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Value and Impact of CME Accreditation
in the ACCME System
2015 IAMRA Revalidation SymposiumGraham T. McMahon, MD MMSc
President & Chief Executive, ACCME
“For the Profession, By the Profession”
As part of the system of medicine’s accountability, is it essential that CME be:
– Linked to quality and safety– Effective in improving practice– Independent of commercial interests– Based on valid content
…our mission and work is a public trust.
Voluntary, Self-Regulation
Learners of all types
Accredited Providers
Points and credits
Credentialing:Hospital InsurerHealth system
Licensing: State Medical Boards
Certification:Medical societies and boards
QualityActivity
Core Values of ACCME Accreditation
• Relevant• Independent• Evidence-based• Evaluated
What’s been achieved?• Uniform
– System and standards for provider accreditation
– System and standards for activity management
– Disclosure and conflict management principles
• Expectation of – Based on needs– Relevant– Appropriate pedagogy– Evidence-based– Independent – Evaluated – Integrated into system – Participation tracked– Appropriate funding
management
Major Challenges in CME• Poorly valued by
health leadership• Lack of engaged
clinician leaders• Inadequate investment • Extreme diversity of
needs• Spamming of learners• Inadequate research
• Passive educational approaches
• Predominant focus on medical knowledge
• Passive learners• Shifting expectations
of learners• Confusing and diverse
credit systems
Key Opportunities
HealthSystem
CME provider Learners
Invest in Meet the needs of
Provide feedback toDelivers value to
Scope of the Enterprise
ActivitiesHours of
Instruction147,024 1,033,615
Physician Interactions
Other Learner Interactions
13,599,687 11,587,518
2014 Reporting Year
Providers:1,225 SMS-accredited
683 ACCME-accredited
Accreditation Requirements
ProviderCME Mission &Continuous Quality Improvement
ActivityGaps/NeedsDesign to changeFormatsCompetenciesIndependenceEvaluation
Independence• Independence• Resolution of Personal Conflicts of Interest• Appropriate Use of Commercial Support• Appropriate Management of Associated
Commercial Promotion• Content and Format without Commercial
Bias• Disclosures Relevant to Potential
Commercial Bias
*Commercial Interest• “Any entity
producing, marketing, reselling, or distributing a healthcare good or service consumed by, or used on, patients.”
• ACCME does not consider providers of clinical service to patients to be commercial interests.
“Accredited CME is Independent”
Commendation Criteria
• CME Involved in Practice Improvement
• Adjunctive Approaches to Education
• Identifies Obstacles to Change
• Overcomes Barriers to Change
• Collaborates with Others
• Integrates with QI
• Strategic Leadership
Overall Compliance Results for November 2008 through July 2015 (n=1,123)
Accreditation Decisions November 2008 to July 2015
(n=1,123)
50%
29%
12%3%6%
July2015(n=43)
CME Presented by Providers Accredited in the ACCME SystemPercentages Designed/ Analyzed for Change in
Competence, Performance, or Patient Outcomes - 2014
AHA: Continuing Medical Education as a Strategic Resource
AHA, Continuing Medical Education as a Strategic Resource, September 2014
Advancing CME with accreditation
Revised Accreditation w/Commendation Criteria: A work in progress…
CME That Counts for MOC
“By collaborating with ACCME, ABIM will open the door
to even more options for physicians engaged in MOC and will allow them to get MOC credit
for high-quality CME activities they are already doing.”
Richard J. Baron, MDPresident and CEO
American Board of Internal Medicine
Interprofessional Continuing education (IPCE)
www.jointaccreditation.org
Questions?
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