2018 FMA A Con onference erence Celina Makowski, MBA, CHCP , RHIT Manager, CPPD/CME Flagler Hospital 4/5/2018
Act Plan & Do Criterion 13 Criterion 2 -10 Study Criterion 11 & 12
CME Planning Process Determine need or identify professional practice gap(s) in competence and/or performance and/or patient outcomes . CME Activity Evaluate CME Activity (Criteria 11 & 12) Evaluate CME Program (Criteria 13)
ACCME Criterion 11 & 12 Criteria 11 Criteria 12
Activity Evaluation Competence Descriptive – not measuring competency as through a test “Competence is ability. Competence is what you would do if you could do it. If you had the opportunity to implement exactly what it was that you wanted to do – that’s your strategy.” “Knowledge put into action by the learner” Accreditation Council for Continuing Medical Education. 2011, December 9. What’s the difference between “knowledge,” competence, “ “performance,” and “patient outcomes”? Retrieved from http://www.accme.org/education -and- support/video/faq/whats-difference-between-knowledge-competence-performance-and
Case-Based Questions 2015-Hospice or Palliative Care: Making the Call 2016-Adverse Drug Events: The Glove Often Fits
Activity Evaluation Performance – competence into action
E-mail Documentation
Phone Documentation
Activity Evaluation Self- Reported Changes
Patient Outcomes “Outcome, patient outcome, research outcome, executive outcome, administrative outcome — those are the consequences in the system, in your stakeholder, in the place of application of your performance.” Radiation Risk Team’s Radiation Risk PI CME-Abdomen activity ED patients receiving Abdominal CT scan: 2012 – 80.2%; 2013 – 77%; a 3.2% decrease ED patient receiving Abdominal Ultrasound: 2012 – 3.3%; 2013 – 20.3%; a 17% increase ED patient receiving Abdominal CT scan and Ultrasound scan April 2013 through June 2013 is 0%; a 2% decrease The ratio of Ultrasound vs CT scan: • 2012 – 1:20 • 2013 – 1:4 Accreditation Council for Continuing Medical Education. 2011, December 9. What’s the difference between “knowledge, ” competence, “ “performance, ” and “patient outcomes”? Retrieved from http://www.accme.org/education -and-support/video/faq/whats-difference-between-knowledge-competence- performance-and
RSS Tumor Board Case Summary
Criterion 12: CME Program Analysis Starts with the Individual Activity Evaluation
Additional itional Ar Areas eas to Ev Eval alua uate e An Annua nuall lly Activity Books Committee members Community Demographic Needs/Professional Gaps Faculty Forms Personnel Processes Activity formats, locations, topics
Other Data for Criterion 12 Analysis PARS reports Planning Sheets – Internal and/or ACCME Performance-in-Practice Structured Abstract CME Policies CME Committee Minutes
ACCME Criterion 13
CME Program Yearly Goals 6/19/17: 2017-2018 Goals approved
COMMITTEE GOALS: 2017 – 2018: 6 Month Review 12/18/17: 2017-2018 Goals mid-year review All have at least 1 activity or function to meet goal for year!
Program Policies Review and/or Changes
CME Committee Planning in Minutes
Ongoing Criterion Evaluation
CME & Hospital Initiatives The Joint Commission Orthopedic Accreditation Standard DSDF.1-EP7 – Orthopedic Staff Education National Accreditation Program for Breast Centers (NAPBC) Standard 5.1 – Breast Center Staff Education
CME & Hospital Initiatives The American College of Surgeons Commission on Cancer Opioid Stewardship: CMS: Hospital Improvement Innovation Network (HIIN), Health Research & Education Trust (HRET) and the Joint Commission (TJC) standards
Th Thank y ank you ou!!! !!! Questions or Other Ideas for CME Program Evaluation to Share
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