Continuing Medical Education Program

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Continuing Medical Education Program
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Palmetto Health Baptist CME Program

• Accredited by the South Carolina Medical
  Association to provide AMA PRA Category I
  credits through the national Accreditation
  Council on Continuing Education (ACCME).
• The mission of Palmetto Health Baptist Continuing
  Medical Education Program is to provide
  physicians and stakeholders with the relevant
  strategies and skills needed for professional
  development and to improve patient care.

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What Drives CME Topics?

• Hospital Quality Gaps
• State Quality Initiatives
• Administrative Needs
• Department Needs
• National and State Emergencies

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Hospital Quality Gaps

• Heart Health - CHF, Stroke, Womens
  Cardiovascular Risks
• Hospital Infections UTI, Sepsis, SCIP, MRSA
• Pressure Ulcers

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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)

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Administrative Needs

• Moderate Sedation Certification
• ACLS Certification
• Infection Control Education
• Seclusion and Restraint Education
• ICD-9 Coding
• Electronic Medical Records

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Department Needs

• Fetal Heart Rate Monitoring
• Intrapartum Monitoring and Antenatal
• Diabetes and Pregnancy
• New Drug Updates

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National and State Issues

• Swine Flu (H1N1)
• Legal and Ethical Issues
• Communication with Patients and Staff
• Recommendations from the Centers for Disease
  Control and Prevention (CDC).

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Whats New?

• DVD Library
• ACLS Certification
• Moderate Sedation
• Performance Improvement CME
• Point Of Care
• Soon CME Video On-Line

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DVD Library

• PHB CME activities now available on DVD.
• DVD packets mailed or delivered upon request.
• Simple test required. Passing score of 70
  required.

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DVD Library

• Brochures mailed quarterly with updated topics.

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ACLS Certification

• Credits are awarded for ACLS certification
• 14 AMA PRA Cat.1 Credits for certification
• 7 AMA PRA Cat.1 Credits for re-certification
• Brochures mailed every six months with updated
  schedules.

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ACLS Certification

• Provider Course (8 a.m. to 4 p.m. both days)
  Cost 187
• July 15 and 22, 2009
• October 14 and 21, 2009
• Recertification Course (8 a.m. to 4 p.m.)
• Cost 112 (with textbook) or 75 (without
  textbook)
• July 22, 2009
• October 21, 2009
• December 9, 2009
• For more information, call
• Mary Morgan - 296-5439.

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Moderate Sedation Certification

• Study Guide on CME Website.
• Airway Management Study Guide on CME Website.
• Privilege Request on CME Website.
• Test available on our CME website.

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Moderate Sedation Certification

• Schedule an appointment with 
• Sam McNutt, Director of Anesthesia Services, to
  complete a short airway exam. Phone number
  296-2276
• There no fees associated with obtaining your
  Moderate Sedation certification.

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Performance Improvement CME(PI CME)

• 5 5 5 ?

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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.

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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
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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.

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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
  physicians patient base (e.g., how many patients
  with a given condition, seen for how long, will
  produce a valid assessment?).

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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.

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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.

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PI CME

• Each PI CME Application must be reviewed and
  approved through CME Committee.
• Application available on the CME Website.
  www.palmettohealth.org/phbcme/forms

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Internet POINT of CARE (PoC) -
coming soon

• 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,
  the sources consulted and the application to
  practice.

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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.)

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PHB CME Website www.palmettohealth.org/phbcme

• Visit our website for these and other benefits
• Schedule of upcoming live CME activities.
• Register for live CME activities.
• Request DVD
• Application available for PI CME.
• Point of Care (PoC) on-line form.
• Moderate Sedation study guide and test.
• ACLS schedule and brochure.
• Print your CME Transcripts.

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Questions? Thank you

• For more information
• Pamela D. Stephens, Manager
• PHB Continuing Medical Education tele 296-2795
• Meghan Turner, Coordinator
• PHB Continuing Medical Education tele 296-5537