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Nephrology Workforce:

Nephrology Workforce:

Challenges for the Future Challenges for the Future

Jay Wish, MD Jay Wish, MD

The Renal Network Annual Conference The Renal Network Annual Conference The Renal Network Annual Conference The Renal Network Annual Conference

March 11, 2009

March 11, 2009

(2)

Ground Zero: 1997

Ground Zero: 1997

(3)

Scena io #6 Scena io #6 Scenario #6 Scenario #6

„

„

Annual ESRD prevalence growth 5% Annual ESRD prevalence growth 5%

„

„

Annual CKD prevalence growth 5% Annual CKD prevalence growth 5% p p g g

„

„

Nephrologists provide primary care Nephrologists provide primary care services to CKD and non

services to CKD and non--CKD patients CKD patients pp

„

„

Would need total increase in nephrology Would need total increase in nephrology FTEs of 4900 by 2000 (but only 2400 for FTEs of 4900 by 2000 (but only 2400 for y y ( ( y y the renal care)

the renal care)

„

„

Actually increased by 1000 so far by 2008 Actually increased by 1000 so far by 2008 y y y y y y

(4)

Doom and Gloom in 1997 Doom and Gloom in 1997 Doom and Gloom in 1997 Doom and Gloom in 1997

„

„

Intensivists taking over nephrology care in Intensivists taking over nephrology care in ICUs (including CRRT)

ICUs (including CRRT) ( ( g g ) )

„

„

Radiologists taking over renal biopsies Radiologists taking over renal biopsies

Nephrology nurse practitioners competing Nephrology nurse practitioners competing

„

„

Nephrology nurse practitioners competing Nephrology nurse practitioners competing with nephrologists for business

with nephrologists for business

PCP ithh ldi f l f CKD ti t PCP ithh ldi f l f CKD ti t

„

„

PCPs withholding referrals of CKD patients PCPs withholding referrals of CKD patients because of fear of losing patients

because of fear of losing patients

(5)

Ho Has Neph olog Adapted?

Ho Has Neph olog Adapted?

How Has Nephrology Adapted?

How Has Nephrology Adapted?

„

„

Physician extenders (0.32/FTE Physician extenders (0.32/FTE nephrologist in 2005)

nephrologist in 2005) p p g g ) )

„

„

Relinquish care of general medicine Relinquish care of general medicine patients

patients patients patients

„

„

Relinquish primary care of CKD and ESRD Relinquish primary care of CKD and ESRD patients

patients patients patients

„

„

Sub Sub--subspecialize practice to increase subspecialize practice to increase ffi i

ffi i

efficiency

efficiency

(6)

How Many Dialysis How Many Dialysis y y y y Patients Are There?

Patients Are There?

Year

Year 20062006 20072007 20082008 SIMS

SIMS USRDS USRDS

345,280 345,280 354,754 354,754

358,132

358,132 370,014370,014 Prevalence

Prevalence Dec. 31

Dec. 31

,,

Annual Annual Increase

Increase 3.8%3.8% 3.7%3.7% 3.3%3.3%

(7)

Projected counts of prevalent dialysis Projected counts of prevalent dialysis

patients through 2020 (autoregression model)

Figure 2.34

Counts projected using forecasting & time series analysis. Original projection uses two models with data from 1982

2007 ADR

through 1997; new projection uses data from 1980 through 2005.

(8)

How Many Transplant Patients Are There?

How Many Transplant Patients Are There?

How Many Transplant Patients Are There?

How Many Transplant Patients Are There?

Year

Year 20042004 20052005 20062006 USRDS

USRDS 136,136136,136 141,693141,693 151,502151,502 OPTN

OPTN

(K + K/P) (K + K/P)

102,320

102,320 104,388104,388 (K + K/P)

(K + K/P) Annual Annual Increase

Increase 6.2/6.1%6.2/6.1% 4.1/2.0%4.1/2.0% 6.9%6.9%

Increase Increase

(9)

Projected counts of prevalent transplant Projected counts of prevalent transplant

patients through 2020 (autoregression model)

Figure 2.35

OPTN

Counts projected using forecasting & time series analysis. Original projection uses two models with data from 1982 through 1997; new projection uses data from 1980 through 2005. Original actual counts are consistently lower than

2007 ADR

present actual counts; in remaining figures, original actual counts differ substantially from present actual counts.

