1. GME SUMMIT SUMMARY Common Themes of Maryland’s GME Stakeholders’ Summit Held on May 20 th, 2015 Sponsored by DHMH, University of Maryland, and Johns Hopkins Medicine

2. GME Summit Brought Together Over 100 Stakeholders  Full-day summit held on May 20 th in Baltimore  100 health care leaders attended, including DIOs, program directors, State staff, hospital staff, payers, and community health representatives  Individuals participating in primary care and working with underserved populations were well represented  National speakers addressed the attendees providing context Summit Goal: Bring together Maryland health care leaders to shape and inform Maryland’s GME recommendations to CMMI

3. Breakout Sessions Provided Stakeholder Input Opportunities  During two breakout sessions, attendees divided into small groups (~10-15) with workgroup members and staff serving as facilitators  Breakout #1: Review and provide recommended changes to the Goals for a New Model for GME from the GME Workgroup charge document  Staff preselected groups to distribute content knowledge across the six breakout groups  Following breakout, workgroup members/staff huddled to compare common themes and then reported out to the plenary

4. Breakout 1 Findings  Generally, the attendee found the goals as stated in the charge document to be on track  Many breakout groups discussed additional/altered preamble language, including practicing person- centered care and broadening some of language to assure excellence in the six ACGME core competencies  In response to comments, facilitators added an additional goal for Breakout #2 to discuss how GME funding may contribute to the optimal distribution of physicians (providers/workforce) needed by the population

5. Breakout #2 Provided Opportunity for Deeper Goals Discussion  In Breakout #2, attendees self selected a discussion of one of the five goals. Facilitators worked with attendees to begin constructing a “road map” for moving from today through goal achievement. Goal 1: Achieving the Three Part Aim Goal 2: Focusing on Population Health Goal 3: Equitable and Efficient Funding Goal 4: Augment What’s Good Today Goal 5: Optimal Workforce Distribution

6. Common Themes Across the Breakout #2 Discussions  While discussions of each goal varied by topic, we identified some common themes during the reporting out:  GME leaders seek transparency and data about Maryland’s current system of GME funding  Much misinformation regarding hospital and HSCRC roles  Interest in developing metrics for success  Goals should be paired with measurable metrics for success  GME funding should follow needs and values  While retaining what’s good about the current system, funding should follow the goals and metrics  Resources are needed to continue building quality primary care training programs  Funding should follow training into ambulatory settings