Creating a System of Care Through CME

Track: Innovation

Session Number: 2030
Date: Wed, Sep 27th, 2017
Time: 10:30 AM - 11:15 AM


CME activities can create a much needed space for collaboration among a variety of stakeholders in the healthcare industry, including HCPs, patients, caregivers, and patient advocacy groups. Through partnerships, both nationally and locally, CME can provide the latest evidence based treatment recommendations while also addressing quality of life issues and identifying local barriers to care from the HCP, patient and caregiver perspective. In some cases, with the use of a variety of tools designed to continue collaboration well after the educational events take place, these partnerships can create a unique system of care among a variety of stakeholders. Using the DETECT initiative as a case study, Med Learning Group (MLG) will examine how to design CME programs in partnership with national experts, local faculty, and patient advocacy groups and utilize in-practice learning tools to create a system that continues to aspire further collaborations. Encouraging new collaborations in this way also helps align CME with the National Quality Strategy, which calls for more “public and private collaborations within the health care community with the goal of reducing preventable harm.”
In 2016, MLG received support from Lilly, USA to partner primarily with the Alzheimer’s Association and the Health Resources and Services Administration (HRSA) to develop the DETECT initiative, focused on the early diagnosis and management of Alzheimer’s disease (AD). Reaching over 18,000 participants thus far, with a focus principally on internal medicine and family medicine practitioners, as well as neurologists, psychiatrists, and other healthcare practitioners (HCPs) who would like to receive additional training in the assessment and care of patients with cognitive impairment, the DETECT initiative has brought a variety of HCPs together to learn about diagnosis and treatment recommendations and updates for Alzheimer’s disease. As briefly outlined below, this large-scale, multi-faceted programming included:
• 51 Regional Summits, with 3.0 hours of content presented by national experts and a local faculty member to ensure the program addresses local barriers to care;
• 3 National Simulcasts of different Summits, available nationwide and delivered in partnership with the Health Resources and Services Administration (HRSA);
• 20 3D Grand Rounds conducted at a variety of academic and community-based hospitals throughout the country; and
• 17 Regional Roving Reporter Online Activities, based on the educational gaps identified in local settings and inclusive of national and local faculty.
DETECT also incorporated innovative learning tools to facilitate learning and advance the quality of AD care, including:
• 3D Imaging: Stereoscopic 3D effects in the presentation allowed audience members to see the MOA of therapeutic options literally pull off the screen.
• Audio Response System: Participants answered intra-activity case study questions via ARS on iPads at the Summits, which informed faculty with immediate feedback on participants’ baseline knowledge.
• Personalized Posters: Participants chose from a variety of available images to design posters that serve as useful reminders of the education.
• 3D toolkits: Participants downloaded and viewed the 3D animations with their patients and colleagues, promoting engagement, collaboration and coordination in care.
• App/Mobile website: Http:// features quickly downloadable materials and direct web links to published articles, and toolkits for both patients and providers, facilitating communication and encouraging shared-decision making.
At this proposed QIS session, MLG will focus on both the partnerships involved in the design and implementation of DETECT as well as these in-practice learning tools, both of which served to aspire continued collaboration among the variety of stakeholders battling Alzheimer’s disease and in turn to create a system of care among those participating in DETECT and DETECT’s resources. In terms of partnerships, MLG will invite a member of one of the local chapters to participate in this session and discuss our enthusiastic partnership with the national Alzheimer’s Association and the Alzheimer’s Association’s local chapters who participated in each DETECT meeting. At each Summit, a local representative provided a keynote address that described local resources for patients and caregivers and the Association also set up an informational booth at each meeting to share their content, resources, and general information with the treating community. As Jennifer Schlesinger of the Alzheimer’s Association, who presented at a recent educational program in Los Angeles, CA, stated, “The caregiver perspective is extremely important, but unfortunately, far too often overlooked. We are happy to help support any and all Med Learning Group efforts to incorporate the caregiver perspective in physician education.”

