Graduate Medical Education. (A) Pursuant to Minnesota Statutes, § 256B.19, subd. 1 (c), MCOs contracted with the STATE to administer the health care programs covered under this Contract in Hennepin County will have their capitation rates effectively increased. MCO xxxxxx agrees to make monthly graduate medical education payments to Hennepin County Medical Center, on or before the last business day of the month of service for which capitation is paid, by an amount equal to the per member per month value of the rate increase in Appendix 2 (“GME”) less the 1% premium tax and 0.6% HMO surcharge retained by the MCO, multiplied by the MCO’s monthly enrollment for each rate cell.
Graduate Medical Education. The Medical Center and CIR recognize that Graduate Medical Education noon conference, didactics, grand rounds and morning/afternoon reports are essential components of resident physician training, as set forth in the Common Program Requirements set forth by the ACGME. In creating this learning environment, the GME will ensure the educational event calendars include an emphasis on robust participation multiple times each month from attending physician subject matter expert speakers who are affiliated with the UCLA School of Medicine or another recognized teaching institution. Peer-selected residents will participate in the quarterly CMEC (Continuing Medical Education Committee) meetings as well as the Program Evaluation Committee (PEC) meetings and will provide resident input and recommendations that meet the goals of enhancing the educational environment for the residents at SMMC to the GME. During such education time, residents shall be released from clinical duties during educational time to the extent practicable.
Graduate Medical Education. Xxxxx will maintain at least two GME programs with comprehensive resident training applicable to such programs. Xxxxx will maintain, support, and fill at least the number of resident slots needed to obtain Medicare payments at its current annual Medicare full-time equivalent GME cap. Xxxxx’x GME program resident training will continue to occur at various care sites, in order to ensure a comprehensive training experience.
Graduate Medical Education. The University of Arizona College of Medicine - Tucson and Banner Health currently offer over 60 ACGME accredited residency and training programs. At the inception of the program in FY 2009 there were 17 GME filled positions – and since FY 2013 through FY 2018 there have been an average of 103 positions at the South Campus. In FY 2019, the GME programs from Banner Tucson Campus and the South Campus merged – bolstering the training network from an average of 103 at South Campus alone, to 700+ positions across the Banner Health network. This program is now a centralized Banner Health program (versus specific training at one hospital site) to assure greater opportunities for training in specialties and sub- specialties across diverse facilities within the Banner Health network. The network of training facilities now also includes both Tucson and South Campuses, in addition to the Southern Arizona Veterans Affairs Healthcare Center (SAVAHCS), El Rio Health, Arizona Community Physicians (ACP) and other sites. While the County’s fiscal support is dedicated to program growth and investment in GME, national hospital demand exceeded the workforce capacity of existing hospital FTEs, especially in recent years. Compounding an already strained workforce, utilization of contract labor FTEs soared. South Campus was not exempt from the national trends in staffing strains - South Campus FTE contract labor alone jumped over 700% between pre-pandemic fiscal year 2019 and the end of FY 2022 (July 2021 through June 2022). Contract labor was driven by and coupled with bed utilization that exceeded the capacity of the hospital - all while maintaining an average of 800 - 900 FTEs (non-contract labor) in any given month at the facility. Continued investment in GME can be a major component of Banner Health’s workforce retention and enhancement strategy and will continue to be even more pivotal as national 6 American Hospital Association. Fact Sheet: Economic Contribution of Hospitals 2022. trends in healthcare workforce continue to become realized across Pima County’s area- hospitals.
Graduate Medical Education. Xxxxxxxxx shall sponsor all Programs conducted under the Alliance for residents (‘‘Residency Programs”) and fellows (“Fellowship Programs”) (collectively “GME Programs”).
