Starting A New Osteopathic GME Program The AOA • • • Professional Association Representing 100,000 Osteopathic Physicians & Osteopathic Medical Students Primary Certifying Body for DOs Accrediting Agency for.
Download ReportTranscript Starting A New Osteopathic GME Program The AOA • • • Professional Association Representing 100,000 Osteopathic Physicians & Osteopathic Medical Students Primary Certifying Body for DOs Accrediting Agency for.
Starting A New Osteopathic GME Program The AOA • • • Professional Association Representing 100,000 Osteopathic Physicians & Osteopathic Medical Students Primary Certifying Body for DOs Accrediting Agency for Osteopathic GME, Colleges of Osteopathic Medicine, Hospitals & Other Health Care Facilities Osteopathic Medicine • • Founded in 1874 by Andrew Taylor Still, MD, DO Focused on the Whole Person - Unity of Mind, Body, Spirit - Structure Influences Function - Innate Ability of the Body to Health Itself 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 OGME Development Initiative A Ready Source of Information and Expert Assistance for Starting an Osteopathic Graduate Medical Education Program in Your Hospital Trends Affecting Hospitals • • • • 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 Benefits of GME • • • • • 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 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 DGME Payment • • Payment for Medicare’s Share of the Costs of Training Interns & Residents - Resident Salaries & Benefits - Faculty Compensation - Program Administration & Overhead Costs Calculated using Hospital-Specific Per Resident Amount, Medicare Utilization Rate & Number of Full Time Equivalent Residents IME Adjustment • • Recognizes Teaching Hospitals Have Higher Patient Care Costs due to Presence of Trainees - Treating Sicker Patients - Offering More Services, Tests & Technology Calculated using Hospital-Specific Teaching Intensity (ratio of residents to beds), DRG Payments & Statutory IME Adjustment Factor for the Current Year “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 FTE Cap • • • Hospital Can Train As Many Residents as it is Approved For Medicare establishes a Limit (cap) on the Number of Residents It will Pay For Cap Necessitates Advance Planning & a Strategic Approach to Developing a GME Program 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 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 You in – • Adding an OGME Program to Your Hospital’s Strategic Plan • Reaping the Benefits of an OGME Program - To the Hospital - To Patients - To the Community - To the Medical Staff Strategic Framework Helps You Determine How an OGME Program Fits with Your Hospital’s - Strategic Framework • Mission: Why Does the Hospital Exist? - Patient Care & Physician Services? Service to the Community? Quality & Safety? Education? Research? Strategic Framework • Vision: What Image does the Hospital Want to Portray as it Works to Accomplish its Mission? Strategic Framework • 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 Your Hospital by Examining – - Internal Strengths - Internal Weaknesses - External Opportunities - External Threats Knowledgeable Consultants Initiative Corps of Consultants includes • Seasoned Teaching Hospital CEOs & Senior Administrative Staff, Directors of Medical Education, Deans, Program Directors & Other Medical Educators Knowledgeable Consultants Provide Peer-to-Peer Assistance, by Conference Call & On Site, to • Answer Your Questions • Work One-on-One with Colleagues • Share their Expertise & Experience • Advise on Start-Up Costs & Medicare Payment • Guide You Through the Accreditation Process Knowledgeable Consultants Help You Identify the Keys to Success – • Local Champions • Physician Leadership • Medical Staff • Hospital & System Administration • Hospital & System Boards • The Community • OPTIs Knowledgeable Consultants Focus on Critical Components • Faculty Resources • Community Needs • Adequate Medicare Percentage for Reasonable Payment • Sufficient Patient Load • Scope, Variety & Volume of Trainee Experiences Information Provides You with 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 You Start a High Quality Program