AHRQ Continuing Education Resources for Safety Net Health Professionals


OPERATOR: Ladies and gentlemen,
thank you for standing by and welcome to the “AHRQ Continuing Education Resources for Safety Net Health Professionals” Webinar, presented by HRSA and AHRQ. During the presentation,
all participants will be in a “Listen Only” mode. However, you may submit
questions to the speaker at any time during the Webinar
in writing using the chat feature located on
the left side of your screen. Questions will be addressed
as time allows following the second
presentation. As a reminder, today’s
Webinar is being recorded. It is now 2:00 PM Eastern Standard Time on July 12, 2013. There will be one presentation
during today’s Webinar, given by three presenters:
Ms. Natalie Brevard Perry, and Lieutenant
Michael Banyas of HRSA, and Ms. Jean Slutsky of AHRQ. In a moment, we will be sending
all attendees a link through the chat feature that they can click on to download copies of the slide presentation
for today’s Webinar. Additionally, all registrants
will receive an email following today’s Webinar that will
include an email address where you can send requests
for copies of the presentation. I would now like to turn
the call over to Lt. Banyas from HRSA’s Bureau
of Primary Healthcare. Please go ahead, Lt. Banyas. LT. BANYAS: Good afternoon everyone and thank you for joining us during today’s
Webinar presentation. Before I introduce Admiral Sarah
Linde of the US Public Health Service and HRSA’s Chief Public
Health Officer to introduce today’s speakers, I would like to point today’s presenters toward some resources
and announcements both from HRSA and AHRQ. First, the Health Resources and
Services Administration has a variety of Health IT and Quality
toolboxes and resources and all the past Webinars can be found at HRSA’s Health IT website and also at HRSA’s Quality Improvement website. Those links are displayed
on the slide on the screen. Second, the resources displayed
during today’s Webinar for safety net health professionals
can be found at the HRSA quality page as well as a variety of
other HRSA web pages and outlets which we will describe later
during the presentation. In addition, the web page
for this resource is also on the front page at HRSA.gov. Any additional questions can
be sent to [email protected] Next just some Health IT and
Quality announcements from HRSA; as I mentioned, all of HRSA’s
past Webinars can be found at www.HRSA.gov/HealthIT, and also on the Quality
Improvement website. Three recently posted Webinars
that gained a significant attendance from the safety net
community include: “Using an Electronic Health Record to Create Patient Problem Lists,” “Using an Electronic Health Record for Health Information Exchange and Interoperability
for Safety Net Providers,” and, “Using Clinical
Decision Support in Safety Net Provider
Settings.” In addition, two new recent
grantee spotlights have been posted to the Health IT and
Quality grantee website. They include a technical
assistance article on the AIDS Resource Center of Wisconsin and how they built a patient-centered medical home for patients with HIV and AIDS. As well as an article on
the Health Care Systems Bureau’s approach to data driven
quality improvement which increases organ donation. These articles, as well as
the previous grantee spotlight articles are wonderful technical
assistance resources for grantees to find out
how their peers and fellow safety net providers have overcome numerous Health IT and Quality Improvement
challenges on the ground in order to deliver
high quality patient care. Next, just a few
announcements from AHRQ and their Effective
Health Care program. First, access to new treatment
options and resources can be accessed through
the web link on the slide deck on the page right now. In addition, any participants
that are interested in ordering free patient and caregiver
education resources can dial the number listed on the screen,
these patient and caregiver education resources are based on
the comparative effectiveness research from the AHRQ
Effective Healthcare program. In addition, AHRQ’s EHC program
welcomes any one to join the national partnership network and to access the free resources and templates available
on the website. In addition, they also welcome
any input into the EHC program research as well as comments on
the research or to participate in a survey on the tools
featured on the website. And lastly, there’s a funding
opportunity available focusing on disseminating patient-centered outcomes research to improve
healthcare delivery. All of these resources and
information can be accessed through AHRQ’s
Effective Health Care site. I would now like to
turn the Webinar over to Admiral Sarah Linde of the U.S.
