Tufts Health Care Institute/Office of Continuing Education 1 Online CME Accreditation for...

1

Tufts Health Care Institute/Office of Continuing Education

Online CME Accreditation for Point-of-Care Learning

Marc Edelstein, MD, PhDChief Medical Officer and Co-Director,

Tufts Health Care Institute and Tufts University School of Medicine Office of Continuing Education

Ralph Halpern, MSWDirector, Content Development & Program Evaluation

Tufts Health Care Institute

MedBiquitous, April 2007. Point of Care Learning

2


What’s Happening in CME? Calls for reform in CME

Inadequacy of traditional didactic CME to improve practice

CME’s goal: improve patient care

– A broader definition of education,

from: individual learning to: quality improvement Evolution from Continuing Education to CPD-

Continuous Professional Development

3


CME Providers’ Mission: Shrink the Quality Gap

Mission: Deliver programs that provide physicians with implementable knowledge and skills…

so that measurable changes in competence (“knowledge-in-action”), performance, or patient outcomes can be demonstrated.

4


ACCME’s Updated Accreditation Criteria, 2006

“CME as a Bridge to Quality” Accredited providers shall: Focus on improving one or more of physician

competence, physician performance, and/or the physician’s patient outcomes.

Provide CME activities based on practice-based and learner-based needs.

Evaluate success at meeting their change mission. Engage with their environment to enhance the role of

their program and of CME in promoting quality and safety.

5


ACCME Expectations

CME providers are expected to… demonstrate progress towards

implementation of these updated criteria by November 2008 …

and reach full compliance by 2012.

6


ACCME & AMA Approve “New Formats” of CME

Accredited CME providers can now designate credit for – internet searching and learning, or

point of care learning, – performance improvement

activities, – test-item writing, – manuscript review.

7


References AMA: AMA Physician's Recognition Award Booklet.

2006 revision– http://www.ama-assn.org/ama1/pub/upload/mm/455/pra2006.pdf

ACCME: New Formats of Continuing Medical Education. May 2005– http://www.accme.org/dir_docs/doc_upload/fd31627e-1510-4e6f-

90bb-67b0adca2c38_uploaddocument.pdf

8


Internet point of care (PoC) CME

The learner may – Identify a question in practice; Access new information from ‘trusted source(s);’ Integrate learning into patient care; and Demonstrate what has been learned.

Earn 0.5 credits per search

9


Structured, self-directed, practice-based learning in support of specific patient care.

MD uses a computer-based clinical decision-making support tool at the point of care.

A reflective process in which physicians must document 1)their clinical question, 2)the sources consulted and 3)the application to practice.

Even when the recommendation is not appropriate for the patient, the physician still learns something in the process.

Examples: Internet point of care (PoC) CME

10


Tufts-InfoPOEMs POC CME Tufts is accrediting searches Using

infoPOEMs/InfoRetriever (Wiley)

Implementation requirements:– Contract (specs, funding)– Technical (POC site; credit tracking)– Testing

11


InfoPOEMs® is owned by the publishing company John Wiley & Sons.

12


Treatment

Diagnosis

Screening & prevention

Prognosis

Epidemiology

Education

13


14


15


16


17


18


Evaluation to claim POC CME The InfoRetriever search(es) I completed help me make

decisions about the care of one or more patients. (strongly agree….strongly disagree)

Compared to other forms of acquiring CME, searching the literature with InfoRetriever and reflecting on the implications for practice is … (more/equally/less valuable)

Overall I would rate this CME activity as … (excellent…poor)

Please give one example of how a search did or did not affect your diagnosis, treatment, and/or patient outcomes. (free text)

19


20


21


Challenges Was the search truly patient-related?

– Option: require additional information from user to identify patient age/sex/diagnosis

Was the information source valid (a “trusted source”)?– Accreditor must approve the search engine’s tools

and processes Was the search completed and documented?

– Does the accreditor collect complete information from the search engine or just assertions from the user?

22


Contact Information Marc M. Edelstein, MD, PhD, FAAP Chief

Medical Officer and Co-Director Phone: (617) [email protected]

Ralph Halpern, MSW Director, Content Development and Program

EvaluationPhone: (617) 636-3991Email: [email protected]

http://www.thci.org/ 617-636-1000

Tufts Health Care Institute/Office of Continuing Education 1 Online CME Accreditation for...

Documents

Transcript of Tufts Health Care Institute/Office of Continuing Education 1 Online CME Accreditation for...