The Integrated Joslin Performance Improvement/CME Program: A New Paradigm for Better Diabetes Care

Brown, Julie; Beaser, Richard S.; Neighbours, James; Shuman, Jill

doi:10.1002/chp.20101

Cited by 13 publications

(18 citation statements)

References 14 publications

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“…More precisely, acknowledging that medical personnel is employed in a most pertinent working field, the impetus for flexibility, adaptability and improved performance has come to the fore. Throughout the contemporary literature [ 4 - 6 ], the necessity for bringing physicians up-to-date with an evolving body of knowledge, so as to improve performance and optimize outcomes, is emphasized, while delivering CME interventions has become a major enterprise, globally [ 4 , 7 ] .…”

Section: Introductionmentioning

confidence: 99%

Continuing medical education revisited: theoretical assumptions and practical implications: a qualitative study

2014

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BackgroundRecent research has evidenced that although investment in Continuing Medical Education (CME), both in terms of participation as well as financial resources allocated to it, has been steadily increasing to catch up with accelerating advances in health information and technology, effectiveness of CME is reported to be rather limited. Poor and disproportional returns can be attributed to failure of CME courses to address and stimulate an adult audience.MethodsThe present study initially drew on research findings and adult learning theories, providing the basis for comprehending adult learning, while entailing practical implications on fostering effectiveness in the design and delivery of CME. On a second level, a qualitative study was conducted with the aim to elucidate parameters accounting for effectiveness in educational interventions. Qualitative data was retrieved through 12 in-depth interviews, conducted with a random sample of participants in the 26th European Workshop of Advanced Plastic Surgery (EWAPS). The data underwent a three level qualitative analysis, following the “grounded theory” methodology, comprising ‘open coding’, ‘axial coding’ and ‘selective coding’.ResultsFindings from the EWAPS study come in line with relevant literature, entailing significant implications for the necessity to apply a more effective and efficient paradigm in the design and delivery of educational interventions, advocating for implementing learner-centered schemata in CME and benefiting from a model that draws on the learning environment and social aspects of learning.ConclusionsWhat emerged as a pivotal parameter in designing educational interventions is to focus on small group educational events which could provide a supportive friendly context, enhance motivation through learner-centered approaches and allow interaction, experimentation and critical reflection. It should be outlined however that further research is required as the present study is limited in scope, having dealt with a limited sample.

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Section: Introductionmentioning

confidence: 99%

Continuing medical education revisited: theoretical assumptions and practical implications: a qualitative study

2014

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“…[6][7][8] Based on this rationale, the performance measures selected by the faculty for this PI CME activity addressed the topics of actively assessing and accurately diagnosing MS-related symptoms; selecting appropriate treatments; and monitoring the efficacy of non-pharmacologic and pharmacologic therapies. Our outcomes demonstrated that PI CME is a viable approach for quality improvement in MS as it resulted in significant increases in the frequency of assessment and care plan documentation for several important MS symptoms.…”

Section: Discussionmentioning

confidence: 99%

Constructing an adaptive care model for the management of disease-related symptoms throughout the course of multiple sclerosis—performance improvement CME

et al. 2013

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Background: Symptom management remains a challenging clinical aspect of MS. Objective: To design a performance improvement continuing medical education (PI CME) activity for better clinical management of multiple sclerosis (MS)-related depression, fatigue, mobility impairment/falls, and spasticity. Methods: Ten volunteer MS centers participated in a three-stage PI CME model: A) baseline assessment; B) practice improvement CME intervention; C) reassessment. Expert faculty developed performance measures and activity intervention tools. Designated MS center champions reviewed patient charts and entered data into an online database. Stage C data were collected eight weeks after implementation of the intervention and compared with Stage A baseline data to measure change in performance. Results: Aggregate data from the 10 participating MS centers (405 patient charts) revealed performance improvements in the assessment of all four MS-related symptoms. Statistically significant improvements were found in the documented assessment of mobility impairment/falls (p=0.003) and spasticity (p<0.001). For documentation of care plans, statistically significant improvements were reported for fatigue (p=0.007) and mobility impairment/falls (p=0.040); non-significant changes were noted for depression and spasticity. Conclusions: Our PI CME interventions demonstrated performance improvement in the management of MS-related symptoms. This PI CME model (available at www.achlpicme.org/ms/toolkit) offers a new perspective on enhancing symptom management in patients with MS.

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“…[7][8][9][10] In this QI activity, data from SNFs participating in the baseline assessment (stage A) were aggregated and compared against data from SNFs participating in reassessment phase (stage C; Table 1). …”

Section: Methodsmentioning

confidence: 99%

Quality Improvement in Skilled Nursing Facilities for Residents With Alzheimer’s Disease

Farlow

Borson

Connor³

et al. 2015

Am J Alzheimers Dis Other Demen

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The SNFs had >95% baseline performance in both the frequency of cognitive assessments and documented medication reviews. The percentage of residents who received a quality-of-life assessment and those who had a mental health care plan in place represent areas for improvement. As part of this activity, a toolkit was developed to help guide facilities and clinicians in instituting care improvements for residents with AD/dementia.

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The Integrated Joslin Performance Improvement/CME Program: A New Paradigm for Better Diabetes Care

Cited by 13 publications

References 14 publications

Continuing medical education revisited: theoretical assumptions and practical implications: a qualitative study

Continuing medical education revisited: theoretical assumptions and practical implications: a qualitative study

Constructing an adaptive care model for the management of disease-related symptoms throughout the course of multiple sclerosis—performance improvement CME

Quality Improvement in Skilled Nursing Facilities for Residents With Alzheimer’s Disease

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