Public Health Service and HRSA’s Chief Public Health Officer
to introduce the speakers. Admiral Linde? — Thank you, Lt. Banyas. Good afternoon, everyone. My name is Rear Admiral Sarah Linde and as Lt. Banyas said, I’m in the
Public Health Service. I’m also the Chief Public Health
Officer of the Health Resources and Services Administration,
also known as HRSA. I’d like to welcome today’s
participants to July’s Health Information Technology
and Quality Webinar. This event will provide you an
overview of three evidence-based continuing education resources
to safety net health care professionals and HRSA grantees
through a recent collaboration between HRSA and the Agency for
Healthcare Research and Quality, AHRQ, or “ARK.” No doubt many of you are
familiar with HRSA and our mission to improve health and
achieve health equity through access to quality services,
a skilled health work force and innovative programs, but in case
you are not familiar with AHRQ, they are one of our sister
agencies within the Federal Department of
Health and Human Services. AHRQ works to improve the
quality, safety, efficiency, and effectiveness of healthcare
for all Americans through partnerships
and research. Today’s Webinar is an example
of one successful partnership. These free clinical training
resources, which include online training modules,
are derived from the comparative effectiveness research funded by AHRQ’s Effective
Healthcare Program. This research, then translated
into training resources, helps healthcare providers, especially those who care for vulnerable populations,
use evidence to make informed patient treatment decisions,
and improve the quality of care in their day to day
clinical work. Providing high quality
evidence-based healthcare is a vital component of
the Affordable Care Act, the National Quality Strategy, and Healthy People 2020. Today, HRSA staff will be
introducing the collaboration with AHRQ and how these
resources can help HRSA grantees train their clinical staff to
provide high quality healthcare using evidence-based medicine. AHRQ will provide an overview of
the Effective Healthcare Program and its resources, and finally,
HRSA will present the website created to provide safety net
providers and HRSA grantees access to these AHRQ resources
in numerous areas such as chronic diseases. I now would like to give you
a little bit more information about today’s speakers. Natalie Brevard Perry is the Deputy Regional Administrator of HRSA’s Atlanta Regional Office, which improves health care systems, strengthens America’s healthcare safety net, increases access to quality care, reduces disparities, and advances public health
in the following states: Alabama, Georgia, Florida, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee. Prior to joining HRSA, Ms. Perry
served as the Deputy Associate Director for Policy in the
Public Health Program Office at the Centers for Disease
Control and Prevention. Jean Slutsky directs the Center
for Outcomes and Evidence at AHRQ, and oversees the evidence-
based practice center program, also the technology
assessment program, extramural and intramural
research portfolios, and the national guidelines, national quality measures, and quality tools
clearinghouses. Prior to this position,
Ms. Slutsky directed the development of the National
Guideline Clearinghouse Project, and served as the
project director of the US Preventive Services
Task Force. Finally, Lt. Michael Banyas
is a commissioned officer in the public health service
and is currently a public health analyst in HRSA’s Bureau
of Primary Healthcare which operates the
health center program. There he assists approximately
80 grantees in Idaho, Oregon, Colorado, and Utah. Previously he was the team lead
for communications in HRSA’s Office of Health Information
Technology and Quality, and he has experience in policy
and management analysis with the US Senate Health Education
Labor and Pension Committee’s Health Policy Office, and also, the Centers for Medicare and Medicaid services, and several institutes
within the National Institutes of Health. I’d now like to turn
the presentation over to Natalie Perry, the deputy regional administrator of the Atlanta Regional
Office of HRSA. Natalie? — Thank you, Admiral Linde. Good afternoon, and again, welcome to an overview of the Medical
Education Initiative. This Webinar features AHRQ
continuing education resources for safety net health
professionals. This is a joint presentation
sponsored by the Health Resources and Services
Administration, or HRSA, and the Agency for Healthcare
Research and Quality, or AHRQ. Today’s Webinar is designed
to introduce free, on demand, continuing education resources
for essential community providers or health
professionals who provide healthcare and services to
underserved populations. For the first time, HRSA and
AHRQ have linked information technology environments to create a web portal and provide direct access to accredited continuing education and other
evidence-based resources. These resources can be used for
professional development, in staff development activities,
quality improvement and risk management programs,
and to improve organizational performance
on clinical measures. The key objective of today’s
session are to first encourage safety net providers to access
free accredited, evidence-based continuing education activities,
and secondly, to increase utilization of these resources
to improve patient outcomes. We would like for you to begin
using the new HRSA Internet portal as a primary
source of accredited continuing education and continuing medical education. Today’s Webinar will progress
from an overview of the AHRQ Effective Healthcare Program,
through a discussion of the evolution of the initiative and
it will end with a demonstration of the HRSA Medical Education
Initiative web portal. On this slide, we have
