Regularly Scheduled Series in Continuing Medical Education
Regularly Scheduled Series
Brooke J. Taylor, MPH
Director, CME
Beaumont Health
August 12, 2016
Background
How long have you been involved with CME?
•
<1 year
•
1-3 years
•
3-5 years
•
>5 years
•
>10 years
10/4/2024
2
Background
How many regularly scheduled series does your
organization certify each year?
•
<10
•
11-30
•
31-50
•
>50
Beaumont Health 2016
(8 hospitals)
260+ RSS
4,000+ individual sessions!
Background
Which type of credit do you certify your RSS for?
•
AMA PRA Category 1 (allopathic) – MSMS
•
AOA (osteopathic)
10/4/2024
4
Beaumont Health 2016
(8 hospitals)
240+ RSS – Allopathic CME
20+ - Osteopathic 1-B
Disclaimers
•
The information presented here relates to the
ACCME/MSMS requirements for allopathic
CME only.
•
I serve on the Accreditation Review
Committee for the ACCME and Accreditation
Committee for MSMS. However, this
presentation reflects my own views and
interpretations of the accreditation
requirements.
10/4/2024
5
RSS Defined
1) a
series
with
multiple sessions
that
2) occur on an
ongoing basis
(offered weekly,
monthly or quarterly) and
3) are
primarily planned by and presented to
the
accredited organization’s professional staff.
•
Examples: Grand Rounds, Tumor Boards, Case
Conferences, Journal Clubs, M&M Conferences.
Source: ACCME
Documentation
Does the ACCME have special accreditation
requirements that apply
ONLY
to Regularly
Scheduled Series (RSS)?
•
Yes
•
No
10/4/2024
7
Documentation
Does the ACCME have special accreditation requirements that apply only to
Regularly Scheduled Series (RSS)?
10/4/2024
8
Professional Practice Gaps
“Do we need to have a unique professional
practice gap for each session of a Regularly
Scheduled Series (RSS)?”
•
Yes
•
No
10/4/2024
9
Professional Practice Gaps
“Do we need to have a unique professional practice gap for each
session of a Regularly Scheduled Series (RSS)?”
10/4/2024
10
Example: Tumor Board
“Surgeons often encounter difficult cases; this series is
designed to reduce the occurrence of morbidity & mortality
of tumors and assist our physicians with meeting national
guidelines for the treatment of patients with these tumors.”
----------------
“This tumor board reviews complicated and unusual patient
cases. Unnecessary testing and toxicities have been in
practice and improvements need to be made. There is a
need to develop a multi-disciplinary treatment plan for
cancer patients that is current, meets national standards, and
incorporates clinical trials when appropriate.”
10/4/2024
11
Example: Morbidity & Mortality
“This series allows physicians to discuss unexpected or
undesirable patient cases in order to identify what happened
and try to prevent it from occurring again in the future.
Deficiencies in practice are discussed and peer reviewed
literature is used to aid in the resolution of clinical problems.”
----------------
“Occasionally something undesirable or unexpected occurs to
a patient cared for in the department of medicine. This
meeting is designed to identify what occurred and try to
prevent it from occurring again in the future by highlighting
real or potential quality problems. Cases are chosen from
those tracked through QA mechanisms - problem cases
identified by "variances" autopsies or random chart review.”
10/4/2024
12
Example: Grand Rounds
“Topics run the gamut of problems that impact
medical practice and are chosen due to significant
changes or improvements important to internists.
Internists often have difficulty identifying and
incorporating best practices.”
----------------
“Emergency Medicine physicians often see
patients presenting with challenging and
uncommon disease states and don't always know
the best course of treatment.”
10/4/2024
13
Evaluations
“Do we need to evaluate every session of a
Regularly Scheduled Series (RSS)?”
•
Yes
•
No
10/4/2024
14
Evaluations
“Do we need to evaluate every session of a Regularly Scheduled
Series (RSS)?”
10/4/2024
15
RSS in PARS
•
Report each series as
one activity.
•
Report the number of hours as the cumulative number
of hours for
all sessions within the series
.
Example: Internal Medicine Grand Rounds meets weekly
for one hour/week. In PARS, the series would be reported
as
one activity
with 52 hours of instruction.
•
Each physician is counted as a learner for
each session
he/she attends in the series.
Example: If 20 physicians attend each session = 1,040
physician participants (20 physicians/session x 52
sessions).
10/4/2024
16
Reaccreditation
Performance-in-Practice
2 options:
1.
Structured Abstract
2.
