GME Strategy

We will partner with you to understand the current hospital environment, identify what is possible given the available resources, and create a plan that will serve as your blueprint for successful implementation of your future Graduate Medical Education enterprise. The strategic plan will be aligned and supportive of your organization’s mission, strategic direction, and operational challenges and will serve as your overarching strategic and financial GME plan.

GME New Program Opportunity Assessment

An important part of a GME Strategic plan is the determination of what programs make sense and for an organization and can be supported. In this service offering Germane will evaluate key service data along with strategic direction and operational objectives to identify opportunities for the development of new programs

Program Value

Each GME program provides a unique set of benefits to a health care organization. Understanding the operational, financial, and strategic contributions of each program helps frame the value proposition for each. Germane will work with your organization to identify a framework for evaluation of each program. Attributes such as recruitment, satisfaction, financial status, service coverage, and alignment with strategic objectives will be evaluated and used to determine what role the programs will play in the new GME strategy. We will also evaluate national best practices in the evaluation of how well existing programs are doing. Recommendations may include resizing, relocating, or implementing operational changes to the programs to allow for maximum value to your organization.

These case studies provide insight to how we put these offerings together to create value for you.

Strategy Case Study: How is Our GME Footprint Impacting Operational Goals?

Germane was contacted by a health system consisting of 4 hospitals. Within this health system, their flagship hospital contained legacy residency and fellowship programs through an affiliation with a local medical school, one hospital had previous cap issues, and the other two were non-teaching hospitals. Health System leadership was interested in learning how to optimize the current resident operations at their flagship teaching hospital and work to grow the GME footprint in their non-teaching hospitals to meet their organizational goals.

The Challenge

To better understand their current operations and future opportunities, an in-depth review of the hospitals’ current programs is needed to propose recommendations and direction. This review will be comprehensive; encompassing recommendations to optimize current GME operations, investigate prior CMS cap issues, explore future GME offerings. Germane will also inspect the hospital’s affiliated partner.

The Solution

These challenges are solved by several interrelated assessments that Germane conducts. A GME program value review investigates any existing GME programs. An Academic Affiliation Review is focused on the relationship between the hospital and its affiliation evaluating the benefit to both parties. Medicare Cost Report Review will identify GME reporting and payment errors. A New Program Initial Feasibility Assessment will provide information to the hospital leadership outlining which programs could potentially be supported within the hospital.

The Outcome

Through the Medicare cost report, Germane reversed CMS interpretation of limiting GME development at the “capped” hospital and found corrections worth 2 million dollars related to GME payment errors. The GME program value review provided recommendations outlining several of the existing programs which offered limited value to the system. Per the Academic Affiliation Review, the hospital received improved benefits from their affiliation, such as improved information sharing and change in resident complements. Germane, also, identified new residency programs supporting 150 new students between the three non-teaching hospitals with a positive margin of operations by 1.5 million dollars factoring state, federal, and grant GME reimbursement.

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