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November 20, 2008
In June 2008 an initial educational activity was provided to Georgia and Florida CME providers, interested in performance improvement activities designed to improve clinical practice. The purpose was to introduce CME providers to basic tools used in improvement science. CME providers participating in that onsite activity have access to five follow-up video casts. Links to relevant resources are also available. The program is supported by Pfizer and Wyeth Pharmaceuticals.
Educational objectives for this activity include:
For viewing by participants in the June13-14 educational activity and by invitation only.
Dr. Bornstein's contention is that more physician education and "working harder" will not provide the solutions to the complex challenges facing healthcare in the U.S. today. He makes the case that systemic changes in the processes for delivering care are necessary.
In this presentation, Bob Addleton, EdD, EVP of the Physicians' Institute, explains what CME professionals will need to do, professionally and organizationally, to prepare to engage in Performance Improvement CME, which some leaders are calling the "future of CME." Both internal and external forces promoting the move to PI-CME will be explored.
Performance Improvement (P.I.) provides an approach to address the three main performance issues of hospital care: undesirable variation, unnecessary harm and excessive waste. This presentation describes the four essential stages of all performance improvement efforts and provides an 8-step hierarchical assessment instrument which leaders may use as a roadmap to get on a path to better performance. The concepts of “costs of poor quality” are explained from which the business case for quality may be established.
An "Improvement Focus in the CME Office (Learning by Doing)" suggests that CME providers develop an understanding and basic skills in Quality Improvement and apply these skills in their own CME operation. The presentation reviews pressures physicians and the health care industry face that require direct involvement in performance improvement efforts. These pressures extend to the ACCME expectations of CME providers. A approach to quality improvement efforts is presented with examples of basic tools used n many improvement efforts. The presentation challenges CME providers to learn some of the improvement tools and use them to improve processes in their CME operation.
William A. Guest, MD and Mindy McStott, RN, CCM describe their Performance Improvement project focusing on reducing sepsis at Tift Regional Medical Center in Tifton, Georgia. A large team consisting of 14 physicians and 14 other health providers collaborated to reduce the incidence of sepsis, tracking a variety of positive practice changes and outcomes during a four month period.