1. University of Michigan Medical School Academy for Educational Excellence and Scholarship Monthly Seminar – December 15, 2014 1.Academy Updates membership drive small grants program peer review initiative 2. Discussion with Dr. Michael Johns IOM Report: Graduate Medical Education that meets the nation’s health needs For more information, check out our web site at: http://msa.med.umich.edu/academy-of-medical-educators Next Academy Meeting: January 21, 2015 – BSRB Seminar Rooms

2. http://www.crlt.umich.edu/grants-awards/tip

4. Nighthawks Edward Hopper, 1942

5. University of Michigan Medical School Academy for Educational Excellence and Scholarship Monthly Seminar – December 15, 2014 1.Academy Updates membership drive small grants program peer review initiative 2. Discussion with Dr. Michael Johns IOM Report: Graduate Medical Education that meets the nation’s health needs For more information, check out our web site at: http://msa.med.umich.edu/academy-of-medical-educators Next Academy Meeting: January 21, 2015 – BSRB Seminar Rooms

6. UMHS 2014  ~ 1200 residents/fellows  $121 M from Medicare ($88M) + Medicaid ($33M) Direct Medical Education (DME) = $23M Indirect Medical Education (IME) = $98M

7. University of Michigan Medical School Education Dollars to Departments *OMSE = Salary covered for faculty and coordinator effort (w/17% benefit rate assumption)

9. IOM REPORT 2014 CHARGE “Develop recommendations for policies to Improve GME with emphasis on the training of physicians.”

10. IOM CONCERNS Right type of physicians Right areas Right set of skills

11. IOM REPORT 2014 RECOMMENDATIONS 1. Maintain Medicare support of GME, modernizing payment methods based on performance, ensuring program accountability, incentivizing innovation.

12. IOM REPORT 2014 RECOMMENDATIONS 2. Establish a two-part Medicare GME fund Operational – maintain residency support Transformational – innovations in funding 10% - 30% - 10% over 10 years

13. IOM REPORT 2014 RECOMMENDATIONS 3. Create GME Policy Council Plan for GME financing Policies for distribution/use GME funds Create GME Center Management of operational aspects

14. IOM REPORT 2014 RECOMMENDATIONS 4.Modernize GME payment methodology One payment to GME programs NOT HOSPITALS Implement performance based payments

15. IOM REPORT 2014 RECOMMENDATIONS 5. Medicaid GME at state’s discretion Same transparency and accountability

16. MICHEAL JOHNS MD’69 Dean, Johns Hopkins Medical School EVPHA, Emory University Chancellor, Emory University Chair/Council Institute of Medicine Acting EVPMA, University of Michigan