ACPE Standards for Continuing Pharmacy Education Standards Road Map Section I: Content Standard 1: Mission and Goals of CPE Program Section II: Delivery Section III: Assessment Section IV: Evaluation 1 ACPE Standards for Continuing Pharmacy Education Standard 1: Mission and Goals of CPE Program 2 Standard 1: Goal and Mission of the CPE Program The provider must develop a CPE goal and mission statement that defines the basis and intended outcomes for the majority of educational activities the provider offers. 3 1
Your Mission is the Fabric of the Organization Keeps everyone connected Keeps everyone moving in the right direction *As presented as the 13 th ACPE Conference by. M. Seligman 4 Standard 1: Mission and Goal of CPE Program Please complete the following exercise in the next two minutes: Review the following two mission statements with the rubric provided. Which elements are present, and which are missing? Please use the rubric provided. 5 Standard 1: Mission and Goal of CPE Program PharmsRUs mission is to provide continuing education to health professionals to improve their knowledge and competency to better serve patients. Criterion and Evidence Meets Criterion Needs Improvement Defining the Basis and Outcomes The provider has a CPE goal and mission statement that The provider has no CPE goal or mission statement that for Activities defines the basis and intended outcomes for the majority of defines the basis and intended outcomes for the majority of educational activities. educational activities. (Attach CPE goal and mission statement) CPE Goals for Pharmacists CPE Goals for Technicians Mission Statement The CPE goal concisely states how the provider will assist The CPE goal does not state how the provider will assist pharmacists to maintain and enhance their professional pharmacists to maintain and enhance their professional or N/A (CPE not offered for pharmacists) The CPE goal concisely states how the provider will assist The CPE goal does not state how the provider will assist technicians to maintain and enhance their professional technicians to maintain and enhance their professional or N/A (CPE not offered for technicians) The CPE mission statement is consistent with the goals, The CPE mission statement is not consistent with the goals; indicates the provider s short-term intent in conducting CPE or it does not indicate the provider s short-term intent in activities, includes the intended audience and includes the conducting CPE activities, the intended audience or the scope of activities. scope of activities. 6 2
Standard 1: Mission and Goal of CPE Program Best Care Hospital s (BCH) mission is to provide high quality continuing pharmacy education to hospital pharmacists and pharmacy technicians to improve patient outcomes in diabetes and cardiovascular health. BCH will strive to develop participants skills in the area of clinical expertise and medication adherence. Criterion and Evidence Meets Criterion Needs Improvement Defining the Basis and Outcomes for Activities (Attach CPE goal and mission statement) The provider has a CPE goal and mission statement that defines the basis and intended outcomes for the majority of educational activities. The provider has no CPE goal or mission statement that defines the basis and intended outcomes for the majority of educational activities. CPE Goals for Pharmacists CPE Goals for Technicians Mission Statement The CPE goal concisely states how the provider will assist The CPE goal does not state how the provider will assist pharmacists to maintain and enhance their professional pharmacists to maintain and enhance their professional or N/A (CPE not offered for pharmacists) The CPE goal concisely states how the provider will assist The CPE goal does not state how the provider will assist technicians to maintain and enhance their professional technicians to maintain and enhance their professional or N/A (CPE not offered for technicians) The CPE mission statement is consistent with the goals, The CPE mission statement is not consistent with the goals; indicates the provider s short-term intent in conducting CPE or it does not indicate the provider s short-term intent in activities, includes the intended audience and includes the conducting CPE activities, the intended audience or the scope of activities. scope of activities. 7 Standard 1: Mission and Goal of CPE Program Rubric: Criterion and Evidence: Mission Statement Short term Intent Intended Audience Mission 1: Mission 2: PharmsRUs mission is to provide continuing education to health professionals to improve their knowledge and competency to better serve patients. provide continuing education to improve their knowledge and competency to better serve patients OK, but very general; should be better defined to health professionals needs to be more specific Best Care Hospital s (BCH) mission is to provide high quality continuing pharmacy education to hospital pharmacists and pharmacy technicians to improve patient outcomes in diabetes and cardiovascular health. BCH will strive to develop participants skills in the area of clinical expertise and medication adherence. provide high quality continuing pharmacy education to improve patient outcomes in diabetes and cardiovascular health to hospital pharmacists and pharmacy technicians Scope of Activities Missing altogether develop participants skills in the area of clinical expertise and medication adherence 8 Align Mission with Accreditation Criteria ACPE Accreditation Standards Content of CPE Activities Delivery of CPE Activities Assessment Evaluation *As presented as the 13 th ACPE Conference by. M. Seligman Example Map to Mission CPE Goal and Mission Statement recently updated and approved by the Advisory Board Faculty selected on their knowledge of subject matter; provider collaborates with faculty to identify educational needs; foster active participation, etc. Faculty, provider, and learners include learning assessments; pre and post questions; ARS; evaluation forms Impact on participants competence, performance, clinical practice choices; outcomes 9 3