(10)

Stages of CKD and Prevalence Estimates Stages of CKD and Prevalence Estimates

An estimated 8 million patients have later stage chronic kidney disease and an additional 20 million have some degree of renal impairment

GFR Level Prevalence

Stage 1 >90 10,500,000

Stage 2 60-89 7,100,000

17.6 million

Stage 3 30-59 7,600,000

Stage 4 15-29 400,000

8.0 million

Stage 4 15 29 400,000

Stage 5 <15 (or dialysis) 300,000

TreatmentTrendsTM: Nephrology Q208 Published: July 10, 2008

©BioTrends Research Group, All Rights Reserved.

*Data for Stages 1-4 from NHANES III (1988-1994)1. Population of 177 million adults age < 20 years. Data for Stage 5 from USRDS (1998)2include approximately 230,000 patients treated by dialysis, and assume 70,000 additional patients not on dialysis. GFR estimated from serum creatinine using MDRD Study equation based on age, gender, race and calibration for serum creatinine. For stages 1 and 2, kidney damage estimated by spot albumin-to- creatinine ratio >17 mg/g in men or >25 mg/g in women on two measurements.

(11)

The prevalence of CKD Stages 1-4 increased from 10.0% to 13.1% between 1988-1994 and 1999-2004

Prevalence Prevalence

of CKD

of CKD Prevalence Prevalence of CKD of CKD

Total Patients Total Patients

(240M US (240M US

of CKD of CKD 1988

1988--19941994 of CKD of CKD 1999

1999--20042004 Adults)Adults) Stage 1

Stage 1gg 1.7%1.7% 1.8%1.8% 4.3 million4.3 million Stage 2

Stage 2 2.7%2.7% 3.2%3.2% 7.7 million7.7 million

St 3

St 3 5 4%5 4% 7 7%7 7% 18 5 illi18 5 illi Stage 3

Stage 3 5.4%5.4% 7.7%7.7% 18.5 million18.5 million Stage 4

Stage 4 0.21%0.21% 0.35%0.35% 840,000840,000 Total

Total 10.0%10.0% 13.1%13.1% 31.3 million31.3 million

Coresh et al: JAMA 298: 2038-2047, 2007

(12)

U.S. Medical School First-Year Enrollment, 1998-2008

18500

17500 18000

al school t

16500 17000

ar medica enrollmen

15500 16000

First-yea e

15000

1998

1999

2000

2001

2002 200

3

2004

2005

2006

2007

2008

AAMC Data Warehouse: As of October 10, 2008

(13)

Association of American Medical Colleges Association of American Medical Colleges

April 2008 April 2008

85% f di l h l h ith

85% f di l h l h ith

„

„

>85% of medical schools have either >85% of medical schools have either already expanded their first

already expanded their first--year year

ll t l t d

ll t l t d

enrollment or plan to expand.

enrollment or plan to expand.

„

„

A number of new medical schools plan A number of new medical schools plan to matriculate their first classes in the to matriculate their first classes in the near future.

near future.

„

„

Projections indicate that a 30 percent Projections indicate that a 30 percent increase in first

increase in first--year enrollment will be year enrollment will be yy reached by 2017.

reached by 2017.

Analysis in Brief (http://www.aamc.org/data/aib)

(14)

Renal Fello ship T aining 2008 Renal Fello ship T aining 2008 Renal Fellowship Training 2008 Renal Fellowship Training 2008

„

„

8 new fellowship programs since 2005 8 new fellowship programs since 2005

„

„

8 new fellowship programs since 2005 8 new fellowship programs since 2005 (total 136)

(total 136)

About 390 fellows complete training each About 390 fellows complete training each

„

„

About 390 fellows complete training each About 390 fellows complete training each year (increased 50 since 2005)

year (increased 50 since 2005)

1/3 ( lik l t k t

1/3 ( lik l t k t titi ))

„

„ 1/3 are women (more likely to work part1/3 are women (more likely to work part--time)time)

