EAE Echo Accreditation EAE Echo Accreditation Dr Kevin Fox Accreditation Project Lead, EAE Board
Why did the EAE develop Why did the EAE develop Accreditation? To raise the standard of echo in Europe � By encouraging learning � By developing training laboratories � Encouraging educational programmes � Encouraging educational programmes � To protect patients
EAE Accreditations � Adult TTE � Launched 2002 � Adult TEE (with EACTA) � Launched 2005 � Echo for Congenital Disease (with AEPC) � Launched 2006 L h d 2006 � Laboratory Accreditation � Laboratory Accreditation � Launched 2009 (pilot centres 2008)
Why seek Accreditation? Laboratory Individual � Statement of quality � Personal achievement � Promotes quality in the dept P omotes q alit in the dept � Enhances skill h k ll � Facilitates revalidation � Documentation of knowledge (relicensing) of staff (relicensing) of staff and skill (revalidation) d k ll ( l d ) � Raises profile of echo lab within � ‘Marketability’ the hospital the hospital � supports adequate resources � ‘Marketability’ eg purchasers, ‘ k b l ’ h reimbursement
How do you achieve Individual Accreditation? � Good supervisor up o � Broad exposure 1. Learn to Echo � Courses / conferences and 2. Written assessment books 3. Log Book of Practice 3. Log Book of Practice Accreditation Re-accreditation
The KBA or exam The Log Book g ( practical experience) � 250 cases TTE, CHD, ( 125 , , ( 100 SBA MCQs on 100 SBA MCQs on � � for TEE) theoretical knowledge � Covering the main pathologies � � Supervisor key role Supervisor key role � 50 SBA MCQs on image 50 SBA MCQ i reporting � Current system Submit log book of reports Submit log book of reports • � In English with glossary of 15 cases selected for grading • key terms in main European languages New E-Logbook web based � system (2009: TTE and TEE) Submit 6 cases including • uploading images l d Graded on line • DOPS for CHD •
Screen shot of new E-logbook g
But knowledge and skill have to be maintained - Reaccreditation � 5 yearly renewal � Evidence of ongoing practice g g p � Evidence of CME � Evidence of CME � Courses and conferences
What have we achieved so far…
How do you achieve Accreditation How do you achieve Accreditation for your Laboratory?
Laboratory Accreditation – the process Max duration for lab to complete Max duration HH = 1 month (2 weeks form = 4 months for re-submission) Lab to apply Automatic e-mail sent Lab to submit completed HH to review application application form to HH via and pay online p y to lab with link to form for completion f f l ti online tool on EAE website online application form Max duration for lab re-submission = 1 month (1) Incomplete Complete C l t FURTHER INFO HH to request further info REQUIRED NS to review application HH to submit electronically y HH to inform HH to inform EAE to review NS EAE to re ie NS & & electronically provide l t i ll id Lab application to NS for labs about EAE provisional decision & provisional decision to be review decision inform HH submitted to EAE Comm. Max review Max review duration = 2 months (1 Max review duration = 1 month (2 Max review duration 1 month (2 duration = 2 month for re-submission) weeks for re-submission) weeks FAIL OVERALL PROCESS MAX DURATION OVERALL PROCESS MAX DURATION (including re-submission) = 12 months PASS DIPLOMA (1) If no reply within 1 year – Lab FAILED
Applying for Laboratory Accreditation – the standards NB: Temporary arrangements regarding the requirement for individually accredited staff : 2 year window for staff to obtain accreditation 2 year window for staff to obtain accreditation www.escardio.org/COMMUNITIES/EAE/ACCREDITATION/Pages/laboratory.aspx
Lab Accreditation – successful departments in the pilot phase � Greece � Italy � Germany � Denmark � France F � Romania Pending: Poland Poland Spain
Maintaining quality in the Maintaining quality in the Accreditation Process � Team based approach to exam setting, log book marking and g g g departmental assessment � Psychometric analysis of MCQs Q � Difficulty and discrimination ability of each question each question � Audit and monitoring of log book marking � Involving National Societies in Laboratory Accreditation
How can you help? y p � Promote accreditation P omote edit tion � Encourage applicants � Volunteer MCQ writers and log book graders � Volunteer reviewers for Lab Applications � Feedback
Encouraging Cooperation - Reciprocity for Individual Accreditation � Where countries have a national accreditation of a Where countries have a national accreditation of a high standard � The EAE is keen to negotiate a reciprocity arrangement � Exemption from sections of the process for those � Exemption from sections of the process for those seeking individual accreditation � Eg the log book if applicants have done a national log book or equivalent or equivalent � Currently under discussion y � UK (BSE) – awaiting final ratification � Georgian Echo Group
EAE Accreditation in Echocardiography � Recognised and respected t d qualification � Improves your k knowledge and skill l d d kill � And the quality of your department
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