Continuing Medical Education Program

1. Continuing Medical Education Program

2. The University of South Carolina School of Medicine-Palmetto Health Continuing MedicalEducation Organization • The University of South Carolina School of Medicine-Palmetto Health Continuing MedicalEducation Organization is accredited by the national Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of South Carolina School of Medicine-Palmetto Health Continuing Medical Education Organization designates all live activities for a maximum of ____ AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. • The mission of the USCSOM–Palmetto Health CME Organization is committed to developing, implementing, managing and evaluating high quality continuing medical education activities to enhance physicians’ competence and performance in the ACGME/ABMS general competency areas; to meet regulatory and institutional requirements; and to stimulate life-long learning. The USCSOM–Palmetto Health CME Organization collaborates with organizations and key individuals who have a direct stake or interest in the development and outcome of CME activities. These include, but are not limited to, quality improvement offices, institutional leadership and health-related state agencies.

3. What Drives CME Topics? • HCAPS – Hospital Care Quality Information from the Consumer Perspective. • CMS – Centers for Medicare and Medicaid Services. • State Quality Initiatives and Identified Hospital Gaps • Specific Needs as Identified by Department • National and State Emergencies • Administrative Needs – certification courses

4. Hospital Quality Goals • Hospital Infections – UTI, Sepsis, SCIP, MRSA • HCAHPS Ratings • AMI • CHF • CAP • “Reduction of Patient Re-Admissions” through education of best practices.

5. State and National Initiatives • IHI Campaign • Palmetto Health Hand-washing Campaign • Joint Commission on Accreditation of Healthcare Organizations (JCAHO) • Centers for Medicaid and Medicare Services (CMS)

6. Administrative Needs • Infection Control Education • ICD-10 Coding • Electronic Medical Records

7. Department Needs (examples of CME courses available in 2013) • Fetal Heart Rate Monitoring • Intrapartum Monitoring and Antenatal • Diabetes and Pregnancy • Minimally Invasive GYN Surgery • New Drug Updates • Psychiatric Drug Update • Surgical Safety Initiative • Diabetes Care Management

8. National and State Issues • Legal and Ethical Issues • Communication with Patients and Staff • Recommendations from the Centers for Disease Control and Prevention (CDC). • DHEC Flu Updates and Preparedness Recommendations.

9. What’s New on our website?www.PalmettoHealth.org/PHBCME • On-Line CME Activities - AMA PRA Category I credits™ included! • Performance Improvement CME • On-Line Point Of Care

10. On-Line CME Library • USC SOM–PH activities now available on CME website. • Simple on-line test with presentation slides available.

11. On-Line CME Library New Activities available monthly to maintain your CME Credits.

12. Performance Improvement CME(PI CME) 5 + 5 + 5 = ?

13. Performance Improvement CME(PI CME) 5 + 5 + 5 = 20 AMA PRA Category 1 Credits™ Performance Improvement Activity For physicians designing and implementing a performance improvement project in their practice.

14. PI CME • PI CME consists of the four parts: 1. PICME Application 2. Stage A = 5 AMA PRA Credits™ 3. Stage B = 5 AMA PRA Credits ™ 4. Stage C = 5 AMA PRA Credits ™ * Once Stages A, B and C are complete, you will be awarded. = 5 AMA PRA Credits ™ STAGE C: Re-evaluate and reflect on performance STAGE A: Assess Current Practice STAGE B: Conduct intervention based on assessment

15. PI CME • STAGE A:Learning from current practice performance assessment Assess current practice using identified performance measures, either through chart reviews or some other appropriate mechanism. Participant physicians should be actively involved in data collection and analysis.

16. PI CME • Stage B: Learning from application of PI to patient care Implement an intervention based on the performance measures selected in Stage A, using suitable tracking tools (e.g., flow sheets). Participating physicians should receive guidance on appropriate parameters for applying an intervention and assessing performance change, specific to the performance measure and the physician’s patient base (e.g., how many patients with a given condition, seen for how long, will produce a valid assessment?).

17. PI CME Stage C:Learning from the evaluation of the PI effort Re-evaluate and reflect on performance in practice (Stage B), by comparing to the assessment done in stage A. Summarize any practice, process and/or outcome changes that resulted from conducting the PI activity.

18. PI CME • Performance Improvement (PI) CME projects are structured, long-term processes. • Physician or group of physicians can learn about specific performance measure and retrospectively asses their practice, apply these measures and re-evaluate their performance. • Measures must be evidence based and well designed (e.g., clearly specify required data elements, data collection is feasible). • PI activities may address any facet (structure, process or outcome) of a physician's practice with direct implications for patient care.

19. PI CME • Each PI CME Application must be reviewed and approved through Trans-Campus CME Committee. • Application available on the CME Website. www.palmettohealth.org/phcme/forms

20. Internet POINT of CARE (PoC) - • Structured, self-directed, online learning by physicians on topics relevant to their clinical practice. • Driven by a reflective process in which physicians must document their clinical question on a short Survey Monkey questionnaire. • Sources referenced should be from approved reference sites as listed on the PHB CME website and available through PHDOC.

21. Internet POINT of CARE (PoC) • Participating physicians must \: (Form will soon be available on PHB CME Website.) • Document original clinical question(s). • Identify the relevant sources from among those consulted, • Describe the application of their findings to practice. • Physicians conducting structured online searches on clinical topics may claim (0.5) AMA PRA Category 1 Credit™ for documented completion (either at the point of care or later) of the three step learning cycle defined above. • Easy to fill out PoC forms on the CME website with links to approved research sites, such as ZynxEvidence, (available through PH Doc.)

22. The University of South Carolina School of Medicine-Palmetto Health Continuing MedicalEducation Organization Website: www.PalmettoHealth.org/PHCME Visit our website for these and other benefits: • Schedule of upcoming live CME activities. • Register for live CME activities. • Application available for PI CME. • Application for Joint Sponsorship activities, such as symposium requests or regularily scheduled conferences. • Point of Care (PoC) on-line form. • Print your personal CME Transcripts.

23. Questions?Thank you For more information: Pamela D. Stephens Morris J. Blachman PhD CME Manager PH Associate Dean – tele: 803/296-2795 CPD & Strategic Affairs tele: 803/434-4211 Emily Clark, MHA Teri Evans, CCMEP CME Coordinator PH CME Manager USCSOM – tele: 803/296-5537 -tele: 803/434-4203