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2012 ADEA Deans Conference

2012 ADEA Deans Conference. November 11, 2012. Today’s TOPICs. The Osteopathic Medicine model Educational Convergence Organizational Separation The Accountable Care Model Dentistry in Accountable Care. Educational convergence . 1 IN 5 MEDICAL STUDENTS ARE NOW DO STUDENTS

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2012 ADEA Deans Conference

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  1. 2012 ADEA Deans Conference November 11, 2012

  2. Today’s TOPICs • The Osteopathic Medicine model • Educational Convergence • Organizational Separation • The Accountable Care Model • Dentistry in Accountable Care

  3. Educational convergence 1 IN 5 MEDICAL STUDENTS ARE NOW DO STUDENTS DO GRADUATES TRAIN IN BOTH ACGME AND OSTEOPATHIC RESIDENCY PROGRAMS VIRTUALLY INDISTINGUISHABLE IN PRACTICE

  4. ORGANIZATIONAL SEPARATION • MOST DO PROGRAMS NOT IN UNIVERSITY WITH AN AHC • CLERKSHIPS AND ROTATIONS INCLUDE AHC, COMMUNITY AND SMALLER SITES, “NON-TEACHING HOSPITALS” • ALL DO PROGRAMS PARTICIPATE IN OPTI • OSTEOPATHIC POSTDOCTORAL TRAINING INSTITUTE • HOSPITAL PARTNERSHIP WITH DO SCHOOLS • CLINICAL RESEARCH COMPONENT • 32% PRIMARY CARE – BOTH ACGME AND AOA PROGRAMS • DO PROGRAMS BUILDING RESIDENCY CAPACITY & INTEGRATING • ACGME AND AOA – JOINT GME SYSTEM – JULY 2015

  5. SYSTEMIC CHANGE WILL AFFECT EVERYONE • STRESSED SYSTEM PUSHED TOWARD THE PRECIPICE OF CHANGE • FRAGMENTED AND COSTLY HEALTH CARE SYSTEM • ACADEMIC HEALTH CENTERS – ALREADY A PRE-EXISTING CONDITION • THE FISCAL CLIFF OF SEQUESTRATION • “ALL SIGNS POINT TO SIGNIFICANT PRESSURE ON HEALTH SYSTEM REVENUES OVER THE NEXT FIVE YEARS.” (D.F. EVANS)

  6. ACCOUNTABLE CARE MODELDISRUPTIVE OR DESTRUCTIVE CHANGE? • THE ACCOUNTABLE CARE CONCEPT • WELLNESS, PREVENTION, EARLY INTERVENTION AND INTEGRATED CARE WILL LEAD TO REDUCED COSTS AND IMPROVED HEALTH • PROVIDER GROUPS ASSUME RESPONSIBILITY • BUNDLE THE MONEY - GO… DO…

  7. IMPLEMENTING THE ACCOUNTABLE CARE MODEL • GIVING THE GORILLA THE CHECKBOOK • A NEW MODEL REQUIRES AN INVESTMENT PHASE • PREVENTION, EARLY INTERVENTION AND WELLNESS WILL TAKE TIME • INTEGRATED HEALTHCARE RECORDS, DATA DRIVEN CARE AND INTERPROFESSIONAL PRACTICE MODELS WILL TAKE RESOURCES AND TIME • THE EXPECTATION OF IMMEDIATE COST SAVINGS • IT HAS TO COME FROM SOMEWHERE

  8. DENTISTRY IN THE ACCOUNTABLE CARE WORLD • DENTISTRY - STRONG PREVENTION / EARLY INTERVENTION TRACK RECORD • DENTISTRY HAS HISTORICALLY BEEN LAST IN AND FIRST OUT OF THE PUBLIC HEALTHCARE FUNDING STREAM • PRELIMINARLY PLANS IN CA AND OR • LOOK ESSENTIALLY LIKE OTHER PUBLICLY FUNDED DENTAL CARE • BASIC LEVELS OF CARE, LOW LEVELS OF FUNDING • SIGNIFICANT QUESTIONS REMAIN UNANSWERED • BOTH POSITIVE AND NEGATIVE SCENARIOS

  9. A FUTURE WITH MORE QUESTIONS THAN ANSWERS • THANK YOU

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