FLORIDA SOCIETY OF NEPHROLOGY
Initiatives & Update
Agenda
Background of FSN Current Initiatives & Programs Looming Legislative Issues Nephrology Workforce in Florida
Mission Statement
FSN represents and serves the interests of Florida nephrologists in their pursuit and delivery of quality care for patients with kidney disease.
Strategic Priorities Education Regulatory & Legislative Advocacy Practice Management Success Patient Care Grassroots Communication Collaboration – Partnerships
Advocacy
FSN
Association Update
Founded in 1990 Currently over 285 members Active Members are Nephrologists Associate Member category for
PAs/ARNPs Corporate Membership Program
Expand Existing Collaborations
Engage Future Leaders - 6 New Applicants to
Executive Committee in 2015
Current Initiatives and Programs
ESCO Education
Defining ESCOS:
Medicare's Comprehensive ESRD Care Initiative
Tom Duvall, CMMI Team Leader
Jul 07, 2015
RPA Collaborations
RPA Continued
2016 Combined Coding & Reimbursement Conference
Taking place at start of the 2016 FSN Annual Meeting in Delray Beach, FL
Regional Meetings
2014 December EventsPensacolaJacksonville
2015 EventsAugust 17th in Fort LauderdaleAugust 18th in West Palm BeachOctober 1st in Miami
Looming Legislative Issues
House Health Care Initiatives Independent Practice of ARNPs – FSN
remains opposed Non-Contracted Emergency Services –
tied to Medicare – FSN opposed Medicaid Expansion – FSN remains
supportive New issues in 2016 –
Certificate of NeedTort Reform
RPA Statement Collaborative Practice
RPA believes it is critically important that within the renal care team, the nephrologists must maintain the primary leadership role and assume ultimate responsibility.
NEPHROLOGY WORKFORCE IN
FLORIDA
The US Nephrology Workforce:Developments and Trends Prepared for The American Society of Nephrology 2014
Only 323 individuals applied for 403 nephrology fellowship positions in 2014, a ratio of 0.8 applicants per position.
The same trend is demonstrated in unfilled nephrology fellowship positions with the proportion of unfilled positions increasing from 5.9% in 2010 (22 unfilled positions of 374) to 24.1% in 2014 (97 unfilled positions of 403). The number of unfilled fellowship program positions doubled in just one year—from 47 in 2013 to 97 in 2014.
Accelerated Decline2010 2011 2012 2013 2014
Total Positions
374 380 397 416 403
Filled Positions
352 345 360 369 306
Unfilled Positions
22 35 37 47 97
Red = USMGs Green = IMGs
Florida Physician WorkforceAnalysis:Forecasting Supply and Demand
Safety Net Hospital Alliance of Florida 2015
Critical Shortfall ofPhysician SpecialtiesThe supply of specialists in Florida is insufficientto provide a level of care consistent with thenational average, after taking into considerationdifferences in the demographics and healthrisk factors between Florida and the nation. Thecurrent 18% shortfall is likely to persist. By 2025,a 19% shortfall is projected.
Nephrology Data2025 Supply
2025 Demand
2025 Deficit
Gap
Nephrology 700 730 (30) -4%
Is there a role for Florida Renal Coalition to address this crisis?
Identify why more US Medical Graduates are not selecting NephrologyReimbursementOpportunityQuality of Life
Advocacy Targeted Loan Forgiveness Expanded utilization of non-physician
providers under physician supervision Telemedicine Advancement with Safeguards
Engagement Outreach to medical students
THANK YOU!FCOBBE@COBBEMANAGEM
ENT.COM
Top Related