outlined the four segments of today’s presentation. First, I will provide an overview of the conceptual framework or the foundation
of the initiative. Next, Jean will present an overview of the AHRQ Effective Health Care program, and finally, Michael will present an overview of the Medical Education Initiative and a web portal demonstration. You may ask, so why is this
initiative important? Well, there’s several reasons. First, an essential component
of implementing the Affordable Care Act is
delivering high quality care. Title Six of the act includes
provisions related to patient-centered
outcomes research. In general, the Affordable Care
Act will precipitate changes in the way that healthcare
is paid for and delivered. The overarching goals
are to first reduce costs and improve quality. Second, shift from paying for
volume to paying for outcome. And third, improve
care coordination. The Medical Education Initiative
supports these goals as well as two of Secretary Sebelius’s strategic priorities. First it supports the priority
to promote high value, safe, and effective healthcare,
and secondly, it supports the priority to accelerate the
process of scientific discovery to improve patient care. As you may know, the pathway from basic scientific discovery to methods and technologies
that improve patient care can be lengthy and complex. HHS is committed to promoting
faster translation of research into practice, and ensuring
that it meets the varying needs of diverse communities
in culturally and linguistically appropriate ways. Accelerating this process
can help HHS meet its goals, including promoting high value
safe and effective healthcare, eliminating health disparities,
supporting informed decision-making, and ultimately
improving health outcomes. So what does this mean
for you as an essential community provider
or a safety net provider? Well, it means that many
evidence-based resources are now readily available to support the
development of patient-centered medical homes, to improve
healthcare delivery in accountable care organizations, and to enhance your quality improvement programs. These resources are
now at your fingertips inside the HRSA IT environment. Now as many of you know, HRSA
is a part of the United States Department of Health
and Human Services. We manage a $7.8 billion portfolio of 80 different grant programs. Most of these programs focus
on expanding primary care and extending health services
to those who are poor, medically vulnerable,
or geographically isolated. An important component
of HRSA’s mission is to strengthen the workforce. Through the Bureau of Health Professions, grants are awarded to health professional schools and training programs to expand workforce training. The Medical Education Initiative
is a complementary component of HRSA’s overall efforts to ensure
that the health workforce is trained to provide
high quality care. In essence, by bringing AHRQ
resources into a familiar web-based environment,
we virtually stretch the classroom
to the point of care. In 2009, the Institute of
Medicine published a report entitled, “Redesigning
Continuing Education in the Health Professions.” One of the five broad messages
outlined in this report asserts that continuing education efforts should bring health professionals
from various disciplines together in a carefully tailored
learning environment. The Medical Education Initiative
creates a direct Internet link from HRSA to evidence-based
resources developed by AHRQ for multiple disciplines. So if you are a nurse, a nurse
practitioner, a health educator, medical assistant, case manager,
dietician, pharmacist, or a physician, there are accredited continuing education modules designed for
your discipline within this initiative. You will find a variety
of formats including video discussions, case studies, feedback based videos, simulations, journal articles,
and monographs. Each activity is designed
to include an overview, learning objective,
and faculty biography. To receive credit for each
module, you must score 70 percent or greater
on the post-test. The shared priorities of
HRSA and AHRQ serve as the foundation for
this initiative. Both agencies have programs
that prioritize underserved and minority populations. Both agencies also have
programs that focus on making health care
more patient-centered. HRSA and AHRQ programs ensure
that patients and families are engaged as partners
in their care, and finally, HRSA and AHRQ programs support proven evidence-based
health care interventions. So these priorities clearly
demonstrate how the mission of these two agencies intersect and support the creation of a joint initiative. Both agencies share the common
goal of emphasizing clinical and service quality
in healthcare. Finally, in terms of the
foundation of the initiative, here’s some background
information that we put together that illustrates how we
solidified the rationale for creating the initiative. According to the Institute
of Medicine, 58 percent of continuing education
comes from industry, and out-of-pocket costs to physicians is approximately $1200 per physician per year, which is quite a bit. The Medical Education Initiative
is a free online resource specifically developed to help
ensure that the safety net workforce is consistently
prepared to provide high quality care and
ensure patient safety. We know that health
professionals are overwhelmed by the proliferation
of clinical information. This results in a gap between
available evidence-based clinical information
and actual practice. Almost a decade ago, the ILM
observed that an average of 17 years elapses between the
discovery of a new treatment to the integration of that
treatment into routine practice. Now think of how many people
could benefit if new discoveries were translated into
practice more rapidly. Clinical information must be
