PURPOSE: Sepsis is a leading cause of mortality nationwide. Knowledge deficits persist among medical practitioners regarding the recognition and treatment of sepsis, and CME is needed on the subject. CME and practice-based quality improvement (QI) projects are required for maintenance of licensure and board certification; however rural medical providers suffer from decreased access to such opportunities relative to their urban counterparts. This project brings CME and practice-based quality improvement on the subject of sepsis to rural areas.
METHODS: We established a program of CME and practice-based performance improvement dealing with the recognition and treatment of sepsis, severe sepsis, and septic shock. The program was implemented in accordance with the approved QI activities used by the ABIM and ABFM for maintenance of certification (MOC). Two 6-month cycles may be completed per calendar year, valid for 40 AMA PRA Category 1 CME credits. An associated online/ITV didactic program is valid for an additional 10 AMA PRA Category 1 CME credits, providing one years’ worth of CME credit in addition to practice-based QI as required by both the ABIM and ABFM for MOC. The program utilizes online screening and tracking tools, designed for use at the point of care. These allow tracking and reporting of clinical data for the purpose of performance improvement.
RESULTS: We implemented a pilot project within the Northwest Kansas Health Alliance, a group of critical access hospitals in northwest Kansas. Eleven physicians and four hospitals are currently enrolled and have submitted surveys regarding their baseline impressions and knowledge of sepsis. Online screening and tracking tools specific to hospital size have been implemented and patients are currently being enrolled. Data from baseline surveys will be presented.
CONCLUSIONS: The Kansas Sepsis Project is a model for implementing performance improvement in rural areas while simultaneously providing CME credit and practice-based QI for MOC.
CLINICAL IMPLICATIONS: Although this particular project focuses on sepsis, the model could be used for performance improvement in many other areas of medicine, especially in rural areas.
DISCLOSURE: The following authors have nothing to disclose: Lucas Pitts, Trudy Sims, Elizabeth Wenske-Mullinax, Steven Simpson
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