Sponsored by the University of Wisconsin
School of Medicine and Public Health in cooperation with CME Enterprise and Healthcare Performance Consulting.
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Management of MRSA in Hospitalized Patients a PI-CME Activity
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Activity Description
Intended Audience
Physicians who treat and manage patients with post-surgical skin/soft tissue infections, catheter-related bloodstream infections, and/or ventilator associated pneumonia in a hospital setting, and want to be engaged in a performance improvement activity to identify and reduce CA-MRSA occurrences.
Elements of Competence
This activity has been designed to change learner knowledge, competence, and performance focusing on the American Board of Medical Specialties areas of patient care, medical knowledge, systems-based practice and practice-based learning and improvement.
Statement of Need
Over the past 40 years, HA-MRSA has become endemic in most US hospitals and in hospitals worldwide, and is a well-documented problem in healthcare settings. By contrast, CA-MRSA has emerged as a serious problem only recently, beginning in the 1990s. Epidemiological and molecular biological evidence have shown that CA-MRSA developed outside of healthcare settings and is independent of HA-MRSA. CA-MRSA has now emerged as a nosocomial pathogen, causing serious infections in hospitalized patients, including skin and soft tissue infections (SSTIs) and, to a lesser extent, severe forms of invasive disease, including BSIs, endocarditis, pneumonia, pyomyositis, necrotizing fasciitis, toxic shock syndrome, and bone and joint infections, as well as the recent report of a brain abscess caused by the USA300 strain of CA-MRSA.
Objectives
At the conclusion of this activity, participants will be able to:
- Identify and reduce risk factors for MRSA surgical site infections in hospitalized patients, including the potential for CA-MRSA as a pathogen
- Identify and reduce risk factors for MRSA catheter-related bloodstream infections, including the potential risk of CA-MRSA
- Identify and reduce risk factors for MRSA ventilator-associated pneumonia, including the risk for CA-MRSA as a potential pathogen
Performance Improvement Process
The three stages of the PI activity are:
- Stage A: Learning from your current practice performance assessment.
- Stage B: Learning from the application of your performance improvement plan.
- Stage C: Learning from the evaluation of your performance improvement effort.
Activity Eligibility, Enrollment and Expiration Information
Participants are eligible to enroll in this activity if they can commit to the following:
Stage A: 1 day to 1 month in length
- Complete Learning from Self-assessmentTM(LSA)
- Select most appropriate activity measures based on results of LSA (NOTE: 4 measures will be required for every participant, and 3 additional measures are available to be selected as optional.)
- Complete retrospective chart review of 25* patients who meet selected performance measures criteria (start with patients for whom you are/have been responsible, move to your clinic/unit patients, then organizational)
- Complete Learning Log A (includes implementation plan)
Stage B: 3 month minimum in length(Stage B will ONLY be accessible after completion of the required documents in Stage A)
- Engage in educational activities, tools, and resources to facilitate change
- Implement practice changes for a period of time (a minimum of 3 months) allowing for the maximum number of appropriate MRSA patients in order to re-measure in Stage C (start with patients for whom you are/have been responsible, move to your clinic/unit patients, then organizational*)
- Not less than 6 weeks into Stage B, and after completing at least one of the educational components, complete a ‘progress check’ chart review of 10 patients who meet selected measures criteria
- Complete Learning Log B
Stage C: 1 day to 1 month in length (Stage C will ONLY be accessible after a minimum of 3 months of engagement in Stage B)
- Complete Learning Self-assessment
- Complete chart review of 25* patients seen in Stage B who meet selected measures criteria(start with patients for whom you are/have been responsible, move to your clinic/unit patients, then organizational)
- Complete Learning Log C
- View the Chart Sampling Strategy (pdf).
*If you cannot meet this 25 chart minimum, but would like to participate, please contact Danielle at drhepting@ocpd.wisc.edu
Important Dates:
- Enrollment begins: June 24, 2011
- Enrollment ends: March 21, 2013
- Activity expires: June 24, 2013
Activity Timeline
This table serves as an example of what one physician's project timeline might look like for this activity (this is not meant to be a required timeline; yours may look different):
Click on the table to view in another window.
Instructions & Computer Requirements
Registration and Payment Information
The fee for this activity is $200 and is non-refundable, thus be certain you are able to commit to the eligibility criteria prior to registration.
If you have any questions about this process, please contact Danielle Hepting at drhepting@ocpd.wisc.edu
Computer Requirements
Free, current version of Internet Explorer, Firefox, Safari, or Chrome. Some older browsers could produce error messages or not display the content correctly.
