The steps being taken by ACGME staff members to assist the residents and fellows displaced by the impending Hahnemann University Hospital (HUH) closure (see Background) focus on: compiling a list of available positions; communicating with HUH regarding implementation of the ACGME’s Extraordinary Circumstances Policy (see ACGME Policy Requirements) to expeditiously arrange for the transfer of residents and fellows; and making two separate filings with the bankruptcy court.
The ACGME is facilitating accreditation considerations that make it possible for residents and fellows to transfer to other programs, including expediting the process to identify and approve locations that can accept transfers of affected residents and/or fellows through the ACGME’s Accreditation Data System (ADS). ACGME accreditation teams and Review Committees are expediting requests related to HUH’s closure, including complement increase requests from programs that offer to accommodate the transfer of displaced residents.
The ACGME is grateful for the overwhelming response from the GME community; more than 1,300 available positions for displaced residents/fellows have been catalogued as of July 18.
The ACGME is sending daily reports to the Hahnemann Graduate Medical Education Office and designated institutional official (DIO). The DIO is providing this report to all program directors and coordinators so that they may inform residents/fellows of these transfer opportunities. The ACGME’s list is designed to be a resource for HUH program directors to use in assisting their residents and fellows. It only contains positions that have been entered into ADS. Opportunities not on the list may also be pursued.
The ACGME welcomes additional requests from programs able to accommodate HUH residents and fellows. For programs interested in offering positions, information can be found in the ACGME Newsroom post on June 27, 2019.
While not directly involved in resident or fellow placement or decisions related to funding, the ACGME has been in contact with The Centers for Medicare and Medicaid Services (CMS) and received clarification about its process for transfers. CMS has published the Medicare Fact Sheet on Displaced Residents Due to Program or Hospital Closure to aid programs in understanding the process.
Residents and fellows should contact their program director and/or DIO with any questions about the transfer process.
The ACGME made two submissions to the bankruptcy court regarding the HUH closure, expressing support for the residents and fellows and their ability to transfer to programs of their choice. The ACGME filed the first response July 8, 2019, and the second response July 15, 2019. ACGME Legal Counsel will attend the Court hearing scheduled for Friday, July 19, 2019.
On June 28, 2019, the ACGME invoked its Extraordinary Circumstances Policy (Section 21.00-21.70) in response to the abrupt announcement of the closure of HUH in Philadelphia. The ACGME is committed to assisting the HUH residents and fellows in the 35 ACGME-accredited programs with the least disruption to their education.
HUH filed for Chapter 11 bankruptcy June 30, 2019 and announced on July 16 a plan to wind down services and close the hospital on September 6, based on the approval of the Pennsylvania Department of Health and the Philadelphia Health Commissioner’s Office.
Review Committee Executive Directors
For questions related to specific Review Committees, visit www.acgme.org/specialties, and click on the applicable specialty.
CMS Payment Policy and Fact Sheet
Medicare Fact Sheet on Displaced Residents Due to Program or Hospital Closure