For Your Reference
Continuing Medical Education and Quality Improvement: A Match Made in Heaven?
Are Continuing Medical Education Activities Effective in Improving the Competence and Performance of Clinicians?
Last Chance to Register for the April 2012 CME as a Bridge to QualityTM Accreditation Workshop
There are still a few spaces open for the ACCME's 2012 CME as a Bridge to Quality Accreditation Workshop scheduled for April 19-20 in Chicago. Designed for all levels, from CME novices to veterans, the accreditation workshops offer participants the opportunity to work closely with ACCME staff, national CME leaders, and colleagues to learn practical strategies for complying with accreditation requirements and positioning CME as a Bridge to Quality within their organizations. Sessions take participants step-by-step through the Accreditation Criteria and Standards for Commercial Support, using case examples to help providers understand ACCME expectations for implementing, evaluating, and improving CME programs.
Workshop highlights include:
- Hot Topics—Joint Accreditation: Guest speaker Dimitra Travlos, PharmD, BCPS, Assistant Executive Director and Director of Continuing Pharmacy Education, Accreditation Council for Pharmacy Education (ACPE), will join Kate Regnier, MA, MBA, ACCME Deputy Chief Executive and COO, to discuss the joint accreditation process created and implemented by the ACCME, ACPE, and the American Nurses Credentialing Center (ANCC).
- Accredited CE as a Strategic Asset: This session will help you establish a leadership agenda to address emerging issues in US health care.
- Achieving Accreditation with Commendation: Using real-life examples, this session will provide you with the strategies to promote organizational improvement through leadership, innovation, and collaboration.
Feedback from participants at the August 2011 workshop:
- "I have so much more confidence in my CME program (which is our entire organization) and I'm looking forward to completing the self-study and submitting my activities to demonstrate how I have taken what I have learned here and applied it in my communication to the ACCME about my program."
- “The best section of the breakout group was learning about the [Accreditation with] Commendation Criteria 16-22. After discussing how to make this possible, I have come back to the office with a better insight and I am ready to start making strides towards our next accreditation process.”
- “I loved this workshop! It gave me a chance to connect and share ideas with my peers. I now feel ready to better help my organization through our upcoming reaccreditation process—and even to go for commendation, something I would never have dreamed of prior to this workshop.”
More workshop information is available here.
ACCME Reminds Providers about March 30, 2012 Year-End Reporting Deadline
ACCME-accredited providers: To meet your year-end reporting deadline, you must complete entering data into PARS for your 2011 activities and complete your 2011 program summary by March 30, 2012. PARS is always open and we encourage you to start entering 2011 activity data now in anticipation of the upcoming deadline. You are welcome to enter basic information about an activity before it has taken place and complete the entry after the activity occurs. You can login to PARS here or from the For CME Providers section of our Web site. (Please note that these instructions apply only to ACCME-accredited providers, not to providers accredited by a state medical society.)
As we've announced previously, we have made improvements to support your data entry, based on your feedback. Please review the list of improvements below, as they may affect your 2011 data submission.
- Batch upload: To accommodate the improvements we made, we created new batch upload templates and instructions. If you are using either the tab-delimited upload or XML file upload features, you must use the new template and instructions in order to successfully upload data for 2011.
- In-Kind commercial support: The ACCME no longer requires providers to quantify the dollar value of in-kind commercial support; instead you must report the nature of in-kind support for activities scheduled for 2011 and beyond. See this Ask ACCME Q&A.
- Copying activities: If you provide the same activity in multiple locations or provide the same activity year after year, you can save time entering data about these activities by using the new copy function in PARS. See this Ask ACCME Q&A.
- Deleting activities: You now can delete more than one activity at a time. See this Ask ACCME Q&A.
- Multiyear commercial support: We have clarified our instructions for designating commercial support for multiyear activities. See this Ask ACCME Q&A.
- Activity summary: You can download a PDF summary of your closed activities for the year, including the types of activities, numbers of participants, hours of instruction, and financial data. To access this function, click on the Activities tab, and then click on Download Summary of Closed Activities, which appears under Organization on the left-hand navigation bar.
Ongoing PARS help: PARS Release Notes offers a brief, up-to-date summary of the enhancements we have made, with links to relevant FAQs, for your quick reference. To access our online library of PARS educational resources, including video tutorials and FAQs, visit Ask ACCME and click on ACCME's Program and Activity Reporting System (PARS) for a drop-down list of PARS topics. In addition, after you have logged into PARS, you can click on Help at the top of each screen or the question marks (?) on each page to receive assistance. If you have any questions, please contact firstname.lastname@example.org.
Tips and Tools
Compliance Reminders from Recent Accreditation Reviews
As we conduct accreditation reviews we seek to identify recurring issues that need to be brought to the accredited provider community’s attention for correction. We bring the following examples and resources to your attention in order to support your efforts to meet ACCME requirements.
- Ensuring Independence in CME about Discovery/Research: The ACCME recognizes that it is important for accredited CME to include reporting about discovery and research and appreciates that providers face complex challenges when determining how to integrate this content into accredited CME while safeguarding independence. The ACCME has issued guidance for these circumstances. If you include employees of ACCME-defined commercial interests as faculty or planners in accredited activities that address the commercial interest’s research, you must have a rigorous system of internal controls in place to ensure independence—or you will be found in noncompliance with Criterion 7 (Standard for Commercial Support 1.1–Independence). For more information, please see the following resources:
"Can accredited CME include the oral (e.g., presentations) or written reporting (e.g., abstracts) of 'scientific research' conducted by ACCME-defined commercial interests that is reported by employees of those commercial interests?" A written Q&A.
