Riata FellowshipResearch Symposium

James Hess, Ed.D.Associate Professor

Family MedicineHealthcare Administration

February 25, 2011

OSU Center for Health Sciences

Background Information

OSU Center for Health Sciences

Academic Programs• College of Osteopathic Medicine

• School of Forensic Science

• School of Biomedical Sciences

• School of Healthcare Administration

Graduate Medical Education22 Residency and Fellowship Disciplines

• Internship PGY1• Anesthesiology• Cardiology• Diagnostic Radiology• Emergency Medicine• Gastroenterology• Internal Medicine• Interventional Radiology• Interventional Cardiology• Osteopathic Manipulation• Pulmonology

• Family Practice• General Surgery• Nephrology• OB/GYN• Oncology• Ophthalmology• Orthopedics• Otolaryngology• Pediatrics• Plastic Surgery• Sports Medicine

Graduate Medical Education

• OSU oversees 200+ interns and residents– OSU Medical Center is the largest osteopathic

training facility in the nation and our primary teaching hospital

– 137 interns and residents, plus 40 medical students train in the facility each day

– Serves as hub (lectures, grand rounds, etc.) for OSU residents in rural programs

Caring for Oklahoma

• More than 2,400 physicians have graduated from OSU since 1977

• OSU grads serve nearly all of Oklahoma’s 77 counties

• 1 in 4 graduates practice in communities of 10,000 or less

OSU Center for Health SciencesClinical Services• Family Practice• Pediatrics• Surgery• Ophthalmology• OB/Gyn• Internal Medicine• Behavioral Medicine• Osteopathic Manipulative Medicine• Emergency Medicine

OSU Center for Health SciencesClinical Services

• Operate 8 clinics in Tulsa, Muskogee, Enid

• 75 physicians

• 145,000 patient visits

• Revenues of $20 million annually

Riata Fellowship Goals and Progress Report

Riata Fellowship Goals

Curriculum Development• Graduate Degree Program Goals:

• Revise the Healthcare Administration (M.S.) Program

• Healthcare Leadership and Innovation– Program housed at CHS– Both Online and In-class options for every

course

Riata Fellowship Goals

Curriculum Development (con’t)• Medical Education Program Goals:

• Inclusion of entrepreneurship curriculum in first four years of medical school (D.O.) Program

• Inclusion of entrepreneurship curriculum in Residency education

Curriculum Revision Summary• General Core Required Courses -12 hrs

• Options: (12 to 15 Hours)

1.Healthcare Leadership and Innovation

2.Administration

• Electives for Specialization and emphasis – (3 to 6 hours)

• Creative Component Opportunities – 3 hrs

Healthcare Leadership & Innovation

General Core Required Courses -12 hrs

• Survey in Healthcare Administration

• Social Structures of Health Care Organizations

• Research and Evaluation Methods in Healthcare

• Legal Issues in Healthcare

Healthcare Leadership and Innovation

Leadership and Entrepreneurship Option

Core Courses - 12 hours• Leadership Methods and Styles

• Principles of Entrepreneurship in Healthcare

• Principles of Organizational Behavior and Development

• Human Resource Management in Healthcare

Leadership and Entrepreneurship Option

Elective Courses – 5 or 6 hours• Health Information Systems• Operations Management & Qualitative

Tools• Marketing & Communications• Internship in Healthcare Leadership and

Innovation• Directed Readings in Healthcare

Leadership and Innovation

Administration Option

Core Courses - 15 hours

• Human Resource Management in Healthcare

• Health Information Systems

• Operations Management & Qualitative Tools

• Healthcare Compliance

• Healthcare Finance

Administration Option

Elective Courses – 2 or 3 hours

• Leadership Methods and Styles

• Principles of Entrepreneurship in Healthcare

• Principles of Organizational Behavior and Development

• Directed Readings in Healthcare Leadership and Innovation

• Internship in Healthcare Leadership and Innovation

• May be an independent study project or an approved course that has a significant written report requirement.

Creative Component - 3 hours

Riata Fellowship Goals

Research and Publications• Death of the Capitalist Physician

– Generational and governmental pressures are combining to eliminate the physician entrepreneur

• Healthcare Costs – Entrepreneurship solutions– Collaboration with Open Market Partners, Inc.– Healthcare Hedging and Trading

Riata Fellowship Goals

Healthcare Hedging and Trading• Hospitals, insurance companies,

providers, health plans currently have no standardized method of determining a market value for healthcare

• Hospital reimbursements, office visits, surgical procedures are all negotiated separately and secretly

Riata Fellowship GoalsThe Road Ahead

Healthcare Hedging and Trading• Academic study of how the

commoditization of healthcare services and pricing could work

• Trading floor demonstration project – concept is to build a trading floor that would emulate the transactional process