Free, current version of Adobe Flash Player
Free, current version of Adobe Reader
Faculty
Faculty
Christopher J. Crnich, MD, MS
Assistant Professor of Medicine,
Division of Infectious Diseases
School of Medicine and Public Health
University of Wisconsin
Physician and Hospital Epidemiologist,
Wm. S. Middleton Veterans Administration Hospital
Madison, Wisconsin
Educational Reviewer
Andrew Urban, MD
Associate Professor of Medicine,
Division of Infectious Diseases
University of Wisconsin School of
Medicine and Public Health
Madison, Wisconsin
Activity Planners
Danielle Hepting, BS
University of Wisconsin School of
Medicine and Public Health
Madison, Wisconsin
Beth Mullikin, MS
University of Wisconsin School of
Medicine and Public Health
Madison, Wisconsin
Teena Nelson, MHA
University of Wisconsin School of
Medicine and Public Health
Madison, Wisconsin
Additional Activity Collaborators
Chris Larrison, BA
Healthcare Performance Consulting, Inc.
Carmel, Indiana
Tom McKeithen, Jr, MBA
Healthcare Performance Consulting, Inc.
Fleming Island, Florida
Amy Robertson
CME Enterprise
Carmel, Indiana
Faculty Disclosure
Policy on Faculty and Sponsor Disclosure
It is the policy of the University of Wisconsin School of Medicine and Public Health that the faculty, authors, planners, and other persons who may influence content of this CME activity disclose all relevant financial relationships with commercial interests* in order to allow CME staff to identify and resolve any potential conflicts of interest. Faculty must also disclose any planned discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). For this educational activity, all conflicts of interests have been resolved and detailed disclosures are listed below:
Christopher J. Crnich, University of Wisconsin School of Medicine and Public Health
No relevant relationships to disclose in regard to this activity
Danielle Hepting, University of Wisconsin School of Medicine and Public Health
No relevant relationships to disclose in regard to this activity
Chris Larrison, Healthcare Performance Consulting, Inc.
No relevant relationships to disclose in regard to this activity
Tom McKeithen, Jr, Healthcare Performance Consulting, Inc.
No relevant relationships to disclose in regard to this activity
Beth Mullikin, University of Wisconsin School of Medicine and Public Health
No relevant relationships to disclose in regard to this activity
Teena Nelson, University of Wisconsin School of Medicine and Public Health
No relevant relationships to disclose in regard to this activity
Amy Robertson, CME Enterprise
No relevant relationships to disclose in regard to this activity
Andrew Urban, University of Wisconsin School of Medicine and Public Health
No relevant relationships to disclose in regard to this activity
* The ACCME defines a commercial interest as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients The ACCME does not consider providers of clinical service directly to patients to be commercial interests.
NOTICE: The University of Wisconsin School of Medicine and Public Health advises the participant that this continuing medical education activity contains reference(s) to unlabeled or unapproved uses of drugs or devices.
Credit
Accreditation Statement: The University of Wisconsin School of Medicine and Public Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation Statement: The University of Wisconsin School of Medicine and Public Health designates this PI-CME activity for a maximum of 20 AMA PRA Category 1 Credit(s) TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
It is estimated that this activity will require approximately 20 hour(s) to complete. Credit for this CME activity is available through June 24, 2013
Continuing Education Units: The University of Wisconsin-Madison, as a member of the University Continuing Education Association (UCEA), authorizes this program for 2.0 Continuing Education Units (CEUs) or 20 hour(s).
Maintenance of Certification – ABIMThis activity is approved through the American Board of Internal Medicine's (ABIM) Approved Quality Improvement (AQI) Pathway and is eligible for 20 points towards the Self-Evaluation of Practice Performance requirement of Maintenance of Certification (MOC).
You may use this link for a complete list of approved AQI Pathway options:http://www.abim.org/moc/aqip.aspx
Instructions for Physicians for reporting participation in a AQI Pathway project to ABIM
After completing the Management of MRSA Hospitalized Patients a PI-CME
Activity, you can attest to your participation and receive 20 Self-Evaluation of Practice Performance points by submitting a report to ABIM through your Physician Homepage on www.abim.org. Simply login using your ABIM ID and password and click "Submit AQI Project Report" listed under "My Maintenance of Certification Program." ABIM will grant MOC points after the sponsors verifies your participation in the activity.
For More Information...
For more information about ABIM's AQI Pathway, call the ABIM Contact Center at 1-800-441-ABIM or email request@abim.org.
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University of Wisconsin provides equal opportunities in employment and programming, including Title IX requirements. The University of Wisconsin School of Medicine and Public Health fully complies with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please notify the Office of Continuing Professional Development in Medicine and Public Health.
Copyright © 2011 The University of Wisconsin Board of Regents, CME Enterprise, and Healthcare Performance Consulting, Inc.
Commercial Support
The University of Wisconsin School of Medicine and Public Health acknowledges the educational grant for the activity provided by Pfizer, Inc. and Astellas Pharma Global Development, Inc.
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