An Update on ACCME s Proposed Simplifications to the Accreditation Requirements and Process

Transcription

1 An Update on ACCME s Proposed Simplifications to the Accreditation Requirements and Process Kansas Medical Society Missouri State Medical Association 2013 CME Provider Conference Steve Singer, PhD Director of Education & Outreach 2012 Reporting Year Activities Hours of Education Physicians Non Physicians TOTAL 133, ,208 14,398,205 10,207,237 All Participants 24, 605, 442 New York Phoenix Los Angeles San Antonio Chicago San Diego Houston Dallas Philadelphia 1

2 In your states 5 ACCME & 13 SMS Providers 11 ACCME & 34 SMS Providers Physician Non-Physician Participants Participants 123,144 39,556 Hours of Activities Instruction 943 5,533 Physician Non-Physician Participants Participants 174,398 71,175 Hours of Activities Instruction 2,032 21,456 Strategic Imperatives 1. Foster ACCME Leadership & Engagement - in service of Alignment 2. Simplify and Evolve the [ACCME] Accreditation Standards, Process and System 3. Explore and Build a More Diversified Portfolio of ACCME Products and Services 2012 Accreditation Council for Continuing Medical Education ( 2

3 C1 : 5-part Mission C11: Analyze Change C12:Programbased Analysis C13: Identify Changes C14: Changes Underway or Completed C15: Impact of Improvements C16: Change in Performance C17: Adjuncts Content Validity C18: Factors Outside C2: Practice Gaps C19: Removes Barriers C3: Designed to Change C20: Collaboration C4: Match Scope of Practice February to September 2012 C21: Quality Improvement Self Study Report C5: Appropriate Format Special Internet Policies 21 separate sessions C22: Controls Content C6: In Context of Competencies C7-C10: Independence Accreditation Statement Regularly Scheduled Series Policies stakeholders Journal-based CME Policies Enduring Materials Policies Business & Management Procedures Reaccreditation Interview Submit Files for Review Records: Numbers & Compliance Organization Mission & Framework Accreditation Council for Continuing Medical Education ( 3

4 C1: Mission with Expected Results C11: Analyze Change C12/13: Program-based Analysis; Identifies, Plans and Implements C2: Practice Gaps C6: In Context of Competencies AC: Individualized Learning Activities C19: Removes Barriers Simpler Requirements C3: Designed to Change C5: Appropriate Format C7-C10: Independence Content Validity AC: Integrating Health IT AC: Interprofessional Practice C21: Quality Improvement C17: Adjuncts Accreditation Statement Self Study Report C20: Collaboration AC: New (Suggested) Reaccreditation Interview (Phone for Initial) Submit Files for Review Business & Management Procedures Records: Numbers & Compliance simplify evolve requirements -11 criteria and policies more options criteria for commendation processes no labels for activity files one-page structured abstract 4

5 Where are we today? Discussions with CME Community Summarize Feedback to ACCME Board Proposal to CME Community Feedback & Discussion with CME Community Summarize Feedback to ACCME Board ACCME Board Actions Public Call for Comment Implement Changes Important! Nothing is changing today Accreditation Council for Continuing Medical Education ( For review 5

6 Feedback Received Implementation What happens next? Informal feedback from providers on proposed changes ACCME BOD Review of feedback & decision on whether to adopt changes Formal Call for Comment from CME community & stakeholders BOD Final decision about implementing changes Important! Nothing is changing today. 6

7 What should be Commendable? Menu Proposed Health IT Interprofessional Collaborative Practice Individualized Learning Projects??? CME and the Value Proposition: A Group Discussion Can we provide responsive leadership through CME? 7

8 A Simple Approach What is the practice-based problem we want to address? (and how are my learners involved?) Why does the problem exist? What do we want to change? Were we effective in producing change? Is the problem solved? If not, start again. Accredited CME 1. Addressing the public s health 8

9 The Centers for Disease Control and Prevention (CDC) commends the Accreditation Council for Continuing Medical Education for its efforts to focus national continuing medical education on public health imperatives. Thomas R. Frieden, M.D., M.P.H. Director, CDC March 8, 2013 via e mail Public Sector Voices. From Practice 9

10 A Model of Population Health University of Wisconsin Population Health Institute Accredited CME 2. A Strategic asset to those seeking healthcare improvement 10

11 Private Sector Voices From Practice Trust in Physicians Leadership Changing Interprofessional Voices From Practice 11

12 Accredited CME 3. A New Continuum 12

13 Reversing the Flow Information about Practice Informs Education Progress Along the Continuum Practice Informs Education Reversing the Flow Information about Practice Informs Education Society Professions Practice Progress Along the Continuum Practice Informs Education 13

14 Accredited CME 4. Accredited CME as Leadership What is responsive leadership? CME can say Yes to stakeholders... within your institution within systems of care within your community to government to the public to provide measurable value to advancing professional practice and better, safer care. 14

15 Local problems need local solutions From Joint Commission Center f or Transf orming Care, Hand Hy giene Project See ortransf orminghea lthcare.org/projects/display.aspx?pr ojectid=5 If you don t know what to do ask your customer. 1. What would you do if we weren't here? 2. Can you name one particular individual who has impressed you in our team? 3. What one thing could we do better? 4. Name one thing that we do or don't do that irritates or annoys you? 5. Who can we learn from? 6. What would you say to someone else who asked you about us? 7. What is the one thing we should never stop doing? 8. Are you completely happy with us? Adapted from: nion/10-questi ons-to-ask- your-customers.asp 15

16 Accredited CME 5. Interprofessional 5. Include Others Doing/achieving more together (Criterion 20) Does your educational enterprise match the community-of-practice? From 2012 ACCME Annual Report Non- Physician Physician Participants Participants 13,741,621 9,558,789 16

17 Accredited CME 6. CPD - a Scholarly Pursuit What Practice is Saying Ballistic Trajectory Klass, D, Viewpoint: A Performance-Based Conception of Competence is Changing the Regulation of Physicians Professional Behavior, Academic Medicine, Vol. 82, No. 6 / June

18 Self-directed Learning Supporting individualized professional development for teaching, clinical, or research practice Meets ACCME requirements same as any other type of activity Analogous to Manuscript Review, Test-item Writing, Performance Improvement, and Internet Searching and Learning Educational resources on ACCME website Questions? 18