Annual CME Policy Meeting Cheung Wong, MD November 18, 2014

Annual CME Policy Meeting

Cheung Wong, MDNovember 18, 2014

Recent Changes

• Name change• University of Vermont Health Network– Fletcher Allen Health Care (UVM Medical Center)– Central Vermont Medical Center– Champlain Valley Physicians Hospital (Plattsburgh,

NY)– Elizabethtown Community Hospital (Elizabeth, NY)

UVM Health NetworkRationale

• To address the changes in the health care landscape in Vermont and Nationally– “higher quality care”– “more cost effective”– “as close to patients’ homes as possible”

• No longer working in silos

UVM CME Program

• Historically– Silo program

• Scant interactions between clinical departments• No collaboration with other medical providers

• Current status– Silo program is breaking down (in some areas)

• Collaboration among clinical departments• Collaboration with non-clinical departments (Quality office)• Poor collaboration with other medical providers

– If we continue this path, we are DOOMED to fail• Fail ourselves and fail our patients

UVM CME Program

• How do we (CME program) help UVM Health Network become successful?– Help keep our health care team (physicians,

nurses, etc) updated to best care practices• Improve quality care• Become cost effective

UVM CME Program

• How to meet the needs and expectations of the new health care landscape– Break down the silos– Engage all members of the health care team in the

educational program

Advancing Healthcare Education

By the team. For the team

Goal of Medical Education

• To provide educational activities to providers that will address knowledge or performance gaps in physician provider practices in order to improve the quality of care provided to patients

Traditional CME

• Started with content, faculty, topic• Passive learning format• No requirement that learners improve

performance in practice• No motivation of planners/faculty to design

learning experiences to impact performance• Designed just with the physician in mind.



• Targeted Education– Change or Improvement in practice targeted at

just one group (eg – physicians or nurses)• Interprofessional Education– Change or Improvement in practice that affects

more than one group.

Targeted Education:What is it?

• Targeted education is “traditional” CME or other accredited programs, planned for just one group.


• Targeted education is “traditional” CME or other accredited programs.– Planned for one specific target audience.• Example of traditional CME course might be a basic

science lecture.


• Targeted education is “traditional” CME or Nursing accredited programs.– Planned for one specific target audience.• Example of traditional CME course might be a basic

science lecture.

– Other professionals might benefit from attending but they weren’t considered during the planning process.



• Interprofessional Education– Change or Improvement in practice that affects

more than one group.

Interprofessional Education:What is it?

• It is pertinent to more than one type of provider, such as physicians and nurses.



• It is planned by representatives of each target audience.



• It is planned by representatives of each target audience. – For example, a physician and a nurse would plan

an activity.



• It is planned by representatives of each target audience. – For example, a physician and a nurse would plan

an activity.– The goals and objectives for each group would be

clearly identified. • HOWEVER, the goals could be the same if appropriate.

Educational Content

• May include non-clinical subjects (e.g. office management, patient communication, faculty development) as long as these are appropriate to the audience and benefit the profession, patient care or public health

• May describe or explain complementary and alternative health care practices if the existing level of scientific evidence supports the practices

“New” Concepts in CME

We don’t work in isolation.

Most change affects more than one group of providers.

Planning Committee

• Planning Committee– Representative of target audience.– Think outside the box… • How might we work together to improve care?• How does this problem/initiative impact each group?

• Everything else is the same…

Planning CME

• What performance needs to improve?• Why (Professional Performance Gap)?• Whose performance?• What is goal/What will be taught?• How will it be taught?• How to measure success?

Planning CME

• KEEP MINUTES OR SOME KIND OF DOCUMENTATION ABOUT THE PLANNING PROCESS. (Emails are acceptable documentation.)

Whose performance?

• Who is the target audience

FORMS

• When submitting an activity for credit, please go to our website to download a new copy of the forms (Disclosure, Planning Document, LOA, etc).

www.uvm.edu/medicine/cme

Documents

Annual CME Policy Meeting Cheung Wong, MD November 18, 2014