EXPLORING A BUSINESS CASE
FOR HIGH-VALUE CONTINUING
PROFESSIONAL DEVELOPMENT
PROCEEDINGS OF A WORKSHOP
Patricia A. Cuff and Erin Hammers Forstag, Rapporteurs
Global Forum on Innovation in Health Professional Education
Board on Global Health
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by contracts between the National Academy of Sciences and Academic Collaborative for Integrative Health; Academy of Nutrition and Dietetics; Accreditation Council for Graduate Medical Education; Aetna Foundation; American Academy of Nursing; American Association of Colleges of Nursing; American Association of Colleges of Osteopathic Medicine; American Association of Colleges of Pharmacy; American Board of Family Medicine; American Board of Obstetrics and Gynecology/American College of Obstetricians and Gynecologists; American College of Nurse-Midwives; American Council of Academic Physical Therapy; American Dental Education Association; American Medical Association; American Nurses Credentialing Center; American Occupational Therapy Association; American Osteopathic Association; American Physical Therapy Association; American Psychological Association; American Society for Nutrition; American Speech-Language-Hearing Association; Association of American Medical Colleges; Association of American Veterinary Medical Colleges; Association of Schools and Colleges of Optometry; Association of Schools and Programs of Public Health; Association of Schools of the Allied Health Professions; Athletic Training Strategic Alliance; Council on Social Work Education; Ghent University; Health Resources and Services Administration; Jonas Nursing and Veterans Healthcare; Josiah Macy Jr. Foundation; Michigan Center for Interprofessional Education; National Academies of Practice; National Association of Social Workers; National Board for Certified Counselors, Inc. and Affiliates; National Board of Medical Examiners; National Council of State Boards of Nursing, Inc.; National League for Nursing; Office of Academic Affiliations—Veterans Health Administration; Organization for Associate Degree Nursing; Physician Assistant Education Association; Society for Simulation in Healthcare; Training for Health Equity Network–THEnet; Uniformed Services University of the Health Sciences; and University of Toronto. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-46637-0
International Standard Book Number-10: 0-309-46637-7
Digital Object Identifier: https://doi.org/10.17226/24911
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Copyright 2018 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2018. Exploring a business case for high-value continuing professional development: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/24911.
The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.
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PLANNING COMMITTEE ON EXPLORING A BUSINESS CASE FOR HIGH-VALUE CONTINUING PROFESSIONAL DEVELOPMENT1
RONALD M. CERVERO (Co-Chair), Uniformed Services University of the Health Sciences
HOLLY H. WISE (Co-Chair), Medical University of South Carolina
DARLENE CURLEY, Jonas Nursing and Veterans Healthcare
MARILYN DELUCA, New York University
STUART GILMAN, Veterans Health Administration
ELENA KARAHANNA, University of Georgia
SIMON KITTO, University of Ottawa
PAUL E. MAZMANIAN, Virginia Commonwealth University
SILVIA E. RABIONET, Nova Southeastern University
JULIA ROYALL, National Library of Medicine
KIERAN WALSH, The BMJ
Consultants
THAD CALABRESE, New York University
LUCY A. SAVITZ, Intermountain Healthcare
ANDREW SPIEGEL, Global Colon Cancer Association
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
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GLOBAL FORUM ON INNOVATION IN HEALTH PROFESSIONAL EDUCATION1
MALCOLM COX (Co-Chair), University of Pennsylvania, formerly U.S. Department of Veterans Affairs
SUSAN SCRIMSHAW (Co-Chair), The Sage Colleges
ROBERT (BOB) ADDLETON, Alliance for Continuing Education in the Health Professions
FRANK ASCIONE, University of Michigan
TIMI AGAR BARWICK, Physician Assistant Education Association
DAVID BENTON, National Council of State Boards of Nursing
JOANNA CAIN, University of Massachusetts School of Medicine
STEVEN CHESBRO, American Physical Therapy Association
AMY APARICIO CLARK, Aetna Foundation
THOMAS WARREN CLAWSON, National Board for Certified Counselors, Inc. and Affiliates
DARLA SPENCE COFFEY, Council on Social Work Education
DARLENE CURLEY, Jonas Nursing and Veterans Healthcare
JAN DE MAESENEER, Ghent University
MARIETJIE DE VILLIERS, Stellenbosch University
KATHRIN (KATIE) ELIOT, Academy of Nutrition and Dietetics
