Redesigning Continuing Education in the Health Professions (2010) / Chapter Skim
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7 Implementation, Research, and Evaluation
7 Implementation, Research, and Evaluation
Pages 131-146
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From page 131... ...
For example, within hospitals and academic health centers, learning could be fostered through the appointment of a chief learning officer who would design and over 131
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From page 132... ...
The CPDI could benefit itself and others by being an active part of a continued learning community that spans all industries for which continued learning and development are critical. Development of the CPDI is an important step toward ensuring health professionals' capacity to provide high quality care, but it is only one part of improving the quality and safety of the larger health care system.
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From page 133... ...
It is important that these experiences could be supported, built on, and expanded in clinical practices in settings such as integrated health care systems and academic health centers. Academic health centers would be particularly interesting, given their important roles in undergraduate and graduate education.
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From page 134... ...
By encouraging and facilitating action by various regulatory bodies across states and professions to ensure the competence of all practitioners, the CPDI can promote the consistency and alignment of regulations. Policies to align regulatory efforts should be developed based on evidence, allowing for minimum standards to be set in areas such as the methods and amount of CPD necessary for optimal learning.
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From page 135... ...
To catalyze a movement toward improved learning, the Council on Regulation will need to support disruptive innovations and might consider working with licensing bodies to depart from the traditional credit-based system to a more performance-based system. A credit-based system may fuel health professionals' indifference toward CPD by allowing a range of activities to count for continuing education that are not related to the maintenance or advancement of competence.
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From page 136... ...
For example, in the absence of conflicted sources of funding, academic health centers and health care organizations may provide greater levels of financial support, along with individual practitioners themselves, as discussed in Chapter 3. All models should be considered and assessed for the ability to strengthen CPD financing.
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From page 137... ...
Desirability of new research ¸ ¸ documentation Feasibility ¸ outcomesa Improve health ¸ ¸ Improve delivery of ¸ ¸ effective health care services, quality of care provided Improve access to health ¸ care services Eliminate harm, improve ¸ patient safety Eradicate or eliminate ¸ ¸ ¸ disparities Reduce disease burden ¸ Remove waste ¸ NOTE: The difference between CPDI criteria and those of other groups largely stems from the difference in each organization's purpose. a AHRQ combines these criteria into one criterion, "potential value," that also includes the potential for significantly impacting health and reducing unnecessary burden (cost)
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From page 138... ...
. HRSA aims to improve "access to health care services for people who are uninsured, isolated, or medically vulnerable," through activities such as providing health care services to vulnerable popu lations, training health professionals, and improving systems of care in rural parts of the United States (HRSA, 2009)
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From page 139... ...
. The NPP, convened by the National Quality Forum, is a collaborative effort of major national health care organizations that collectively influence every part of the health care system -- both the private and the public sectors -- including consumers, purchasers, quality alliances, health professionals and providers, insurers, government, accreditation and certification programs, and others (NPP, 2008)
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From page 140... ...
The planning committee should define a process for setting a research agenda, and an early task for the Council on the Science of CPD is to refine and implement that process. To determine who might set priorities, three nonexclusive options were considered: a broad set of professional groups and other stakeholders, a group similar to EPOC that would specifically focus on CPD, or the CPDI based on advice from the standing council.
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From page 141... ...
Without an organized body of knowledge about the effectiveness and efficiency of efforts to impact change, the value of CPD cannot be assessed and health professionals cannot depend on it as a vehicle for improving practices and patient health. Research on the effectiveness of CPD must also align CPD activities with the identified needs and appropriate skills to be learned.
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From page 142... ...
For example, learning portfolios can be used across professions to improve the learning process, but the effectiveness of learning portfolios in this capacity must be assessed before investments are made to use them to track the performance of health professionals widely. Demonstration programs can be developed using the research and development structures currently in place.
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From page 143... ...
To ensure that the system and the Continuing Professional Development Institute are functioning properly and progress is being made toward better health professional development, evaluation must be performed continually that is supported by data. Initially, evaluation ought to occur at four levels: individual health professionals, stakeholder organizations, the CPDI, and the overall CPD system.
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From page 144... ...
Recommendation 10: The Continuing Professional Develop ment Institute should report annually to its public and private stakeholders and should hold a national symposium on the performance and progress of professional development educa tion and its role in enhancing quality and patient safety.
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From page 145... ...
The status quo is unacceptable; poor quality of care continues to threaten patient safety, further fragment the system, and poten tially increase waste. Inaction would signify society's unwillingness to support health professional development to systematically improve quality and patient safety in a timely manner.
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From page 146... ...
2008. Comparing medical interventions: AHRQ and the effective health care program.
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