disseminated in a timely manner using new and innovative ways. This will enable health
professionals to keep pace with the rapid development of
evidence-based information. The Medical Education Initiative
is designed to shorten the time between scientific discovery
and integration into practice by providing evidence-based
continuing education directly on the HRSA homepage. And now, Jean will tell you
more about AHRQ, comparative effectiveness research, and the wealth of resources available through the Effective Health Care Program, which is the origin of the
Medical Education Initiative. Jean? — Thank you. Next slide please. And next slide. It’s my pleasure to be here
today and for those of you who don’t know about AHRQ’s mission, I’ll just simply say on this slide, it’s to improve
the quality, safety, efficiency, and effectiveness of health care
for all Americans. While that’s a very large and
audacious mission, we take it quite seriously and we hope that
you’ll find the materials that we’re going to talk about today
will help us all achieve this. Next slide please. So you as frontline
health care providers and safety net providers know that the health care landscape is changing very rapidly. Health care reform has
already begun and we know that integrating evidence
into this new environment is going to be challenging. We want to know how the nature
of evidence changes over time and how these changes affect
you as providers, payers, and patients and their families and how do we ensure that these changes are beneficial and don’t
have unintended consequences. Next slide please. So the evidence of the Effective Health Care program is charged with providing current, unbiased
evidence on the effectiveness of different health care
intervention and it focuses on patient-centered outcomes so
the patient is the center of the focus of this research, it’s
also intended to help patients, providers, and policy-makers, make informed, evidence-based,
informed choices. While we don’t make treatment
recommendations, we hope that the materials that we provide
to the public will help them in developing clinical
practice guidelines, clinical decision support, and making everyday decisions
on health care options. Next slide please. So what is comparative
effectiveness research? This is research that compares
the benefits and harms of different health care
interventions and strategies for providing health care
to prevent and diagnose and treat and monitor
health conditions. It focuses, as I said,
on patient-centered outcomes. It can compare drugs,
medical devices, tests, surgeries,
behavioral interventions, or actual strategies
to deliver health care. It’s intended to be descriptive
and not prescriptive. This is not a research program
that actually makes funding recommendations, but it
does provide information for people to use in
the health care arena. Next slide please. This is the framework
for the work we do under the Effective
Health Care Program. I want you to concentrate on the
light blue or purple box which is translation, dissemination,
and implementation. This is really the box that
gets the information that comes out of our research portfolio
into the hands of people who need it and that includes the safety net providers, patients, and their families. Hopefully this will lead to
improvements in health care which will further inform what type of research we undertake. Next slide please. So why is translation needed? This is a quote from the third
director of Agency for Health Care, Research,
and Quality — John Eisenberg, and he was very passionate about making sure that evidence gets into practice. So he said, “Evidence
may be necessary, but it’s certainly
not sufficient. The findings of research need to
be translated into information that is useful for each
health care decision maker.” Next slide please. So the Effective Health Care
program has developed quite a few program tools and
resources to help not only frontline providers, patients and their families, but other researchers
conduct this type of research. What I am going to be talking about today is the continuing education modules and case presentations that we hope you will find to be quite useful in your day to day practice. Next slide please. Anyone can use AHRQ’s Effective
Health Care CE/CME modules. They provide accredited credits
for a variety of health care providers including physicians,
as well as health education specialists, case managers,
medical assistants, pharmacists, nurses,
and nurse practitioners. It’s meant to be a broad
program for CE and CME. Next slide please. The modules are clustered around
14 common clinical areas which I call “cradle to grave.” An example of the clinical areas
which may be quite familiar to you in your day to day practice
is diabetes management, developmental delays — including ADHD, Autism — digestive system conditions, infectious diseases —
including HIV and AIDS. It’s been my pleasure being
able to talk to you today about this exciting program. I really hope you’ll find it
useful and I’ll be happy to answer any questions at the
end of all the presentations. Thank you very much. — Hi everyone, this is
Lt. Michael Banyas from the Bureau of Primary Health Care and I’m just going to give a quick overview on
the Medical Initiative’s website and how safety net providers
can organize and can access these materials from AHRQ. First, I just want to point out
this badge that HRSA’s Office of Communications
designed for the initiative. This badge is seen on several
other HRSA Bureau and Office websites and it also
is an indication of, if you click on the badge,
you can enter in to find the portal
through this badge. As my colleague Ms. Brevard Perry stated beforehand, the purpose of the Continuing Medical Education Initiative was to support the workforce in quality improvement priorities, the Department of Health
