Graduate Medical Education What It Is Why It Matters Possible Solutions Greater Phoenix Chamber of Commerce November 19, 2012.

Slides:



Advertisements
Similar presentations
Are U.S. Trained Residents Ready for 21 st Century Care Systems? Francis J. Crosson, MD Senior Fellow, Kaiser Permanente Institute for Health Policy AHR.
Advertisements

Medicare and Medicaid GME Funding Presentation to GME Program Coordinators April 2014.
Camila Knowles Friday, May 3, 2013 Washington Update Georgia Academy of Healthcare Attorneys.
What Can States Do For Graduate Medical Education? What Can States Do For Graduate Medical Education? Paul H. Rockey, MD, MPH Scholar in Residence Accreditation.
A Healthier Nevada PRESENTED BY: TRIPP UMBACH 9/29/14 1.
Integration of a Transitional Year J. L. Epps, M.D. Chairman, Department of Anesthesiology.
NC Hospitals and Health Systems: Transforming for the Future Holly Springs Chamber of Commerce April 23, 2015.
Oakland University William Beaumont School of Medicine An Opportunity of a Lifetime.
Health Affairs Panel on IOM GME report Brad Poss, MD, MMM Professor, Department of Pediatrics Associate Dean for Graduate Medical Education University.
Kathleen A. Ream Director, Government Affairs October 1, 2010.
Meeting the Healthcare Needs of the Public Increasing Physician Workforce Supply Issues and Challenges Florida Board of Governors Medical Education Workshop.
California Medical Association Physicians dedicated to the health of Californians Darin Latimore, M.D. Assistant Dean, Office of Student and Resident Diversity.
Economic Impact of Medical Education Expansion in Nevada & Recommended Approach FUTURE 1.
Graduate Medical Education Reimbursement and Residency Funding Prepared by: Erin E. Schneider, MD Emergency Medicine Resident, PGY-2 Oregon Health and.
Capacity Task Force Virginia Health Reform Initiative January 14, 2011
GRADUATE MEDICAL EDUCATION: A PRIMER Rural Health Development Council 13 August 2009.
MMCGME’s Introduction to GME Payment MMCGME’s Introduction to GME Payment Legislative Health Care Workforce Commission Graduate Medical Education Troy.
Teaching Health Centers AHEC TECHNICAL ASSISTANCE MEETING April 14, 2011 Kristin Guardino, Project Officer Department of Health and Human Services Health.
Legislative Health Care Workforce Commission University of Minnesota Health Professional Education Programs Terry Bock Associate Vice President and Chief.
Texas A&M Health Science Center Texas A&M Health Science Center Education, Service, Research Medical Education in Texas October 12,
Funding Residents in Florida Peter J. Fabri MD Associate Dean for GME Professor of Surgery University of South Florida College of Medicine.
A Healthier Arkansas PRESENTED BY: TRIPP UMBACH 10/16/14 1.
By: Fiona Lane. History The AHA was founded in 1898 The AHA provides education for health care leaders and is a source of information on health care issues.
The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a This material (Comp2_Unit2a) was developed by Oregon Health and Science.
Texas Hospital Association Annual Conference Steve Aragón, Chief Counsel Texas Health and Human Services Commission Stacy E. Wilson, J.D., Associate General.
Health Career Education: The United States’ System Leadership Summit International Hospital Federation Chicago, Illinois June 2, 2010 James Bentley, Ph.D.
NATIONAL HEALTH SERVICE CORPS LOAN REPAYMENT PROGRAM GSHPSR ANNUAL MEETING THE RITZ-CARLTON LODGE LAKE OCONEE JUNE 13, 2013 David P. Glass Director, Georgia.
Teaching Health Centers Frederick Chen, MD, MPH Bureau of Health Professions Health Resources and Services Administration U.S. Department of Health and.
Health Care Reform Update – The 28% Factor W. Stephen Love President and Chief Executive Officer Dallas-Fort Worth Hospital Council November 14, 2013.
Tuesday, May 25, 2010 Collaborative Research …Humanizing research.
HCA 701: Survey of the U.S. Healthcare System Physicians and Ambulatory Care.
How to Position Optometry for Inclusion in the Graduate Medical Education Program (GME) Change Educational Model: Three Years Plus One Year Residency for.
Spotlight on the Federal Health Care Reform Law. 2. The Health Care and Education Affordability Reconciliation Act of 2010 was signed March 30, 2010.
AUSTRALIAN HEALTH CARE DELIVERY. ISSUES Complexity of financing health care delivery system Medicare concept and community understanding Public hospitals.
KAREN R. BORMAN, MD, FACS MEDICARE and MEDICAID REIMBURSEMENT for GRADUATE MEDICAL EDUCATION A REVIEW FOR COORDINATORS.
Medicare, Medicaid, and Health Care Reform Todd Gilmer, PhD Professor of Health Policy and Economics Department of Family and Preventive Medicine 1.
Starting New Osteopathic GME Programs. The AOA Professional Association Representing 64,000 Osteopathic Physicians & >15,600 Medical Students Primary.
Economics and Rural Healthcare Tim Putnam, DHA, FACHE CEO Margaret Mary Community Hospital, Batesville, Indiana.
June Rising Cost Inadequate Quality Declining Access HEALTH.
The Affordable Care Act: Highlights & Updates Presentation for the Iowa State Association of Counties Meeting November 29, 2012.
Michelle Lefkowitz Technical Advisor Division of Acute Care Centers for Medicare & Medicaid Services
Federal Financing of Optometric Clinical Training Graduate Medical Education (GME) Medicare Compliance National Health Service Corps (NHSC) New Clinical.
Why an Osteopathic Residency in Your Hospital OGME Development Initiative.
Teaching Health Center Graduate Medical Education Program: Two Year Update American Association of Medical Colleges th Annual Physician Workforce.
Arizona Update February 22, Arizona Update #1 276,500 50, Million 48% 35% 210,
GME Finance and CHCs Kiki C. Nocella, PhD, MHA. Background and Experience Faculty at University of Southern California – Department of Family Medicine.
Beth Faiman MSN, APRN-BC, AOCN Cleveland Clinic Taussic Cancer Institute Pre-Doctoral Research Fellow Case Western Reserve University Cleveland, Ohio America’s.
Graduate Medical Education Failing Primary Care Bob Phillips, MD MSPH Vice Chair, COGME June 9, 2008.
Education and Local Government Interim Committee January 14, 2016 GRADUATE MEDICAL EDUCATION (GME) IN MONTANA: KEY ISSUES.
Primary Care Physician Workforce Needs: National and Montana Perspectives Roger W. Bush, MD Program Director Internal Medicine Program Billings Clinic.
So You Want to Start a Rural Residency Program? The University of Wisconsin Community General Surgery Program Mara C. Snyder, MA Program Manager, General.
Objectives Identify different types of health care facilities. Describe a typical hospital organizational structure. Identify hospital departments and.
1 Understanding the Cost of Optometric Clinical Education 2/4/16.
Challenges Ahead for the ACA Mary Agnes Carey Senior Correspondent Kaiser Health News “From the White House to Community Clinics: What’s Next for Healthcare.
Montana Medical Association March 11, 2016 GRADUATE MEDICAL EDUCATION (GME) IN MONTANA: KEY ISSUES.
Follow the MHA on social media. Follow the MHA on social media How Michigan Hospitals Contribute to the State’s Healthcare Budget.
Health Reform’s Cost Impact Can More be Done to Bend the Cost Curve?
The value equation for family medicine training programs Judith Pauwels, MD University of Washington WWAMI Network.
22 nd Annual Rural Health Policy Institute Deputy Administrator, HRSA Marcia K. Brand, PhD January 24, 2011.
Hospitals and Health Systems
Carol Callaghan Michigan Department of Community Health and
Understanding the Cost of Optometric Clinical Education
Medical Student Debt and Specialty Choice
GME Modernization Bill
Viability of Primary Care
Texas A&M Health Science Center Education, Service, Research
Doctors Wanted: Today’s Landscape for rural Physician recruitment
THIS IS YOU (“TIY”) Family Medicine Residency Program
Graduate Medical Education (GME) Policy
Graduate Medical Education in Idaho Idaho State Board of Education
Presentation transcript:

