2012 ADEA DEANS CONFERENCENovember 11, 2012

TODAY’S TOPICS The Osteopathic Medicine model

Educational Convergence Organizational Separation

The Accountable Care Model Dentistry in Accountable Care

EDUCATIONAL CONVERGENCE

Entering Credentials and OutcomesMCAT GPA USMLE 1 USMLE 2CK USMLE

2CSM.D. 31.1 3.67 94% 97% 97%D.O. 26.5 3.50 89% 93% 93%

1 IN 5 MEDICAL STUDENTS ARE NOW DO STUDENTS

DO GRADUATES TRAIN IN BOTH ACGME AND OSTEOPATHIC RESIDENCY PROGRAMS

VIRTUALLY INDISTINGUISHABLE IN PRACTICE

ORGANIZATIONAL SEPARATION MOST DO PROGRAMS NOT IN UNIVERSITY WITH AN AHC

CLERKSHIPS AND ROTATIONS INCLUDE AHC, COMMUNITY AND SMALLER SITES, “NON-TEACHING HOSPITALS”

ALL DO PROGRAMS PARTICIPATE IN OPTI OSTEOPATHIC POSTDOCTORAL TRAINING INSTITUTE

HOSPITAL PARTNERSHIP WITH DO SCHOOLS CLINICAL RESEARCH COMPONENT 32% PRIMARY CARE – BOTH ACGME AND AOA PROGRAMS

DO PROGRAMS BUILDING RESIDENCY CAPACITY & INTEGRATING ACGME AND AOA – JOINT GME SYSTEM – JULY 2015

SYSTEMIC CHANGE WILL AFFECT EVERYONE

STRESSED SYSTEM PUSHED TOWARD THE PRECIPICE OF CHANGE

FRAGMENTED AND COSTLY HEALTH CARE SYSTEM ACADEMIC HEALTH CENTERS – ALREADY A PRE-EXISTING CONDITION THE FISCAL CLIFF OF SEQUESTRATION “ALL SIGNS POINT TO SIGNIFICANT PRESSURE ON HEALTH SYSTEM

REVENUES OVER THE NEXT FIVE YEARS.” (D.F. EVANS)

ACCOUNTABLE CARE MODELDISRUPTIVE OR DESTRUCTIVE

CHANGE? THE ACCOUNTABLE CARE CONCEPT

WELLNESS, PREVENTION, EARLY INTERVENTION AND INTEGRATED CARE WILL LEAD TO REDUCED COSTS AND IMPROVED HEALTH

PROVIDER GROUPS ASSUME RESPONSIBILITY BUNDLE THE MONEY - GO… DO…

IMPLEMENTING THE ACCOUNTABLE CARE MODEL

GIVING THE GORILLA THE CHECKBOOK

A NEW MODEL REQUIRES AN INVESTMENT PHASE PREVENTION, EARLY INTERVENTION AND WELLNESS WILL TAKE TIME INTEGRATED HEALTHCARE RECORDS, DATA DRIVEN CARE AND

INTERPROFESSIONAL PRACTICE MODELS WILL TAKE RESOURCES AND TIME

THE EXPECTATION OF IMMEDIATE COST SAVINGS IT HAS TO COME FROM SOMEWHERE

DENTISTRY IN THE ACCOUNTABLE CARE WORLD

DENTISTRY - STRONG PREVENTION / EARLY INTERVENTION TRACK RECORD

DENTISTRY HAS HISTORICALLY BEEN LAST IN AND FIRST OUT OF THE PUBLIC HEALTHCARE FUNDING STREAM

PRELIMINARLY PLANS IN CA AND OR LOOK ESSENTIALLY LIKE OTHER PUBLICLY FUNDED DENTAL CARE BASIC LEVELS OF CARE, LOW LEVELS OF FUNDING

SIGNIFICANT QUESTIONS REMAIN UNANSWERED BOTH POSITIVE AND NEGATIVE SCENARIOS

A FUTURE WITH MORE QUESTIONS THAN ANSWERS

THANK YOU