Build Your Own Best Practice- Strategies for Success Pam Beaton, CHCP, FACEHP
What can you bring to the table?
What are you cooking with?
Criterion 2 The provider incorporates into CME activities the educational needs (knowledge, competence, or performance) that underlie the professional practice gaps of their own learners.
What are needs and gaps? • A gap is “the difference • Need for knowledge- not between health having information or being care processes or outcomes observed in aware practice, and • Need for competence- not those potentially having a strategy, skill, achievable on the basis of current professional attitude, or know-how knowledge.” • Need for performance- not • When there is a gap taking action or doing on between what the the job professional is doing or accomplishing compared to what is “achievable on the basis of current professional knowledge,” there is a professional practice gap .
Break it on down Example: • Firefighters need to run up these five flights of stairs, in 10 minutes, wearing 50 lbs of equipment. • If they can’t do it, it’s a gap. • Needs- more strength training, more speed training, more climbing stairs training.
Criterion 3 The provider generates activities/educational interventions that are designed to change competence, performance, or patient outcomes as described in its mission statement.
What are outcomes? • Competence outcome- seeing change in attitude, skill, strategy, or ability • Performance outcome- doing something on the job new or differently • Patient care outcome- Seeing change in patients, quality, or safety of care
What are the outcomes for our firefighters? At the end of this training, firefighters will be able to: • Run up 5 flights of stairs, wearing 50 lbs of equipment, in under 10 minutes. • Save lives • Look good in calendars
How Do YOU Document? Practice Educational Learning Instructional Sources Core Barriers to Gap Need Objective Strategy Competency Change (Criterion (Criterion 2) (Criterion 3) (Criterion 4) (Criterion 6) 2) Participants Faster, Run up 5 Speed http://www.ny • Work in Women have can’t meet stronger, better flights of training, times.com/20 interdiscipl lesser the stairs with weight 00/02/03/nyr inary strength and speed/weig weight under training, egion/despite teams may not be ht/stairs time stairs training -recruiting- • Systems- able to requiremen few-women- based complete the t do-well-in- practice required firefighter- components tests.html Participants • Look good Lack of the do not in ability to turn know how calendars left to pose • Do runway shows for fire gear
Requirements vs. Good Practices Recipe vs. winging it
What can you add? • Bloom’s Taxonomy • Moore’s Levels of Outcomes • Assessment Methods • Question Writing Guidelines MCQ Skills Checklist Evaluation Assessment
Adding to our grid…. Blooms Moore’s Level Assessment Method Taxonomy Lift 50 lbs Level 5- Skills checklists Performance Run in under 10 minutes Sprint 10 flights of stairs Implement Level 4- Intent to change- evaluation smize strategies Competence
Analyzing changes in learners
Criterion 11 The provider analyzes changes in learners (competence, performance, or patient outcomes) achieved as a result of the overall program’s activities/educational interventions
What is an activity evaluation? • A manner in which to assess physician change due to the activity. • An assessment of change is required for each CME activity. The information is then analyzed by the CME provider in the context of the overall program’s effectiveness. • The provider must analyze the entire scope of activities, not just collect data. What worked? What didn’t (besides food, temperature, or the guy snoring)? Were your activities effective? Did you change C, P, or PO?
Analyzing changes in learners
Overall Program Evaluation (C12-13) What is it? • Looking at a provider’s overall CME program as a "process" designed to support physicians' learning and change. • It is a chance to see the extent to which a provider has been successful in meeting their mission through their CME activities. • Provides an opportunity to assess the strengths, weaknesses, and challenges of the overall program What do you do with it? • Develop an improvement plan and determine the goals/future direction • Determine the outcome of the changes implemented • Determine whether or not you need to modify your mission statement.
Overall Program Evaluation Areas for Improvement Plan(s) for Impact of improvements Plan(s) for Implementation on ability to meet CME mission Updated honoraria and Align- was meeting Ensuring consistent reimbursement policy specific, made universal application across all CME activities Updated evaluation Evaluation While the modification to mechanism mechanism was revised to the better assess learners’ evaluation mechanism has changes in practice, asking allowed about specific changes for more qualitative data, it related to the content will be areas. In addition, the further refined to better evaluation asks about assess barriers and potential quantitative data, making topics analysis to address gaps in easier for staff and practice. leadership. Identification and resolution of conflicts of
What else impacts our kitchen?
True or false? Providers will not be found out of compliance with the SCS if they don’t accept commercial support.
True or false? It’s okay for a commercial interest to require you to provide faculty names so they can be sure that the faculty is experienced enough on the topic.
True or false? Faculty members only have disclose relationships with the commercial supporters of the activity.
True or false? If a faculty attests that they will use best available evidence and adhere to your content validation policies, their conflict is resolved.
True or False? If you don’t accept commercial support, you don’t need honoraria and reimbursement policies.
True or False? You can’t have exhibit tables on the way to the education room.
True or false? If a company provides equipment support (such as an ultrasound machine), they don’t need to sign a Letter of Agreement
True or false? If a company provides equipment support, they can have an exhibit table for free.
True or false? When you disclose commercial support on your website prior to your activity, you can use logos.
True or false? If none of your CME committee have relevant financial relationships, you only need to disclose faculty relationships.
Questions?
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