„

„ 31% stay in academic environment31% stay in academic environment

6% k dd l (

6% k dd l (

„

„ 6% take additional training (e.g. 6% take additional training (e.g.

interventional) interventional)

48% IMG d 5

48% IMG d 5 7% h7% h ii ii

„

„ 48% are IMGs and 548% are IMGs and 5--7% have visa issues7% have visa issues

(15)

Trends In Adult Nephrology Training Trends In Adult Nephrology Training

800 900

600 700 800

400 500

Number

Trainees Programs

100 200 300

0 100

998

999

000

001

002

003

004

005

006

007 199 199

200

200 200 200

200 200 200

200

(16)

Applicants to Internal Medicine Specialties

Cardiovascular disease Endocrinology

Gastroenterology Heme/Onc

Nephrology

1600 1800

Nephrology

Pulm/Critical care Rheumatology

1000 1200 1400

applicants

600 800 1000

Number of a

0 200

N 400

2006 2007 2008

Data from ERAS (http://www.aamc.org/programs/eras/programs/statistics)

(17)

Nephrology Match 2008

Nephrology Nephrology

Tracks Tracks

Number of Number of Participating Participating

Number of Number of Programs Filled Programs Filled

Number of Number of

Positions Positions

Number of Number of Positions Filled Positions Filled

p gy

Tracks

Tracks Participating Participating Programs Programs

Programs Filled

Programs Filled Positions Positions Available Available

Positions Filled Positions Filled

Clinical

Clinical 114114 104104 305305 291291

Research Research (general) (general)

16

16 1313 4242 3939

(g )

(g )

Clinical Clinical Research Research

6

6 55 1313 1212

Basic Science

Basic Science 66 55 77 66

Basic Science Basic Science

Research Research

6

6 55 77 66

Total

Total 142142 127127 367367 348348

(18)

Nephrology Match 2008 Nephrology Match 2008

Type of Graduate

Type of Graduate Nephrology Fellowship Nephrology Fellowship Positions Filled by SMS Positions Filled by SMS

by Applicant Type by Applicant Type

All Internal Medicine All Internal Medicine Fellowship Positions Filled Fellowship Positions Filled

by SMS by SMS

b li

b li

by Applicant Type by Applicant Type IMG

IMG 170 (49%)170 (49%) 942 (33%)942 (33%) USMG

USMG 132132 15581558

USMG

USMG 132132 15581558

US IMG

US IMG 2727 246246

DO

DO 1717 134134

Other

Other 22 99

Total

Total 348348 28892889

(19)

ROLE OF INTERNATIONAL MEDICAL GRADUATES IN THE U.S. PHYSICIAN WORKFORCE

American College of Physicians - 2008

IMG iti ll i t t t U S h lth ti f 36% f i t l

IMGs are critically important to U.S. health care, accounting for 36% of internal medicine physicians.

In FY2005, 45.3% of H-1B visas were granted to computer-related occupations, , % g p p , while 6.2% were awarded in medicine.

Recommendation of the American College of Physicians

Streamline and expand the process for obtaining J-1 and H1B visas for IMGs who desire postgraduate medical training and/or medical practice in the U.S.

(20)

USMG applicants to fellowships

Cardiovascular disease Endocrinology

Gastroenterology Heme/Onc

50 60

ants)

/ Nephrology

Pulm/Critical care Rheumatology

40

% of total applica

20 30

MG applicants (%

0

MUS 10

0

2006 2007 2008

Data from ERAS (http://www.aamc.org/programs/eras/programs/statistics)

(21)

2007 Nephrology graduates' career plans gy g

Completing training 368

With known plans 305 (82 9%)

With known plans 305 (82.9%)

Pursuing more training 32 (10.5%)

Practicing in the US 192 (63.0%)

Group practice 77 6%

Group practice 77.6%

In NHSC or similar underserved area 1.6%

Academician 76 (24.9%)

http://www0.ama-assn.org/vapp/freida/career/0,1238,148,00.html

(22)

Imprinting Nephrology on Medical Imprinting Nephrology on Medical

Students and Residents Students and Residents

Increased clinical involvement Increased clinical involvement

„

„

Increased clinical involvement Increased clinical involvement

„

„ Follow patient and family through renal Follow patient and family through renal transplant

transplant transplant transplant

„

„ Become involved in CKD outreach (NKF Become involved in CKD outreach (NKF KEEP)

KEEP) KEEP) KEEP)

„

„

Mentorship Mentorship

„

„ Innovative approaches Innovative approaches -- new models that new models that consider gender, race, background

consider gender, race, background

„

„

Nephrology fast track Nephrology fast track

(23)

Are we meeting fellows’

Are we meeting fellows’

educational needs?

educational needs?

educational needs?

educational needs?