and Human Services, HRSA, as well as the
Affordable Care Act, the National Quality Strategy, and the mission of HRSA’s
other bureaus and offices. As we stated before, this website that we created provides safety net providers and HRSA grantees with access to free — and I want to emphasize that, FREE — clinically relevant quality training resources
developed by AHRQ. In addition, these modules
encourage and facilitate the use of evidence-based research
in medicine, which is extremely important for providing safety
net provider or safety net patients with up-to-date
high quality care, but also for their providers
to be able to have access to the best and most
current research available in order to achieve
greater health outcomes. Next, before I demonstrate
the HRSA portal, the website features 36 modules selected
by HRSA clinical staff. So the 36 modules that you see
displayed on the website that I will show in just a little bit
are chosen by HRSA’s clinical staff that are familiar with
the care that is provided by safety net providers in
the underserved community. These modules were chosen based
on their relevance towards meeting the clinical training
needs of the types of care provided within the safety
net provider’s settings. In addition,
these types of care, these training modules, all include but are not limited to rural critical access hospitals, HIV/AIDS providers, maternal and child health issues, health centers, and many more areas
relevant to HRSA grantees and the safety net
provider community. The website, which will be
demonstrated in just a few minutes, utilizes filters
that allow users to select the modules relevant
to their needs. So just as if you were shopping
on say an Amazon.com website or another shopping website, users and providers will be able to filter
the providers — be able to filter out
what they are looking for, either by provider type
and/or disease category. In addition, please be on
the lookout for additional announcements on additional
modules from AHRQ’s Effective Health Care program that will be
forthcoming and that could be easily accommodated
to this website. Next, I’m just going
to share my desktop and I will quickly
demonstrate the website. If people can’t
see my web browser, please just let me know. First, just to show off the HRSA
front page, so as I mentioned in the announcements, the CE/CME
Medical Initiative website can be accessed through
the second flash slide on the HRSA front page. In addition, a number of our
other sister bureaus and offices have been placing the website
badge on their website to direct their grantees and
stakeholders to this resource. For example, right now,
I’m on the Bureau of Health Professions’ website, and if
you go down to the bottom to where the technical assistance
portion is, you see the badge. Clicking on the badge brings
you to the Medical Initiative’s website, and as
I stated beforehand, it lists all 36 modules. Each module is one CE, one CME
credit each, and one hour in length and this is perfect for physicians and providers who might not have time to dedicate
to classroom hours or might not have funding to attend
conferences to procure these credits, or these continuing
medical education materials towards their state
or board licenses. In addition, they can be done
between patients or after hours or in the morning or at their
convenience, but just as I said, we set the website up just as
it would be a shopping website. So for example,
if I’m a pharmacist, there’s all 15 modules that
are relevant to me, but say, I’m a pharmacist who wants
to know about diabetes care. There are the five modules
right there that are relevant to pharmacists seeking
modules on diabetes care. Just one more other quick
demonstration and one of the great things about these modules
as Ms. Slutsky pointed out, they encompass a wide variety
of provider groups. It’s not just
physicians and nurses. It’s also health
education specialists. So if you’re a health education
specialist who’s interested in — oh, none there, but
if you’re interested in say, developmental delays,
there’s the module that’s relevant for you. In addition the webpage provides
links that will allow providers to go to AHRQ’s Effective
Health Care program if they want to seek out the additional
modules, as well as other research and reports
relevant to these tools. I’m just going to go back
to where — ok, here I am. So I am back. So once again, for additional
information on this resource, please email AHRQ Center
for Outcomes and Evidence. You can email the HRSA
staff listed below or to find additional
resources on this initiative, please go to
the HRSA front page. You can go to the National Health Service Corps Facebook page, the National Association of Community Health Centers Facebook page, or as I said, below, you can look for the badge which is on the Bureau of Health Professions’ website, the HIV Bureau’s
Target Center website, as well as the HRSA Quality
Improvement website. Or, to get a full grasp of the
wonderful tools and programs and additional modules,
you can visit the AHRQ Effective Health Care program website. Thank you very much. I would now like to turn it over
to the moderator for questions. MODERATOR: Alright, there have actually not been very many questions so far so I want to encourage anybody to submit them via the chat function
on the Webinar if you have any. One person did ask whether CE’s are provided for respiratory therapists, as they deal a lot with infectious diseases. JEAN:
We can check on that. This is Jean Slutsky. We can check on that and get
back to you, if you can have that individual give you
their contact information so that we can get that
information to them. MODERATOR:
Okay…I’m sorry, hold on. Is there any content
on Telehealth? JEAN: Excuse me,
