American Osteopathic Association, Council on Continuing Medical Education

1
American Osteopathic Association, Council on
Continuing Medical Education

• CME 101 Session for New CME Administrators
• 
  Delores J. Rodgers, Secretary
• 
  January 8, 2009

2
American Osteopathic Association, Council on
Continuing Medical Education
CME 101 Session for New CME Administrators

• AOA Continuing Medical Education Programs
• Purpose of the CME Program
• Responsible for Monitoring the CME Program
• Reporting Structure
• Requirements of the AOA CME Program
• Categories and Types of Continuing Medical
  Education Credits Awarded
• Definitions and Examples of Categories
• How Are the Credits Used by the Physicians
• Accreditation Requirements for AOA Category 1 CME
  Sponsors
• Policies Requirements of CME Sponsors

3
American Osteopathic Association, Council on
Continuing Medical Education

• CME 101 Session for New CME Administrators
• Document Survey Evaluation Methodology
• Document Survey Procedure
• Accreditation
• Resources Available

4
American Osteopathic Association, Council on
Continuing Medical Education
AOA Continuing Medical Education Programs

• In June 1973, the American Osteopathic
  Association (AOA) established a continuing
  medical education program (CME) requirement for
  physicians who wish to maintain their Association
  membership. The goals of the CME program are
• Excellence in patient care and
• Improving the health and well-being of the
  individual patient and the public

5
American Osteopathic Association, Council on
Continuing Medical Education
Purpose of the CME Program

• The purpose of the CME program
• Fostering of physician knowledge
• The refinement of clinical skills, and
• The cultivation of a deeper understanding of the
  osteopathic medical profession

6
American Osteopathic Association, Council on
Continuing Medical Education
Responsible for Monitoring the CME Program

• The Council on Continuing Medical Education is
  responsible for monitoring the AOA CME program.
  The primary purpose is to
• Direct the continuing medical education program
  of the AOA
• Coordinate the activities for the continuing
  educational programs
• Recommend CME policy to the Bureau of Osteopathic
  Education
• Establish guidelines for the evaluation of CME
  programs, and
• Approve Category 1 CME Sponsors

7
American Osteopathic Association, Council on
Continuing Medical Education
Reporting Structure

• The Council on Continuing Medical Education
  reports to the following
• Bureau of Osteopathic Education
• AOA Board of Trustees

8
American Osteopathic Association, Council on
Continuing Medical Education

• Requirements of the AOA CME Programs
• Number of credit hours required
• Members 120 hours
• Specialty 50 hours

9
American Osteopathic Association, Council on
Continuing Medical Education
Requirements of the AOA CME Program

• Osteopathic physicians are required to obtain a
  total of 120 credit hours with a minimum of 30
  hours in AOA Category 1-A
• 90 hours of the 120-hour requirement may be
  obtained in any of the four categories (i.e.,
  1-A, 1-B, 2-A, or 2B)
• Osteopathic physicians who have specialty board
  certification through the AOA, of the total
  120-hour requirement for CME credits, 50 hours
  must be earned in CME activities related to the
  primary specialty field
• A maximum of 60 hours of Category 1-B
  preceptoring may be applied to the 120-hour
  requirement

10
American Osteopathic Association, Council on
Continuing Medical Education
Categories and Types of Continuing Medical
Education Credits Awarded

• _______ Type_________
• Category Formal
  Less-Formal
• 1 Osteopathic 1-A 1-B
• 2 Nonosteopathic 2-A
  2-B

11
American Osteopathic Association, Council on
Continuing Medical Education

• Definitions and Examples of Categories
• Category 1-A Formal educational programs
  designed to enhance clinical competence and
  improve patient care. These programs must be
  sponsors by an AOA-accredited Category 1 CME
  Sponsor.
• Examples
• Formal educational programs sponsored by
  AOA-accredited sponsors
• Osteopathic medical teaching
• Approved standardized life support courses

12
American Osteopathic Association, Council on
Continuing Medical Education

• Definitions and Examples of Categories (contd)
• Category 1-B Less formal CME programs.
• Examples
• Publications, inspections, examination and
  committee work
• Osteopathic preceptoring
• Certification credit (recertification/CAQ)

13
American Osteopathic Association, Council on
Continuing Medical Education

• Definitions and Examples of Categories (contd)
• Category 2-A Formal educational programs that
  are ACCME accredited, AAFP-approved, or programs
  sponsored by AOA-accredited Category 1 CME
  Sponsors.
• Examples
• Formal educational programs
• Risk management and managed care programs
• Bioterrorism programs

14
American Osteopathic Association, Council on
Continuing Medical Education

• Definitions and Examples of Categories (contd)
• Category 2-B Less formal non-osteopathic
  programs
• Examples
• Journal type CME on the Internet
• Home study
• Risk management programs (administrative in
  nature)

15
American Osteopathic Association, Council on
Continuing Medical Education

• How Are the Credits Used by Physicians?
• Certification by Specialty Board
• Hospital Credentialing and Privileges
• State Licensure