Teaching and evaluation Teaching and evaluation

„

„ National core curriculumNational core curriculum

„

„ InIn--training examinationtraining examination

„

„ InIn training examinationtraining examination

„

„ Training the teachersTraining the teachers

„

„ Scholarly analysis ofScholarly analysis of

„

„ Scholarly analysis of Scholarly analysis of outcomes

outcomes

„

„ ACGMEACGME

„

„ ACGMEACGME

(24)

Milestones Project

•Every 6 months, faculty report fellow's progress through the ACGME portfolio

•Program’s performance compared to specialty-specific national milestones

•Program directors annually report program data

•Accreditation cycles may extend to 8 to 10 years.

•“Within our grasp” in a few years

(25)

Are we meeting fellows’

Are we meeting fellows’

d ti l d ?

d ti l d ?

educational needs?

educational needs?

Preparation for practice Preparation for practice

• Effectiveness of renal fellowship training not published since 1991*

Preparation for practice Preparation for practice

• Areas needing improved training

ƒ Peritoneal dialysis

ƒ Peritoneal dialysis

ƒ Geriatric nephrology

ƒ Interpretation of radiographic tests

ƒ End-of-life care

ƒ Business of nephrology

ƒ The nephrologist in societyThe nephrologist in society

*Kimmel and Bosch, AJKD, 18: 249

(26)

Are we meeting educational needs?

Are we meeting educational needs?

Sub

Sub--specialization and procedures specialization and procedures Sub

Sub--specialization and procedures specialization and procedures

„

„ Prior to 2008, no analysis of training program procedural Prior to 2008, no analysis of training program procedural training for almost 20 years*

training for almost 20 years*gg yy

„

„ Biopsies and temporary access almost universally taught Biopsies and temporary access almost universally taught despite current practice trends

despite current practice trends

„

„ 1515--20% of programs train interventionalists20% of programs train interventionalists

„

„ Estimate 20Estimate 20--30% of programs will train interventionalists in 30% of programs will train interventionalists in near future, meeting projected needs

near future, meeting projected needs

„

„ EvidenceEvidence--based guidelines for all procedures neededbased guidelines for all procedures needed

„

„ ACGME accreditation or ABIM certificationACGME accreditation or ABIM certification

„

„ Transplant nephrologyTransplant nephrology

„

„ Most nephrologists care for transplant patientsMost nephrologists care for transplant patients

„

„ All fellows should be trainedAll fellows should be trained

„

„ Are separate transplant fellowships valuable?Are separate transplant fellowships valuable?

„

„ ACGME accreditation or ABIM certificationACGME accreditation or ABIM certification

*Berns and O’Neil, CJASN, 2008

(27)

Developing system awareness Developing system awareness

and responsibility:

and responsibility:

and responsibility:

and responsibility:

Our future at risk Our future at risk

„

„ Training fellows to understand the forces Training fellows to understand the forces

driving changes in academic internal medicine driving changes in academic internal medicine driving changes in academic internal medicine driving changes in academic internal medicine and to develop the tools to help challenge

and to develop the tools to help challenge traditional beliefs*

traditional beliefs*

„

„ Training fellows to understand the renal Training fellows to understand the renal

healthcare system in the context of national healthcare system in the context of national priorities and evolving economic pressures.

priorities and evolving economic pressures.

„

„ Training fellows as leaders in social and Training fellows as leaders in social and

i l h l h li Th R l

i l h l h li Th R l

economic renal healthcare policy: The Renal economic renal healthcare policy: The Renal MPH.