Moreover, MLG would discuss how to partner with local faculty to identify and address locally-based barriers and challenges within the educational content. At each 3D Regional Summit, two national experts were joined by a local physician involved in the diagnosis and treatment of patients with Alzheimer’s disease. This combination allowed MLG to bring in national thought leaders for the core content as well as local experts and caregivers to provide the local/regional perspective in caring for this population. To further ingratiate the importance of the education, the Summits were followed by online Roving Reporter activities that included the local perspective as well as 20 Grand Rounds sessions at local hospitals. In this QIS session, MLG would discuss this design to demonstrate to participants how to find local faculty, incorporate them into the national programming, and structure the initiative in a way that addresses both national and regional educational needs and inherently creates partnerships to try to address local barriers.
As listed above, in addition to these partnerships, the DETECT initiative included a variety of tools to further extend both the education as well as discussions with participants. For example, participants had the opportunity to self-select from a variety of images to design a personalized poster for their practice setting. Additionally, they could order 3D glasses and download the animations used in the program, which were re-scripted for the patient/caregiver perspective, and view them with patients/caregivers in practices. Based on our follow-up surveys and interviews, these tools facilitated recall and served as a visual aid in discussions with patients, caregivers, and colleagues. For example, of the 386 respondents to a survey of the 4000+ participants who ordered posters, 77% replied using the posters to further discussions with patients. Likewise, feedback from interviews with participants who downloaded the 3D animations revealed how they further collaboration among physicians and patients. For example one neurologist in Phoenix said“These patient-focused tools are fantastic. A recently diagnosed AD patient watched the 3D in my office the other days and was so appreciative of the learning opportunity and was genuinely happy to learn more about what is happening inside her brain. She followed up with informed questions and was eager to check out the website afterwards.”
Furthermore, at the beginning of the DETECT initiative, MLG launched the DETECT website/application, which includes toolkits for both patients and HCPs with information about living with Alzheimer’s disease, vetted references, lifestyle tips, Frequently Asked Q&A, and a discussion board where participants could place questions for our faculty and dialogue with other HCPs, patients or caregivers. Through these tools, in particular the DETECT website/application which has had over 12,000 views and over 5,000 registered users, participants as well as patients and caregivers continue to connect and collaborate around Alzheimer’s disease diagnosis and management. During this proposed QIS session, MLG will use a variety of outcomes data to demonstrate how these tools have continued to aspire further collaboration and contributed to a unique system of care among participants.
Overall, given the success and uniqueness of this initiative, MLG seeks to engage QIS participants in an interactive session where they will learn how to leverage multiple partnerships to contribute to meeting a variety of CME goals, including developing education that addresses the needs of HCPs as well as the patient and their support teams; focusing on evidence-based care as well as overall quality of life; taking into consideration local barriers and challenges and offering strategies to address them; and employing innovative technology to facilitate continued collaboration among participants well after the educational events have taken place. In so doing, CME can become a forum for collaboration among stakeholders involved in the management of a particular disease state and actually create a system of care among a variety of HCPs, patients, caregivers, and patient advocacy groups across the nation working together to battle a specific disease.

To help drive these lessons home, participants will receive a copy of a white paper we have drafted on the importance of collaboration in CME. In addition, to ensure for an interactive session, as noted above, MLG will invite a member of the Alzheimer’s Association to provide their perspective of the value of physician access through CME for patient support groups. MLG will also provide learners with 3D glasses upon entering the session. Through our in-house technology, attendees will be able to view clips of the 3D animations from our DETECT programs. We will also utilize iPADs, if available, to demonstrate the application and how it is designed to address the various needs of HCPs, patients and caregivers and to facilitate HCP-patient-caregiver communication.
Session Type: Presentation

Learning Objective 1: Discuss use of in-practice learning tools to further advance change and aspire continuous collaboration among HCPs, patients and caregivers
Learning Objective 2: Examine how partnerships with patient support organizations can benefit HCP-focused CME programs
Learning Objective 3: Describe how to use the learning format to address local barriers to care and connect national experts to HCPs across the country
Session Type: Presentation

Learning Objective 1: Discuss use of in-practice learning tools to further advance change and aspire continuous collaboration among HCPs, patients and caregivers
Learning Objective 2: Examine how partnerships with patient support organizations can benefit HCP-focused CME programs
Learning Objective 3: Describe how to use the learning format to address local barriers to care and connect national experts to HCPs across the country