16
American Osteopathic Association, Council on
Continuing Medical Education
Accreditation Requirements for AOA Category 1 CME
Sponsors

• Council on Continuing Medical Education Authority
  and Procedures
• The AOA Board of Trustees is the only body
  entitled to establish accreditation policy for
  osteopathic CME sponsors.
• The Council on CME has been delegated the
  following authority by the AOA Board of Trustees
• 1. To conduct accreditation Document Surveys of
  CME sponsors,
• 2. To conduct On-site surveys of CME Sponsors,
• 3. Evaluate the survey report,
• 4. Grant or deny Category 1 accreditation, and
• 5. Establish program fees

17
American Osteopathic Association, Council on
Continuing Medical Education
Policies

• Requirements of CME Sponsors
• 5.1 Mandatory Attendance at CME Sponsors
  Conference - Each AOA Accredited CME Sponsor is
  required to attend an AOA CME Conference at least
  one during every 3-year cycle. An AOA-accredited
  CME Sponsor that does not attend at least one
  Conference during each CME cycle loses its CME
  accreditation.
• CME sponsors who are awarded one-year
  accreditation on probation or a new CME sponsor
  accredited by the Council on Continuing Medical
  Education must attend the CCME Sponsors
  Conference immediately following the awarding of
  accreditation by the Council.
• 5.2 Annual Minimum Programming
  Requirements Each accredited Category 1 CME
  Sponsor must produce at least one program of 3
  hours or more in length during its accreditation
  cycle in order to retain its status as a Category
  1 CME Sponsor.

18
American Osteopathic Association, Council on
Continuing Medical Education

• A program of 3 hours in length is defined as
  (1) one 3-hour program or (2) a series of
  lectures that total 3 hours in length. A series
  of lectures of 3 hours in length must have a
  single theme and must respond to a specific
  educational needs assessment.
• An accreditation cycle is defined as the length
  of time that a CME Sponsor has been awarded
  accreditation based on the score achieved as
  outlined in section 8.2. Accreditation is
  awarded for either 3 years for a perfect document
  survey or 1 year for a document survey with
  deficiencies. A minimum floor for maintaining
  proficiency in CME sponsorship is the provision
  of at least 1 program annually of 3- hours in
  length during an accreditation cycle. The
  document survey for the accreditation would
  encompass 3 hours of program review per year.
• 5.3 Reporting CME Activities It is the
  responsibility of the CME sponsor to submit a
  roster of physicians who attended a CME event.
  Rosters should include the name of each
  physician, their AOA numbers, the number of
  hours of CME credit for each physician, the name
  of the program, and the date of the program.
• CME sponsors have until May 31 of the year
  following the end of a CME cycle with which to
  report CME credit for the previous CME cycle.
  After May 31, CME credit will not be accepted
  from CME sponsors.

19
American Osteopathic Association, Council on
Continuing Medical Education

• 5.4 CME Sponsor Accreditation and Registration
  Fees CME sponsors have both accreditation
  and registration fees. Both fees are established
  by the AOA Board of Trustees.
• 5.4.1 Annual Accreditation Fee - The annual
  accreditation fee for each AOA-accredited
  CME sponsor is 200.00.
• 5.4.2 Annual Registration Fees - In addition to
  the annual accreditation fee, CME
  Sponsors are responsible for registration fees
  for the recording of physician credit
  hours.
• 5.4.1.1Registration Fee Schedule for Colleges of
  Osteopathic Medicine - The fee for
  recording Category 1-A credit for colleges of
  osteopathic medicine is 25.00 per
  program conducted, and .10 per hour reported, up
  to a maximum of 1,500.00 per
  year.
• The fee for recording Category 1-B
  credit for colleges of osteopathic medicine is
  3,125.00 per year. Colleges may submit an
  unlimited number of Category 1-B
  credits under this fee. A college may petition
  for relief of the 3,125.00 per year fee
  for Category 1-B.

20
American Osteopathic Association, Council on
Continuing Medical Education

• 5.4.1.2 Registration Fee Schedule for Hospitals -
  The fee for the recording of unlimited Category
  1-A and Category 1-B credits for hospitals is
  1,250.00 per year.
• 5.4.1.3 Registration Fee Schedule for Specialty
  Colleges, Divisional Societies, Practice
  Affiliates, and Osteopathic Foundations - The fee
  for recording Category 1-A and/or 1-B credit for
  specialty colleges, divisional societies,
  practice affiliates, and osteopathic foundations
  is 25.00 per program conducted, and .10 per
  hour reported, up to an maximum of 1,500.00
  annually.
• 5.4.1.4 Exemption of Registration Fees - The
  Council on Continuing Medical Education may
  exempt certain currently approved program areas
  from the Category 1-B fees. Exempt areas at
  this time are scientific papers, publications,
  the conduct of healthcare facilities inspections
  and the preparation of specialty board exams.