MPH. *Ibrahim, CJASN, 2008

(28)

U.S. Academic Nephrology Faculty

1,200 1,000

,

y

600 800

er of facult

200

eNumb 400

0 200

2005 2006 2007

Data from http://www.aamc.org/data/facultyroster/reports.htm

(29)

Increasing Nephrology Research Increasing Nephrology Research

Amongst Trainees Amongst Trainees

„

„

Mentoring Mentoring -- new models are needed new models are needed

„

„

Research opportunities Research opportunities

„

„ Target all, particularly MDTarget all, particularly MD--PhDsPhDs

„

„ Local, regional and national meetingsLocal, regional and national meetings

„

„ Workshops for traineesWorkshops for trainees

„

„ Conferences with trainee focusConferences with trainee focus

„

„

Loan payback Loan payback

„

„

Nephrology fast track Nephrology fast track

„

„

Nephrology fast track Nephrology fast track

(30)

Target Areas for Nephrology Workforce Enhancement Target Areas for Nephrology Workforce Enhancement

„

„ EnrollmentEnrollment

„

„ Enrollment Enrollment

„

„ Increase interest in nephrology as a careerIncrease interest in nephrology as a career

„

„ Increase interest in nephrology research as a careerIncrease interest in nephrology research as a career

„

„ EducationEducation

„

„ Meeting RRC regulationsMeeting RRC regulations

„

„ Core curriculumCore curriculum

„

„ Core curriculumCore curriculum

„

„ Teaching toolkit onlineTeaching toolkit online

„

„ ConferencesConferences

„

„ Specialized training centers and simulationsSpecialized training centers and simulations

„

„ Specialized training centers and simulationsSpecialized training centers and simulations

„

„ Testing Testing -- summative and formativesummative and formative

„

„ EvaluationEvaluation

„

„ Scholarly analysis and publications/abstractsScholarly analysis and publications/abstracts

„

„ Outcomes data used to direct education training and RRC rulesOutcomes data used to direct education training and RRC rules

„

„ Multicenter studiesMulticenter studies

„

„ Interaction with other societiesInteraction with other societies

„

„ Interaction with public policy makersInteraction with public policy makers

(31)

Workforce Catching Up ? Workforce Catching Up ? Workforce Catching Up ? Workforce Catching Up ?

+4 390

+4

Hi lf b t l JASN 18 2021 2007 Himmelfarb et al: JASN 18: 2021, 2007

(32)

Current Workforce Issues Current Workforce Issues

„

„ About 5500 FTE nephrologists in the US About 5500 FTE nephrologists in the US (increased from 4500 in 1997 or 22% or (increased from 4500 in 1997 or 22% or (increased from 4500 in 1997 or 22% or (increased from 4500 in 1997 or 22% or

~2%/yr)

~2%/yr)

„

„ Emphasis on the MCP for dialysis (G codes) hasEmphasis on the MCP for dialysis (G codes) haspp yy (( ))

„

„ Increased the role of physician extenders to roundIncreased the role of physician extenders to round

„

„ Shifted resources from CKD to ESRDShifted resources from CKD to ESRD

N t i d ti t t

N t i d ti t t

„

„ Not improved patient outcomesNot improved patient outcomes

„

„ Increased duties for the Medical Director in new Increased duties for the Medical Director in new Conditions of Coverage (25% effort)

Conditions of Coverage (25% effort) Conditions of Coverage (25% effort) Conditions of Coverage (25% effort)

„

„ Will increased role of LDOs in preWill increased role of LDOs in pre--ESRD care ESRD care make it more cost

make it more cost--effective and shift nephrology effective and shift nephrology gg work in that direction?

work in that direction?

(33)

How Nephrology PAs Spend Their Time How Nephrology PAs Spend Their Time How Nephrology PAs Spend Their Time How Nephrology PAs Spend Their Time

Anderson et al: AJKD 33: 647, 1999

(34)

Be Careful What You Wish For Be Careful What You Wish For

„

„ 19.3 million stage 3 and 4 CKD patients means 19.3 million stage 3 and 4 CKD patients means 3450 per FTE nephrologist

