setting the stage: an overview of cme intro ppt_3 up...sponsor crr moc noncompliance prescribed...

Newcomers’ Introduction to Accredited CMEPre-Conference to CME as a Bridge to Quality™ Accreditation Workshop

August 13, 2014

Copyright 2014 © – Accreditation Council for Continuing Medical Education – www.accme.orgFor non-commercial educational use only.

Setting the Stage: An Overview of

CME

AMA

AHAABMS

ACCME

FSMB

AAMC

AHME

ARC

Decision

AAFP

AMA PRA Category 1 Credit™

Criteria

SCS

Provider

Conflict of Interest

Commercial Interest

Relevant Financial Relationship

Compliance

Sponsor CRR

MOC

Noncompliance

Prescribed

Recognition

Accreditation

CME CMSS

MOL Learner

Activity

Program

Engagement

Credit

System

QI

Collaboration

ACOG

CredentialingElective

Membership

OPPE/FPPE

AMA

AHAABMS

ACCME

FSMB

AAMC

AHME

ARC

Decision

AAFP


Criteria

SCS

Provider

Conflict of Interest

Commercial Interest

Relevant Financial Relationship

Compliance

Sponsor CRR

MOC

Noncompliance

Prescribed

Recognition

Accreditation

CME CMSS

MOL Learner

Activity

Program

Engagement

Credit

System

QI

Collaboration

ACOG

CredentialingElective

Membership

This first session and panel discussion is about Setting the “CME Stage.”

We will discuss:

1. What continuing medical education (CME) is;

2. Why & When physicians need CME

This first session and panel discussion is about Setting the “CME Stage.”

We will discuss:

1. What continuing medical education (CME) is;

2. Why & When physicians need CME

OPPE/FPPE


August 13, 2014


Maintenance of Licensure

Maintenance of Certification

Continuing Medical Education• Provider Accreditation by ACCME; • Activity Accreditation by AAFP;

• Credit Systems by membership organizations (e.g. AMA, AAFP)

Achieving Licensure

Achieving Certification

Under‐GraduateMedicalEducation(LCME)

GraduateMedicalEducation(ACGME)

MedicalStudent

Resident Licensed Specialist Credentialed Practicing

Where and When is CME?A Lifetime of Physician Professional Development

Definition:– educational activities

– maintain, develop, or increase the knowledge, skills, and professional performance and relationships that a physician uses to provide services

– body of knowledge and skills generally recognized and accepted by the profession as within the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public.

What is CME?

What is CME?

Plan Do

StudyAct

We’re aware of a problem.We have come up with a

possible solution…

We’ve put our plan into action…

Did our plan work in addressing the problem?

We’re applying what we’ve learned, and we’re

starting again…

Based upon the work of Deming and Shewhart


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What does CME look like?

From ACCME 2012 Annual Report, page 4

When… and How?

Live (Synchronous) Activities:– In person courses

– Small group discussions

– Simulation & training

– Committee work

– Webcast & videoconference

Non-live (Asynchronous) Activities: “Enduring…”– ‘On-demand’ Internet activities

– Journal activities

– Recorded video & audio

– Case studies & narrative

What do you want to change?

Individual

Group

Live Enduring

Point of Care Performance Improvement

RSS, Annual Meetings

CommitteeLearning,

Journal Club

Internet Activities

JournalActivities


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Who is involved in planning?

1. The Accredited Provider

2. Accredited Provider + Nonaccredited Organization = Joint Providership the accredited provider is responsible

for compliance!

3. More than one Accredited Provider one provider must take responsibility

for compliance

Why do physicians need CME?

– to continue to improve their skills, performance, and ultimately patient outcomes

– in order to meet professional responsibilities

Maintenance of Licensure

Maintenance of Certification

Continuing Medical Education• Provider Accreditation by ACCME; • Activity Accreditation by AAFP;

• Credit Systems by membership organizations (e.g. AMA, AAFP)

Achieving Licensure

Achieving Certification

Under‐GraduateMedicalEducation(LCME)

GraduateMedicalEducation(ACGME)

MedicalStudent

Resident Licensed Specialist Credentialed Practicing

Where and When is CME?A Lifetime of Physician Professional Development

Professional Responsibilities


August 13, 2014


CERTIFICATION LICENSUREPhysician


CERTIFICATION LICENSUREPhysicianAmerican Board of Medical

Specialties

Federation of State

Medical Boards


The Value and Use of CME


CERTIFICATION LICENSUREPhysicianAmerican Board of Medical

Specialties

Federation of State

Medical Boards

CME CME

Practice-based learning and change


August 13, 2014


The Value and Use of CME

Next, a discussion about

• Physician Licensure with the Federation of State Medical Boards (FSMB)

• Specialty Certification with the American Board of Medical Specialties (ABMS)

Exploring the Value of Accreditation:

What does it mean to be “Accredited” within the national

CME system?

Why Accreditation?

