Brooke J Taylor MPH Director CME Beaumont Health August 12 2016 Background How long have you been involved with CME lt1 year 13 years 35 years gt5 years gt10 years 892016 2 ID: 1034239
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1. Regularly Scheduled SeriesBrooke J. Taylor, MPHDirector, CMEBeaumont HealthAugust 12, 2016
2. BackgroundHow long have you been involved with CME?<1 year1-3 years3-5 years>5 years>10 years8/9/20162
3. BackgroundHow many regularly scheduled series does your organization certify each year?<1011-3031-50>50Beaumont Health 2016(8 hospitals)260+ RSS4,000+ individual sessions!
4. BackgroundWhich type of credit do you certify your RSS for?AMA PRA Category 1 (allopathic) – MSMSAOA (osteopathic)8/9/20164Beaumont Health 2016(8 hospitals)240+ RSS – Allopathic CME20+ - Osteopathic 1-B
5. DisclaimersThe information presented here relates to the ACCME/MSMS requirements for allopathic CME only.I serve on the Accreditation Review Committee for the ACCME and Accreditation Committee for MSMS. However, this presentation reflects my own views and interpretations of the accreditation requirements.8/9/20165
6. RSS Defined1) a series with multiple sessions that 2) occur on an ongoing basis (offered weekly, monthly or quarterly) and3) are primarily planned by and presented to the accredited organization’s professional staff.Examples: Grand Rounds, Tumor Boards, Case Conferences, Journal Clubs, M&M Conferences.Source: ACCME
7. DocumentationDoes the ACCME have special accreditation requirements that apply ONLY to Regularly Scheduled Series (RSS)?YesNo8/9/20167
8. DocumentationDoes the ACCME have special accreditation requirements that apply only to Regularly Scheduled Series (RSS)?8/9/20168
9. Professional Practice Gaps“Do we need to have a unique professional practice gap for each session of a Regularly Scheduled Series (RSS)?” YesNo8/9/20169
10. Professional Practice Gaps“Do we need to have a unique professional practice gap for each session of a Regularly Scheduled Series (RSS)?” 8/9/201610
11. Example: Tumor Board“Surgeons often encounter difficult cases; this series is designed to reduce the occurrence of morbidity & mortality of tumors and assist our physicians with meeting national guidelines for the treatment of patients with these tumors.”----------------“This tumor board reviews complicated and unusual patient cases. Unnecessary testing and toxicities have been in practice and improvements need to be made. There is a need to develop a multi-disciplinary treatment plan for cancer patients that is current, meets national standards, and incorporates clinical trials when appropriate.”8/9/201611
12. Example: Morbidity & Mortality“This series allows physicians to discuss unexpected or undesirable patient cases in order to identify what happened and try to prevent it from occurring again in the future. Deficiencies in practice are discussed and peer reviewed literature is used to aid in the resolution of clinical problems.”----------------“Occasionally something undesirable or unexpected occurs to a patient cared for in the department of medicine. This meeting is designed to identify what occurred and try to prevent it from occurring again in the future by highlighting real or potential quality problems. Cases are chosen from those tracked through QA mechanisms - problem cases identified by "variances" autopsies or random chart review.”8/9/201612
13. Example: Grand Rounds“Topics run the gamut of problems that impact medical practice and are chosen due to significant changes or improvements important to internists. Internists often have difficulty identifying and incorporating best practices.”----------------“Emergency Medicine physicians often see patients presenting with challenging and uncommon disease states and don't always know the best course of treatment.”8/9/201613
14. Evaluations“Do we need to evaluate every session of a Regularly Scheduled Series (RSS)?”YesNo8/9/201614
15. Evaluations“Do we need to evaluate every session of a Regularly Scheduled Series (RSS)?”8/9/201615
16. RSS in PARSReport each series as one activity. Report the number of hours as the cumulative number of hours for all sessions within the series.Example: Internal Medicine Grand Rounds meets weekly for one hour/week. In PARS, the series would be reported as one activity with 52 hours of instruction. Each physician is counted as a learner for each session he/she attends in the series. Example: If 20 physicians attend each session = 1,040 physician participants (20 physicians/session x 52 sessions).8/9/201616
17. ReaccreditationPerformance-in-Practice2 options:Structured AbstractLabelsMust use only 1 approach8/9/201617
18. LabelsLabel documents within your selected activity files to demonstrate compliance with each of the ACCME requirements.8/9/201618
19. 8/9/201619
20. LabelsC7A list of all individuals in control of content of CME activity and specify their role (e.g., planner, faculty, reviewer).C7Relevant financial relationships that individuals in a position to control the content of CME disclosed to the provider. (SCS 2.1)C7Verification of the implementation of our mechanism(s) to identify and resolve conflicts of interest prior to the start of the activity. (SCS 2.3)C7Verification that disclosure of relevant (or no) financial relationships was made to learners prior to the beginning of the activity. (SCS 6.1-6.2, 6.5)8/9/201620List individuals for ALL Sessions for ENTIRE seriesShow documentation for ALL Sessions for ENTIRE seriesIf applicable, place multiple labels on each document – for example, a completed disclosure form might include 2+ labels
21. Reaccreditation AbstractComplete the abstract form for each activity.Complete all sections applicable for the activity and assemble attachments. FOR RSS: Submit evidence for the ENTIRE series, not just for a single session or a sampling of sessions. The entire series is the activity.8/9/201621
22. 8/9/201622
23. DisclosureList all individuals involved for the entire series8/9/201623
24. Abstract Attachments8/9/201624Attachment 1: Activity Topics/ContentDateTopicSpeaker1/6/16Updates in Diabetes ManagementTim Johnson, MD2/5/16Osteoporosis for the Primary Care ProviderJan Jones, DO3/6/16Integrative MedicineJim Smith, MD
25. Abstract AttachmentsAttachment 2: Form, tool, or mechanism used to identify relevant financial relationships for all individuals in control of content.****Make sure your form/tool/mechanism includes the current definition of a commercial interest**** “…any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.”8/9/201625
26. Abstract AttachmentsAttachment 3: Evidence of resolving conflicts of interest****include documentation how you resolved conflicts for every applicable session within the activityAttachment 4: evidence that disclosures were communicated to learners****show documentation of communication of disclosures to attendees for each session of the series8/9/201626
27. Abstract AttachmentsAttachment 5: data or information generated about changes in learners’ competence, performance, or patient outcomesAttachment 6: ACCME accreditation statement that was provided to learners8/9/201627
28. Commercial Support?Attachment 7: income and expense statement detailing receipt and expenditure of supportAttachment 8: executed letters of agreementAttachment 9: evidence of disclosure of commercial support provided to learners8/9/201628
29. Questions?Brooke Taylorbrooke.taylor@beaumont.edu248-551-09088/9/201629