Enhanced CME: A Look at the Future

1. Enhanced CME: A Look at the Future Nancy Davis, Ph.D. Director, Division of Continuing Medical Education November 6, 2004

2. New CME Formats • Evidence-based CME • Point of Care/Just-in-time learning • Physician Performance Measurement/QI

3. Evidence-based CME • Assures CME is developed and presented at with best available scientific evidence; physician expertise; and consideration of individual patient.

4. AAFP EB CME Criteria • Key Practice Recommendations • AAFP approved EBM source (comprehensive, systematic review) • Strength of Evidence

5. EB CME Enhanced Credit • 2:1 credit for activities that meet criteria* *Effective January 2005

6. Point of Care Learning • Clinical decision support tools • Point of care/just-in-time

7. Point of Care Learning • Identify the clinical question • Search the evidence for the answer • Implement (or not) with the patient

8. AAFP Prescribed Credit • .5 Prescribed credits per inquiry • 15 credits/year max.*

9. Performance Improvement in Practice • Stage A: Learning from evidence-based measures and current practice performance assessment (5 credits) • Stage B: Learning from the application of interventions to improve performance to patient care (5 credits) • Stage C: Learning from evaluation and re-measure (5 credits)

10. Performance Improvement in Practice—Enhanced Credit • Completion of all three stages—20 Prescribed credits • Maintenance of Certification, Part IV

11. Changing the Credit Metric • Value “high impact” CME • Incentive for “high impact” CME • Added value CME credit

12. The Future • Time-based CME credit---GOING, GOING GONE???? • Emphasis on practice-based, evidence-based learning & quality improvement • New credit metric based on impact on practice

13. The Challenges • Measurable CME value • Mandated CME • Funding for “new CME” • Acceptance by physicians