The ACCME proposes to delete three criteria and add three (or perhaps more) new criteria. But it is important to note that they also propose to allow CME providers some flexibility to select the Engagement with the Environment criteria that are applicable to their unique CME environments. While the ACCME hasn’t stated how this would be accomplished, they propose to require a minimum number of criteria to be addressed in this subset of criteria (let’s say five out of seven) but give the provider the choice of which five to address. Again, this area will be open to a number of comments and we won’t know the results for a while.

Criterion 16:The provider operates in a manner that integrates CME into the process for improving professional practice.
Proposed Change:Deleted in its entirety (but reflected in new Engagement with the Environment criteria; see below).
Discussion:The ACCME believes that C16 is redundant with Criteria 2 and 3 in that if gap analysis is managed correctly the professional practice gaps will become the basis for the activity.

Criterion 18:The provider identifies factors outside the provider’s control that impact on patient outcomes.
Proposed Change:Deleted in its entirety.
Discussion:In the past, it was often difficult to distinguish between barriers or factors that have an impact on quality, patient safety, and physician change. Often methods or content to address the barriers of C18 were consistent with those of C19. Moreover, a complete gap analysis would already have uncovered the barriers to quality and patient safety.

Criterion 22:The provider is positioned to influence the scope and content of activities/educational interventions.
Proposed Change:Deleted in its entirety.
Discussion:In our opinion, this criterion was unnecessary. Other documentation in the self-study or the new performance-in-practice abstracts will clarify whether or not the CME provider is positioned to influence the scope and content of its CME program.