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IHWC, October 2011 Office of Academic Affiliations, VHACO Barbara K. Chang, MD, MA 1 New U.S. Accreditation Standards for Duty Hours Increase Need for Additional Healthcare Workers 1
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2 Scope of Training in VA ~30% of US residents train annually in VA 2,200+ ACGME-accredited programs in 79 specialties & subspecialties AY 2011-12, 10,300 (~9% US) positions FY 11 trainee budget: $773M direct
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New ACGME Common Program Requirements – 7/1/2011 Standards pertaining to: Duty hours & max on-duty Supervision Professionalism (quality & patient safety) Transitions of care Alertness/Fatigue management 3
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VA Study of Facility ‘Readiness’ to Meet New ACGME Standards Survey in Feb. 2011; 118/125 (94%) teaching facilities responded Results: 72 facilities (61%) projected increased workforce needs (73% of respondents with >10 resident positions) >85% had engaged in planning, most with affiliated university involvement 4
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Estimates of Staff & Resources to Meet ACGME Standards 5
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Comparison with ACGME Study of Resource Impacts 6
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Summary/Conclusions Workforce costs & recruitment will present challenges Our estimates are >2x those of ACGME’s study (which was based upon theoretical assumptions) Resources will have to be diverted from other clinical operations Academic healthcare will be further strained by these requirements 7
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8 Questions? barbara.chang@va.gov http://www.va.gov/oaa Co-authors: Judy L. Brannen, MD, MBA Karen M. Sanders, MD Malcolm Cox, MD Veterans Health Administration Education Mission To educate for VA and for the Nation
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