Criterion 21: #49904

Finding: 
Compliance
Published Date: 
February 13, 2013

The CME program is closely tied to performance improvement initiatives in the organization and has outcomes and performance improvement managers on the CME advisory committee.  The Director of CME is also a member of the health system's Patient Safety Committee and Performance Improvement Council.  A focus group consisting of CME, performance improvement, and patient safety representatives developed a system framework to embed quality improvement and data-driven outcomes into all CME activities as well as to enhance ongoing performance improvement initiatives.  The provider requires that 25% of its RSS activities must be based on needs derived through the quality assurance /quality improvement process, and performance improvement activities provide a framework for quality improvement.

 

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