can you repeat that? MODERATOR: There is a question about any content on Telehealth? JEAN:
Oh Telehealth, yeah. No, we do not, through the Effective Health Care program, have information on Telehealth,
but through our HIT program, there is information
on Telehealth, but HRSA probably has more
information on Telehealth in actually practice
than AHRQ would. LT. BANYAS:
I can answer that. HRSA has an office to the
advancement of Telehealth which can be accessed either through the HRSA Health IT site or through the Office of Rural
Health Policies website. And any questions about
Telehealth can be sent to [email protected] and
I will forward that over to the relevant staff
to answer your questions. MODERATOR:
Excellent. Are the CE courses accepted by
all state boards of nursing? JEAN: It is my understanding
that the ones that come from the Effective Health Care
program are. They receive a national
accreditation which tends to trump
state accreditation. MODERATOR: And another question
was, how often new content and new topics are posted and how frequently they should check back for new resources. JEAN: Yes, you should check back
frequently because all of our products are updated
on a regular basis. So what we do is continually
scan the literature and when there is a trigger to update
any of the research because of new study findings, the core
research gets updated and that triggers an update with the
continuing education modules. MODERATOR:
Excellent, thank you. Are there any educational
resources on ICD10 and the documentation
needed for coding it? LT. BANYAS:
I can answer that question. Currently HRSA, right off of
the HRSA Health IT website, has an ICD10 webpage. It’s a technical assistance
webpage which also includes the September 2011 Webinar which
had about over 4,000 people participate in and that page is
maintained with staff from both HRSA’s Offices and Programs, but
as well as in cooperation with the Centers for Medicaid
and Medicare Services. And once again, any ICD10
related questions, please just email the [email protected] website and I will direct those
questions to the primary person responsible for ICD10 within
the agency, but once again, please check out the ICD10 webpage based right off of the HRSA Health IT website
and it has the most current information on there for safety net providers relevant to ICD10. MODERATOR:
Thank you. We had a question about
whether there is content related to health disparities. Can anyone speak to that? JEAN: None of the continuing
education modules deal specifically with
health disparities. They deal with clinical
conditions, and they may, depending on what the topic is,
talk about different populations where the treatment approach
may be different and that would reflect cardiovascular disease, let’s say, in women as opposed
to men, and so forth. MODERATOR:
Thank you. What about the development
of the modules? Have you partnered with any
other agencies or programs to develop the content? JEAN:
No, we have not. They really are developed
off of the products that are funded under our Effective
Health Care program, so they’re directly related
to those evidence reviews. MODERATOR:
All right. Is there any discussion
about providing any of these resources and materials in
languages other than English? JEAN: Currently, what we do is we have patient guides which are summaries of the evidence
that are in other languages, predominately Spanish, although
we have funded the development of some Cantonese translations
of our product. MODERATOR: If people are interested in taking a CE that is not within their professional capacity and it’s just for knowledge and not for credit, is that permitted? JEAN: Yes, and I do want to say
for the previous questioner that wanted to know about
other language translations. If they go to
www.EffectiveHealthCare.AHRQ.gov they’re able to pull up
patient guides that are in English audio files
and Spanish. They can order them
or pull them off the web. MODERATOR: We’ve received
a number of questions about whether there are any programs
or resources for dentists and other oral health professionals. Can you speak to that? JEAN: Not from the Effective
Health Care program. MODERATOR: Okay…I’m still
going through the questions. Where is the educational
evidence-based information derived from? JEAN: It’s derived from systematic reviews of existing literature that are done by 11
evidence-based practice centers that are funded through AHRQ. They follow a very
strict methodology for doing the
systematic reviews. The reviews are posted for
public comment and peer reviewed and then they are posted in
final format and the groups that we commission to develop
the CE and CME modules use these documents
to develop the modules. and these, in turn,
are reviewed by the developers of the original
systematic review. MODERATOR: Do the modules incorporate any information or educational materials on alternative medicine models? JEAN: Yes, some of the information on the Effective Health Care website do deal with
alternative treatment options. I’m not sure if any of the
modules actually have been developed on those options. I also want to let listeners
know that you can get regular updates online via the Effective
Health Care program LISTSERV. So you can sign up for an email
notification that will tell you when any new product is
developed and published and you can also sign up for the Effective Health Care program’s Inside Track newsletter. All you have to do is click
the red envelope on the website. MODERATOR:
Excellent. While you’re talking about
what’s available in the format of the website, what do people
need to be able to access the website and engage in
the class offerings? Do they need to
establish a log on or is a password needed
of any sort? JEAN: They need to give information in order to get their certificate of completion, so when they do the post-test, in order to get
