2018 FMA A Con onference erence Celina Makowski, MBA, CHCP , - - PowerPoint PPT Presentation

Celina Makowski, MBA, CHCP , RHIT Manager, CPPD/CME Flagler Hospital 4/5/2018

2018 FMA A Con

• nference

erence

Plan & Do Criterion 2 -10 Study Criterion 11 & 12 Act Criterion 13

CME Planning Process

 Determine need or identify professional practice gap(s)

in competence and/or performance and/or patient

• utcomes.

 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.”

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

 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

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

• u!!!

!!!

Questions or Other Ideas for CME Program

Evaluation to Share