Point-of-Care CME – a Legacy Health Library/CME collaboration
Submitted by Carol Galganski, MSLS, MHSA, AHIP, Manager, Medical Libraries, CME, AV, Legacy Health, Portland, OR
As a result of a $15,000 NNLM/PNR award, Legacy Health physicians and clinicians now have a new format for earning AMA PRA Category 1 Credit™, searching knowledge-based Library resources to answer their clinical questions at the point-of-care. This project teamed the Legacy Health’s Medical Library staff and electronic knowledge based resources with the Continuing Medical Education (CME) staff, online resources, and Oregon Medical Association accreditation to collaboratively develop this new opportunity for physician education.
The target population for this project was the credentialed Medical Staff from our five Legacy Health hospitals, approximately 2300 physicians. Additional clinicians eligible to participate in this project were nurses, nurse midwives and residents. Physicians (MD/DOs) earn 0.5 AMA PRA Category 1 Credit™ per clinical search researched and documented, non-physicians are eligible to obtain a certificate of participation that translates into credit used by their professional organizations. During the 6 month period of performance, we worked with a variety of Legacy partners, – Supply Chain, Marketing, Information Services, and our Foundation. Another non-Legacy partner, Coordinator’s Choice™, the producer of the CME Tracker software used to document searches and credit, was another important partner in the implementation of this project.
Although we had a relatively short project period with this award (October 2012-April 2013), we were able to develop a number of resources and training materials that will be used by Legacy physicians and staff well into the future. Below is a detailed summary of our project accomplishments, with links to publically available resources:
· Implementation of a new CME format – Point-of-Care – that began February 1st, 2013. Our Legacy Health Point-of-Care CME webpage provides an overall starting point to view a number of resources created during this project.
· Library and CME staff worked collaboratively to create a 1 hour training session that was presented at 8 Grand Rounds educational events held throughout Legacy Health. Each training session earned 1.0 AMA PRA Category 1 Credit™ for participating physicians.
· The live training session was recorded and then developed into an online enduring material offered through our member only CME On Demand service. If you would like to view this enduring material, please send me an email.
· Cindy Ramzy, MSLS, a Legacy medical librarian, created an online tutorial with Articulate Storyline – software purchased by the project award – that demonstrates the overall Point-of-Care process, and includes 10 short informational videos on the Library resources approved for searching. To view this, please click this link.
· Project staff developed an instructional brochure that was sent to 2300 Medical Staff. This guide provided directions for using POC CME, as well as accessing new do-it-yourself services available via the updated CME website. These services include online calendars, registering for a CME profile, and accessing CME transcripts.
· Project staff created a 9 X 6 informational poster that was displayed at 8 Cancer Care conferences throughout Legacy Health. The poster provided an overview of the POC process as well as the CME do-it-yourself services.
· Because of this award, both Library & CME staff had the opportunity to learning more about tablet computers and how they may be integrated within our daily work and services we provide.
This collaborative project demonstrated the importance of knowledge based resources in the provision of patient care. As of June 6th, 18 individual physicians have documented 42 clinical questions, with a total of 21 AMA PRA Category 1 Credits™ earned. Evaluation data from this service indicates that physicians need answers to a variety of clinical questions – and the information they locate in our resources can lead to a change in their practice – treatment decisions, medication management, a recommendation for preventive care, or advice given to their patient.
As the manager of both departments at Legacy Health, this project verified for me that the Library and CME are effective partners in providing lifelong learning to physicians and other clinical staff.