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Children's Hospitals Graduate Medical Education Payment Program The CHGME PP 2007 Technical Assistance Workshop Printer-friendly Adobe/.pdf Workshop Overview October 30 – November 1, 2007 Workshop Overview The Children’s Hospitals Graduate Medical Education Payment Program (CHGME PP) is pleased to announce that it will host a three-day technical assistance workshop in North Bethesda, Maryland from Tuesday, October 30, 2007 through Thursday, November 1, 2007. This workshop is a must for anyone in a hospital or hospital system who is responsible for certifying, completing, collecting, or documenting information related to a children’s hospital’s participation in and the hospital’s application for CHGME PP funding. For this reason, we strongly encourage institutions currently receiving or interested in receiving CHGME PP funding to send individuals involved in all of the above areas to the workshop. This includes, but is not limited to,
Training will be conducted via one general session or main group. However, the workshop is designed to address the varying needs and levels of experience among all workshop participants including those individuals involved in the CHGME PP process at the hospital, fiscal intermediary (FI), and policy levels. Presentations will address many of the issues identified by children’s hospitals, FIs, and CHGME PP staff alike that arise as a result of changes in rules and regulations governing the CHGME PP and the Centers for Medicare and Medicaid Services (CMS), where applicable, the CHGME PP application processes, the Resident full-time equivalent (FTE) Assessment Program, and the NEW annual reporting requirement which will be implemented in fiscal year (FY) 2008. Participants will receive up-to-date information from key CHGME PP leaders and staff. Small discussion groups will be formed intermittently for strategy sessions. Included for your information is an overview of the primary agenda topics to be addressed, including presentation descriptions and targeted audiences. There will also be times set aside for “sharing” of situations and questions from attendees. In order to adequately prepare for a workshop of this caliber, the CHGME PP would also like to identify specific needs and/or interests of workshop participants. If you have specific topics of interest or items you would like addressed, please email your suggestions or questions to the CHGME PP at ChildrensHospitalGME@hrsa.gov no later than Friday, September 21, 2007. Workshop Registration Information and Deadline: This workshop is open to all interested parties. The registration website will open on September 5, 2007; you will receive the link to this website via email. You may make your hotel reservations by calling Marriott at 800.859.8003. Our room block code is “HRSHRSA”. Check in on Tuesday, October 30 for our “no host” reception; meetings will be conducted on October 31 and November 1, 2007. Hotel reservations must be made by October 12, 2007. The CHGME PP recognizes that its mail group may not be all-inclusive. Recipients of this announcement are encouraged to share this information with others who may be interested in attending this workshop. Please note: This is the only CHGME PP-specific training that will be offered this year. Historically the CHGME PP has conducted a workshop every two (2) years. The last workshop was held in 2005 and it is anticipated that another workshop may not occur again until 2009. Hospital Best Practices and Success Stories The CHGME PP is also interested in hearing from hospitals that have success stories that they’ve been wanting to brag about! Do you have a CHGME PP success story? Have you overcome an obstacle that others can learn from? Have you successfully operationalyzed and/or realigned hospital staff, processes, or resources to ensure a smooth CHGME PP application and resident FTE assessment experience? Then the CHGME PP wants to hear from you! The CHGME PP would like to, again, highlight several children’s hospitals during the workshop. Hospital presentations may address, but are not limited to, how the hospital has utilized information technology (IT) systems to address CHGME PP application and/or reporting requirements, how the hospital has benefited from (or utilized) CHGME PP funding, how the hospital has overcome challenges related to documenting resident FTEs claimed in the hospital’s application for CHGME PP funding, including obtaining documentation from internal and/or external sources and tracking residents sponsored by other facilities rotating to the children’s hospital, implementing internal processes to reduce time spent by children’s hospital staff in obtaining and securing required documents from GME program directors, department heads and their counterparts at facilities that send residents to the children’s hospital, etc. If your facility is interested in sharing a success story or best practice during this year’s technical assistance workshop that directly relates to the CHGME PP please prepare a paragraph describing the success story or best practice and email it to CHGME PP at ChildrensHospitalGME@hrsa.gov no later than Friday, September 21, 2007. If you have general questions or require assistance please contact your regional manager directly. We look forward to seeing you in October! 2007 CHGME PP Technical Assistance Workshop Agenda Overview Presentation The A, B, C’s of CHGME (From Policy to Payments) Target Audience: This presentation is a must for anyone in the hospital organization or system responsible for certifying, completing, collecting, or documenting information related to a hospital’s participation in and application for funding from CHGME PP. Description: The A, B, C’s of CHGME (From Policy to Payments) is an introductory course which consists of a thorough review of the CHGME PP. Topics covered during this session include: CHGME PP governing Federal statues and Federal register notices; statutory authorization and appropriations; hospital eligibility; payment methodology; counting of resident FTEs as it applies to resident eligibility requirements, approved training programs, research time and non-provider/non-hospital settings; CHGME PP application cycle and processes; establishing and adjusting a hospital’s cap; Medicare GME affiliation agreements; and