Changing CME
Environment
Linda Caples, MBA
Director, Continuing and Professional Education
Medical College of Wisconsin
Disclosures:
• Salary from Medical College of Wisconsin
Agenda
• New CME Guidelines
• Impact on Corporate Sponsored Symposia and
Training Programs
• Strategies for Meeting Corporate and Physician
Needs
NEW CME Guidelines
New players, new enterprise
Old Model
Gov’t
Reg
ACCME
AMA
CME
Current Model
ABMS
AAMC
Gov’t
Reg.
AMA
ACCME
CME
CMSS
Rule Changers
• ABMS
• AAMC
• Government Regulation
o Federal
o State
ABMS
• Maintenance of Certification
o American Board of Internal Medicine
o Going into its second cycle
o MOC CME
• MOC Part 2
• MOC Part 4 (PI CME)
MOC
• Self-Evaluation of Medical knowledge
• Self-Evaluation of Practice Performance
o Practice Improvement Modules® PIMs
• American Society of Hematology PIM
o Approved Quality Improvement (AQI) pathway grants 20 MOC points
MOC
(points)
CME
(Credits)
PIM Structure
Medical
Record
Audit
Patient
Experience
Survey
Analytic Program
Performance Report
Target Performance
Test Process Change
Focused Measurement
Learn from Change
Report Results
Practice
System
Inventory
AAMC
ae4Q Update AAMC’s Aligning and Educating for
Quality (ae4Q) initiative is moving forward with 11
academic medical center pilot sites. Several pilot site
participants met over breakfast at the recent AAMC
Integrating for Quality meeting in Chicago. While
each center has a different focus, there are common
interests in using health system quality data to inform
their CME programs and to use education as an
innovative intervention for performance improvement.
All resources developed for the ae4Q initiative are
open and available to any academic medical center
on our website.
Government Regulations
• Physicians Payment Sunshine Act
Documentation begins January 2012
All direct payments to physicians
CME is indirect, thus not reported
Schools of thought
• Pharma to decrease funding of CME
• Pharma to increase funding of CME
o Will allow accredited providers to preselect speakers based on dollar
amounts
o
o
o
o
Continuous Performance
Improvement
Data/Informatics
Research/
Outcomes
CME
©NIQIE 2009
QI
Impact on Corporate
Sponsored Symposia and
Training Programs
National and International Considerations
ABMS – Paradigm Shift
MOC & CME
M. Powels “MOC Part IV Overview and Criteria” NIQIE, Sept. 2011
The Transitioning U.S. Healthcare
Delivery Model
Payment
Venue
Volume Based
Performance Based
Hospital Based
Records
Integrated, Outpatient
Paper
Treatment
Electronic
One Size Fits All
1990
Personalized
20000
2010
2020
L.Long, “Putting the Value in Value Based Purchasing: Paying for Performance” NIQIE, Sept. 2011
Impact of current CME
Environment
National
• Saturated traditional
CME market
• Opportunities for
MOC/MOL
• National Collaborations
• Focus on Effectiveness
of treatment modalities
(payer driven)
International
• Intense Growth in
o India
o Asia
• China
• Japan
o Brazil
• Opportunities
o Sub Sahara Africa
• Nigeria
• Ethiopia
• Ghana
• South Africa
Strategies for Meeting
Corporate and Physician
Needs
Working together, support the mission
Mutually beneficial
Corporate
• ROI
• Evidence
• Compliance
o Corporate
o Federal/State
• Transparency to the
public
Physician
• CPI
• Effectiveness
• Certification
o MOC
o MOL
• Transparency to the
public
Real time learning
• Internet Point of Care CME
• Medical Education Gaming
• Medical Meeting Smartphone Applications
o
o
o
o
o
o
o
Greener meetings
Quick access to information
Added sponsorship opportunities
Enhance social interaction
Polling and surveys
Improve customer service
offer destination information
In Summary, CME is
transitioning from
One – offs
SUSTAINABILITY
One day meetings
PI CME
Grand Rounds
MOC/MOL
Enduring Materials*
Enduring Materials
(S.A.)
National Collaborations
Questions?
Thank you. lcaples@mcw.edu