Education and Outreach
Registration Open for Summer CME as a Bridge to Quality™ Accreditation Workshop
CE Accreditors Hold Joint Accreditation Focus Group
Summary Published of Interprofessional Accreditation Meeting
ACCME Participates in ABMS, AHA Meetings
ACCME Presents at CME Provider Meetings in Florida, Pennsylvania
MedBiquitous Annual Conference Includes Presentation about ER/LA Opioid Analgesics REMS
ACCME Presents at 2013 AIAMC Annual Meeting
In Case You Missed It
The ACCME Report, March 21, 2013; New Videos: How CME Can Support Health Care Professionals’ Continuing Professional Development; Video Interviews: How a Medical Education Company Supports Quality Improvement and CME Research
We appreciate the efforts made by ACCME-accredited providers to use the Program and Activity Reporting System (PARS) to fulfill the ACCME’s year-end reporting requirements by the deadline of March 29. We are currently reviewing the data submitted and will contact providers as needed with questions.
As a reminder, PARS is always open and ACCME-accredited providers are welcome to enter data for activities scheduled through 2014. We encourage you to enter your PARS data as you plan and implement your CME activities, rather than waiting until the annual deadline. You can enter basic information about an activity before it has taken place and complete the entry after the activity. Visit About PARS for more information and links to educational resources.
PARS Adapted for Intrastate Accreditation System
In 2012, at the request of Recognized Accreditors, the ACCME Board of Directors approved budget allocations enabling the ACCME to adapt PARS for use by the intrastate accreditation system. Twenty-one Recognized Accreditors chose to use PARS to collect 2012 accreditation and annual report data from their providers. Read about how Illinois State Medical Society (ISMS) providers successfully made the transition in “PARS Implementation a Success,” published in the Spring 2013 issue of The Accreditor, an ISMS publication.
Tips and Tools
When 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.
- Commercial interest definition: The ACCME expanded the definition of commercial interest in 2007. The current definition reads: “A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.” Please make sure you use the current definition in your policies and forms, including disclosure forms. Failure to use the full definition could cause your organization to partner with an ACCME-defined commercial interest; collect incomplete information related to the relevant financial relationships of those in control of content, and therefore not resolve all conflicts of interest; and/or not disclose all relevant financial relationships to learners. This could lead to one or more noncompliance findings in Criterion 7 (Standards for Commercial Support 1, 2, and 6).
- Resolution of personal conflicts of interest: When obtaining disclosures from all those in a position to control the content of a CME activity, make sure to ask for information about all relevant financial relationships— not significant financial relationships. The ACCME defines relevant financial relationships as financial relationships in any amount. The word significant suggests an amount of relative value, rather than an amount of any value. Therefore, if you use the word significant, you may not obtain information about all the relationships the ACCME deems relevant, as required by Standard for Commercial Support 2.1. In addition, make sure that you explicitly request disclosure of the relevant financial relationships of the spouses or partners of everyone in a position to control CME content.
- Independence: Accredited providers are prohibited from allowing commercial interests to control CME content by influencing decisions made about faculty, including faculty selection, and by providing assistance in the preparation of activity materials. If you have a policy that allows you to accept guidance from commercial interests, and you act on that policy, you will be found in noncompliance with Criterion 7 (Standard for Commercial Support 1.1).
- 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 your organization will be found in noncompliance with Criterion 7 (Standard for Commercial Support 1.1–Independence).
For more information, including links to tools, sample forms, and FAQs please see Resources for Implementing the Standards for Commercial Support.
- Video FAQ with Murray Kopelow, MD, ACCME President and CEO: How Can I Make It Easier to Engage My Stakeholders in the Planning of Accredited CME Activities?
- Video interview with Ginny Jacobs, Director, Office of CME, University of Minnesota: The Role of Physician Volunteers in CME
- Tutorial: Positioning Your CME Program for Organizational Impact
Visit the Education section of our Web site to access our complete library of multimedia education resources including Q&A, tutorials, and commentaries.
Education and Outreach
Registration is now open for the ACCME's 2013 CME as a Bridge to Quality™ Accreditation Workshop scheduled for July 31-August 2. As we have done in previous years, we will hold a "Self-Study for Accreditation" session in conjunction with the workshop. We have invited providers whose next accreditation decisions are scheduled for July 2014, November 2014, and March 2015. If you are in one of those decision cohorts and you have not received information about the self-study sessions, please contact Saifra Khan, Coordinator, Education and Outreach, at skhan@accmeorg.
