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Slide 1 - Welcome to The John A. Hartford Foundation's Website
 

Slide 1 - Welcome to The John A. Hartford Foundation's Website

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  • [[Copyright 2007 The John A. Hartford Foundation. All rights reserved]]

Slide 1 - Welcome to The John A. Hartford Foundation's Website Slide 1 - Welcome to The John A. Hartford Foundation's Website Presentation Transcript

  • Hartford Medicine Program The John A. Hartford Foundation Fourth Quarter Board Meeting December 7, 2007 Gavin W. Hougham, PhD © 2007 The John A. Hartford Foundation
  • JAHF Medicine Commitment
    • Foundation goal is to increase the nation’s capacity to provide effective and affordable care to its rapidly increasing older adult population.
  • Why Medicine?
    • As physicians have traditionally been central to the health care needs of older adults…
    • JAHF strategy has focused on preparing physicians.
  • U.S. Physician Workforce
    • Physicians are central
    • Diagnose and treat
    • Prescribe medication
    • Drive medical research
    • Train/supervise other professionals
    • Most services physician-ordered
    • Central to team care
    • 780,000 physicians in U.S.
    Source: Impact of the Aging Population on the Health Workforce in the U.S., 2005.
  • JAHF Medicine Strategy
    • 1) All fields of medicine
      • Primary to specialty care
      • Surgical and related specialties
      • Internal medicine specialties
    • 2) Geriatric medicine
      • Ensure adequate pipeline
      • Train future faculty and leaders
      • Support of field-wide growth
  • Context and Barriers
    • Getting attention is a challenge
    • Diversification/specialization
    • Competition, politics, turf
    • Academic medicine is hard
    • Geriatrics remote to young MDs
    • Ageism is everywhere
    Source: Impact of the Aging Population on the Health Workforce in the U.S., 2005.
  • JAHF Medicine Tactics
    • Capitalize on Hartford brand
    • Manage existing programs
    • Create networks
    • Develop new programs
    • Broker resources & knowledge
    • Convene stakeholders
    • Partner with other foundations
  • JAHF Medicine Commitments
    • 1983-2007 (229 grants): $161m
    • Current (56 grants): $59.8m
    • Leverage, 2002-2006: $178m
  • Number of Certified Geriatricians Source: ADGAP Status of Geriatrics Workforce Study, 2007 , yearly totals (n)
  • Growth in Geriatrics Programs Source: ADGAP Status of Geriatrics Workforce Study, 2007 24 4.0 9.6 2007 18 Total academic staff 3.3 MD fellows 7.5 MDs 2001 Academic staff 59 2007 42 % programs with budgets over $1M 2001 Size of programs
  • Percent of U.S. Medical Schools at which Geriatrics Faculty Teach Geriatrics in Other Specialties Source: ADGAP Status of Geriatrics Workforce Study, 2007 87% 2007 75% 2005
  • Medical Students Better Prepared Source: AAMC, Medical School Graduation Questionnaire 75% 72% 70% 69% 65% % medical students who feel prepared to care for older adults 2007 2006 2005 2004 2003
  • Strategy One: All Physicians Medical Students Interns, Residents Fellows, Junior Faculty Senior Faculty, Practicing MDs Source: Adapted from JAHF Strategic Plan 2006
  • Strategy One: All Physicians Medical Students Interns, Residents Fellows, Junior Faculty Senior Faculty, Practicing MDs Source: Adapted from JAHF Strategic Plan 2006 Curriculum, Summer students, Interest groups
  • Strategy One: All Physicians
      • Medical Students:
      • Curriculum Education Dissemination (40+ schools)
        • (AAMC national consensus conference held 2007)
  • Strategy One: All Physicians Interns, Residents Fellows, Junior Faculty Source: Adapted from JAHF Strategic Plan 2006 Specialties, Chief Residents, Pilot grants Senior Faculty, Practicing MDs
  • Strategy One: All Physicians
      • Interns/Residents:
