On implementing a national graduate medical education trust fund / Committee on Implementing a National Graduate Medical Education Trust Fund, Division of Health Care Services, Institute of Medicine.

Format:

Book

Author/Creator:

Institute of Medicine (U.S.). Committee on Implementing a National Graduate Medical Education Trust Fund.

Language:

English

Subjects (All):

Medicine--Study and teaching (Graduate)--United States--Finance.

Medicine.

Federal aid to medical education--United States.

Federal aid to medical education.

Physical Description:

1 online resource (88 p.)

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1997.

Language Note:

English

Contents:

On Implementing a National Graduate Medical Education Trust Fund

Copyright

Committee Chair's Statement

Preface

Contents

On Implementing a National Graduate Medical Education Trust Fund

Overview of Graduate Medical Education and the Distribution of a Trust Fund

Principles

GENERAL CONSIDERATIONS

Recommendations for Distribution of GME Funds

GENERAL

DME

IME

Discussion

A TRUST FUND

PRINCIPLES AND GME

PAYMENT TO DME INSTITUTIONS

A STANDARD PAYMENT

DISSOCIATION OF PAYMENT FROM INDIVIDUAL CASELOAD

A TRANSITION

PAYMENT POLICY AND WORK FORCE COMPOSITION

MAINTAINING QUALITY STANDARDS

DME SUMMARY

IME ISSUES

MODIFICATION OF MEDICARE IME FUNDING

IME GENERAL, NON-MEDICARE PAYMENTS

AMBULATORY TRAINING

IME SUMMARY AND GME CONCLUSIONS

DME FOR NURSING

ALLIED HEALTH

Additional Issues

OPENINGS, MERGERS, AND ACQUISITIONS

A MEDICARE-ONLY FUND

THE BALANCED BUDGET ACT OF 1995

THE CURRENT SYSTEM

VOUCHERS

STATE PROGRAMS

EDUCATIONAL CONSORTIA

References

APPENDIX A Letter to the Institute of Medicine from the Committee on Ways and Means

Appendix B History and Current Status of Medicare Graduate Medical Education Funding

FINANCING GRADUATE MEDICAL EDUCATION

Medicare Teaching Payments

Payment Policies Prior to Prospective Payment

IME Payment Under PPS

Changes in Direct GME Payments

Payments to Teaching Hospitals

FINANCIAL CONDITION OF TEACHING HOSPITALS

CONCLUSIONS

Appendix C Public Comment on Graduate Medical Education Issues

PURPOSES OF GME

CURRENT ISSUES OF GME

STRATEGIES AND OPTIONS FOR THE FUTURE SHAPE OF GME

Capping of Available Slots

Consortia or Other Recipients of GME Funding

Mechanism for Distribution

OTHER ISSUES

Nursing Graduate Medical Education.

Non-Physician Health Professionals not Currently Included in GME Funding

Transitions and Stability

International Medical Graduates

Accreditation, Liability, and Residency Review Committees

LIST OF ORGANIZATIONS SURVEYED AND THAT SUBMITTED MATERIALS.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references (p. 45-50).

ISBN:

9786610191499

9781280191497

128019149X

9780309590495

0309590493

9780585144672

0585144672

OCLC:

44963195