changing cme environment linda caples, mba director, continuing and professional education medical...
TRANSCRIPT
Changing CME
EnvironmentLinda Caples, MBA
Director, Continuing and Professional EducationMedical College of Wisconsin
Disclosures:• Salary from Medical College of Wisconsin
Agenda• New CME Guidelines• Impact on Corporate Sponsored Symposia and
Training Programs• Strategies for Meeting Corporate and Physician
Needs
NEW CME GuidelinesNew players, new enterprise
Old Model
CME
ACCMEGov’tReg
AMA
Current Model
CME
ACCME
AMA
ABMS AAMC
Gov’t Reg.
CMSS
Rule Changers• ABMS• AAMC• Government Regulation
o Federalo State
ABMS• Maintenance of Certification
o American Board of Internal Medicineo Going into its second cycleo MOC CME
• MOC Part 2• MOC Part 4 (PI CME)
MOC• Self-Evaluation of Medical knowledge• Self-Evaluation of Practice Performance
o Practice Improvement Modules® PIMs• American Society of Hematology PIM
o Approved Quality Improvement (AQI) pathway grants 20 MOC points
MOC(points)
CME(Credits
)
PIM StructureMedical Record Audit
PatientExperienc
eSurvey
Practice System Inventor
y
Performance Report
Report Results
Target PerformanceTest Process Change
Focused Measurement
Learn from Change
Analytic Program
AAMC ae4Q Update AAMC’s Aligning and Educating for Quality (ae4Q) initiative is moving forward with 11 academic medical center pilot sites. Several pilot site participants met over breakfast at the recent AAMC Integrating for Quality meeting in Chicago. While each center has a different focus, there are common interests in using health system quality data to inform their CME programs and to use education as an innovative intervention for performance improvement. All resources developed for the ae4Q initiative are open and available to any academic medical center on our website.
Government Regulations
• Physicians Payment Sunshine Acto Documentation begins January 2012o All direct payments to physicianso CME is indirect, thus not reportedo Schools of thought
• Pharma to decrease funding of CME• Pharma to increase funding of CME
o Will allow accredited providers to preselect speakers based on dollar amounts
S
Continuous Performance Improvement
Data/Informatics
CME
QI
Research/
Outcomes
CPI
©NIQIE 2009
Impact on Corporate Sponsored Symposia
and Training ProgramsNational and International Considerations
ABMS – Paradigm Shift MOC & CME
M. Powels “MOC Part IV Overview and Criteria” NIQIE, Sept. 2011
The Transitioning U.S. Healthcare
Delivery ModelVolume Based Performance Based
Hospital Based Integrated, Outpatient
Paper Electronic
One Size Fits All Personalized
Payment
Venue
Records
Treatment
1990 20000 2010 2020
L.Long, “Putting the Value in Value Based Purchasing: Paying for Performance” NIQIE, Sept. 2011
Impact of current CME Environment
National International
• Saturated traditional CME market
• Opportunities for MOC/MOL
• National Collaborations
• Focus on Effectiveness of treatment modalities (payer driven)
• Intense Growth ino Indiao Asia
• China• Japan
o Brazil
• Opportunitieso Sub Sahara Africa
• Nigeria• Ethiopia• Ghana• South Africa
Strategies for Meeting Corporate and
Physician NeedsWorking together, support the mission
Mutually beneficialCorporate Physician
• ROI• Evidence• Compliance
o Corporateo Federal/State
• Transparency to the public
• CPI• Effectiveness• Certification
o MOCo MOL
• Transparency to the public
Real time learning• Internet Point of Care CME• Medical Education Gaming• Medical Meeting Smartphone Applications
o Greener meetingso Quick access to informationo Added sponsorship opportunitieso Enhance social interactiono Polling and surveyso Improve customer service o offer destination information
In Summary, CME is transitioning from
One – offsOne day meetingsGrand RoundsEnduring Materials*
SUSTAINABILITYPI CMEMOC/MOLEnduring Materials (S.A.)National Collaborations
Questions?Thank you. [email protected]