Eric Polak Vice President for Administration & Finance OSU Center for Health Sciences Chief Executive Officer OSU Medical Authority & Trust September 21, 2016
Oklahoma Overall Health Score Card: #45 Bottom 10 th Percentile in the Nation – Why? Obesity Rank #45 #48 Access to Primary Care Physicians #43 #48 Card rdiov ovascul cular r Death ths 2
Impact of Poor Health: Shortened Length of Life • Oklahoma ranks 46 th in the nation in premature death • Rural Oklahoma disproportionately affected • Access to and availability of primary care physicians are linked to better health outcomes – longer life span and lower rates of mortality 3
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 • 4
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 5
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 6
Medical Education Strategy Perennial Question How can we amplify our efforts to train even more primary care physicians for rural Oklahoma? 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 • 7
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 8
Signature Rural Pipeline Outreach Programs Ada • Durant • Lawton • Miami Stillwater • Tahlequah • Weatherford 9
Signature Rural Pipeline Outreach Programs 10
Rural Physician Pipeline Model Support and help Train and nurture interest in rural Medical career awareness, academic retain rural physicians medicine through curriculum, clinical preparation and admissions guidance rotations and graduate medical education High Rural Rural College OSU-COM School Practice Residency Ada Early Admissions • Ardmore • Durant • Lawton • OSU Center for OKstars McAlester • Rural Health Muskogee • Native OKstars StORM Club Tahlequah • Talihina • 11
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 12
Rural Physician Shortage Demands Innovative Solutions • Training more primary care physicians for rural Oklahoma is only 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 13
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 14
Center for Predictive Medicine - Prescription data Understand which - Diagnostic test data patients respond to Personalized which drugs at healthcare - Genetic data which dosage - Clinical data • Data-based healthcare • Insight delivered • Data analytics decisions made by patients • Recommendations offered and their providers 15
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. 16
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 Example of Force Primary Care 50 -100 Mental Multiplier Effect Physician Health Patients Physician 50 -100 Mental Assistant Health Patients Mental Health Specialist Team 50 -100 Mental Nurse Health Patients Community 50 -100 Mental Health Worker Health Patients 17
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 18
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 19
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 20
Eric Polak VP Administration & Finance, OSU Center for Health Sciences CEO, OSU Medical Authority 1111 West 17 th Street, Tulsa, OK 74107 Email: eric.polak@okstate.edu Tel: 918.561.8422 30
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