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OGME Development Initiative Consultant Training Seminar. June 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.

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Ogme development initiative consultant training seminar

OGME Development InitiativeConsultant Training Seminar

June 21, 2011 (updated)

Ogme development initiative
OGME Development Initiative

Marshalls the Resources of the AOA & the Osteopathic Profession to Help Hospitals Interested in Starting New Osteopathic GME Programs

Ogme development initiative1
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 initiative2
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.

Knowledgeable consultants
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 role1
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 role2
Consultants’ Role

Help Identify the Keys to Success

  • Local Champions

  • Physician Leadership

  • Medical Staff

  • Hospital & System Administration

  • Hospital & System Boards

  • The Community

  • OPTIs

Consultants role3
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 aoa1

  • Consultants are working on behalf of the American Osteopathic Association


  • “New” OGME Development Initiative web page

  • http://www.osteopathic.org/ogmedevelopment


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


  • American Osteopathic Association

  • 142 E. Ontario St.

  • Chicago, IL 60611-2864

  • Phone: (800) 621-1773, ext. 8010

  • E-mail: OGMEdevelopment@osteopathic.org

Benefits of ogme
Benefits of OGME

  • Hospital Benefits

  • Medical Staff Benefits

  • Recruiting Benefits

  • Patient Care Benefits

  • Bottom Line Benefits

Hospital 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
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
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
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
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
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 considerations hospital goals objectives

Strategic ConsiderationsHospital Goals & Objectives

Hospital goals and 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
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 considerations community customer needs

Strategic ConsiderationsCommunity & Customer Needs

Community and customer needs
Community and Customer Needs

Helps Determine How an OGME Program Fits within the Hospital

Community and customer needs1
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 needs2
Community and Customer Needs


  • What Image does the Hospital Want to Portray as it Works to Accomplish its Mission?

Community and customer needs3
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
SWOT Analysis

A Strategic Framework Helps You

  • Analyze How OGME Fits Into the Hospital by Examining –

    • Internal Strengths

    • Internal Weaknesses

    • External Opportunities

    • External Threats

A word about costs
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
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
“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

Critical hospital components
Critical Hospital Components

Identify the Keys to Success

  • Local Champions

  • Physician Leadership

  • Medical Staff

  • Hospital & System Administration

  • Hospital & System Boards

Critical hospital components1
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

Characteristics of 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
Benefits of an OPTI?

  • Formalizes the community-based training network

  • Provides resources to the community-based programs

  • Formalized OPP instruction

Choosing an opti
Choosing an OPTI

  • Location

  • Cost

  • State vs. Private

  • Benefits offered

  • Needs of the training program

  • Autonomy of the program

  • Responsiveness of OPTI personnel

Application process1
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 process2
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 process3
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 process4
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 process5
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”

Ogme development initiative3
OGME Development Initiative


  • A Strategic Approach

  • Expert Consultants

  • Useful Information on Starting and Operating High Quality OGME Programs

Ogme development initiative4
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 initiative5
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