New Engagement Criterion:The provider routinely demonstrates and promotes interprofessional collaborative practice in the operation of its CME program and in the design and implementation of its educational activities.
Discussion:This new criterion is institutionalizing the concept of collaboration in CME activities. It speaks to “routine interprofessional collaborative practice” and seeks to ensure that CME providers are working together in the best interest of quality and outcomes. While “interprofessional” needs further definition, we believe that it embodies both collaboration between nurses, pharmacists, and physicians, as well as between various specialties—depending on the mission of each provider and the identified needs for the activity.

New Engagement Criterion:The provider routinely incorporates patient data (for example, data from registries or electronic health records) into the process for identifying professional practice gaps and educational needs.
Discussion:In our opinion, this new criterion may be the most challenging of the new guidance for some providers, but it also creates an expectation that CME providers should be connected to real patient outcomes data in the way they plan CME. It introduces the reality of EMR and the ability of some providers to access current information. For providers without access to such information, it offers other methods such as morbidity and mortality data and registry information that will require more due diligence. While this proposed criterion appears to be challenging for accredited medical education companies in particular, it will require them to develop processes to access real patient clinic data through public registries, collaborative partners, or other EMR data gleaned from their course directors and faculty.

New Engagement Criterion:The program of CME conducts assessments of the individual’s professional competence and performance and designs and implements individualized learning activities to address the needs that were identified through the assessments.
Discussion:This advanced criterion will require that CME providers measure competence through mechanisms that are more sophisticated than commitment-to-change questions, and demonstrate that outcomes analyses results were used to develop additional CME interventions that reflected the findings of the original outcomes assessments. This criterion will move CME stakeholders toward maintenance of certification, new and creative online methods for learners to assess their own needs and individually tailor CME to those personal gaps, and toward using CME as a tool to correct critical performance gaps such as in remedial CME.