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  Performance Improvement – Enhancing the Educational Grants Process with Quality Measurement Tuesday, May 12 8:30 am – 12:00 pm San Diego, California
Identifying the Value of Performance Improvement  for CME William A. Mencia, MD VP, Medical Affairs Med-IQ Disclosure Information: Dr. Mencia works for Med-IQ, an organization accredited by the ACCME as a provider of certified CME activities. Med-IQ receives commercial funding in support of the development of its CME activities.
What is Performance Improvement CME?
What is PI? ,[object Object],[object Object]
What PI-CME  is Not ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],American Medical Association.
Quality CME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AAFP Foundation.
Why PI? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History of PI-CME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Davis N. NIQIE. 2008.
What are the Driving Forces  Behind PI-CME? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Is PI-CME the Future of CME? ,[object Object],[object Object],[object Object],2007 CMSS CME Summit.
Establishing the Foundation for  PI-CME
PI-CME – Opportunity for  Aligning Common Goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],American Medical Association.
Meeting ACCME Expectations ,[object Object],[object Object],[object Object],Accreditation Council for Continuing Medical Education. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ABMS Six Core Competencies ,[object Object],[object Object],[object Object],[object Object]
ABMS Six Core Competencies – Relevance to PI ,[object Object],[object Object]
ABMS Maintenance of Certification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Structure of an AMA PI-CME Activity
Performance Improvement Process
What are the Steps for PI-CME? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PI-CME Physicians need to be actively involved in the data collection  and analysis Need to see how they compare not just pre/post, but also versus their peers and national standards
Basic Principles for Improving Patient Care
Stakeholders in Healthcare Delivery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from Addleton RL. Role of CME Professional in PI-CME. 2008.
Five Stages of Physician Learning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Moore, Cervero, & Fox, 2007: Moore, 2007).
Five Stages of Physician Learning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Moore, Cervero, & Fox, 2007: Moore, 2007).
Application to Practice ,[object Object],[object Object],[object Object],[object Object],[object Object]
PDSA Cycle Act –  adopt the change Plan  a change aimed at improvement Do  – carry out a change Study  the results of what we learned P Plan D Do A Act S Study
Focus of QI and PI Adapted from Addleton RL. Role of CME Professional in PI-CME. 2008. Standardize the improvement;  re-start the cycle Institutionalize improvement, re-start the cycle Act Re-measure to assess improvement Assess the impact of the plan Study Implement the interventions identified to improve performance Implement the plan on a pilot basis Do Identify evidence-based measures relevant to the identified practice problem Identify a problem and develop the plan for improvement Plan Performance Improvement (System and Individual) Quality Improvement (Process & System) PDSA Cycle
Performance Measures Performance Measures: Whether or how often a  process  of care or  outcome  of care occurs AMA Performance Measurement Coordinating Council.
Types of Performance Measures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AMA Performance Measurement Coordinating Council.
Designing a PI-CME Grant Request
Basic Requirements of a PI Grant ,[object Object],[object Object],[object Object],[object Object]
Additional Requirements of a PI Grant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Additional Requirements of a PI Grant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Accreditation Requirements ,[object Object],[object Object],[object Object],[object Object]
Collaboration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New Sources of Need ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Davis N. NIQIE. 2008.
New Approach to Objectives ,[object Object],[object Object],[object Object],[object Object]
New Levels of Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Barriers to PI-CME
Barriers to PI-CME ,[object Object],[object Object]
Physician Barriers to PI-CME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Provider Barriers to PI-CME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overcoming Provider Barriers  to PI-CME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank You!
Discussion Questions
What are the differences to PI-CME in the various provider settings?
What are realistic expectations in terms of outcomes for PI-CME? Does it vary by provider type?
What do you consider to be the core components of a PI-CME grant request? Provider perspective? Supporter perspective?
How many providers here have written a PI-CME grant request? How many have been funded?
How many supporters here have funded a PI-CME grant request? Single or multisource?

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CBI Grants West 2009 PI_Enhancing Grants

  • 1. Performance Improvement – Enhancing the Educational Grants Process with Quality Measurement Tuesday, May 12 8:30 am – 12:00 pm San Diego, California
  • 2. Identifying the Value of Performance Improvement for CME William A. Mencia, MD VP, Medical Affairs Med-IQ Disclosure Information: Dr. Mencia works for Med-IQ, an organization accredited by the ACCME as a provider of certified CME activities. Med-IQ receives commercial funding in support of the development of its CME activities.
  • 3. What is Performance Improvement CME?
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. Structure of an AMA PI-CME Activity
  • 19.
  • 20. PI-CME Physicians need to be actively involved in the data collection and analysis Need to see how they compare not just pre/post, but also versus their peers and national standards
  • 21. Basic Principles for Improving Patient Care
  • 22.
  • 23.
  • 24.
  • 25.
  • 26. PDSA Cycle Act – adopt the change Plan a change aimed at improvement Do – carry out a change Study the results of what we learned P Plan D Do A Act S Study
  • 27. Focus of QI and PI Adapted from Addleton RL. Role of CME Professional in PI-CME. 2008. Standardize the improvement; re-start the cycle Institutionalize improvement, re-start the cycle Act Re-measure to assess improvement Assess the impact of the plan Study Implement the interventions identified to improve performance Implement the plan on a pilot basis Do Identify evidence-based measures relevant to the identified practice problem Identify a problem and develop the plan for improvement Plan Performance Improvement (System and Individual) Quality Improvement (Process & System) PDSA Cycle
  • 28. Performance Measures Performance Measures: Whether or how often a process of care or outcome of care occurs AMA Performance Measurement Coordinating Council.
  • 29.
  • 30. Designing a PI-CME Grant Request
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 40.
  • 41.
  • 42.
  • 43.
  • 46. What are the differences to PI-CME in the various provider settings?
  • 47. What are realistic expectations in terms of outcomes for PI-CME? Does it vary by provider type?
  • 48. What do you consider to be the core components of a PI-CME grant request? Provider perspective? Supporter perspective?
  • 49. How many providers here have written a PI-CME grant request? How many have been funded?
  • 50. How many supporters here have funded a PI-CME grant request? Single or multisource?

Hinweis der Redaktion

  1. Change from 5 patient charts to patient charts