What is in this article?:
The CME team at National Jewish Health wanted to dive into designing a CME activity that would satisfy Maintenance of Certification Parts II and IV rquirements. Here's how they did it.
Mission: In Progress
The group of clinics, which includes three primary pediatric clinics, two mobile units, and two school-based clinics, serves a low-income, English- and Spanish-speaking population. In fact, though her office typically provides everything in English and Spanish, they ended up having to translate even more of their materials than they normally would into Spanish to meet the needs of one of the clinics in particular.
Tools and resources developed for the initiative include an educational manual for providers and staff, a patient workbook, and other materials to support both providers and patients. E-book content with patient education resources full of videos and interactive visuals, in both English and Spanish, was also developed for use on iPads in the clinics. “It’s been a huge hit with both the patients and caregivers, and the providers,” says Meadows. Other resources they provide include clinic resource carts with dolls clinicians can use to demonstrate how to properly apply moisturizers, laminated itch severity scales and life quality indexes, and patient information brochures provided by the National Eczema Foundation—after they too were translated into Spanish.
The initiative also includes two visits to each clinic led by a nurse educator and professional education staff who review different treatment methods, use of nine atopic dermatitis-specific prompts added to the clinics’ electronic health records, and questions providers have regarding the 15-item checklist of things clinicians should do for patients with an AD diagnosis. The CME team is collecting these checklists at four separate intervals.
“We got an astounding return on the checklists the first time around,” she says. “The maximum we could have had returned would have been 240 [10 checklists from each of the 24 providers]. We got 238 back.” She credits the clinic group’s leadership team—which her team meets with monthly—for the high rate of return. “We’re very much working side by side with them, which we have learned over the years is critical to the success of these programs.” In addition to the checklists, the other main data piece National Jewish is amassing is the electronic health records, which are being pulled at three intervals.
While Meadows said the MOC Part IV application was a long process to complete, they got through it. The program was approved for 25 Part IV points. While the final results are still being finalized, outcomes to date show improvement on all the metrics set at baseline.
She’s using an outside data analysis company, HealthCare Research, to crunch the numbers for the PI CME portion of the program and the final assessment, and for her office’s own outcomes reporting to Moore’s Levels 5 (performance) and 6 (patient health), which were completed this summer. But the program will live on—the next step is gathering a group of experts who were involved in the program, including National Jewish Health’s chairperson, to have a roundtable discussion of the program and its outcomes, which they’ll post online as a separate CME activity this fall.