GME Funding Overview

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  • GME Funding Overview

    1. 1. COUNCIL OF ORTHOPAEDIC RESIDENCY DIRECTORS [CORD] C. McCollister Evarts, M.D. University of Rochester Medical Center June 12, 2009
    2. 2. GME FUNDING-Medicare Reimbursement  To hospitals for education of residents and fellows  Based on indirect (teaching) direct (salary and benefits) costs  Based on Medicare population in hospitals
    3. 3. GME FUNDING-Medicare Reimbursement  Full rate for first residency program  ½ rate for additional years, second residency or fellowship
    4. 4. GME FUNDING  New York State provides an incentive program to hospitals on regional basis  Insurers  Industry  Institutions
    5. 5. BALANCED BUDGET ACT – 1997  Training slots frozen at 1996 levels  Impact obvious
    6. 6. S.973  Resident Physician Shortage Reduction Act of 2009 (Senate)  Redirect unused slots and increase cap by 15 percent for existing or new programs
    7. 7. S.973  However, targeted preferentially to institutions increasing primary care, general surgery slots.  Change existing rules so residents can be training in non-hospital settings
    8. 8. Core Values  Education  Independence  Transparency  GME Funding Fellowships; Residencies  Will not promote specific business interests of donors  Transparent conflict of interest policies
    9. 9. OMeGA Policies  Operates independently from AOA  Separate board  No reporting  No conflicts of interest
    10. 10. OMeGA Review Committees  Qualified subspecialists without conflicts of interest  Evaluation of grant applications
    11. 11. OMeGA  Donor designation of funding streams  Short initial time table  Bylaws, board, staff, systems, review committee formed/approved/developed
    12. 12. OMeGA Grant Applications  258 grant applications received  108 residency/general education  150 fellowships  Adult recon 38  Sports 23  Trauma 20  Hand 18  Spine 13  Foot & ankle 11  Peds 11  Shoulder 9  Oncology 7
    13. 13. 45 Fellowship grants awarded  Grant amounts ranged from $25,000-$75,000  Numbers by sub-specialty  Adult recon-25  Sports-2  Trauma-5  Hand-1  Spine-4  Foot and ankle-1  Pediatrics-1  Shoulder-4  Oncology-2
    14. 14. ACGME accreditation of fellowship programs awarded grants  40% of programs were ACGME- accredited  80% of programs were associated with an ACGME-accredited residency program
    15. 15. 21 Residency grants awarded  Grant amounts from $2,525-$5,000 (most $5,000)  Allopathic and osteopathic programs represented
    16. 16. ACGME accreditation of residency programs awarded grants  100% of programs were ACGME- accredited
    17. 17. Residency activities/purposes funded includes  Develop arthroscopy skills course  Visiting professors  Cadavers  Surgical skills lab  Grand rounds  Journal club  Resident research day  Motor skills lab
    18. 18. Institutional setting of residency programs awarded grants  76% Academic institutions  24% Community hospitals
    19. 19. v v Fellowship grants Residency grants
    20. 20. OMeGA Next Steps  Plan for 2010-2011 academic year grants  Publish schedule  Refine application process  Streamline review process  Obtain more funding from industry

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