Legislative Actions Quality

Assurance

1980’s ResponseStandards for CME

New innovations and knowledge Need for continuous learning


August 13, 2014


American Board of Medical Specialties (ABMS)

American Hospital Association (AHA)

American Medical Association (AMA)

Association for Hospital Medical Education (AHME)

Association of American Medical Colleges (AAMC)

Council of Medical Specialty Societies (CMSS)

Federation of State Medical Boards (FSMB)

Member Organizations

ACCME Mission

“...the identification, development, and promotion of standards for quality CME utilized by physicians in their maintenance of competence and incorporation of new knowledge to improve quality medical care for patients and their communities”

ACCME’s Primary Functions

Serve as the body accreditinginstitutions… offering CME;


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Serve as the body recognizinginstitutions… offering CME accreditation;




Develop criteria …for assuring compliance with these standards;




Develop criteria …for assuring compliance with these standards;

Develop… methods for measuring the effectiveness of CME and its accreditation, particularly in its relationship to supporting quality patient care and the continuum of medical education;


August 13, 2014



Recommend and initiate studies for improving the organization and processes of CME and its accreditation;

Review and assess developments in CME’s support of quality health; and

Review periodically its role in CME to ensure it remains responsive to public and professional needs.

Scope of the Enterprise

ActivitiesHours of

Instruction

138,196 1,010,301

Physician Participants

Non-Physician

Participants13,764,896 10,929,217

2013 Reporting Year

A Volunteer-driven System

Accreditation Recognition

24 Members24 Members

21 Reviewers21 Reviewers

115 Surveyors115 Surveyors

687 x 8 = 5,496on CME ‘Committees’

687 x 8 = 5,496on CME ‘Committees’

41 x 5 = 205 Members41 x 5 = 205 Members

41 x 5 = 205 Reviewers41 x 5 = 205 Reviewers

41x10 = 410 Surveyors41x10 = 410 Surveyors

1,400 x 8 = 11,200on CME Committees1,400 x 8 = 11,200

on CME Committees


August 13, 2014


“County Medical Hospital is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education to physicians.”

ACCME and ACCME recognized state medical societies (SMS) accredit Organizations .

“Accredited Providers”

“For the Profession, By the Profession”

As part of the system of medicine’s accountability, is it essential that CME be:

– Linked to quality and safety

– Effective in improving practice

– Independent of commercial interests

– Based on valid content

…our mission and work is a public trust.


August 13, 2014


Requirements for Accreditation

http://www.accme.org/requirements/accreditation-requirements-cme-providers

Requirements for Accreditation

http://www.accme.org/requirements/accreditation-requirements-cme-providers


August 13, 2014


ACCME Criteria

C1 Mission

C2-C6 Educational Planning to Close Gaps

C7-C10 Ensuring Independence

C11-C12 Organizational Self-Assessment

C13-C15 Improvement

C16-C22 Engagement (for Commendation)

What we’re talking about…

• CME as an “Educational Home”

• CME as a partner to address public health imperatives

• CME as a leader of change and improvement

• CME in support of interprofessional collaborative practice

• CME along the continuum of medical education


August 13, 2014


“Accredited” vs “Credit”

“Accredited” = acknowledgment by the ACCME that an organization has met ACCME requirements to plan and offer CME to physicians

“Credit” = the currency of CME; used by organizations that credential, license, and certify as evidence of participation in CME and designated by a provider


Processes for Planning & Implementing CME in compliance with the “ACCME Criteria”

“Accredited”

Accredited Activity- can be designated

for AMA PRA Category 1 Credit™

ACCREDITED PROVIDER

Certified for “Credit”


State Licensure Requirements

• American Academy of Family Physicians – Prescribed Credit

• American College of OB/GYNs – Cognate Credits

• American Academy of Dermatology – AAD CME Award

Membership & Certification Requirements


August 13, 2014



“Accredited” = acknowledgment by the ACCME that an organization has met ACCME requirements to plan and offer CME to physicians

“Credit” = the currency of CME; used by organizations that credential, license, and certify as evidence of participation in CME and designated by a provider

Setting Expectations for the Workshop

Workshop Agenda

Thursday, August 14th

– The Strategic Value of Accredited CME as a “Bridge to QualityTM

– Accreditation for Learning and Change (Planning a CME Activities)

– Ensuring Independence in CME Activities

C2-6, 11 and C7-10Criteria related to

activities


August 13, 2014


Workshop Agenda

Friday, August 15th

– Programmatic Evaluation & Improvement

– Achieving Accreditation with Commendation

C1, 11-13 and C16-22Criteria related to overall program

www.accme.org

Answers to an accreditation-related question

The latest news from the ACCME

Subscribe to ACCME’s monthly Newsletter


August 13, 2014


Information about CME credit

American Medical Assoc. www.ama-assn.org/go/pra

American Academy of Family Physicianswww.aafp.org

Licensure Requirements by State

Federation of State Medical Boards www.fsmb.org

About Board Certification

American Boards of Medical Specialties - www.abms.org


August 13, 2014


When you are looking for…Anything accreditation related that you

just can’t find anywhere else

ACCME

[email protected]

(312) 527-9200

setting the stage: an overview of cme intro ppt_3 up...sponsor crr moc noncompliance prescribed...

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