Designed for all levels, from CME novices to masters, 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.
The ACCME and its colleague accreditors, the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), hosted a focus group for jointly accredited continuing education (CE) providers in April at the ACCME’s offices in Chicago. The meeting brought together CE providers that have achieved joint accreditation to discuss the benefits, opportunities, and challenges of the joint accreditation process. Participants also offered suggestions for evolving the process and shared best practices for developing interprofessional CE in support of interprofessional collaborative practice.
The joint accreditation process was launched in 2009 by the ACCME, ACPE, and ANCC in order to streamline the process of accreditation and promote interprofessional education by and for the health care team. The ACCME, ACPE, and ANCC have been collaborating for 15 years. The joint accreditation initiative is part of the ACCME’s long-standing commitment to advancing interprofessional education and collaboration with other continuing education accreditors.
To date, nine CE providers have achieved joint accreditation:
- Cine-Med, Inc.
- Creative Educational Concepts, Inc.
- Creighton University School of Medicine
- Duke University Health System
- Federal Bureau of Prisons, Health Services Division
- Institute for Healthcare Improvement
- National Committee for Quality Assurance
- North American Center for Continuing Medical Education
- VHA Inc.
For more information about joint accreditation, please see the following resources:
- Joint Accreditation Web Page: History, Definition, Eligibility Requirements, and Overview
- News Release: Continuing Education Accreditors Award Joint Accreditation to Support Team-Based Patient Care
- News Release: Continuing Education Accreditors in Nursing, Pharmacy, and Medicine
- Presentation: The Positive Impact of Interprofessional Education on Outcomes, ACEHP Annual Meeting, January 2012
The ACCME and its colleague accreditors, the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), hosted “Interprofessional Accreditation in Support of Interprofessional Education: An Exploratory Meeting of Accreditors” in February at the ACCME’s offices in Chicago. We have published a summary of the meeting on our Web site.
The ACCME participated in the following meetings during the past few months as part of its ongoing collaboration with member organizations. Through joint leadership initiatives, the ACCME and member organizations identify and implement strategies for improving physicians' continuing professional development and patient care.
- Murray Kopelow, MD, ACCME President and CEO, participated in an American Board of Medical Specialties Maintenance of Certification® Committee meeting held in March in Chicago. The ACCME has provided ongoing support for the ABMS MOC® initiative. Dr. Kopelow also participated in the ABMS Spring National Forum, held in April in Washington, DC. The ABMS is an ACCME member organization.
- Dr. Kopelow and Kate Regnier, MA, MBA, ACCME Deputy Chief Executive and COO, participated in a meeting of the Lifelong Physician Development Stakeholder Workgroup convened by the American Hospital Association (AHA) in April in Chicago. The AHA is an ACCME member organization.
The ACCME participated in the following CME events in April. This participation is part of the ongoing support the ACCME provides for the intrastate accreditation system and for Recognized Accreditors (state/territory medical societies recognized by the ACCME as accreditors of local CME providers).
- Marcia K. Martin, Manager, Provider Education and Outreach, ACCME, gave a presentation at the 2013 Florida Medical Association (FMA) CME Providers Conference. Ms. Martin provided an update on the ACCME’s strategic discussions with stakeholders regarding simplifying and evolving the accreditation standards, process, and system. She described how CME providers can create an educational home for their learners and how they can become responsive leaders, meeting the needs of various stakeholders, including their organizations, health care systems, care teams, communities, the government, and the public. Ms. Martin also participated in a panel discussing case examples of compliance and noncompliance with the accreditation requirements.
- Steve Singer, PhD, Director, Education and Outreach, ACCME, gave a presentation at the Pennsylvania Medical Society’s (PAMED) 2013 CME Accreditation Conference. He described the role of CME in advancing interprofessional practice and addressing local and national public health initiatives. He encouraged providers to engage with their institutions’ leadership about how accredited CME can support institutional priorities. Dr. Singer described how CME providers can reevaluate their planning processes to ensure they are meeting their learners’ needs and removing obstacles to creating innovative and effective CME.
