Dr. Graham McMahon's presentation at the 2015 IAMRA Revalidation Symposium

1. Value and Impact of CME
Accreditation
in the ACCME System
2015 IAMRA Revalidation Symposium
Graham T. McMahon, MD MMSc
President & Chief Executive, ACCME

2. “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

3. Learners
of all types
Accredited Providers
Points and
credits
Credentialing:
Hospital
Insurer
Health system
Licensing:
State
Medical
Boards
Certification:
Medical societies
and boards
Quality
Activity

4. Core Values of ACCME Accreditation
• Relevant
• Independent
• Evidence-based
• Evaluated

5. 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

6. 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

7. Key Opportunities
Health
System
CME
provider Learners
Invest in Meet the needs of
Provide feedback toDelivers value to

8. Scope of the Enterprise
Activities
Hours of
Instruction
147,024 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

10. Accreditation Requirements
Provider
CME Mission &
Continuous Quality
Improvement
Activity
Gaps/Needs
Design to change
Formats
Competencies
Independence
Evaluation

11. 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

12. *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”

13. 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

14. Overall Compliance Results for
November 2008 through July 2015 (n=1,123)

15. Accreditation Decisions
November 2008 to July 2015
(n=1,123)
50%
29%
12%
3%
6%
July
2015
(n=43)

18. CME Presented by Providers Accredited in the ACCME System
Percentages Designed/ Analyzed for Change in
Competence, Performance, or Patient Outcomes - 2014

20. AHA: Continuing Medical Education as a
Strategic Resource
AHA, Continuing Medical Education as a Strategic Resource, September 2014

21. Advancing CME with accreditation
Revised Accreditation w/Commendation Criteria: A work in progress…

22. 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, MD
President and CEO
American Board of Internal Medicine

23. Interprofessional Continuing education
(IPCE)
www.jointaccreditation.org

24. Questions?