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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:
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