      • Geriatrics for Specialty Residents (64 schools so far)
        • (spread geriatrics to trainees in surgical spec)
      • Chief Resident Immersion Training (just starting)
        • (spread geriatrics to all specialties of medicine)
      • Other pilots through CoEs
  • Strategy One: All Physicians Fellows, Junior Faculty Source: Adapted from JAHF Strategic Plan 2006 Other Specialties Development awards, Curriculum, Specialty societies, Pilot grants Senior Faculty, Practicing MDs
  • Strategy One: All Physicians
      • Surgical Specialties (started 1992)
        • AGS geriatrics for surgical specialties (63 Jahnigens)
      • Specialties of Internal Medicine (started 1994)
        • American Association of Internal Medicine (40 Williams)
      • Paul Beeson Scholars program (135)
      • Hospitalists: Society of Hospital Medicine
      • Cardiology: American College of Cardiology
  • Medical Students Interns, Residents Fellows, Junior Faculty Senior Geriatrics Faculty Source: Adapted from JAHF Strategic Plan 2006 Other Specialties Strategy Two: Geriatricians Summer students, Interest groups
      • Medical Students:
      • Medical Student Training in Aging Research (1,086)
    Strategy Two: Geriatricians
      • Medical Students:
      • Medical Student Training in Aging Research
      • NIA, other foundations
      • Some early students now faculty
      • Stacy T. Lindau, MD, MA
    NEJM 2007:Today (NBC), CBS News, USA Today, Washington Post, New York Times, Newsweek, NPR, BBC… Strategy Two: Geriatricians
  • Strategy Two: Geriatricians Fellows, Junior Faculty Senior Geriatrics Faculty Source: Adapted from JAHF Strategic Plan 2006 CoEs, Junior Faculty Development Interns, Residents Pilot grants
  • Strategy Two: Geriatricians
      • Geriatrics Fellows/Junior Faculty:
      • JAHF CoE – Centers of Excellence (500 trained)
        • Geriatric Medicine (22 + 3 pending)
        • Geriatric Psychiatry (2)
      • Hartford Health Outcomes Research Scholars (27)
      • Paul Beeson Scholars (135)
  • Strategy Two: Geriatricians Senior Geriatrics Faculty Source: Adapted from JAHF Strategic Plan 2006 CoEs, Leadership, Institutions
  • Strategy Two: Geriatricians
      • Geriatrics Senior Faculty:
      • JAHF CoE – Centers of Excellence
        • Geriatric Medicine (22 + 3 pending)
        • Geriatric Psychiatry (2)
      • CoE Network Resource Center
      • Geriatrics Leadership Development (22)
      • New Division Chiefs Awards (Supiano at Utah)
  • Current JAHF Medicine Grants
      • Field-wide:
      • Status of Geriatrics Workforce
        • (gold standard data on field)
      • Institute of Medicine Healthcare Workforce Study
        • (potential for new JAHF and field-wide ideas)
  • Balancing Priorities Trainees All of Medicine Generalists Faculty development Institutions Top down What works Practicing physicians Geriatrics Specialists Curriculum development Individuals Bottom up New areas
  • Future Medicine Programs?
    • Strategy One:
    • American Association of Medical Colleges - Curriculum
    • American College of Surgeons - Quality
    • National Board of Medical Examiners – Education
    • Strategy Two:
    • Pending 3 new CoEs in geriatric medicine - Faculty
    • Possible new CoE in geriatric psychiatry – Faculty
    • American Association of Geriatric Psychiatry - Faculty
  • Summary
    • JAHF investment and payoffs in medicine significant
    • JAHF programs “gold standard” and field-changing
    • Academic geriatricians reaching senior leadership
    • Visibility of geriatrics within medical schools rising
    • Geriatrics spreading to other specialties
  • For further information on medicine area programs at the Foundation: Gavin W. Hougham, Ph.D. Senior Program Officer The John A. Hartford Foundation 55 East 59 th Street New York, NY 10022 [email_address] www.jhartfound.org Office: 212.832.7788 Fax: 212.230.2957