1. Graduation Competencies Patient Care Medical Knowledge Practice Based Learning and Improvement Interpersonal and Communication Skills Professionalism System Based Practice

2. Professionalism Principles Primacy of Patient Welfare Patient Autonomy Social Justice

3. Problem Cost High Uninsured Low Value Low Disparities

4. UP, UP, and AWAY 1998 $1,680 $3,868 $5,548 ____ 1999 $1,742 $4,000
Average annual health insurance premiums for employer plans
Year
Employee
Employer
Total
% Increase
1998
$1,680
$3,868
$5,548
____
1999
$1,742
$4,000
$5,742
3.5
2000
$1,657
$4,694
$6,351
10.6
2001
$1,801
$5,252
$7,053
11.1
2002
$2,084
$5,870
$7,954
12.8
Source: AMA Health Care Financial Trends Report, August (Based on KFF/HRET Survey of Employer-Sponsored Health Benefits, 2002)

6. American Medical News, July 5, 2004

8. THE FIGHT FOR AFFORDABLE PRESCRIPTION DRUGS – STATE OF ILLINOIS
Name
Strength
Quantity
Canada Sample 1
Canada Sample 2 US
Sample 1
Sample 2
Canada Average
US Average
Savings
GLUCOPHGE XR
850 mg
100
$ 29.44
$ 39.71 NA
$135.99
$ 34.58
$101.42
LIPITOR
40 mg 90
$187.50
$198.33
$275.97
$192.92
$ 83.06
PAXIL
10 mg 30
$ 49.95
$ 57.10
$ 74.99
$ 90.99
$ 53.53
$ 77.99
$ 24.47

9. FEWER PLACES FOR PATIENTS TO GO Physicians accepting all new patients:
FEWER PLACES FOR PATIENTS TO GO Physicians accepting all new patients: Fee-for-service Medicare 76% 69% Medicaid % 37% Source: Medicare Payment Advisory Commission
American Medical News, October 21, 2002

10. JAMA, May 19, 2004 – Vol. 291, No. 19

11. American Medical News, February 23, 2004

12. American Medical News, May 24/31, 2004

14. DIVERSITY Pain Meds offered less to minorities
Pain Management, September 2004

15. American Medical News, October 20, 2003

16. Osteoporosis Screening African Americans have 2-3 fold Lower testing and prescription therapy
Southern Med J Mag, 03 96(5), pp

17. Breast Cancer Screening 28% of African American women with abnormal mammograms on breast exam have no final diagnosis at 6 months
Preventive Medicine, 37, , 2003

18. Cause Wealth Aging Technology Demand Social Class Paperwork Litigation

20. American Medical News, April 21, 2003

23. JAMA, June 3, 1998, Vol. 279, No. 21

25. Source: Tillinghast-Towers Perrin, as published in a study by the Center for Legal Policy at the Manhattan Institute, “Trial Lawyers Inc., A Report on the Lawsuit Industry in America 2003”
American Medical News, November 3, 2003

26. American Medical News, October 28, 2003

27. American Medical News, September 15, 2003

28. Limit Compensations - California 58% of death capped 41% of injury cases capped 71% of infant cases capped
American Medical News, August 2, 2004

29. Managed Care Types of plans Types of HMO

30. Types of Organizations HMO PSO PPO Managed Indemnity

31. Types of HMO Staff Group IPA Network

32. Dealing with Cost • Controls • Reimbursement • Price • Regulatory • Competitive

33. Dealing with Cost • Controls • Reimbursement • Utilization • Management • Patient Cost Share • Supply Limits • Risk Shift

35. Painless Controls Set prices Prevention Waste

36. Prevention 1º Avert Occurrence 2º Early Detection 3º Minimize Effects

38. Patients give students permission to learn on them
Patients give students permission to learn on them Transform help as an obligation to help as charity.