College Residency Evaluating
Committee (REC)
Application Process
 The
Specialty College REC submits
recommendations to the Program and Trainee
Review Council (PTRC)
 PTRC
discusses recommendations and decides
final action
 Approved
new programs receive one year of
“Provisional Approval”
 Dual programs (ACGME) may receive greater
number of years of approval
Application Process
 AOA
staff schedules a survey review of the
program and forwards materials to program
 Completed
program workbook and survey
materials are returned to AOA staff
 Completed
survey materials are sent to the
Survey Reviewer
 After
site review, Survey Reviewer submits
report findings to the AOA
Application Process
 The
AOA forwards report to the Specialty
College REC or the IEC for review
 Specialty
College REC or IEC reviews and
submits recommendations to the PTRC
 PTRC
decides final action, granting one to five
years of “Approval”
Review
OGME Development Initiative
Employs
 A Strategic Approach
 Expert Consultants
 Useful Information on Starting and Operating
High Quality OGME Programs
OGME Development Initiative
Answers such Practical Questions as –
 What are the Benefits of an OGME Program?
 What Assistance & Information are Available?
 How to Move Forward from Interest to
Program Approval?
 Where to Call for Complimentary In-Person
Assistance from Experienced Consultants?
OGME Development Initiative
Provides Support to Assist
 Adding an OGME Program to Hospital’s
Strategic Plan
 Reaping the Benefits of an OGME Program
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To the Hospital
To Patients
To the Community
To the Medical Staff