Graduate Medical Education. The Alliance will provide all employed residents and fellows (collectively “Trainees”) with professional liability insurance coverage for their acts and omissions that occur at any Hospitals while engaged in educational activities and such Alliance-provided coverage will be primary coverage to any coverage provided by a Hospital. Hospitals will provide professional liability insurance coverage for Trainees’ acts and omissions while the Trainees are on rotation to Hospitals and at Sites Sponsored by the Alliance, including any non-Alliance external sites affiliated with the sponsored Programs. When individual Trainees are not engaged in a Program involving the care of patients at Hospitals or are on rotations at any location that is not a Site Sponsored by the Alliance, e.g., moonlighting, no professional liability coverage will be provided under this Agreement. The Alliance shall also provide extended reporting or “tail” insurance coverage, if applicable, for the Trainees consistent with the standards that each Hospital applies for its employed physicians. Coverage shall include both liability protection to the limits of coverage and the costs of defending litigation. Proof of coverage will be provided upon request to any party to this Agreement. If an Alliance Member or Hospital wishes to change its insurance or its coverage applicable to Trainees, that Alliance Member or Hospital will provide at least thirty (30) days’ advanced written notice to the Alliance Board and the individual Members. As part of its orientation process, the Alliance will inform Trainees as to the scope and applicability of the professional liability insurance coverage provided under this Section.
Graduate Medical Education. Medical residents receive training and participate in direct clinical care of patients under the supervision of licensed physician • Approximately 125,000 residents and fellows • 1 in 7 physicians in the US is a resident or fellow Total number of Residents in ACGME- Accredited Programs 140000 120000 100000 80000 60000 40000 20000 0 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 M.D. D.O. Source: Barzansky B, Xxxxx SI. Medical Schools in the United States, 2015-2016. JAMA. 2016; 316(21): 2283-2290. Doi:10.1001/jama.2016.13620. GME Accreditation (General) • Roughly 10,000 AGCME-accredited medical residency programs • AOA accredits another 1,000+ residency programs • AOA merging in ACGME framework by 2020 • Other residency accreditation bodies exist with their own rules (CPME, AOA, Specialty Board) ACGME Institutional Requirements • ID Designated Institutional Official • Assign Program Director(s) • Various committees • Resident salary and benefits • Learning/working environment • Policies and procedures ACGME Common Program Requirements • Personnel • Resources • Faculty • Resident eligibility • Educational components • Resident scholarly activities • Evaluations of resident and faculty • Duty hours • Supervision • Clinical responsibilities Total number of ACGME-Accredited Participating Sites where Residents Rotate 6000 5000 5189 4687 4858 4442 4188 3968 4000 3000 2000 1000 0 2010-11 2100-12 2012-13 2013-14 2014-15 2015-16 Source: ACGME. Data Resources Book: Academic Year 2015-2016. 2016. Fig. F-2. ISBN 2473-8662. Demonstrating a Need for a Uniform Agreement Project Background: • Negotiation over resident rotation agreements as a disruption/bottleneck • Xxxxxxxx voiced to the AAMC from member institutions at 2016 GRA Spring Meeting. • The AAMC conducted a survey of DIOs (130 respondents) in September 2016 Fall 2016 DIO Survey Results 48% of respondents report that delays attributable to negotiating an agreement resulted in a resident postponing or not participating in a required rotation DIO Survey Results Key skirmishes in the “battle of the forms”
Graduate Medical Education. From and after the Closing, Buyer shall (i) assume and maintain an academic affiliation with the University of North Carolina School of Medicine on behalf of the Hospitals pursuant to and consistent with that Term Sheet for Proposed Academic and Clinical Affiliation for the New Hanover Region between Novant Health, UNC Health, and UNC School of Medicine, dated June 23, 2020; (ii) continue to operate a Graduate Medical Education program (“GME Program”) at the Hospitals, which GME Program shall be, at a minimum, commensurate in quality, size and scope with the Hospitals’ current GME Program; and (iii) expand or otherwise make additions to the GME Program, as reasonably requested by NHRMC. Buyer shall further develop, implement and expand a comprehensive medical resident and fellow recruitment program, including, but not limited to, the establishment of appropriate fellowship programs at the Hospitals.
Graduate Medical Education. During the term of this Agreement, Xxxxx will maintain at least two Graduate Medical Education (“GME”) programs in medical specialties appropriate to community needs with comprehensive resident training applicable to such programs. Xxxxx will maintain, support, and fill at least the number of residents slots needed to obtain Medicare payment at Xxxxx’x annual Medicare full-time equivalent GME cap.
