Related Experiment Video
Updated: Sep 20, 2025
13:44
Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
Published on: December 9, 2022
3.8K
A New Formula for Teaching Health Center Graduate Medical Education Payments Based on a Comprehensive Cost Evaluation
Summary
The Teaching Health Center Graduate Medical Education (THCGME) program
Area of Science:
- Health Services Research
- Medical Education Finance
- Primary Care Training
Background:
- The Teaching Health Center Graduate Medical Education (THCGME) program supports residency training in community-based health centers.
- Accurate cost assessment is crucial for program sustainability and adequate funding.
Purpose of the Study:
- To evaluate the direct medical education (DME) and indirect medical education (IME) costs of the THCGME program.
- To determine the impact of teaching health center (THC) characteristics on residency training expenses.
- To develop a method for calculating per-resident amount (PRA) payments.
Main Methods:
- A costing instrument collected academic year 2018-2019 data from 50 THCs for DME costs.
- Researchers conducted multiple reviews and provided technical assistance.
- IME costs were investigated by comparing THC sites with non-training sites using the Uniform Data System, interviews, and site data.
Main Results:
- The estimated THCGME program PRA for academic year 2024-2025 is $227,164, based on median per-resident expenses of $328,507 and revenues of $101,343.
- Resident and faculty compensation constituted over half of PRA expenses.
- Patient services accounted for 97% of revenues; IME cost investigations yielded no identifiable estimates.
Conclusions:
- The current PRA underfunds the actual net training costs within the THCGME program.
- Recommendations include implementing an inflation-adjusted PRA payment formula and maintaining a fixed payment without THC-specific adjustments.
- No additional IME funding is recommended due to limited data supporting additional costs in the ambulatory context.
More Related Videos
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.7K
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
542
Related Concept Videos
01:26Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
1.9K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.9K
01:30Health Information Technology and Healthcare Information System
950
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
950
01:23Methods of Documentation V: CBE
989
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
989
01:18Introduction To Health Care Delivery System
3.3K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.3K
01:11Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K