Academic Detailing and Performance Improvement CME – What a Marriage!

1. Academic Detailing and Performance Improvement CME – What a Marriage! Sarah Ball, Pharm.D.Program Director and Assistant ProfessorSouth Carolina College of PharmacyJuly 29, 2012

2. QTIP Goes Coastal Performance Improvement (PI) CMEfor the Management of Asthma in Pediatric Primary Care

3. 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.

4. QTIP PDSA Cycles

5. 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 team • Participate in 2 SCORxE visits • Complete SCORxE CME questions in 1-hour CME

6. 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

7. How Easy Is PI CME for QTIP Practices?Evidence-Based Best Practices for the Management of Asthma in Pediatric Primary Care in South Carolina Bonus! 25 ABP MOC Part IV Credits if you are a member of the South Carolina Chapter of the American Academy of Pediatrics * Completion of signature/id page and evaluation in addition to questions adds another 1 hour of CME credit

8. How Easy Is PI CME for QTIP Practices?Evidence-Based Best Practices for the Management of Asthma in Pediatric Primary Care in South Carolina Green Zone • 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 Yellow Zone • 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 afdaklfjdkajfdkljfakls Red Zone Afjlak;jfakjfdklajfakljfadkslj • 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

9. Promotion of Continuous Improvement and Performance Measurement May Sometimes Be Hair Raising

10. Effective Management of Pediatric Asthma Makes it All Worthwhile

11. Thanks! Your signatures, please! Stage C 20 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 10AMA PRA Category 1 Credits™ Signature ______________________________________ Date _____________ Expiration Date: 03/31/2015