Waco Va Hospital Case Study
The Expansion of a Residency Program in the Waco VA Hospital
By expanding the residency program already in place, the amount of patients seen could well cover the amount of people needing care.
Cost
The addition of 5 faculty would incur an additional $900,000 for salary. However, residents are only paid around $65,000 and work upwards of 80 hours a week. So the total cost for the addition of 50 residents would be around $3.25 million, however Medicare appropriates funds to help educate residents. In total, however, the cost per resident would be closer to $100,000, if technology, teaching materials, and other non-salary expenses (Moore). With the addition of faculty, addition or repurposing of rooms would need to occur so the faculty would …show more content…
Teaching Hospitals are major economic engines in their communities, generating business, employment and tax revenue. Teaching Hospitals directly employ 2.7 million people and are often the largest employer in their communities. Businesses operating in other sectors benefit from the direct expenditure of hospitals and their staff (AHA 2). Every dollar spent by a member medical school or teaching hospital indirectly generates an additional $1.30 when it is “re-spent” on other businesses or individuals, resulting in a total impact of $2.30 per dollar spent (AHA …show more content…
(AHA 3)
• You Know Who the Good Physicians Are and You Can Keep Them (Moore)
• Huge Savings in Recruitment (Moore)
• Average Cost Per Placement Is $25,000/Physician (Moore)
• Staff High Frequency Clinical Areas with Inexpensive Faculty (Moore)
• Expand Primary Care Access Without Investing in Established (i.e., Expensive) Physicians (Moore) Cons
• Inconvenience and invasion of privacy that may result from multiple examinations performed by residents and students (Wexler 40)
• Some teaching hospitals have reputations for being impersonal (Wexler 40)
• In addition to residents’ salaries and benefits, teaching hospitals must pay for faculty, faculty offices, classroom space, and comprehensive medical libraries and advanced, highly sophisticated technological equipment to support their residency programs. (AHA 3)
• Hospitals are being challenged by evolving patient needs and shifts in where care is delivered; increasing pressure on already-stretched resources; Medicare residency caps that may constrain their ability to train new physicians; and payment changes that limit their ability to offer state-of-the-art clinical and educational experiences (AHA
By expanding the residency program already in place, the amount of patients seen could well cover the amount of people needing care.
Cost
The addition of 5 faculty would incur an additional $900,000 for salary. However, residents are only paid around $65,000 and work upwards of 80 hours a week. So the total cost for the addition of 50 residents would be around $3.25 million, however Medicare appropriates funds to help educate residents. In total, however, the cost per resident would be closer to $100,000, if technology, teaching materials, and other non-salary expenses (Moore). With the addition of faculty, addition or repurposing of rooms would need to occur so the faculty would …show more content…
Teaching Hospitals are major economic engines in their communities, generating business, employment and tax revenue. Teaching Hospitals directly employ 2.7 million people and are often the largest employer in their communities. Businesses operating in other sectors benefit from the direct expenditure of hospitals and their staff (AHA 2). Every dollar spent by a member medical school or teaching hospital indirectly generates an additional $1.30 when it is “re-spent” on other businesses or individuals, resulting in a total impact of $2.30 per dollar spent (AHA …show more content…
(AHA 3)
• You Know Who the Good Physicians Are and You Can Keep Them (Moore)
• Huge Savings in Recruitment (Moore)
• Average Cost Per Placement Is $25,000/Physician (Moore)
• Staff High Frequency Clinical Areas with Inexpensive Faculty (Moore)
• Expand Primary Care Access Without Investing in Established (i.e., Expensive) Physicians (Moore) Cons
• Inconvenience and invasion of privacy that may result from multiple examinations performed by residents and students (Wexler 40)
• Some teaching hospitals have reputations for being impersonal (Wexler 40)
• In addition to residents’ salaries and benefits, teaching hospitals must pay for faculty, faculty offices, classroom space, and comprehensive medical libraries and advanced, highly sophisticated technological equipment to support their residency programs. (AHA 3)
• Hospitals are being challenged by evolving patient needs and shifts in where care is delivered; increasing pressure on already-stretched resources; Medicare residency caps that may constrain their ability to train new physicians; and payment changes that limit their ability to offer state-of-the-art clinical and educational experiences (AHA