1 / 34

Starting New Osteopathic GME Programs

Starting New Osteopathic GME Programs . The AOA. 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.

posy
Download Presentation

Starting New Osteopathic GME Programs

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Starting New Osteopathic GME Programs

  2. The AOA • 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

  3. 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

  4. Osteopathic GME • 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

  5. OGME Development Initiative A Ready Source of Information and Expert Assistance for Starting an Osteopathic Graduate Medical Education Program in Your Hospital

  6. 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

  7. 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

  8. Benefits of GME • Hospital Benefits • Medical Staff Benefits • Recruiting Benefits • Patient Care Benefits • Bottom Line Benefits

  9. Hospital Benefits • Physician Recruitment • Culture of Education • In-House Physician Coverage • Educational & Technical Expertise • Enhanced Service to the Community • Competitive Advantage • Revenue Stream

  10. 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 and Molding Future Physicians

  11. 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

  12. 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

  13. 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 and Other Federal or State Programs

  14. 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)

  15. 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

  16. 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

  17. 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 and Statutory IME Adjustment Factor for the Current Year

  18. “New” Teaching Hospital • 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

  19. FTE Cap • 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

  20. OGME Development Initiative Marshalls the Resources of the AOA & the Osteopathic Profession to Help Hospitals Interested in Starting New Osteopathic GME Programs

  21. OGME Development Initiative Employs – • A Strategic Approach • Expert Consultants • Useful Materials on Starting and Operating High Quality OGME Programs

  22. 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?

  23. 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

  24. Strategic Framework Helps You Determine How an OGME Program Fits with Your Hospital’s -

  25. Strategic Framework • Mission: Why Does the Hospital Exist? - Patient Care & Physician Services? - Service to the Community? - Quality & Safety? - Education? - Research?

  26. Strategic Framework • Vision: What Image does the Hospital Want to Portray as it Works to Accomplish its Mission?

  27. 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?

  28. SWOT Analysis A Strategic Framework Helps You - • Analyze How OGME Fits Into Your Hospital by Examining – - Internal Strengths - Internal Weaknesses - External Opportunities - External Threats

  29. Knowledgeable Consultants Initiative Corps of Consultants includes • Seasoned Teaching Hospital CEOs & Senior Administrative Staff, Directors of Medical Education, Deans, Program Directors & Other Medical Educators

  30. 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

  31. Knowledgeable Consultants Help You Identify the Keys to Success – • Local Champions • Physician Leadership • Medical Staff • Hospital & System Administration • Hospital & System Boards • The Community • OPTIs

  32. 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

  33. 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

  34. For Further Information OGME Development Initiative 1 (800) 962-9008 x. 0155 (202) 414 0155 OGMEDevelopment@osteopathic.org

More Related