The MedBiquitous Annual Conference 2013, held in April in Baltimore, included a panel presentation about the role of continuing education in the US Food and Drug Administration (FDA) Risk Evaluation and Mitigation Strategy (REMS) for extended-release and long-acting (ER/LA) opioid analgesics. Kate Regnier, MA, MBA, ACCME Deputy Chief Executive and COO, explained how continuing education accreditors will support data collection and reporting about REMS-compliant CE activities, as mandated by the FDA. The Medical Education Metrics Standard (MEMS) 2.0, created by MedBiquitous, offers a system for collecting data about REMS-compliant CE across the health professions. The ACCME is adapting its Program and Activity Reporting System (PARS) to facilitate this data collection for CME providers that are developing REMS-compliant CE activities. Ms. Regnier also described the scope of the ACCME accreditation system and explained how the accreditation requirements safeguard the independence of ER/LA Opioid Analgesic REMS-compliant CE activities.
For more information about the ER/LA Opioid Analgesic REMS and the issue of opioid abuse, please see the following resources:
FDA Risk Evaluation and Mitigation Strategy (REMS) for Extended-Release and Long-Acting Opioids: This FDA information page includes links to the ER/LA Opioid Analgesic REMS blueprint, Q&A, news release, and other resources.
ER/LA Opioid Analgesics REMS: This REMS Program Companies Web site includes information for CE providers.
Johns Hopkins MedBiquitous Project Supports FDA REMS Initiative Addressing ER/LA Opioid Abuse: This news release explains how MEMS 2.0, created by the MedBiquitous Consortium, will permit data about REMS-compliant CE programs from across the health professions to be successfully aggregated into a single data set describing the entire nation’s accredited CE efforts in support of the FDA’s REMS initiative.
Office of National Drug Control Policy: This White House Web site features information and resources about prescription drug abuse and a link to the 2011 Prescription Drug Abuse Prevention Plan. The plan includes the role of continuing health care education in addressing the national prescription drug problem.
Joint Commission Issues New Sentinel Event Alert: Safe Use of Opioids in Hospitals: The recommendations include education and training for clinicians and staff who care for patients, identifying gaps, and developing improvement strategies.
The ACCME participated in several presentations at the 2013 Alliance of Independent Academic Medical Centers (AIAMC) Annual Meeting held in March in Naples, FL. In his presentation, Murray Kopelow, MD, ACCME President and CEO, described the role of the Accreditation Criteria in fostering change and discussed how federal agencies are incorporating accredited CME into their public health initiatives. Dr. Kopelow explored the “New CPD,” a learner-centric model where health care professionals assess how to improve their practice, create plans to address those needs, and participate in self-directed continuing professional development. CME providers can support the continuing professional development process, he explained, by creating an educational home for their learners. (For more about this topic, see Accredited Continuing Medical Education as an Educational Home to Support Continuing Professional Development,” a video commentary with Dr. Kopelow.) Dr. Kopelow’s co-panelists were Darrell Kirch, MD, President and CEO, Association of American Medical Colleges; and Thomas Nasca, MD, MACP, Chief Executive Officer, Accreditation Council for Graduate Medical Education.
James Burke, MD, Chief Physician Executive, Scottsdale Healthcare, and Chair, ACCME Board of Directors; and Kate Regnier, MA, MBA, Deputy Chief Executive and COO, ACCME, served on a panel about interprofessional continuing education. Dr. Burke discussed how national trends in the health care environment are driving the need for interprofessional training and practice. He described how interprofessional CME initiatives at Scottsdale Healthcare are addressing systems-based practice and performance gaps. Ms. Regnier explained the history, benefits, and eligibility requirements for the joint accreditation process, which was created by the ACCME and its colleague accreditors, the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to promote interprofessional continuing education in support of interprofessional collaborative practice.
- “Continuing Medical Education (CME) Courses for Hospitalists Thrive Online,” by Richard Quinn, The Hospitalist, April 2013, cites ACCME annual report data and includes comments from Murray Kopelow, MD, ACCME President and CEO.
- The ACCME Report, March 21, 2013
- New Videos: How CME Can Support Health Care Professionals’ Continuing Professional Development
- Video Interviews: How a Medical Education Company Supports Quality Improvement and CME Research