Best Practice and M&M - M&M Review

This activity consists of two alternating parts, which both serve to address the gaps in individual and group practice: a best practice forum and a mortality review.

The forum brings together physicians and pharmacists for discussion of best clinical and educational practices related to inpatient and outpatient care with the goal of enhanced educational preparation for clinicians working with internal medicine (IM) residents and medical students. This portion of the activity focuses on 1) case-based presentations and discussion with the purpose of reviewing patients with diagnostic or management complexities, 2) review of evidence-based recommendations for clinical best practices and consensus, 3) educational strategies for development of clinician educators in the Billings Clinic IM residency program , and 4) sharing group medical practice considerations to improve practice performance and high-value care. Recommendations for content come from literature review, guidelines, expert clinician opinions, and practice data (M&M data).

The morbidity and mortality review includes IM physicians and a pharmacist and focuses on de-identified inpatient mortality case review to align inpatient medicine clinical practice with process improvement (PI) and best medical practices. The format includes a primary mortality review using the “Toolkit for Using the AHRQ Quality Indicators, How to Improve Hospital Quality and Safety,” case-based presentations to the IM inpatient faculty, and, if recommended, a secondary mortality review. If a secondary case review is warranted, an assignment is made within the IM inpatient provider group to further review and then bring back at a subsequent mortality review conference to recommend next steps, gaining insight from literature review, guidelines and/or expert peer opinions. The secondary review process may require an interdisciplinary approach. The patient population reviewed includes each inpatient mortality that occurs on any IM residency inpatient teaching service.

1. Review patient cases that present diagnostic, management or educational dilemmas including a forum to enhance professional peer review in clinical circumstances surrounding mortality.
2. Examine evidence-based literature and guidelines and recommend best clinical or educational practice changes in the care of patients.
3. Disseminate best educational approaches to prepare providers to become proficient in clinical teaching strategies and in assessing new learners in ACGME core competencies.
4. Explore group medical practice strategies to improve individual and group quality performance.
5. Identify the need for process improvement using the AHRQ toolkit.

Billings Clinic is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit equivalencies for non-physician learners:
Generally, CME activities that are designed for physician learners are accepted by other non-physician certifying boards and licensing bodies such as the AAPA, ANCC, Montana Board of Nursing, Montana Board of Pharmacy, and others.

Additional information on various non-physician certifying boards and licensing bodies can be found in the attached document or on their respective websites.

Disclaimer:
It is the sole responsibility of individuals to stay abreast of credit requirements for their individual certification. This list is provided as a courtesy but does not guarantee the completeness, accuracy, usefulness, or timeliness of the information listed. Links to the third party sites are provided for your convenience. Accessing such sites is solely at your own risk. Licensing Boards change regulations often and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling.
 

Cancellation Policy

Cancellations received in writing no less than 20 days before the course will be refunded, less a 20% administrative fee. No refunds will be made on cancellations received after that date. Please send cancellation requests to the Billings Clinic CME division at [email protected].

Billings Clinic reserves the right to cancel or postpone this program if necessary; in the event of cancellation, course fees will be fully refunded. We are not responsible for other costs incurred such as non-refundable airline tickets or hotel penalties.

Accessibility Statement
 
Billings Clinic is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator.

Mitigation of Relevant Financial Relationships

Billings Clinic Continuing Medical Education adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers, or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Ashley Webb, other
CME Coordinator
Billings Clinic
Billings, MT

Activity Administrator

Nothing to disclose

Christopher Dietrich, DO, FACP
Billings Clinic
Billings, MT

Activity Director, Faculty

Nothing to disclose

Kylie Ebner, DO, FACP
Billings Clinic
Billings, MT

Activity Director, Faculty

Nothing to disclose

Jason V Kunz, DO, FACP
Billings Clinic
Billings, MT

Activity Director, Faculty

Nothing to disclose

Matthew Niemeyer, DO, FACP
Billings Clinic
Billings, MT

Activity Director, Faculty

Nothing to disclose