their certificate, they need to sign in. The Effective Health Care
website is not a password protected website. All of the material
is free of charge. We also have faculty in the
room slides so if any of your listeners today want to do grand
rounds or have informational meetings with their staff, there
are already slides developed that they can just
pull off the website on a variety of
different topics. MODERATOR:
Excellent. Are there any plans to
add physician assistants as one of the disciplines? JEAN:
Well, that’s interesting. I’m a physician assistant myself
and as those of you who are PA’s might know, physician assistants can use either CME or CE credits. They need a certain amount of
CME credits so de facto they are one of the audiences that are
included because they can use either the CME or CE modules
but they have to have a certain percentage of the hours
over a two-year period to be continuing medical education
as well, or category one. MODERATOR: Are there any patient
education materials that are available that complement the information and topics on your website? JEAN: Yes, there’s tons of patient information available free of charge, both in the form of web based decision aides, but also online audio casts, as well as downloadable files that are patient pamphlets that can be used with physician pamphlets in shared decision-making. So there’s probably over
100 of these that exist on the website at
www.EffectiveHealthCare.AHRQ.gov and all you have to do is
click on patient summary. MODERATOR: Great, do any of
you have a recommendation for the best resource available
for best practice guidelines? JEAN:
Well, this is Jean again. AHRQ hosts the National Guideline Clearinghouse which is a clearinghouse
of evidence-based clinical practice guidelines. It is located at
www.guideline.gov. What is significant about that
website is it currently has a little over 2100 guidelines
from around the world. We’ve recently updated
our inclusion criteria for guidelines that are posted on the site to reflect the new IOM criteria for
trustworthy guidelines. MODERATOR: We had a question about whether the CE and CME courses can be
linked to NetLearning. JEAN: Yeah, I’m not sure what NetLearning is, but I do know that our CE modules are free of
charge and can be used by anyone so if this is a Health IT issue, I don’t think that
would be a problem. MODERATOR: Are there any plans
to develop modules on behavioral health
or substance abuse disorders? JEAN: Of that I am not sure, but
we do have systematic reviews, patient guides and clinician guides on both substance abuse as well as
mental health disorders and on behavioral intervention. MODERATOR: What about materials and resources that would be associated with social work? JEAN: Not through the Effective
Health Care program. MODERATOR: We had a question
on whether the material in the modules are more
interested in outcomes or more process focused. Can anyone speak to that? JEAN: Improved health outcomes
are certainly an important focus of all the work that we do. Process measures may be a way to
get to improved health outcomes so I think it’s fair to say that
the modules will deal with both performance and
process and outcome. MODERATOR: And one of the speakers mentioned that we’re all in the midst of a rapidly changing health care environment and one participant asked whether there would be any specific resources on models for accountable health organizations and best practices for ACOs? JEAN: Yes, so AHRQ also sponsors
the Health Care Innovation Exchange, which is a website
that does have information on ACOs and medical homes and
it recently held two Webinars, one on accountable care organization and another on medical homes, and you can access the Health Care Innovations Exchange by
either Googling Health Care Innovations Exchange,
or going to the AHRQ website, which is www.ahrq.gov
and clicking on the link. MODERATOR: Are these materials
available to the general public or non-healthcare professionals that might be interested
in the materials? JEAN: Yes, absolutely. They are available to
the general public as well. MODERATOR:
Excellent. Can anyone speak to the AHRQ
publications clearinghouse and the clinician
and patient guides? JEAN: Yes, so you can order the
physician or the clinician and patient guides in bulk through
the AHRQ clearinghouse, either online or through an 800 number
and I will give you the number. The number is 1-800-358-9295
and the code is CO-1. MODERATOR: A few questions have come in about being able to share with others, are participants allowed to put links to any of these modules or resources on their own website or include references to these materials in their publications? JEAN: We would be delighted
if you did that. MODERATOR: And is there a process for obtaining permission or clearance or anything? JEAN: No, we just ask for
appropriate reference. MODERATOR:
Excellent. A number of questions have come
in about content that addresses specific health areas,
for example, are there any modules on
tobacco dependence treatments? JEAN:
Not currently, no. MODERATOR:
Or on bariatric surgery? JEAN: Yes, so we have several
systematic reviews but no continuing education modules,
as of yet, on bariatric surgery. MODERATOR:
Okay. That is currently just about
the full list of questions I have received. I don’t know if we want to
wait another minute to see if any others are submitted
or we want to end the Webinar a little bit before the hour? JEAN: I’m happy to wait a few
minutes to see if anyone else has any questions. NATALIE: Jean, can you talk about faculty slide decks and how they can be incorporated in quality improvement programs in a health care organization? JEAN: Sure, so we have developed
a fair number of, we call them, “faculty in the room”
slide decks so that they can be used either in grand rounds or brown bags at clinics in teaching situations and