21
American Osteopathic Association, Council on
Continuing Medical Education

• 5.4.3 Withholding the Recording of CME Credit -
  The AOA will withhold the awarding of CME credit
  for all CME Sponsors that do not pay their annual
  fees within 120 days of receipt of the annual
  invoice. This invoice is usually mailed in
  January of each calendar year. Each sponsor
  will be notified that their CME credit will not
  be recorded until payment is made. Also, the AOA
  staff will inform physicians of the reason their
  CME credit was not recorded on their CME
  Activity Reports.
• 5.4.4 On-site Survey Expenses - Sponsors will be
  billed for the direct cost of on-site surveys.
• 5.5 Advertising for AOA Category 1A CME Credit
  AOA Category 1 CME Sponsors shall use the
  following language, when there has been no prior
  AOA approval, for advertising AOA Category 1-A
  CME programs The Name of the
• Sponsor has requested that the
  AOA Council on Continuing Medical Education
• approved this program for X hours
  of AOA Category 1-A CME Credit.
• Approval is currently pending.

22
American Osteopathic Association, Council on
Continuing Medical Education

• 5.6 On-site Monitoring for Continuing Medical
  Education Program AOA Category 1 CME Sponsors
  shall provide a signed attendance sheet from each
  attendee indicating the number of hours actually
  attended for each sponsors CME activity.
• 5.7 Record Retention of the CME and
  Accreditation Programs An AOA accredited CME
  Sponsor must maintain its files for a minimum of
  6 years and at least two full 3- year CME cycles.

23
American Osteopathic Association, Council on
Continuing Medical Education
Document Survey Evaluation Methodology

• The Council uses a checklist to evaluate the
  document survey. Points are awarded when the
  items are clearly marked in the document survey.
  The checklist items may be found on pages 14-15
  of the Accreditation Manual for CME Sponsors.
• For those organization that do outcomes
  measurement four extra points may be awarded.
  This is optional for extra credit.

24
American Osteopathic Association, Council on
Continuing Medical Education

• Document Survey Procedure
• AOA Division of CME will review a listing of CME
  programs
• AOA will notify the sponsoring organization of
  the program(s) chosen
• The sponsors have 30 working days to provide the
  information for the document survey chosen
• The requested information will be reviewed by the
  AOA Division of CME staff and will notify CME
  Sponsors of score
• The sponsors have 10 working days to respond to
  the deficiencies cites
• Failure to comply or respond to deficiencies
  within the 10 working days the score determined
  by staff will be submitted to the CCME
• Results are forwarded to the CCME to determine
  the accreditation status at its next meeting
• The Council on CME evaluates the document survey
  using the checklist. The Council awards
  accreditation based on the score achieved on the
  checklist as stated in standard 8.2 accreditation
  action.

25
American Osteopathic Association, Council on
Continuing Medical Education
Accreditation

• The AOA staff and the Council on Continuing
  Medical Education may exercise levels of
  sanctions as follows
• 8.1 Accreditation Status of New Programs New
  AOA-accredited CME sponsors are awarded 1-year
  accreditation. At the end of the first year, the
  CME sponsor must submit a document survey to the
  Council on CME.
• 8.2 Accreditation Actions - The Council on CME
  evaluates the document survey using the
  checklist. The Council awards accreditation
  based on the score achieved on the checklist
• 90 or better on the document survey is awarded
  3-year accreditation
• 80 to 89 on the document survey is awarded
  2-year accreditation
• 70 to 79 on the document survey is awarded
  1-year accreditation
• 60 to 69 on the document survey is awarded
  1-year accreditation with required attendance at
  the next CME sponsors conference
• Less than 60 on the document survey
  accreditation is withdrawn.

26
American Osteopathic Association, Council on
Continuing Medical Education

• 8.3 Probation An AOA-accredited CME Sponsor is
  on probation if it is awarded 1-year
  accreditation 3 years in a row. For CME
  sponsors on probation, the Council on CME may
  choose to require an on-site survey or may
  require the CME sponsor to attend a council
  meeting to discuss their accreditation status.
• The Council on CME has the authority to revoke
  accreditation for any CME sponsor on probation
  if the Council is not satisfied with the
  information resulting from the on- site survey or
  their attendance at the council meeting. The CME
  sponsor on probation is responsible for all
  costs associated with an on-site survey or
  attendance at a council meeting.
• The Council on CME has the authority to place
  an AOA-accredited CME sponsor on probation if
  that CME sponsor is found in violation of the
  Uniform Guidelines.
• 8.4 Revocation of Accreditation Status - The
  Council on CME has the authority to revoke CME
  sponsor accreditation status if a CME sponsor is
  found in violation of the Uniform Guidelines.

27
American Osteopathic Association, Council on
Continuing Medical Education

• Resources Available
• AOA CME Guide for Osteopathic Physicians
• AOA Accreditation Requirements for AOA Category 1
  CME Sponsors
• AOA s Guide for Commercial Supporters
• Journal of the American Osteopathic Association
  (JAOA)
• Various Websites (List in agenda under
  information)
• AOA websites (www.Do-Oline.org or
  www.osteopathic.org)

28
American Osteopathic Association, Council on
Continuing Medical Education

• Questions
• Thank you!