Performance Improvement
Understanding the value proposition for GME can be challenging given the complexity of academic medical organizations. Existing teaching hospitals often find it important to conduct a periodic, detailed evaluation of program performance and look to enhance the value of the GME enterprise.
Our customized recommendations facilitate the alignment of financial management, accreditation stability, resource allocation, and organizational structure. Strategies to enhance economic performance across the hospital and ambulatory network are critical for optimizing GME performance.
ACA collaborates with our clients to evaluate performance across the entire graduate medical education spectrum, including, in part, clinical operations, faculty contracting, and reimbursement.
GME Clinical Operations
To enhance GME outcomes, it is crucial to adopt strategies that boost economic performance across the ambulatory network.
Different models can be used to organize clinic operations and allocate faculty full-time equivalents (FTEs) for efficient outpatient teaching.
Critical Variables to Improve
Performance Include:
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Review of faculty staffing requirements, scheduling structures, and contractual arrangements
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Assessment of ambulatory operations, including ​faculty-to-resident ratios​ and faculty leverage models
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Evaluate clinical and faculty practice financials and operational performance metrics
GME Reimbursement Assessment
Academic teaching hospitals often leverage GME as a strategic recruitment tool to build their future healthcare workforce. However, maintaining the economic viability of GME programs is critical to supporting the teaching mission.
By leveraging recent changes in CMS rules and regulations, organizations can broaden their primary care capabilities and contribute to overall financial success. The rural reclassification option and the initiation of rural training programs are particularly noteworthy.
In this current environment, more states and communities are funding GME expansion at the local level by offering additional funding resources. During the project, ACA will include those options specific to your state and regional demographics.
Key Areas Include:
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Identification of reimbursement enhancements and alternative non-CMS funding sources
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Evaluate CMS arbitrage through cap transfer agreements
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Identify opportunities for cost-sharing with community partners, FQHC/s, and rural health systems
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Assess rural redesignation to improve reimbursement and potentially expand its GME footprint
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