FLORIDA SOCIETY OF NEPHROLOGY

Initiatives & Update

Agenda

Background of FSN Current Initiatives & Programs Looming Legislative Issues Nephrology Workforce in Florida

Mission Statement

FSN represents and serves the interests of Florida nephrologists in their pursuit and delivery of quality care for patients with kidney disease.

Strategic Priorities Education Regulatory & Legislative Advocacy Practice Management Success Patient Care Grassroots Communication Collaboration – Partnerships

Advocacy

FSN

Association Update

Founded in 1990 Currently over 285 members Active Members are Nephrologists Associate Member category for

PAs/ARNPs Corporate Membership Program

Expand Existing Collaborations

Engage Future Leaders - 6 New Applicants to

Executive Committee in 2015

Current Initiatives and Programs

ESCO Education

Defining ESCOS: 

Medicare's Comprehensive ESRD Care Initiative

Tom Duvall, CMMI Team Leader

Jul 07, 2015

RPA Collaborations

RPA Continued

2016 Combined Coding & Reimbursement Conference

Taking place at start of the 2016 FSN Annual Meeting in Delray Beach, FL

Regional Meetings

2014 December EventsPensacolaJacksonville

2015 EventsAugust 17th in Fort LauderdaleAugust 18th in West Palm BeachOctober 1st in Miami

Looming Legislative Issues

House Health Care Initiatives Independent Practice of ARNPs – FSN

remains opposed Non-Contracted Emergency Services –

tied to Medicare – FSN opposed Medicaid Expansion – FSN remains

supportive New issues in 2016 –

Certificate of NeedTort Reform

RPA Statement Collaborative Practice

RPA believes it is critically important that within the renal care team, the nephrologists must maintain the primary leadership role and assume ultimate responsibility.

NEPHROLOGY WORKFORCE IN

FLORIDA

The US Nephrology Workforce:Developments and Trends Prepared for The American Society of Nephrology 2014

Only 323 individuals applied for 403 nephrology fellowship positions in 2014, a ratio of 0.8 applicants per position.

The same trend is demonstrated in unfilled nephrology fellowship positions with the proportion of unfilled positions increasing from 5.9% in 2010 (22 unfilled positions of 374) to 24.1% in 2014 (97 unfilled positions of 403). The number of unfilled fellowship program positions doubled in just one year—from 47 in 2013 to 97 in 2014.

Accelerated Decline2010 2011 2012 2013 2014

Total Positions

374 380 397 416 403

Filled Positions

352 345 360 369 306

Unfilled Positions

22 35 37 47 97

Red = USMGs Green = IMGs

Florida Physician WorkforceAnalysis:Forecasting Supply and Demand

Safety Net Hospital Alliance of Florida 2015

Critical Shortfall ofPhysician SpecialtiesThe supply of specialists in Florida is insufficientto provide a level of care consistent with thenational average, after taking into considerationdifferences in the demographics and healthrisk factors between Florida and the nation. Thecurrent 18% shortfall is likely to persist. By 2025,a 19% shortfall is projected.

Nephrology Data2025 Supply

2025 Demand

2025 Deficit

Gap

Nephrology 700 730 (30) -4%

Is there a role for Florida Renal Coalition to address this crisis?

Identify why more US Medical Graduates are not selecting NephrologyReimbursementOpportunityQuality of Life

Advocacy Targeted Loan Forgiveness Expanded utilization of non-physician

providers under physician supervision Telemedicine Advancement with Safeguards

Engagement Outreach to medical students

THANK YOU!FCOBBE@COBBEMANAGEM

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