an introduction to the FTE Assessment Program. Participants will participate in small-group exercises that reinforce topics covered throughout the day. Plenty of time will be provided for questions and answers. CHGME PP staff will provide participants updates on CHGME PP activities and changes since the Summer 2005 workshop including statutory authorization and appropriations; and revised and/or clarified regulations governing issues such as research time, vacation time, and non-provider/non-hospital settings. For “newcomers”, this presentation will provide the foundation upon which all CHGME PP activities and processes are based upon. For “veterans”, this presentation will highlight changes in the administration and/or processing of program data as a result of CHGME PP-specific as well as CMS statutory changes affecting and/or impacting the CHGME PP. Presentation Resident FTE Assessment Program and Documentation Guidance Target Audience: This presentation is a must for anyone in the hospital organization or system responsible for certifying, completing, collecting, or documenting information related to resident full-time equivalents (FTEs) reflected in a hospital’s application for CHGME PP funding. Description: In 2003, the CHGME PP established a comprehensive assessment of the number of resident FTEs claimed by children’s hospitals in their applications for CHGME PP funding to comply with statutory regulations. The CHGME PP Resident FTE Assessment Program and Documentation Guidance session promises participants an in-depth look at the Resident FTE Assessment Program and documentation recommendations in support of resident FTEs claimed by hospitals in their applications for CHGME PP funding. Topics covered during this session include: a more in-depth discussion of intern and resident data collection and submission (touched upon during the A, B, C’s of CHGME) including counting and documenting resident FTEs as it applies to resident eligibility requirements, approved training programs, research time and non-provider/non-hospital settings; the FTE Assessment Program, types and levels of review under the FTE Assessment Program, best practices for documenting hospital, residency program, and resident eligibility; documenting fellows, privacy act issues (as they relate to resident-specific information), audit findings and suggestions to clear findings. A significant amount of time will be dedicated to providing an open forum to discuss the required documentation for all children’s hospitals participating in the CHGME PP. In addition, training will be provided on how to complete and make the most of the Intern and Resident Information System (IRIS) and the IRIS proxy. For “newcomers”, this presentation will provide the foundation upon which all Resident FTE Assessment Program activities are based upon and CHGME PP expectations at the hospital and fiscal intermediary levels. For “veterans”, this presentation will highlight changes in the administration and/or acceptance of supporting documentation or data as a result of CHGME PP-specific as well as CMS statutory changes affecting and/or impacting the Resident FTE Assessment Program. For first-timers and veterans alike, time will also be allotted to share and discuss common data entry mistakes or errors made by hospitals when utilizing the IRIS and the IRIS proxy. Presentation CHGME PP Annual Report Target Audience: This presentation is a must for anyone in the hospital organization or system that will be involved in the reporting, collection and preparation of resident training data for the newly required and established CHGME PP Annual Report. Description: The Children's Hospital GME Support Reauthorization Act of 2006 (Public Law 109-307) reauthorized support for graduate medical education programs in children's hospitals for Federal fiscal years 2007 through 2011. The reauthorizing statute also established a NEW annual reporting requirement for children’s hospitals participating in the CHGME PP. The legislation requires participating children’s hospitals to complete and submit an annual report that includes information for the residency training academic year completed immediately prior to each fiscal year for which the hospital applies for funds (e.g., Hospital applying for and receiving FY 2008 CHGME PP funding will be required to report data from the July 1, 2006 – June 30, 2007 academic year in the annual report) which is dissimilar to the Resident FTE Assessment Program. The legislation requires participating children’s hospitals to provide detailed information on several aspects of the graduate medical education programs supported by the CHGME PP. Information to be reported includes: 1) types of residency training provided by the hospital; 2) the number of training positions for residents, the number of positions recruited to fill and the number of positions filled; 3) the types of training that the hospital provided residents related to the health care needs of different populations, such as children who are underserved for reasons of family income or geographic location; 4) changes in residency training, including changes in curricula, training experiences, and types of training programs, including benefits that have resulted from the changes, and changes for purposes of training residents in the measurement and improvement of the quality and safety of patient care; and 5) the number of residents who have completed training in the academic year and who care for children within the borders of the service area of the hospital or within the borders of the State in which the hospital is located. Information must be provided for those residents who are (1) are in full-time equivalent resident training positions in any training program sponsored by the hospital; or (2) are in a training program sponsored by an entity other than the hospital, but who spend more than 75 percent of their training time at the hospital. In collaboration with a contractor, HRSA has developed a data collection instrument that participating children’s hospitals must use to fulfill the requirements of this new annual report. During this presentation, CHGME PP staff will address the needs and requirements of the annual report as well as provide in-depth, line-by-line training on utilizing and completing the data collection instrument. |