Labels
Must use only 1 approach
10/4/2024
17
Labels
•
Label documents within your selected activity
files to demonstrate compliance with each of
the ACCME requirements.
10/4/2024
18
10/4/2024
19
Labels
10/4/2024
20
List individuals for ALL
Sessions for ENTIRE series
Show documentation for ALL
Sessions for ENTIRE series
If applicable, place multiple labels on each document – for
example, a completed disclosure form might include 2+ labels
Reaccreditation Abstract
•
Complete the abstract form for each activity.
•
Complete all sections applicable for the
activity and assemble attachments.
FOR RSS:
Submit evidence for the
ENTIRE
series,
not just for a single session or a sampling of
sessions. The entire series is the activity.
10/4/2024
21
10/4/2024
22
Disclosure
•
List all individuals involved for the
entire
series
10/4/2024
23
Abstract Attachments
10/4/2024
24
•
Attachment 1: Activity Topics/Content
Abstract Attachments
•
Attachment 2: Form, tool, or mechanism used to
identify relevant financial relationships
for all
individuals in control of content.
****Make sure your form/tool/mechanism includes
the current definition of a commercial interest****
“…any entity producing, marketing, re-selling, or
distributing health care goods or services consumed
by, or used on, patients.”
10/4/2024
25
Abstract Attachments
Attachment 3: Evidence of resolving conflicts of
interest
****include documentation how you resolved
conflicts for
every
applicable session within the activity
Attachment 4: evidence that disclosures were
communicated to learners
****show documentation of communication of
disclosures to attendees for
each
session of the series
10/4/2024
26
Abstract Attachments
•
Attachment 5: data or information generated
about changes in learners’ competence,
performance, or patient outcomes
•
Attachment 6: ACCME accreditation statement
that was provided to learners
10/4/2024
27
Commercial Support?
•
Attachment 7: income and expense statement
detailing receipt and expenditure of support
•
Attachment 8: executed letters of agreement
•
Attachment 9: evidence of disclosure of
commercial support provided to learners
10/4/2024
28
Questions?
Brooke Taylor
brooke.taylor@beaumont.edu
248-551-0908
10/4/2024
29
Re
This presentation provides insights into regularly scheduled series (RSS) in Continuing Medical Education (CME) at Beaumont Health. Topics covered include the background of CME involvement, number of series certified annually, types of credits offered, accreditation requirements, and professional practice gaps. The information is based on ACCME/MSMS standards for allopathic CME and is presented by an expert in the field.
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Presentation Transcript
Regularly Scheduled Series Brooke J. Taylor, MPH Director, CME Beaumont Health August 12, 2016
Background How long have you been involved with CME? <1 year 1-3 years 3-5 years >5 years >10 years 10/4/2024 2
Background How many regularly scheduled series does your organization certify each year? <10 11-30 31-50 >50 Beaumont Health 2016 (8 hospitals) 260+ RSS 4,000+ individual sessions!
Background Which type of credit do you certify your RSS for? AMA PRA Category 1 (allopathic) MSMS AOA (osteopathic) Beaumont Health 2016 (8 hospitals) 240+ RSS Allopathic CME 20+ - Osteopathic 1-B 10/4/2024 4
Disclaimers The information presented here relates to the ACCME/MSMS requirements for allopathic CME only. I serve on the Accreditation Review Committee for the ACCME and Accreditation Committee for MSMS. However, this presentation reflects my own views and interpretations of the accreditation requirements. 10/4/2024 5
RSS Defined 1) a series with multiple sessions that 2) occur on an ongoing basis (offered weekly, monthly or quarterly) and 3) are primarily planned by and presented to the accredited organization s professional staff. Examples: Grand Rounds, Tumor Boards, Case Conferences, Journal Clubs, M&M Conferences. Source: ACCME
Documentation Does the ACCME have special accreditation requirements that apply ONLY to Regularly Scheduled Series (RSS)? Yes No 10/4/2024 7
Documentation Does the ACCME have special accreditation requirements that apply only to Regularly Scheduled Series (RSS)? 10/4/2024 8
Professional Practice Gaps Do we need to have a unique professional practice gap for each session of a Regularly Scheduled Series (RSS)? Yes No 10/4/2024 9
Professional Practice Gaps Do we need to have a unique professional practice gap for each session of a Regularly Scheduled Series (RSS)? 10/4/2024 10
Example: Tumor Board Surgeons often encounter difficult cases; this series is designed to reduce the occurrence of morbidity & mortality of tumors and assist our physicians with meeting national guidelines for the treatment of patients with these tumors. ---------------- This tumor board reviews complicated and unusual patient cases. Unnecessary testing and toxicities have been in practice and improvements need to be made. There is a need to develop a multi-disciplinary treatment plan for cancer patients that is current, meets national standards, and incorporates clinical trials when appropriate. 10/4/2024 11