Graduate Medical Education What It Is Why It Matters Possible Solutions Greater Phoenix Chamber of Commerce November 19, 2012

GME Defined Physician education is a two-step process: 1.Completion of an educational program at an accredited medical school 2.Completion of postgraduate training at a hospital or other healthcare institution, followed by national exams Postgraduate education=GME

Road to Physician Workforce Undergraduate Degree: 4 years Medical School: 4 years GME/Residency: 3 to 7 years

GME Basics Doctors in GME are called residents or fellows 9000 GME programs in 26 specialties (e.g., Internal Medicine, Family Medicine, General Surgery, Pediatrics, OB/GYN, etc.) All 50 states and US territories require GME for physicians to become licensed to practice 110,000 resident physicians in the US

Why GME Matters Access to medical care depends on a sufficient physician workforce A robust physician workforce contributes to a community’s economic development Physicians often choose to practice where they train

Who Funds GME Primary Sources of Federal Funding: Medicare –$9.5 billion to teaching hospitals capped at 100,000 positions in 1997 –$3 billion: direct payments to cover resident stipends, expenses –$6.5 billion: indirect medical education adjustment; added costs in patient care associated with training Veteran Affairs & Department of Defense (12,000 residents) HRSA – Children’s GME

Who Funds GME Other Funding: Medicaid (State $$ plus FMAP) –2005: 47 states provided $3.78 billion –2009: 41 states provided $3.18 billion –9 additional states considering ending payments Private (hospital supported)

GME Medicaid Funding in Arizona YearFundingNumber of Hospitals 2006 $22 million $33 million $68 million $81 million $86 million $113 million legislation authorizes IGTs; money begins flowing in hospitals begin receiving funds for indirect costs 2010 GF support eliminated; all GME funding coming through IGTs

Trends and Transformation: Factors Impacting GME and the Physician Workforce Physician shortage Specialization Healthcare delivery transformation State and federal budget pressures

National Physician Shortage* *AAMC, 2010

Arizona’s Physician Pipeline ArizonaU.S. Physicians per 100, Residents per 100, Medical Students per 100, Arizona must add 850 residency positions to bring up to national level of 36 per 100,000 persons

Other Considerations: Specialization Increasingly, physicians are electing to practice in subspecialties 2001: subspecialties accounted for 49% of total residency programs and 13% of residents 2011: subspecialties accounted for 55% of total residency programs and 17% of residents

Delivery System Transformation Professional Silos Clinical Integration Coordinated Care

Budget Pressures & Funding Hole 1997 Medicare cap 2010 elimination of state general fund support for Medicaid GME Current federal deficit discussions: proposal to cut Medicare IME Hospital funds and IGTs

Options for State Moving Forward GME Funding Estimates: – $50 million TF to support current residencies – $140 million TF to support residency expansion (850 slots) Funding Options Development of an academic medical center/system in Phoenix

Questions?