1. Changing CME Environment Linda Caples, MBA Director, Continuing and Professional Education Medical College of Wisconsin

2. Disclosures: Salary from Medical College of Wisconsin

3. Agenda New CME Guidelines Impact on Corporate Sponsored Symposia and Training Programs Strategies for Meeting Corporate and Physician Needs

4. NEW CME Guidelines New players, new enterprise

5. Old Model CME ACCME Gov’t Reg AMA

6. Current Model CME ACCME AMA ABMSAAMC Gov’t Reg. CMSS

7. Rule Changers ABMS AAMC Government Regulation o Federal o State

8. ABMS Maintenance of Certification o American Board of Internal Medicine o Going into its second cycle o MOC CME MOC Part 2 MOC Part 4 (PI CME)

9. MOC Self-Evaluation of Medical knowledge Self-Evaluation of Practice Performance o Practice Improvement Modules® PIMs American Society of Hematology PIM o Approved Quality Improvement (AQI) pathway grants 20 MOC points

10. MOC (points) CME (Credits)

11. PIM Structure Medical Record Audit Patient Experience Survey Practice System Inventory Performance Report Report Results Target Performance Test Process Change Focused Measurement Learn from Change Analytic Program

12. AAMC ae4Q Update AAMC’s Aligning and Educating for Quality (ae4Q) initiative is moving forward with 11 academic medical center pilot sites. Several pilot site participants met over breakfast at the recent AAMC Integrating for Quality meeting in Chicago. While each center has a different focus, there are common interests in using health system quality data to inform their CME programs and to use education as an innovative intervention for performance improvement. All resources developed for the ae4Q initiative are open and available to any academic medical center on our website.

13. Government Regulations Physicians Payment Sunshine Act o Documentation begins January 2012 o All direct payments to physicians o CME is indirect, thus not reported o Schools of thought Pharma to decrease funding of CME Pharma to increase funding of CME o Will allow accredited providers to preselect speakers based on dollar amounts

14. Continuous Performance Improvement Data/Informatics CME QI Research/ Outcomes ©NIQIE 2009

15. Impact on Corporate Sponsored Symposia and Training Programs National and International Considerations

16. ABMS – Paradigm Shift MOC & CME M. Powels “MOC Part IV Overview and Criteria” NIQIE, Sept. 2011

17. The Transitioning U.S. Healthcare Delivery Model Volume BasedPerformance Based Hospital BasedIntegrated, Outpatient PaperElectronic One Size Fits AllPersonalized Payment Venue Records Treatment 19902000020102020 L.Long, “Putting the Value in Value Based Purchasing: Paying for Performance” NIQIE, Sept. 2011

18. Impact of current CME Environment NationalInternational Saturated traditional CME market Opportunities for MOC/MOL National Collaborations Focus on Effectiveness of treatment modalities (payer driven) Intense Growth in o India o Asia China Japan o Brazil Opportunities o Sub Sahara Africa Nigeria Ethiopia Ghana South Africa

19. Strategies for Meeting Corporate and Physician Needs Working together, support the mission

20. Mutually beneficial CorporatePhysician ROI Evidence Compliance o Corporate o Federal/State Transparency to the public CPI Effectiveness Certification o MOC o MOL Transparency to the public

21. Real time learning Internet Point of Care CME Medical Education Gaming Medical Meeting Smartphone Applications o Greener meetings o Quick access to information o Added sponsorship opportunities o Enhance social interaction o Polling and surveys o Improve customer service o offer destination information

22. In Summary, CME is transitioning from One – offs One day meetings Grand Rounds Enduring Materials* SUSTAINABILITY PI CME MOC/MOL Enduring Materials (S.A.) National Collaborations

23. Questions? Thank you. lcaples@mcw.edu