3450 per FTE nephrologist

„

„ Based on 20/80 rule, only 3.7 million stage 3 Based on 20/80 rule, only 3.7 million stage 3 and all stage 4 CKD patients require a

and all stage 4 CKD patients require a

nephrologist’s care (818 CKD patients per nephrologist’s care (818 CKD patients per nephrologist’s care (818 CKD patients per nephrologist’s care (818 CKD patients per nephrologist)

nephrologist)

„

„ Currently each FTE nephrologist cares forCurrently each FTE nephrologist cares for

„

„ Currently, each FTE nephrologist cares for Currently, each FTE nephrologist cares for

„

„ about 500 stage 3 and 4 CKD patients*about 500 stage 3 and 4 CKD patients*

„

„ 70 stage 5 CKD patients not yet on RRT*70 stage 5 CKD patients not yet on RRT*

„

„ 85 ESRD patients (dialysis + transplant)**85 ESRD patients (dialysis + transplant)**

„

„ Triggers for nephrology referral vary widely by Triggers for nephrology referral vary widely by practice

practice practice practice

*BioTrends data **Prevalent/FTEs

(35)

Practice Demographics Practice Demographics

z 182 Respondents

ƒ 39% in practice 2 - 10 years

ƒ 42% in practice 11 - 20 years

In Q108, 59% of the respondents had been in

practice 2-10 years

ƒ 19% in practice 21 - 30 years

z Practice location is urban (56%), suburban (36%), and rural (8%)

z An average of 5.6 Nephrologists per practice

s 50%

60%

70%

ercent of Nephrologists

20%

30%

40%

50% 78% of respondents

are office-based

Pe

0%

10%

20%

Office (Neph Office (Multi- Hospital- Hospital- VA

TreatmentTrendsTM: Nephrology Q208 Published: July 10, 2008

©BioTrends Research Group, All Rights Reserved.

Q2. How long have you been in practice? (n=182)

Q9. Would your practice best be described as office based nephrology specialty, office based multi-specialty group, hospital based academic center, hospital based community hospital, VA, or Other (n=182)

Q10. Including yourself, how many TOTAL Nephrologists are in your practice? (n=182) Q11. Is your practice located in an urban, suburban, or rural location? (n=182)

Office (Neph Specialty)

Office (Multi Specialty)

Hospital Academic

Hospital Community

VA

(36)

Prevalence of CKD: Nephrologists Prevalence of CKD: Nephrologists

Nephrologists report having an average of more than 500 CKD Stage 3 and CKD Stage 4 patients

Patients Under Management Patients Seen in a Given Month

Mean Median Mean Median

Mean Median Mean Median

Stage 1 CKD Patients (GFR > 90) 76 40 12 10

Stage 2 CKD Patients (GFR 60-89) 160 80 28 15

Stage 3 CKD Patients (GFR 30-59) 315 200 64 45

Stage 4 CKD Patients (GFR 15-29) 192 150 48 30

Stage 5 CKD - Not on Dialysis 71g y 40 21 15

(GFR <15)

BioTrends Research Group, Inc Special Report: Referrals in Nephrology Published: May 2008 How many patients in the following categories are currently under your management whom you have seen at least once in the past year?

How many patients do you typically see in a given month?

(37)

Reasonable Triggers for Reasonable Triggers for

N h l R f l

N h l R f l

Nephrology Referral Nephrology Referral

„

„ Early age of onsetEarly age of onset

„

„ Rapid progressionRapid progression

„

„ Uncertain etiologyUncertain etiology

„

„ Significant proteinuriaSignificant proteinuria

DuBose: ASN Presidential Address, 2006

„

„ All patients with stage 4 CKDAll patients with stage 4 CKD

„

„ Known autoimmune diseaseKnown autoimmune disease

„

„ Severe or difficultSevere or difficult--toto--control hypertensioncontrol hypertension

Roderick P, et al: QJM. 2002;95:363-70.

(38)

How Do Nephrologists How Do Nephrologists

Prove Their Worth?

Prove Their Worth?

Prove Their Worth?

Prove Their Worth?

„

„

Is the decrease in growth of the ESRD Is the decrease in growth of the ESRD

„

„

Is the decrease in growth of the ESRD Is the decrease in growth of the ESRD population due to improved CKD care or population due to improved CKD care or more deaths among a sicker CKD

more deaths among a sicker CKD gg population?

population?

