Transcript Starting New Osteopathic GME Programs

Starting New Osteopathic
GME Programs
The AOA
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Professional Association Representing 64,000
Osteopathic Physicians & >15,600 Medical
Students
Primary Certifying Body for DOs
Accrediting Agency for Osteopathic GME,
Colleges of Osteopathic Medicine, Hospitals &
Other Health Care Facilities
Osteopathic Medicine
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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
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Primary Care Focus + 23 Medical Specialties
Community-Based Clinical Education
1 in 5 Medical Students attends 1 of 25 Colleges
of Osteopathic Medicine in 28 Locations
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
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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
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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
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Hospital Benefits
Medical Staff Benefits
Recruiting Benefits
Patient Care Benefits
Bottom Line Benefits
Hospital Benefits
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Physician Recruitment
Culture of Education
In-House Physician Coverage
Educational & Technical Expertise
Enhanced Service to the Community
Competitive Advantage
Revenue Stream
Medical Staff Benefits
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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 and Molding Future Physicians
Recruiting Benefits
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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
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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
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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 and
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 (call rooms,
library, computers, intern/resident lounge)
A Word about Payment
Medicare Pays Teaching Hospitals •
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Direct Graduate Medical Education (DGME)
Payments
Indirect Medical Education (IME) Adjustment
Based on Formulas, Statutory Factors
& Certain Hospital-Specific Data
DGME Payment
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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
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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 and Statutory IME Adjustment Factor
for the Current Year
“New” Teaching Hospital
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Hospital with a GME Program Established On
or After January 1, 1995
Resident “Cap” is Set Based on the Number of
Residents in All Specialty Programs in the Third
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
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Hospital Can Train As Many Residents as it is
Approved For
Cap Establishes a Limit on the Number of
Residents Medicare 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 –
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A Strategic Approach
Expert Consultants
Useful Materials 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
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Mission: Why Does the Hospital
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Patient Care & Physician Services?
Service to the Community?
Quality & Safety?
Education?
Research?
Strategic Framework
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Vision:
What Image does the Hospital Want to
Portray as it Works to Accomplish its
Mission?
Strategic Framework
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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
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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
• Estimate 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 & Materials
Provide You with Easy Access to Web-Based
Resources on –
• Medicare Financing
• Program Approval & Accreditation
• Educational Standards & Policies
• Physician, Hospital & Trainee Agreements
• Templates, Models & Forms Designed to Help
Smooth Your Way to a Quality Program
For Further Information
OGME Development Initiative
(800) 621-1773, ext. 8010
[email protected]