Example: Morbidity & Mortality This series allows physicians to discuss unexpected or undesirable patient cases in order to identify what happened and try to prevent it from occurring again in the future. Deficiencies in practice are discussed and peer reviewed literature is used to aid in the resolution of clinical problems. ---------------- Occasionally something undesirable or unexpected occurs to a patient cared for in the department of medicine. This meeting is designed to identify what occurred and try to prevent it from occurring again in the future by highlighting real or potential quality problems. Cases are chosen from those tracked through QA mechanisms - problem cases identified by "variances" autopsies or random chart review. 10/4/2024 12
Example: Grand Rounds Topics run the gamut of problems that impact medical practice and are chosen due to significant changes or improvements important to internists. Internists often have difficulty identifying and incorporating best practices. ---------------- Emergency Medicine physicians often see patients presenting with challenging and uncommon disease states and don't always know the best course of treatment. 10/4/2024 13
Evaluations Do we need to evaluate every session of a Regularly Scheduled Series (RSS)? Yes No 10/4/2024 14
Evaluations Do we need to evaluate every session of a Regularly Scheduled Series (RSS)? 10/4/2024 15
RSS in PARS Report each series as one activity. Report the number of hours as the cumulative number of hours for all sessions within the series. Example: Internal Medicine Grand Rounds meets weekly for one hour/week. In PARS, the series would be reported as one activity with 52 hours of instruction. Each physician is counted as a learner for each session he/she attends in the series. Example: If 20 physicians attend each session = 1,040 physician participants (20 physicians/session x 52 sessions). 10/4/2024 16
Reaccreditation Performance-in-Practice 2 options: 1. Structured Abstract 2. Labels Must use only 1 approach 10/4/2024 17
Labels Label documents within your selected activity files to demonstrate compliance with each of the ACCME requirements. 10/4/2024 18
10/4/2024 19
Labels List individuals for ALL Sessions for ENTIRE series C7 A list of all individuals in control of content of CME activity and specify their role (e.g., planner, faculty, reviewer). C7 Relevant financial relationships that individuals in a position to control the content of CME disclosed to the provider. (SCS 2.1) C7 Verification of the implementation of our mechanism(s) to identify and resolve conflicts of interest prior to the start of the activity. (SCS 2.3) C7 Verification that disclosure of relevant (or no) financial relationships was made to learners prior to the beginning of the activity. (SCS 6.1-6.2, 6.5) Show documentation for ALL Sessions for ENTIRE series If applicable, place multiple labels on each document for example, a completed disclosure form might include 2+ labels 10/4/2024 20
Reaccreditation Abstract Complete the abstract form for each activity. Complete all sections applicable for the activity and assemble attachments. FOR RSS: Submit evidence for the ENTIRE series, not just for a single session or a sampling of sessions. The entire series is the activity. 10/4/2024 21
10/4/2024 22
Disclosure List all individuals involved for the entire series 10/4/2024 23
Abstract Attachments Attachment 1: Activity Topics/Content Date Topic Speaker 1/6/16 Updates in Diabetes Management Tim Johnson, MD 2/5/16 Osteoporosis for the Primary Care Provider Jan Jones, DO 3/6/16 Integrative Medicine Jim Smith, MD 10/4/2024 24
Abstract Attachments Attachment 2: Form, tool, or mechanism used to identify relevant financial relationships for all individuals in control of content. ****Make sure your form/tool/mechanism includes the current definition of a commercial interest**** any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. 10/4/2024 25
Abstract Attachments Attachment 3: Evidence of resolving conflicts of interest ****include documentation how you resolved conflicts for every applicable session within the activity Attachment 4: evidence that disclosures were communicated to learners ****show documentation of communication of disclosures to attendees for each session of the series 10/4/2024 26
Abstract Attachments Attachment 5: data or information generated about changes in learners competence, performance, or patient outcomes Attachment 6: ACCME accreditation statement that was provided to learners 10/4/2024 27
Commercial Support? Attachment 7: income and expense statement detailing receipt and expenditure of support Attachment 8: executed letters of agreement Attachment 9: evidence of disclosure of commercial support provided to learners 10/4/2024 28
Questions? Brooke Taylor brooke.taylor@beaumont.edu 248-551-0908 10/4/2024 29
