Download - 2012 ADEA Deans Conference
2012 ADEA DEANS CONFERENCENovember 11, 2012
TODAY’S TOPICS The Osteopathic Medicine model
Educational Convergence Organizational Separation
The Accountable Care Model Dentistry in Accountable Care
EDUCATIONAL CONVERGENCE
Entering Credentials and OutcomesMCAT GPA USMLE 1 USMLE 2CK USMLE
2CSM.D. 31.1 3.67 94% 97% 97%D.O. 26.5 3.50 89% 93% 93%
1 IN 5 MEDICAL STUDENTS ARE NOW DO STUDENTS
DO GRADUATES TRAIN IN BOTH ACGME AND OSTEOPATHIC RESIDENCY PROGRAMS
VIRTUALLY INDISTINGUISHABLE IN PRACTICE
ORGANIZATIONAL SEPARATION MOST DO PROGRAMS NOT IN UNIVERSITY WITH AN AHC
CLERKSHIPS AND ROTATIONS INCLUDE AHC, COMMUNITY AND SMALLER SITES, “NON-TEACHING HOSPITALS”
ALL DO PROGRAMS PARTICIPATE IN OPTI OSTEOPATHIC POSTDOCTORAL TRAINING INSTITUTE
HOSPITAL PARTNERSHIP WITH DO SCHOOLS CLINICAL RESEARCH COMPONENT 32% PRIMARY CARE – BOTH ACGME AND AOA PROGRAMS
DO PROGRAMS BUILDING RESIDENCY CAPACITY & INTEGRATING ACGME AND AOA – JOINT GME SYSTEM – JULY 2015
SYSTEMIC CHANGE WILL AFFECT EVERYONE
STRESSED SYSTEM PUSHED TOWARD THE PRECIPICE OF CHANGE
FRAGMENTED AND COSTLY HEALTH CARE SYSTEM ACADEMIC HEALTH CENTERS – ALREADY A PRE-EXISTING CONDITION THE FISCAL CLIFF OF SEQUESTRATION “ALL SIGNS POINT TO SIGNIFICANT PRESSURE ON HEALTH SYSTEM
REVENUES OVER THE NEXT FIVE YEARS.” (D.F. EVANS)
ACCOUNTABLE CARE MODELDISRUPTIVE OR DESTRUCTIVE
CHANGE? THE ACCOUNTABLE CARE CONCEPT
WELLNESS, PREVENTION, EARLY INTERVENTION AND INTEGRATED CARE WILL LEAD TO REDUCED COSTS AND IMPROVED HEALTH
PROVIDER GROUPS ASSUME RESPONSIBILITY BUNDLE THE MONEY - GO… DO…
IMPLEMENTING THE ACCOUNTABLE CARE MODEL
GIVING THE GORILLA THE CHECKBOOK
A NEW MODEL REQUIRES AN INVESTMENT PHASE PREVENTION, EARLY INTERVENTION AND WELLNESS WILL TAKE TIME INTEGRATED HEALTHCARE RECORDS, DATA DRIVEN CARE AND
INTERPROFESSIONAL PRACTICE MODELS WILL TAKE RESOURCES AND TIME
THE EXPECTATION OF IMMEDIATE COST SAVINGS IT HAS TO COME FROM SOMEWHERE
DENTISTRY IN THE ACCOUNTABLE CARE WORLD
DENTISTRY - STRONG PREVENTION / EARLY INTERVENTION TRACK RECORD
DENTISTRY HAS HISTORICALLY BEEN LAST IN AND FIRST OUT OF THE PUBLIC HEALTHCARE FUNDING STREAM
PRELIMINARLY PLANS IN CA AND OR LOOK ESSENTIALLY LIKE OTHER PUBLICLY FUNDED DENTAL CARE BASIC LEVELS OF CARE, LOW LEVELS OF FUNDING
SIGNIFICANT QUESTIONS REMAIN UNANSWERED BOTH POSITIVE AND NEGATIVE SCENARIOS
A FUTURE WITH MORE QUESTIONS THAN ANSWERS
THANK YOU