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Responding to the Primary Care Workforce Challenge– A look at Indiana’s efforts for statewide planning. Family Medicine Education Consortium Cleveland, Ohio November 10, 2017 Ted Wymyslo, MD. Bowen Center for Health Workforce Research and Policy (Indianapolis, Indiana).
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Responding to the Primary Care Workforce Challenge– A look at Indiana’s efforts for statewide planning Family Medicine Education Consortium Cleveland, Ohio November 10, 2017 Ted Wymyslo, MD ohiochc.org
Bowen Center for Health Workforce Research and Policy (Indianapolis, Indiana) • At the IUSOM, Department of Family Medicine • Gathers high resolution supply information from health professionals on a routine basis in order to supplement licensure data for accurate projections of the supply and capacity of the health system • RESEARCH –to inform health policy, improve health care delivery, promote population health • POLICY- supports data-driven policy development and informs decisions at the state and local levels ohiochc.org
Bowen Center for Health Workforce Research and Policy • Collaborates with stakeholders to evaluate the implementation, effectiveness, and impact of their programs on health care access and delivery - governmental orgs - health professions training programs - provider orgs -non-profit agencies ohiochc.org
Bowen Center for Health Workforce Research and Policy • Collects data on health professions: mental health substance abuse workforce nursing oral health pharmacists physicians PAs ohiochc.org
Indiana Data Report 2016 - Physicians • Specialty Breakdown of practicing physicians: Primary Care – 37.4% FM – 17.1% GIM – 10.8% Gen. Peds – 5.4% Ob/Gyn – 4.1% Psychiatry – 3.6% ohiochc.org
2016 Indiana Data Report – Licensure Survey • 26,536 physician license renewals • 19,041 took survey (72%) • 10,057 had Indiana practice address (53% of survey respondents) Of practicing physicians: 6,285 work 37+ hours/week (62% of practicing physicians) 52% offer no sliding fee scale 8.5% do NOT accept Medicaid patients ohiochc.org
Indiana General Assembly 2015 Session House Bill 1323 Authored by Rep. Timothy Brown. Co-Authored by Rep. Edward Clere, Rep. Gregory Porter, Rep. David Niezgodski. Sponsored by Sen. Patricia Miller, Sen. Luke Kenley, Sen. Lonnie Randolph DIGEST Medical residency education. Establishes the medical residency education fund for the purpose of expanding medical education in Indiana by funding new residency program slots at licensed hospitals. Specifies uses of money from the medical residency education fund and the graduate medical education fund. Establishes the graduate medical education board (board) in order to: (1) provide funding for residents not funded by the federal Centers for Medicare and Medicaid Services; (2) provide technical assistance for entities that wish to establish a residency program; (3) fund infrastructure costs for an expansion of graduate medical education; and (4) provide startup funding for entities that wish to establish a residency program. Provides that a recipient of a medical education residence grant or money from the graduate medical education fund must agree to provide matching funds equal to at least 25% of the money provided. Allows the board to require an entity receiving a grant for infrastructure expenses to financially participate in the expenses in an amount not to exceed 25% of the infrastructure expenses. Requires the board to prepare and submit a report to the general assembly before November 1, 2016, concerning recommendations for the expansion of graduate medical education in Indiana. https://iga.in.gov/legislative/2015/bills/house/1323 ohiochc.org
Indiana HB 1323 • To expand GME in Indiana • Operates under Indiana Commission for Higher Education • Created Medical Residency Education Fund - $6 million/biennium 2015 budget, 2017 renewed • Created the Indiana GME Board – 10 gubernatorial appointees - to utilize this funding for GME expansion in Indiana • GME Expansion Plan completed 10/16 ohiochc.org
Indiana Commission for Higher Education http://www.in.gov/che/4612.htm Graduate Medical Education Board The Graduate Medical Education Board was created in 2015 to expand medical education in Indiana by funding new residency program slots at licensed hospitals and qualifying non-profit organizations. The board may grant funds to support residents who are not federally funded, provide technical assistance to organizations that wish to establish residency programs, cover infrastructure costs for residency program expansion, and provide startup funding for residency programs. ohiochc.org
Indiana GME board • $6 million/biennium • Feasibility grants – max. 75k, with at least 25k match • GME Program Development Grants - a. new programs – 250k/yr x2 yrs = 500k max for start up b. existing programs – 45k/new resident slot added ohiochc.org
Indiana GME Board Eligible Training Programs for GME dollars: Family Medicine Gen. Peds Gen. IM Ob/Gyn Psychiatry Emergency Medicine General Surgery ohiochc.org
Governor’s Health Workforce Council • In the Department of Workforce Development • Coordinates health workforce-related policies, progress, and initiatives to reduce cost, improve access, and enhance quality within Indiana’s health system • Develop data-driven health workforce policies to grow Indiana’s well-trained workforce • Discuss impact of workforce policy for health professions education • Demonstrate new health workforce data resources and tools • Discuss health professions training, and the financing of that training, from the perspectives of education, labor, finance, and workforce diversity and distribution ohiochc.org
Governor’s Health Workforce Council • Sample recent agenda topics: military credit credential engine health workforce “values matrix” integration curriculum telemedicine workforce needs/barriers reimbursement for MLPs health statutes review state loan repayment community health workers – payment, workforce needs ohiochc.org
Governor’s Health Workforce Council • Membership: Legislators – Senate Health and Provider Services Committee, House Public Health Committee Health care experts- IHA, Rural Health Assn, PCA, Bowen Center, Anthem BC/BS State agencies-Dept of Health, Dept of Ed, Commission on Higher Ed, Family and Social Services Admin, Dept of Workforce Dev, Gov’s office Industry leaders- Public and private sectors – ohiochc.org
Thank You! Ted Wymyslo, MD Chief Medical Officer Ohio Association of Community Health Centers 2109 Stella Court Columbus, Ohio 43215 614-884-3101 ext. 234 ohiochc.org
ASTHO-ODH State Capacity Building Project to Address Primary Care Workforce Shortages – 2009-2010 • Reviewed the Ohio Health Quality Improvement plan of 2009 • Reviewed 2006 Physician Supply and Demand Consultation by Robert Graham Center commissioned by the Ohio BOR • Reviewed workforce strategic plans from states similar to Ohio • Led to a statewide strategic planning meeting “Building Capacity to Address Ohio’s Primary Care Workforce Needs” (9/10) • 28 experts and stakeholders from around the state participated in 4 regional forums to review draft recommendations • The Draft Ohio Primary Care Workforce Plan was created ohiochc.org
ODH Health Care Workforce Programs • National Health Service Corps(NHSC) Scholarship Program • Choose Ohio First Scholarship Program • Ohio Primary Care Workforce Initiative • Medicaid Technical Assistance and Policy Healthcare Access Institute (MedTAPPHCA) • NHSC Loan Repayment Program • Ohio Physician Loan Repayment Program • Ohio Dentist Loan Repayment Program • Ohio Dental Hygienist Loan Repayment Program • J-1 Visa Waiver Program ohiochc.org