"What do I need to know about the role of employees of commercial interests in the planning and delivery of continuing medical education activities?" A video with Murray Kopelow, MD, ACCME Chief Executive
**The item below is dated material. For current information, please see the Compliance Reminders from Recent Accreditation Reviews.**
- Optional Links in Internet-based CME: If you use optional links in electronic CME activities that allow learners to go directly to the CME content and bypass information that you are required to give to learners prior to their engagement with the activity, such as disclosure of relevant financial relationships, receipt of commercial support, and other Internet or enduring material-related information, you may be found in noncompliance with Criterion 7 (Standard for Commercial Support 6–Disclosures Relevant to Potential Commercial Bias) and the enduring material and Internet-based CME policies. For more information, please see the following resources:
Getting the Most Out of the ACCME Redesigned Web Site
As we previously announced, we launched our redesigned Web site in February. The site’s restructuring incorporates feedback we received from our Web site users and the purpose of the redesign is to offer a more user-friendly resource with improved navigation, organization, content, and design. We appreciate the feedback we have received since the launch, and welcome your continued feedback and questions. You can use the Contact Us function in the Web site or send an e-mail to email@example.com
Here are a few new site features that may be of particular assistance.
- Search: use the Advanced Search feature on the top right of every Web page to quickly find what you need. In addition to the list of search results, you will see a box titled Filter by Content Type on the right-hand side of the screen. You can then choose what types of information you are looking for, such as Q&A, tutorials, or news releases.
- Related information: When you do a search or view a Web page, make sure to look on the right-hand side of the screen for a list of related resources and Q&A.
- Compendium of Compliance and Noncompliance Examples: There are several ways to access the compendium of examples drawn from the accreditation review process. Click on the Requirements link, available from the top right of each Web page, then click on Accreditation Requirements for CME Providers on the left-hand navigation bar, and you will see a drop-down menu including Examples of Compliance & Noncompliance. You can also hover over (without clicking) the For CME Providers tab and when you see the gray box, click on Provider examples under Resources.
Education and Outreach
ANCC Hosts Standards for Commercial Support Users Group Meeting
The American Nurses Credentialing Center (ANCC) hosted a Standards for Commercial Support Users Group meeting on February 21. The meeting followed up on discussions the participants held in August about the role of accreditors in supporting data collection for the Food and Drug Administration's (FDA) Risk Evaluation and Mitigation Strategy (REMS) for long-acting and extended-release opioids. Murray Kopelow, MD, ACCME Chief Executive; and Kate Regnier, MA, MBA, ACCME Deputy Chief Executive and COO, represented the ACCME. In addition to the ACCME and ANCC, participating organizations included the Accreditation Council for Pharmacy Education, the American Academy of Family Physicians, the American Academy of Physician Assistants, the Association of Regulatory Boards of Optometry, and the Food and Drug Administration.
The Standards for Commercial Support Users Group Meetings bring together leadership from accrediting organizations to discuss strategies for ensuring the independence of continuing education in health care and related fields.
FDA information about the opioid REMS, including links to the FDA draft blueprint, letter to manufacturers, and frequently asked questions, is available here. The ACCME comment in support of the blueprint is available here. Previously, the ACCME issued a news release, Q&A, and an audio commentary by Dr. Kopelow regarding the role of accredited CME in the REMS for opioid medications. In May 2011, continuing health care education leadership organizations issued a joint news release to express their support for the opioid REMS.
ACCME Participates in ACEHP Webinar
The ACCME participated in a webinar titled "Connecting Your CE Practice to External Requirements," held March 6 by the Alliance for Continuing Education in the Health Professions. The purpose of the webinar was to describe the value of interprofessional education and discuss the benefits of accreditation by the ACCME, the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC). Steve Singer, PhD, ACCME Director, Education and Outreach, gave an overview of the ACCME accreditation requirements and process, as well as describing the materials and resources available on the ACCME Web site to assist providers. He was joined by panelists from the ACPE and the ANCC who explained their accreditation systems, requirements, processes, and resources.
For Your Reference
- "Continuing Medical Education and Quality Improvement: A Match Made in Heaven?" by Kaveh G. Shojania, MD; Ivan Silver, MD, MEd; and Wendy Levinson, MD, published in the Annals of Internal Medicine, February 21, 2012, provides ideas for how to integrate CME and QI. In a comment, the ACCME applauded the authors' recognition that the integration of CME and QI offers the opportunity to improve health care quality, described the role of the Accreditation Criteria in supporting this integration, and discussed the efforts CME providers are making to collaborate with institutions, health systems, and communities to achieve common goals for quality improvement. (Subscription or purchase is required to access the full article.)
- "Are Continuing Medical Education Activities Effective in Improving the Competence and Performance of Clinicians?: Evidence from Activities for Primary Care Clinicians Who Manage Patients with Acute Coronary Syndromes" by Janardhan Sampath, PhD; Derek T. Dietze, MA, FACME, CCMEP; Peter P. Toth, MD, PhD; Christopher P. Cannon, MD; and Stephanie A. Breslan, MS, was published in Critical Pathways in Cardiology, March 2012. The article identifies professional practice gaps among clinicians regarding the treatment of myocardial infarction, and discusses outcomes research demonstrating that CME activities significantly improved physicians' knowledge, competence, confidence, and performance resulting in better outcomes for patients with coronary artery disease. (Subscription or purchase is required to access the full article.)
In Case You Missed It
The ACCME Report Info