Academic Detailing and Performance Improvement CME –

What a Marriage!

Sarah Ball, Pharm.D.Program Director and Assistant ProfessorSouth Carolina College of PharmacyJuly 29, 2012

QTIP Goes CoastalPerformance Improvement (PI) CME

for the Management of Asthma in Pediatric Primary Care

What is Performance Improvement Continuing Medical Education

(PI CME)?

• A ‘long-term’ three-stage (A,B,C) process:– Learn about specific performance measures and

assess practice behavior based on selected measures– Implement interventions to improve performance– Reassess practice using the same measures

• Involves active participation of physicians and other team members

• Option to complete one, two or three stages

The physician’s recognition award and credit system: information for accredited providers and physicians . (2010 revision). American Medical Association;6-7.

QTIPQTIPPDSA CyclesPDSA Cycles

How Easy Is PI CME for QTIP Practices?

Evidence-Based Best Practices for the Management of Asthma in Pediatric Primary Care in South Carolina

Earn up to 20 AMA PRA Category 1 CreditsTM

1 – 3 PDSA cycles within 6-month timespan to identify possible practice gap(s) and plan to improve performance

Agree to incorporate practice-side changes Interact 3 times with the office QI teamParticipate in 2 SCORxE visitsComplete SCORxE CME questions in 1-hour CME

QTIP Requirements

3 PDSA cycles each quarter

Contact with practice QI team

SCORxE visit(s)

PI CME Requirements

1 – 3 documented asthma PDSA cycles•1 earns 5 AMA PRA Category 1 CreditsTM

•2 earn 10 AMA PRA Category 1 CreditsTM

•3 earn 20 AMA PRA Category 1 CreditsTM

3 contacts with the practice QI team

2 SCORxE visits on asthma management

Completion of 1-hour CME questions in SCORxE asthma packets*

How Easy Is PI CME for QTIP Practices?Evidence-Based Best Practices for the Management of Asthma in

Pediatric Primary Care in South Carolina

* Completion of signature/id page and evaluation in addition to questions adds additional 1 hour of AMA PRA Category 1 CreditsTM

QTIP Requirements

3 PDSA cycles each quarter

Contact with practice QI team

SCORxE visit(s)

PI CME Requirements*

1-3 documented asthma PDSA cycles•1 earns 5 credits•2 earn 10 credits•3 earn 20 credits

3 contacts with the practice QI team

2 SCORxE visits on asthma management

Completion of 1-hour CME questions in SCORxE packets*

How Easy Is PI CME for QTIP Practices?Evidence-Based Best Practices for the Management of Asthma in

Pediatric Primary Care in South Carolina

* Completion of signature/id page and evaluation in addition to questions adds another 1 hour of CME credit

Bonus!Bonus!25 ABP MOC Part IV Credits if you 25 ABP MOC Part IV Credits if you are a member of the South Carolina are a member of the South Carolina Chapter of the American Academy Chapter of the American Academy of Pediatricsof Pediatrics

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You have already started if you: •Visited with your SCORxE consultant•Completed an asthma-related PDSA cycle •Completed the 1-hour CME in SCORxE packet•Interacted with the office QI team

Be sure that each PDSA cycle includes: •A minimum of 10 charts for each CME applicant •New and/or existing asthmatics seen over past 30 days•Data collection on 3 of measures listed in CME application•Chart reviews over 6-month timespan if more than 1 PDSA cycle

Stop – check for all paperwork requirements for CME credit: •Signature for all applicable Stages (i.e., 1 – 3 signatures)•Contact information and CME Activity Evaluation•Printout of fully documented QTIP blog entry for each PDSA cycle •Completed CME questions from 1-hour CME in SCORxE packets

How Easy Is PI CME for QTIP Practices?Evidence-Based Best Practices for the Management of Asthma in

Pediatric Primary Care in South Carolina

Promotion of Continuous Improvement and Performance Measurement May Sometimes Be

Hair Raising

Effective Management of Pediatric Asthma Makes it All Worthwhile

Thanks!Your signatures, please!

Stage C20 AMA PRA Category 1 CreditsTM Completion of steps 1 – 4 (see page 5), which

includes at least 2 Plan/Do/Study/Act (PDSA) cycles in addition to baseline PDSA (i.e., 3 chart audits) to assess performance improvement based on implemented strategies.  I attest that I have completed Stage C and claim an additional 10 AMA PRA Category 1 Credits™ Signature ______________________________________ Date _____________

Expiration Date: 03/31/2015