ELIZABETH (LIZA) GOLDBLATT, Academic Collaborative for Integrative Health
CATHERINE GRUS, American Psychological Association
NEIL HARVISON, American Occupational Therapy Association
ERIC HOLMBOE, Accreditation Council for Graduate Medical Education
ELIZABETH HOPPE, Association of Schools and Colleges of Optometry
EMILIA IWU, Jonas Nursing and Veterans Healthcare
PAMELA JEFFRIES, The George Washington University
SANDEEP (SUNNY) KISHORE, Young Professionals Chronic Disease Network
KATHLEEN KLINK, Veterans Health Administration
ANDREW MACCABE, Association of American Veterinary Medical Colleges
LUCINDA MAINE, American Association of Colleges of Pharmacy
BEVERLY MALONE, National League for Nursing
MARY E. (BETH) MANCINI, Society for Simulation in Healthcare
ANGELO MCCLAIN, National Association of Social Workers
LEMMIETTA G. MCNEILLY, American Speech-Language-Hearing Association
MARK MERRICK, Commission on Accreditation of Athletic Training Education
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
DONNA MEYER, Organization of Associate Degree Nursing
JOEL NELSON, Health Resources and Services Administration
WARREN NEWTON, American Board of Family Medicine
BJORG PALSDOTTIR, Training for Health Equity Network (THEnet)
MIGUEL PANIAGUA, National Board of Medical Examiners
RAJATA RAJATANAVIN, Mahidol University
SCOTT REEVES, Kingston University & St. George’s, University of London
EDWARD SALTZMAN, American Society for Nutrition
NELSON SEWANKAMBO, Makerere University College of Health Sciences
STEPHEN SHANNON, American Association of Colleges of Osteopathic Medicine
SUSAN SKOCHELAK, American Medical Association
RICHARD (RICK) TALBOTT, Association of Schools of the Allied Health Professions
ZOHRAY TALIB, The George Washington University
MARIA TASSONE, University of Toronto
GEORGE THIBAULT, Josiah Macy Jr. Foundation
DEBORAH TRAUTMAN, American Association of Colleges of Nursing
MICHELLE TROSETH, National Academies of Practice
RICHARD (RICK) W. VALACHOVIC, American Dental Education Association
LAURA MAGAÑA VALLADARES, National Institute of Public Health
PATRICIA HINTON WALKER, Uniformed Services University of the Health Sciences
ALISON J. WHELAN, Association of American Medical Colleges
ADRIENNE WHITE-FAINES, American Osteopathic Association
HOLLY WISE, American Council of Academic Physical Therapy
XUEJUN ZENG, Peking Union Medical College
BRENDA ZIERLER, University of Washington
Health and Medicine Division Staff
PATRICIA A. CUFF, Senior Program Officer
MEGAN M. PEREZ, Research Associate (until May 2017)
AMBAR SAEED, Research Associate
ANNA FAHLSTROM, Senior Program Assistant (from August 2017)
FAYE HILLMAN, Financial Officer (until August 2017)
PATRICK BURKE, Financial Officer (from August 2017)
JULIE PAVLIN, Board Director, Board on Global Health
Reviewers
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings:
LAURIE KENDALL-ELLIS, Alliance for Continuing Education in the Health Professions
DON MOORE, Vanderbilt University
LUCY A. SAVITZ, Kaiser Permanente (since May 2017)
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by LAWRENCE J. APPEL, Johns Hopkins Medical Institutions. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.
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Acronyms and Abbreviations
ACCME |
Accreditation Council for Continuing Medical Education |
AIDS |
acquired immunodeficiency syndrome |
ANCC |
American Nurses Credentialing Center |
AOTA |
American Occupational Therapy Association |
ART |
antiretroviral treatment |
CAPABLE |
Community Aging in Place—Advancing Better Living for Elders |
CDS |
clinical decision support |
CE |
continuing education |
CEO |
chief executive officer |
CME |
continuing medical education |
CPD |
continuing professional development |
EHR |
electronic health record |
FIP |
International Pharmaceutical Federation |
GIS |
geographic information system |
HIV |
human immunodeficiency virus |
HMO |
health maintenance organization |
HVHC |
High Value Healthcare Collaborative |
ICU |
intensive care unit |
IOM |
Institute of Medicine |
IPE |
interprofessional education |
MOH |
Ministry of Health |
MRICU |
medical respiratory intensive care unit |
MUSC |
Medical University of South Carolina |
NGO |
nongovernmental organization |
NIMART |
nurse-initiated antiretroviral treatment model |
OB |
obstetrics |
OT |
occupational therapy |
PDSA |
Plan-Do-Study-Act |
PI |
performance improvement |
QSP |
Quality Scholars Program |
RASS |
Richmond Agitation and Sedation Scale |
ROI |
return on investment |
TPA |
Turkish Pharmacists’ Association |
UNAIDS |
Joint United Nations Programme on HIV/AIDS |
USUHS |
Uniformed Services University of the Health Sciences |
VCU |
Virginia Commonwealth University |