From the Desk of the VP

2021 has been deemed a year for recovery, and it can go without saying that this notion is strongly felt within the healthcare community. As with any recovery, many aspects of healthcare are changing. There is hope in the industry that this recovery will result in a more efficient system for patient care. Germane is helping to provide needed stabilization and growth within healthcare systems by continually...

COVID-19’s Novel Impact on UME and GME

It’s been nearly one year since the unforgiving coronavirus permeated the country’s hospitals and health systems. We’ve seen how COVID-19 has disrupted our day-to-day lives, leading to various adaptations and adjustments, some for the better, while other mitigation and innovations are being drawn up and attempted. Only time will tell how the infrastructure and operations of health care will evolve,...

Analysis of Consolidated Appropriations Act’s (HR-133) GME Impact

On December 27, 2020, Congress passed the Consolidated Appropriations Act, 2021 (HR 133) which provides legislation that is pertinent to academic medicine. In Germane Solutions’ core commitment to our clients and healthcare community, we are pleased to provide our guidance and understanding into these provisions as they currently stand.

Developing a Culture of Equity and Equality in Graduate Medical Education

While certainly not beginning the discussion, nor finishing it, previously this year multiple leaders in the healthcare field addressed racial inequalities and inequities: equality being an equal distribution to all individuals, while equity is the distribution that best fits an individual’s needs (“Equity vs Equality''). These prominent figures include the President of the ACGME,...

Towards Being A Good Hospitalist

What makes a good hospitalist? How does one even begin to characterize one? Dr. Jesse Burk-Rafel, a hospitalist at NYU Grossman School of Medicine, addressed this topic recently in a series of tweets, all 180-characters or less. Ultimately, one thing can be deduced from his thoughts and supporting evidence - a good hospitalist is not easily defined. Nonetheless, some defining characters come up frequently...

Accidental CMS CAPS

When starting Graduate Medical Education (GME) programs, it is imperative to have secure the proper funding in order to ensure the sustainability and evaluate financial support of the GME. Medicare GME reimbursement is the primary source of funding for hospitals throughout the country and is comprised mainly of Direct Graduate Medical Education (DGME) payments and Indirect Medical Education (IME) payments....

The Relevance of Identifying Conflicts of Interest

Conflicts of Interests (COI) is a hotly debated issue within medical institutions, raising questions about how these issues could be addressed and policed. Even with this debate around COI, if one is identified within an institution, it could harshly affect their status, reputation, and responsibility. COI are secondary interests, such as financial gain, that are prioritized over primary interests...

Physician Burnout: A Systematic Issue Requiring System-Level Response

Being a physician has always been a challenging profession, but the satisfaction and joy found in patient care interactions formerly balanced the challenges. In the last 20-years, however, something has changed. Physicians have seen increases in demands for their time, resources, and energy to an overwhelming degree. In addition to poorly designed daily work systems, the failure of EMRs to support...

The Rise of Social Media In the GME Community

Social Media - love it or hate it; it is part of everyday life. Social Media permeated the GME community culture in a very short amount of time. Twitter, Facebook, Instagram, and LinkedIn were all founded after 2000. The first iPhone was released in 2007. Within twenty years, both grew into incredibly powerful and influential tools used by people, companies, and organizations—including those in the...

Planning Proficiency: Coordinator Training for Lifelong Learning

Throughout the years, a Graduate Medical Education (GME) Program Coordinator (PC) evolved from an entry-level position of administrative secretary or clerk to a higher-level leadership position of the program administrator. Due to this evolution, this role requires extensive training, so PCs can learn about and assimilate to a profession that necessitates a combination of compliance with accrediting...

What the Medicare GME Affiliation Agreement (MGAA) Deadline Extension Means for GME Strategy

Due to the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) is permitting hospitals to submit new and/or amended Medicare Graduate Medical Education (GME) Affiliation Agreements (MGAAs) to CMS and the Medicare Administrative Contractors (MACs) by January 1st, 2021. This updated deadline is an extension of the July 1st, 2020 deadline for new MGAAs, as well as...

The Importance of Physician Pipeline Planning

What does your physician pipeline look like right now? Are you prepared for unforeseen circumstances with physician staffing, such as an unexpected early retirement? If you are struggling with physician sourcing and ensuring that your hospital or system has the appropriate staffing resources to support your community in years to come, you are not alone. Institutions across the country are struggling...

Training Physicians in Population Health Management

Population Health has been discussed previously and is a term, currently, open for discussion, as most hospitals and institutions put forth their own similar, but different, conceptions. The term has nonetheless persisted due to its beneficial impact on these institutions: many of which incorporate Population Health Management (PHM) into their resident’s training and/or their overall operations....

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