they really walk individuals through what the condition is, how the research was done, what the findings were,
and so, they’re quite useful because they include notes
for the leader. The slides are very
sophisticated and it can really help keep staff of different
clinics up to speed on what’s been happening most recently
in different clinical areas and these are all freely
downloadable from the Effective Health Care
website. NATALIE: And it would certainly
save a lot of time not having to pull all
that together yourself. JEAN: It does. I’ve used them myself
in teaching situations and it saves me
hours and hours of time. NATALIE: And I understand that
there is a patient guide that’s a companion for the
clinician guide, correct? JEAN:
That’s correct. They’re intended to either be
used separately or together so they are written so that you
can sit down with your nurse or health care provider
or pharmacist and go through the guide. They have their copy
and you have your copy or you can use it separately. The clinical decision aides can
be set up in a waiting room on an iPad or some other laptop for patients to go through so that they can get a grounding
in what their condition is before they actually go in
to see their provider. MODERATOR: We received some more
comments on the chat feature. Are there any modules that
speak to health literacy? JEAN: Actually, AHRQ has
quite a bit of information on health literacy. It’s not actually though the
Effective Health Care program, although our products are
intended to be very friendly to folks that have problems
understanding numbers and relative rates, but if you
go into our main website, www.AHRQ.gov, we have a
section on health literacy. — This is Lt. Banyas. HRSA also has resources
on health literacy through the Office of Health Equity and
another area I would suggest participants checking out is
also the National Library of Medicine has a lot of resources
and modules and training on health literacy as well. MODERATOR: Is there a plan to add public health professionals to the list of disciplines? JEAN: Not more explicitly than the professions that are listed now, but they could certainly take the modules and I don’t see any restriction for
public health professionals participating in
the education modules. MODERATOR: We’ve had a few questions asking about whether there would eventually be a way to subscribe to a particular topic or discipline so that interested parties could receive a message when relevant new content would be posted? JEAN: Yes, so if you go to the
Effective Health Care website, on the left side of the website, you can join an email update list, which you can list your
preferences for what type of information you would
like to receive. — This is Lt. Banyas. Just in regards to the
health literacy questions. I’m on the webpage on the HRSA
site and I would just Google healthliteracy.HRSA.gov
and it shows all of HRSA’s health literacy tools,
including two CE/CME modules that participants can get for credit for health literacy. Thank you. MODERATOR: One of the participants on the Webinar noticed that many of
the resources on the sites give guidance on medical treatments for chronic condition and was wondering if there
was also information about non-medical treatment
of chronic condition, for example,
lifestyle approaches? JEAN: Yes, so for many
of the reports we do, they look across a spectrum
of treatment options. For example,
for treatment for osteoporosis, weight-bearing exercise along with pharmaceutical intervention or calcium intake is used,
so we do look across non-pharmaceutical
or device interventions and look at behavioral or lifestyle interventions as well. MODERATOR: Can anyone speak to
the format of the modules? Are they slides? Is it reading materials? JEAN: They have a
variety of formats. Some of them are video,
some of them are slides, some of them are a
combination of both. So they try to really be
engaging of the individual who’s taking the module. MODERATOR: Excellent, and does
the CME credit goes toward formal or informal credit? JEAN: Just one comment, we do have a clinician summary of a report on mitigating the effects of low health literacy which reviews the evidence that exists for health information. I’m sorry, could you just
repeat that last question? MODERATOR: Does the CME credit
count towards formal or informal credit? JEAN:
Formal. MODERATOR:
Okay. If somebody takes a module and
does not pass the initial test, can the test be taken again? JEAN: I believe so, yeah. I don’t think it’s like
a driver’s test where you have to go back
and get in the car again. MODERATOR: We have run through
the list once again. JEAN:
Great. From AHRQ’S perspective,
I just want to say these were fabulous questions. I’m sorry that we may
have been a little slow. We don’t have all the
non-Effective Health Care information right at our tips,
but there were fabulous questions and I really appreciate being able to talk to all of you today. MODERATOR: We would like to thank everyone who submitted questions during the Webinar. Selected questions that were
submitted will be addressed by the presenters
following this event. The questions and responses will
be posted on the HRSA Health IT and Quality Website, along with
a recording of this Webinar. We would like to thank everyone
again for attending the Webinar. We value your feedback and use
it to plan upcoming Webinars, so please take a moment to provide your feedback on today’s event by completing the questionnaire that will appear on
your screen shortly. This Webinar has now concluded
and we thank you for attending. OPERATOR: Ladies and gentlemen,
this does conclude the conference call for today. We thank you for your
participation and ask that you please disconnect your line.

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