Medical Education and Research Costs (MERC) Definitions
In this definitions list, any word in a definition that is italicized is a word that is separately defined.
Accredited training - "Accredited training" means
training provided by a program that is accredited through an organization
recognized by the U. S. Department of Education or the Health Care Financing
Administration as the official accrediting body for that program. Source:
Minn. Stat. §62J.69, subd. 1(h) (1998).
Advance practice nurse - For purposes of the MERC Trust
Fund, "advance practice nurse" refers to the following: clinical nurse
specialists, certified registered nurse anesthetists, nurse practitioners,
doctor of nursing practice, or certified nurse midwives. Source: Minn. Stat. §62J.69,
subd. 1(a). Starting with the 2004 MERC application, advanced practice
nursing programs, in addition to meeting other eligibility criteria, must be
sponsored by the University of Minnesota Academic Health Center, the Mayo
Clinic, or an institution that a part of the Minnesota State Colleges and
Universities (MnSCU) system or a member of the Minnesota Private College
Council. Source: Minn. Stat. §62J.69, subd. 3(b).
Audited - "Audited" means that the financial information
reported in the application (except for question 8 part d) is based on or
derived from audited financial records. In the event of a MERC program audit,
the program should be capable of reconciling reported financial data with
audited financial records if requested by the Commissioner.
Average clinical training costs per trainee - "Average clinical
training costs per trainee" is determined by dividing the total clinical
training costs by the total number of trainees. MERC funding is distributed based on a uniform percentage of the average clinical training
costs per trainee by provider type.
Clinical training - "Clinical training" means
"accredited training for physicians (medical students and
residents), doctor of pharmacy practitioners, doctors of chiropractic, dentists,
advanced practice nurses (clinical nurse specialist, certified
registered nurse anesthetists, nurse practitioners, and certified nurse
midwives), and physician assistants that is funded in part by patient care
revenues and that occurs in either an inpatient or ambulatory patient care
training site." Source: Minn. Stat. §62J.69, subd. 1(b).
Clinical training costs - "Clinical training costs" means
the patient-care component of health professions education, including clinical
rotations and clerkships for medical, dental, advanced practice
nursing, physician assistant and doctor of pharmacy students, and residency
training for graduates of these programs. Costs associated with training
that occurs in a classroom, laboratory or other non-patient care setting
should not be considered clinical training costs.
Dental resident - "dental resident" is a dentist participating
in an accredited post doctoral dental training program.
Eligible FTEs - "Eligible FTEs" means
the full time equivalent for eligible trainees at each training
Eligible trainee - A trainee must meet the following criteria
in order to meet the definition of "eligible trainee":
- The trainee's sponsoring institution, teaching program and site of training must be located in Minnesota.
- The training must occur in an accredited program.
- The trainee must be one of the following: medical student or medical resident; dental student or dental resident; advanced practice nursing student (clinical nurse specialist, certified registered nurse anesthetist, nurse practitioner, doctor of nursing practice, or certified nurse midwife); doctor of chiropractic student; doctor of pharmacy student or resident, physician assistant student.
- The training must be clinical in nature and must occur in either an inpatient or ambulatory setting where the training is funded, in part, by patient care revenue and the clinic/hospital maintains currently active medical assistance enrollment status and a National Provider Identification (NPI) number.
- Trainees in a nursing facility are not eligible.
FTE - "FTE" means full time equivalent.
Health care research - means approved clinical, outcomes,
and health services investigations that are funded by patient out-of-pocket
expenses or a third party payer. Source: Minn. Stat. §62J.69,
- Medical education - "medical education" means "the accredited clinical training of physicians (medical students and residents), doctor of pharmacy practitioners, doctors of chiropractic, dentists, advanced practice nurses (clinical nurse specialists, certified registered nurse anesthetists, nurse practitioners, doctor of nursing practice, and certified nurse midwives), and physician assistants." Source: Minn. Stat. §62J.69, subd. 1(a).
Medical resident - "medical resident" means an individual
at any level of training in an ACGME-accredited medical education program.
Program - "an eligible teaching 'program' is one that is
accredited, enrolls trainees, and is responsible for the trainee's
overall education. The education may occur at one or more different sites."
Source: MERC Study Recommendations and Progress
Report to the Legislature December 1996, 14.
Provider type - "Provider type" refers to the specific providers
that are eligible for the MERC Fund under the definition of
medical education in the MERC statute: physicians (medical students
and residents), doctor of pharmacy practitioners, chiropractors, dentists, advanced
practice nurses, and physician assistants. Source: Minn. Stat. §62J.69
Reporting period - The "reporting period" for program costs
for the 2010 MERC application is the 2008 audited fiscal year.
Sponsoring institution - means a hospital, school or consortium
located in Minnesota that sponsors and maintains primary organizational and
financial responsibility for an accredited medical education
program in Minnesota and which is accountable to the accrediting body.
Source: Minn. Stat. §62J.69 subd. 1(i).
Teaching institution - "Teaching institution" means "any
hospital, medical center, clinic, or other organization that currently sponsors
or conducts accredited medical education programs or clinical research
in Minnesota." Source: Minn. Stat. §62J.69 subd. 1(g).
Trainee - "Trainee" means any student "involved in an
accredited clinical training program for medical
education." Source: Minn. Stat. §62J.69 subd. 1(c).
- means the facility at a given practice address where clinical
training occurred. Individual preceptors or departments within a
facility should not be listed as the training site. The facility
where clinical training occurred should be listed as the "training
site" even if the preceptors that provided the training has moved to
another facility. Training sites must be located in Minnesota and
have a currently active medical assistance enrollment status and a
National Provider Identification (NPI) number where training occurs in
either an inpatient or ambulatory patient care setting and where
training is funded, in part, by patient care revenues. Nursing
facilities are not eligible.