Eric Polak Vice President for Administration & Finance OSU - - PowerPoint PPT Presentation

Eric Polak Vice President for Administration & Finance OSU Center for Health Sciences Chief Executive Officer OSU Medical Authority & Trust

September 21, 2016

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Oklahoma Overall Health Score Card: #45

Bottom 10th Percentile in the Nation – Why?

Obesity Rank #45

Access to Primary Care Physicians

#48

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cular r Death ths

#43

#48

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Impact of Poor Health: Shortened Length of Life

• Oklahoma ranks 46th in the nation in premature death
• Rural Oklahoma disproportionately affected
• Access to and availability of primary care physicians are linked to better health
• utcomes – longer life span and lower rates of mortality

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Primary Care Provider Shortage by County

• Vast majority of Oklahoma counties are federally designated primary care health professional shortage

areas – 64 out of 77 counties

• 58.6% of Oklahomans reside in primary care health professional shortage areas
• Physician shortage negatively impacts access and quality of care in rural communities

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Rural Primary Care Physician: Aging Workforce

• 55% of rural primary care physicians are 55 years or older; 27% are 65 years or older
• Rural communities will face increasing challenges in recruiting and retaining physicians

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OSU: Premier Leader in Training Primary Care Physicians for Oklahoma

• Since our inception, on average 61% of OSU graduates select primary care residencies
• Ranked #12 in 2016 by U.S. News & World Report for producing primary care residents

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Medical Education Strategy

• Implement creative outreach programs to identify and mentor

high potential rural youth early on at the high school level

• Modify recruitment processes to target high potential

candidates from rural Oklahoma

• Establish a rural focused medical school curriculum
• Increase number of rural-based GME programs

Perennial Question

How can we amplify our efforts to train even more primary care physicians for rural Oklahoma?

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Building the Rural Educational Pipeline

• Emphasis on selecting strong applicants from rural and small communities

and from American Indian population

• Organically grow a larger pool of rural applicants through high school and

college recruiting programs to build admissions pipeline

• Undergraduate: Rural and Underserved Primary Care Early Admissions

Program

• High School:

 Operation Orange  Blue Coat to White Coat – Partnership with Oklahoma FFA  MedXtravaganza  Oklahoma Science Training and Research Students (OKstars)  Native Explorers  Native OKstars

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Signature Rural Pipeline Outreach Programs

Ada•Durant •Lawton •Miami Stillwater• Tahlequah •Weatherford

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Signature Rural Pipeline Outreach Programs

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Rural Physician Pipeline Model

High School College OSU-COM Rural Residency Rural Practice

Medical career awareness, academic preparation and admissions guidance Train and nurture interest in rural medicine through curriculum, clinical rotations and graduate medical education Support and help retain rural physicians

OKstars Early Admissions

• Ada
• Ardmore
• Durant
• Lawton
• McAlester
• Muskogee
• Tahlequah
• Talihina

OSU Center for Rural Health StORM Club Native OKstars

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Graduate Medical Education

• OSU has a sufficient number of training slots for every OSU graduate
• OSU received in 2015 a $3.8M grant from the Oklahoma Tobacco Settlement Endowment Trust

which was matched by $5.6M from the Oklahoma Health Care Authority for a total of $9.4M to support 118 accredited residency slots

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Rural Physician Shortage Demands Innovative Solutions

• Training more primary care physicians for rural Oklahoma is
• nly part of the solution -- Oklahoma needs over 1,300

physicians today to reach the national average

• Research novel approaches to understanding and

manipulating genetics data and clinical data to diagnose disease and personalize care treatment plan

• Research new models of health care delivery to increase care

capacity by leveraging on technology

• Establish the Center for Health Systems Innovation to design

innovative solutions to today’s most pressing health care challenges

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Center for Health Systems Innovation: Reshaping Care Delivery

Leveraging on technology, health analytics, and medical expertise at OSU to bring quality care to rural communities

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Center for Predictive Medicine

Personalized healthcare Understand which patients respond to which drugs at which dosage

• Prescription data
• Diagnostic test data
• Genetic data
• Clinical data
• Data analytics
• Insight delivered
• Recommendations offered
• Data-based healthcare

decisions made by patients and their providers

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Center for Predictive Medicine: Innovative Research

• Diabetic Retinopathy Clinical Decisions Tool Study. Allows providers to diagnose

diabetic retinopathy patients from lab and demographic data thereby eliminating the need for annual exam.

• Cardiac Drug Population Health Study. Analyzed 77,871 patients with atrial

fibrillation and determined that mortality increases significantly for male patients compared to female patients, especially for Hispanic and Native American male patients.

• Payor Outcomes Study. For first time stroke patients, health outcomes differ

depending on who the patient’s payor was based on analyzing demonstrated costs, length of stay, complications and 30 days’ readmission rates.

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Project ECHO: Expanding Specialty Care to Rural Oklahoma

• Project Extension for Community Healthcare Outcomes (ECHO), an innovative

model for expanding clinical care capacity in rural Oklahoma through case-based learning in partnership with the University of New Mexico

• A hub and spoke knowledge sharing network, led by a team of experts at a hub

who use multipoint videoconferencing to conduct virtual consulting clinics with community providers at spoke sites

• Force multiplier: democratize medical knowledge by transferring knowledge from

specialized teams to care providers to create local clinical care capacity

Mental Health Specialist Team Primary Care Physician Physician Assistant Nurse Community Health Worker 50 -100 Mental Health Patients 50 -100 Mental Health Patients 50 -100 Mental Health Patients 50 -100 Mental Health Patients

Example of Force Multiplier Effect

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Project ECHO: Hub and Spoke Model of Clinical Care

• OSU-CHS will launch 3 Project ECHO Clinics: Opioid Addiction, Mental

Health, and Wellness and Obesity

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Economic Impact on Oklahoma

• A 2013 Economic Impact study shows that OSU-CHS supports 5,000

jobs and generates $257 million for Oklahoma’s economy

• In the last five years OSU has created five new rural residency
• programs. In 2008, an economic impact study of the OSU residency

program in Durant calculated in excess of $1 million impact to Bryan County alone

• Statewide approximately $35 million of federal funding comes to

Oklahoma hospitals participating in OSU residency programs

• According to the National Center for Rural Health Works OSU-trained

rural physicians generate approximately:

• $1.5 million in revenue
• Creates $900,000 in payroll (wages, salaries and benefits)
• Creates 22 local jobs for the community per the National Center

for Rural Health Works at OSU

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OSU-CHS Health Impact on Oklahoma

• OSU Physician Network cares for approximately 50,000

Medicaid patients each month

• OSU graduates 115 medical students each year
• OSU trains over 450 resident physicians through our

residency and fellowship programs across the state

• Over 500 OSU graduates practice medicine in Oklahoma

communities with a population of less than 25,000

Eric Polak VP Administration & Finance, OSU Center for Health Sciences CEO, OSU Medical Authority 1111 West 17th Street, Tulsa, OK 74107 Email: eric.polak@okstate.edu Tel: 918.561.8422

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