„

„

Will the CKD and ESRD elements in the Will the CKD and ESRD elements in the PQRI and the Phase III ESRD CPMs show PQRI and the Phase III ESRD CPMs show good patient care?

good patient care?

„

„

Will nephrologists be marginalized by the Will nephrologists be marginalized by the LDOs in a (possible) global capitated

LDOs in a (possible) global capitated

i t f ESRD?

i t f ESRD?

environment for ESRD?

environment for ESRD?

(39)

Physicians Quality Reporting Physicians Quality Reporting Physicians Quality Reporting Physicians Quality Reporting

Initiative (PQRI) Initiative (PQRI)

„

„

Voluntary, associated with a 1.5% Voluntary, associated with a 1.5%

bonus payment on Medicare patients bonus payment on Medicare patients bonus payment on Medicare patients bonus payment on Medicare patients

„

„

Inevitably the first step toward Inevitably the first step toward

physician P4P and public accountability physician P4P and public accountability physician P4P and public accountability physician P4P and public accountability

„

„

Chose Column A or Column B Chose Column A or Column B

(40)

Column B ESRD Column A – CKD

•ACE or ARB Rx

T ti f C h

Column B – ESRD

•% HD patients with AVF or referred to surgeon

•Testing for Ca, phos and PTH

•BP management

or referred to surgeon

•% patients who received flu vaccine

BP management

•Plan of care for Hgb

>12 in patients taking

•% patients with Hgb >11 or with plan of care

% HD ti t ith Kt/V

p g

ESAs •% HD patients with Kt/V

>1.2 or with plan of care

•% PD patients with Kt/V

•% PD patients with Kt/V

>1.7 or with plan of care

(41)

CKD patients under the care of a nephrologist in the two years prior nephrologist in the two years prior to ESRD, by age & race/ethnicity

Figure hp.9

Incident ESRD patients, age 67 & older at initiation; pre-ESRD nephrologist care identified through at least one physician/supplier claim with a physician specialty code of “nephrologist.” For Hispanic patients we present data beginning in 1996, the first full year after the April 1995 introduction of the revised Medical Evidence form, which

2007 ADR

contains more specific questions on race & ethnicity.

(42)

Objective 4.3: Pre-ESRD counseling, j g, (nephrologist care)

Figure hp.28

lla illi

lla

illi Incident dialysis

patients, 2005, with new (revised edition) M di l E id

Medical Evidence forms. Only includes patients for whom it is known whether they saw a nephrologist.

2007 ADR

(43)

Realities of the Future Realities of the Future

„

„ The entry of new nephrology trainees will The entry of new nephrology trainees will

increase the workforce by <3% annually after increase the workforce by <3% annually after yy yy departures figured in (390 in, 240 out)

departures figured in (390 in, 240 out)

„

„ There are 2 open positions available for each There are 2 open positions available for each nephrology trainee entering practice

nephrology trainee entering practice nephrology trainee entering practice nephrology trainee entering practice

„

„ Average FTE nephrologist in 2005 (RPA)Average FTE nephrologist in 2005 (RPA)

„

„ Worked 58 hours/weekWorked 58 hours/week

„

„ Billed 12,993 RVUsBilled 12,993 RVUs

„

„ Made $282,280Made $282,280

„

„ In the future nephrologists will have to workIn the future nephrologists will have to work

„

„ In the future, nephrologists will have to work In the future, nephrologists will have to work harder

harder

„

„ To maintain incomeTo maintain income

T k f h i

T k f h i

„

„ To take care of the patientsTo take care of the patients

(44)

Thanks to Thanks to Thanks to Thanks to

„

„

Dale Singer, RPA Dale Singer, RPA

„

„

Jennifer Robinson BioTrends Research Jennifer Robinson BioTrends Research

„

„

Jennifer Robinson, BioTrends Research Jennifer Robinson, BioTrends Research Group Inc.

Group Inc.

Martin Osinski American Medical Martin Osinski American Medical

„

„

Martin Osinski, American Medical Martin Osinski, American Medical Consultants

Consultants

D ld K h MD

D ld K h MD

„

„

Donald Kohan, MD Donald Kohan, MD

References

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