ogme development initiative consultant training seminar june 21, 2011 (updated)

OGME Development Initiative

Consultant Training SeminarJune 21, 2011 (updated)

OGME Development Initiative

Marshalls the Resources of the AOA & the Osteopathic

Profession to Help Hospitals Interested in Starting New Osteopathic GME Programs

OGME Development Initiative

The purpose of the OGME Development Initiative

is to provide effective, timely assistance to nonteaching hospitals that want to start

new OGME programs.

OGME Development Initiative

Key to the Initiative is a corps of consultants knowledgeable about OGME and ready to work with– Prospective teaching hospitals– Hospitals seeking dual accreditation– Osteopathic programs that are

struggling.

Consultants’ Role

Knowledgeable Consultants

Initiative Corps of Consultants includes

Seasoned Teaching Hospital CEOs & Senior Administrative Staff

Directors of Medical Education Deans Program Directors Other Medical Educators

Consultants’ Role

Provide Peer-to-Peer Assistance, by Conference Call & On Site, to -

Answer Questions Work One-on-One with Colleagues Share Expertise & Experience Advise on Start-Up Costs &

Medicare Payment Guide Hospitals Through the

Accreditation Process

Consultants’ Role

Help Identify the Keys to Success Local Champions Physician Leadership Medical Staff Hospital & System Administration Hospital & System Boards The Community OPTIs

Consultants’ Role

Focus on Critical Components - Faculty Resources Community Needs Adequate Medicare Percentage for

Reasonable Payment Sufficient Patient Load Scope, Variety & Volume of Trainee

Experiences

The AOA

Professional Association Representing 100,000 Osteopathic Physicians Medical Students

Primary Certifying Body for DOs Accrediting Agency for Osteopathic

GME, Colleges of Osteopathic Medicine, Hospitals & Other Health Care Facilities

The AOA

Consultants are working on behalf of the American Osteopathic Association

Where to find Resources?

Resources

“New” OGME Development Initiative web page

http://www.osteopathic.org/ogmedevelopment

Resources

Resources

Provides Easy Access to Web-Based Resources on:

Medicare Funding Program Approval & Accreditation Educational Standards & Policies Physician, Hospital & Trainee

Agreements Templates, Models & Forms

Designed to Help Smooth Your Way to a Quality Program

Contact

American Osteopathic Association 142 E. Ontario St. Chicago, IL 60611-2864 Phone: (800) 621-1773, ext. 8010 E-mail:

OGMEdevelopment@osteopathic.org

Flow of Consulting

Initial Contact

Initial Contact from

Hospital

Initiative Sends Pre-

visit Information

Form

Information Received

(Move-on)

No information

Received (Done)

Teleconference

Schedule for Video/Teleconference or Web-cast

Yes – Hospital Ready to Move

Forward

No – Schedule Periodic Contact

Site Visit

Site Visit Scheduled

Yes – Hospital Has Selected

OPTI and Moves Forward

OPTI Contacted

No – Schedule Periodic Contact

Site Visit

Benefits

Benefits of OGME

Hospital BenefitsMedical Staff BenefitsRecruiting BenefitsPatient Care BenefitsBottom Line Benefits

Hospital Benefits

Physician Recruiting Culture of Education In-House Physician Coverage Educational & Technical Expertise Enhanced Service to the Community Competitive Advantage Revenue Stream

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 & Molding Future

Physicians

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

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

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 & Other Federal or State Programs

And…

Osteopathic GME

Primary Care Focus + Medical & Surgical Specialties

Community-Based Clinical Education 1 in 5 Medical Students now attends

a College of Osteopathic Medicine Osteopathic Medicine is One of the

Fastest Growing Health Professions

Strategic ConsiderationsHospital Goals &

Objectives

Hospital Goals and Objectives

Physician Workforce Shortages New Colleges of Osteopathic

Medicine & Medical Schools Increasing Number of Medical

Graduates Increased Interest in Starting GME

Programs= New Hospital Opportunities

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

Strategic ConsiderationsCommunity & Customer

Needs

Community and Customer Needs

Helps Determine How an OGME Program Fits within

the Hospital

Community and Customer Needs

Mission: Why Does the Hospital Exist?

Patient Care & Physician Services? Service to the Community? Quality & Safety? Education? Research?

Community and Customer Needs

Vision: What Image does the Hospital Want

to Portray as it Works to Accomplish its Mission?

Community and Customer Needs

Values: What Guiding Principles Drive the Hospital?

Moral Values? Improving Community Health? Providing Care for Those in Need? Providing a Resource for Physicians?

SWOT Analysis

A Strategic Framework Helps You

Analyze How OGME Fits Into the Hospital by Examining – – Internal Strengths– Internal Weaknesses– External Opportunities– External Threats

Strategic ConsiderationsCost & Payment

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 (e.g., call rooms, library, computers, resident lounge)

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

“New” Teaching Hospital

Hospital that Starts Training Residents for the First Time on or after January 1, 1995

Resident “Cap” is Set Based on the Number of Residents in All Specialty Programs in the 5th 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

Review

Critical Hospital Components

Identify the Keys to Success Local Champions Physician Leadership Medical Staff Hospital & System Administration Hospital & System Boards

Critical Hospital Components

Identify the Keys to Success Hospital & System Resources Hospital & System Metrics

– Types of providers– Volumes (Hospital, ED, Clinic,

Procedures) The Community OPTIs

OPTIs

Characteristics of OPTIs

Customer service organization emphasizing medical education

Services will depend on the vision and financing of the OPTI

Services will be compliant with OPTI standards

Benefits of an OPTI?

Formalizes the community-based training network

Provides resources to the community-based programs

Formalized OPP instruction

Choosing an OPTI

Location Cost State vs. Private Benefits offered Needs of the training program Autonomy of the program Responsiveness of OPTI personnel

Application Process

Applications found on www.osteopathic.org

AOA receives completed application

Completed application is reviewed by AOA staff

AOA forwards completed application to the Specialty College for review

Application Process

At the discretion of the Specialty College, an on-site review may be scheduled

If site reviewed, the report is forwarded to the Specialty College Residency Evaluating Committee (REC)

Application Process

The Specialty College REC submits recommendations to the Program and Trainee Review Council (PTRC)

PTRC discusses recommendations and decides final action

Approved new programs receive one year of “Provisional Approval”

Dual programs (ACGME) may receive greater number of years of approval

Application Process

AOA staff schedules a survey review of the program and forwards materials to program

Completed program workbook and survey materials are returned to AOA staff

Completed survey materials are sent to the Survey Reviewer

After site review, Survey Reviewer submits report findings to the AOA

Application Process

The AOA forwards report to the Specialty College REC or the IEC for review

Specialty College REC or IEC reviews and submits recommendations to the PTRC

PTRC decides final action, granting one to five years of “Approval”

Application Process

Review

OGME Development Initiative

Employs A Strategic Approach Expert Consultants Useful Information on Starting and

Operating High Quality OGME Programs

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?

OGME Development Initiative

Provides Support to Assist Adding an OGME Program to

Hospital’s Strategic Plan Reaping the Benefits of an OGME

Program– To the Hospital– To Patients– To the Community– To the Medical Staff