>>KOPELOW: A fundamental construct of the ACCME requirements is that it’s an algorithm for change and improvement. It’s the PDSA cycle, both for you as accredited provider, and for the learners and for the activities that you present for them. That you plan activities, you do them, then you study their effectiveness, and you act to change and improve. That’s what we ask of you as an accredited provider; that’s what the healthcare system asks of your professionals. You’ve aligned requirements.
In the world that you live in, there’s problems that need to be fixed and somebody’s going to try to address, to determine whether or not there’s an educational solution to the problems. And you need to participate in that process. And when there’s an educational solution is thought to be present the question for you is: Are your learners involved? Once the answer is yes to those three things, the algorithm says you launch into the accreditation process, into the educational planning process, as described by the accreditation requirements: you identify a professional practice gap; you try to determine why that gap exists; try to identify what it is that you want to change; and then you evaluate whether you were effective in making those changes.
The process of evaluation starts with Criterion 11. Were you effective? You analyze changes in your learners in the context of competence, performance and patient outcomes. The changes that you achieved in your program, in individual activities and in the sum total of your whole program of continuing medical education. We need you to do this evaluation in the context of changes in competence, performance and patient outcomes. The changes that you achieve as a result of your continuing medical education program. And our data shows that you can do this. That whether we look at the percentage of activities, the hours of instruction, the percentage of learners that virtually 100 percent of the accredited providers are getting compliance with this criteria by measuring changes in competence. Thirty-five percent of the accredited providers are measuring changes in performance. Twenty to 25 percent are moving to measuring changes in patient outcomes. Across the whole system across all the parameters you’re analyzing change and analyzing for change as the results of your activity.
So, you’ve got data across all the activities of your program and you take that information and in the context of Criterion 12 you analyze whether or not your mission has been met. You’ve got the elements of your own mission that you’ve determined are important to you and we say at the ACCME that you need to ensure that expected results are part of your mission statement. And we ask that you evaluate whether or not you were effective in producing the changes that you tried to achieve.
Criterion 13 says you take this measure of success of your whole program that you’ve studied and now it’s time to act, to bring change to bear. And we want you to identify, plan and implement changes that you’ve identified that are needed in your overall program of continuing medical education, to get the results that you want that you’ve articulated in your mission. And remember it isn’t just changes in the educational activity itself. You can change things with your planners, your teachers, your infrastructure, the methods that you’ve use, the resources that you have to bear, the facilities and the interventions that you’ve chosen. There’s a number of different places where you can do changes in interventions in order to improve your ability to meet your mission.
And that’s the question: Have you improved and are you doing the best that you can in your program of continuing medical education? It’s a self-study. You start with a self-study report, you do a self-study. You live that self-study through your term of accreditation. You plan activities, you do them, you study whether or not your program has been effective and you act to put improvements in place that you find to be necessary to meet your own mission for your accredited continuing medical education program.
This is a transcript of Improving Your CME Program: Criteria 11-13 & the Plan-Do-Study-Act Improvement Cycle http://www.accme.org/education-and-support/video/tutorial/improving-your...
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