care delivery issues- michigan physician workforce and the patient centered medical home
DESCRIPTION
Care Delivery Issues- Michigan Physician Workforce and the Patient Centered Medical Home. Kari Hortos, DO Associate Dean-Macomb Site Michigan State University College Osteopathic Medicine. Patient Centered Medical Home…. …began in 1874 Osteopathic Medicine: AOA 1998 - PowerPoint PPT PresentationTRANSCRIPT
Care Delivery Issues-Michigan Physician Workforce and thePatient Centered Medical Home
Kari Hortos, DOAssociate Dean-Macomb SiteMichigan State University College Osteopathic Medicine
Patient Centered Medical Home…
…began in 1874 Osteopathic Medicine: AOA 1998
“A complete system of medical care with a philosophy that combines the needs of the patient with the current practice of medicine, surgery and obstetrics; that emphasizes the interrelationship between structure and function; and that has an appreciation of the body’s ability to heal itself”
“Order and health are inseparable…the object of the physician is to find health, anyone can find disease.” -A.T. Still, 1899
Osteopathic Principles and PCMH
The body is a unit; the person is a unit of body, mind and spirit.
The body is capable of self-regulation, self-healing and health maintenance.
Structure and function are reciprocally interrelated.
Rational treatment is based upon the understanding of the basic principles of body unity, self-regulation, and interrelationship of structure and function.
Patient centered primary care, holistic and comprehensive
Health management & prevention
Integrated patient management systems
Quality outcomes and patient satisfaction
*Foundations for Osteopathic Medicine; Second Edition 2002
Osteopathic Principles* Patient Centered Medical Home
Patient Centered Medical HomePre-doctoral curriculum
Medical Curriculum centered on primary care from day one.
Primary Care Ambulatory Clerkship– A 24-week block of clinical experiences
in ambulatory care settings to prepare the student for current and future health care delivery expectations.
Recognized nationally for our curriculum
– Ranked 7th Medical Schools-Primary Care 2010 US News & World Report
Over 30 community hospitals with ~ 2030 residency positions
Curriculum and residency experiences are community-based.
Centralized monthly didactic programs for each residency program that includes curriculum, evaluation and faculty development for community-based medicine.
Patient Centered Medical HomePost-doctoral curriculum
Michigan’s Physician Workforce
2004 Blue Ribbon Committee Physician Workforce*
Study Findings:– 4,400 doctors short by the year 2020
Types of physicians most needed by 2020:– Family physicians– General Surgeons– Cardiologists– Internists*http://www.msms.org/AM/Template.cfm?Section=Reports_and_Summaries1&CONTENTID=10643&TEMPLATE=/CM/ContentDisplay.cfm
SEMCOG2030 Regional Development Forecast Population by Age Group by CommunitySeptember 2002
Accessed 10-10-09http://library.semcog.org/InmagicGenie/DocumentFolder/RegionalDevelopmentForecast_2030_AgeByCommunity.pdf
Michigan Faces Serious Shortage of Physicians
May 4, 2009
…“The number of new primary care physicians has just barely kept pace with the number of primary care physicians leaving the workforce in the past few years. And the percentage of physicians who plan to discontinue practice within the next 10 years is increasing.”
Accessed 10-10-09 http://www.michigan.gov/mdch/0,1607,7-132-8347-214107--,00.html
92% medical students Michigan residents
67% MSUCOM graduates stay in Michigan
65% MSUCOM graduates are in primary care
In 2009 MSUCOM-SCS– Graduated 130 physicians in
primary care specialties of FM, IM and Pediatrics
MSUCOM contributions to Michigan’s physician workforce
Michigan Physician Workforce and the Patient Centered Medical Home
In 2009 MSUCOM increased class size from ~200 to 315 medical students, including ~50 each at the two new expansion sites in Southeast Michigan.