Key Takeaways to Remember When Working With Your Mission Identify key elements to include in mission statement and identify specific goals that are measurable Ensure mission maps to accreditation criteria Identify key stakeholders who will aid in achieving mission Keep mission top of mind all the time Review mission and goals annually (Standard 12) *As presented as the 13 th ACPE Conference by. M. Seligman 10 Definition of Continuing Education for the Profession of Pharmacy A structured educational activity designed or intended to support the continuing development of pharmacists and/or pharmacy technicians to maintain and enhance their competence. Continuing education promotes problem solving and critical thinking and is applicable to the practice of pharmacy Accreditation Council for Pharmacy Education (revised October 2006) 11 U.S. Pharmacy Credentials and Oversight Bodies Education Entry to Practice Practice Doctor of Pharmacy (Pharm.D.) Degree (ACPE) Licensure (R.Ph.) (State Boards of Pharmacy) Licensure Renewal (State Boards of Pharmacy) State specific criteria include mandatory Continuing Education (ACPE) Postgraduate Education (optional) Advanced Degrees: M.S., Ph.D. (College/schools of pharmacy) Postgraduate Training (optional) Residency (ASHP) Traineeship (ASHP) Fellowship (ACCP, ASHP) See also: Council on Credentialing in Pharmacy (CCP) www.pharmacycredentialing.org Certification (optional) Specialty (BPS) Non-specialty (CCGP) Disease management (NISPC) Multidisciplinary (various, e.g. CDE) 12 4
U.S. Pharmacy Credentials and Oversight Bodies Pharmacy Technicians Education/Training: American Society of Health System Pharmacists (ASHP) Accredited 125* pharmacy technician training programs in the U.S. * Includes accredited and candidate status programs Source: ASHP Registration /licensure: Boards of Pharmacy (state specific) The number of states and territories that require: Licensure: 7 Registration: 32 Certification: 6 Source: NABP Certification (optional): Pharmacy Technician Certification Board (PTCB) or Institute for the Certification of Pharmacy Technicians (ICPT) The number of states and territories that require continuing education (CE) for technicians (not including in service hours): 17 Source: NABP 13 Purpose of the Definition: Differentiate amongst CE activities for Pharmacists and Pharmacy Technicians Separate learning objectives for pharmacists and/or pharmacy technicians How is the document constructed? Pharmacist Competencies: Based on specific competency statements developed by AACP & NABP Pharmacy Technician Competencies: Based on specific competency statements developed by PTCB 14 Specific Areas of Competencies: Pharmacists (based on NAPLEX ) 1. Assure safe and effective pharmacotherapy and optimize therapeutic outcomes 2. Assure safe and accurate preparation and dispensing of medications 3. Provide healthcare information and promote public health Pharmacy Technicians (based on PTCB) 1. Assisting the pharmacist in serving patients 2. Maintaining medication and inventory control systems 3. Participating in the administration and management of pharmacy practice 15 5
Differentiating CPE for Pharmacists vs. Technicians Different objectives: ACPE accredited providers are required to have separate learning objectives for each audience (P/T), specific to what that participant should take away from the activity and apply in his/her practice. ACPE s Definition delineates appropriate areas which are specific to practice. Universal Activity Number: Intended audience suffix 197 000 09 078 L01 P vs. 197 000 09 078 L01 T 16 Universal Activity Number Provider ID (001-998) 0197 0000 13 001 L 05-T Cosponsor Designator (000, 999) Development/ Release Year Sequential Number Format Designator L: Live offering H: Home study C: Combined Intended Audience P: Pharmacist T: Pharmacy technician Topic Designator 01: Disease State/Drug therapy 02: AIDS therapy 03: Law (related to pharmacy practice) 04: General Pharmacy 05: Patient Safety (as defined by NPSF) 17 Standard 1: Definition Please complete the following exercise in the next two minutes: Please review the learning objectives stated in Case 1 (slide 19) and determine if appropriate for pharmacy technicians. If not, how can they be modified so that they are appropriate? 18 6
Case 1: Pain Management Learning Objectives: 1.Review the most common pain assessment tools. 2.Describe pharmacologic treatments for pain (non opiate and opiate medications). 3.Discuss therapy options in post surgical pain. 4.Describe special considerations in treating breakthrough pain. 19 Learning Objectives Review the most common pain assessment tools Case 1: Pain Management Appropriate for Technicians Yes If not, modify? Describe pharmacologic treatments for pain (nonopiate and opiate medications) Discuss therapy options in post surgical pain Describe special considerations in treating breakthrough pain Maybe NO! Yes Describe non prescription treatments for pain Identify pharmacologic options for treating pain List therapy options in post surgical pain 20 Standard 1: Definition Please complete the following exercise in the next two minutes: Please review the learning objectives stated in Case 2 (slide 22) and determine if appropriate for pharmacy technicians. If not, how can they be modified so that they are appropriate? 21 7
Case 2: Alzheimer s Disease and Dementia Learning Objectives: 1. Describe the epidemiology of Alzheimer s disease and other types of Dementia. 2. Explain the underlying pathophysiology of Alzheimer s disease and other types of dementia. 3. Discuss the pharmacotherapeutic options for treating cognitive and functional symptoms related to dementing illnesses. 4. Assess the pharmacotherapeutic options for treating behavioral symptoms related to dementing illnesses. 22 Case 2: Alzheimer s Disease and Dementia Learning Objectives Appropriate for Technicians If not, modify? Describe the epidemiology of Alzheimer s disease and other types of Dementia Explain the underlying pathophysiology of Alzheimer s disease and other types of dementia Discuss the pharmacotherapeutic options for treating cognitive and functional symptoms related to dementing illnesses Assess the pharmacotherapeutic options for treating behavioral symptoms related to dementing illnesses Yes Maybe NO! NO! Explain the underlying cause of Alzheimer s disease and other types of dementia List the therapeutic drug options for treating symptoms related to dementing illnesses Identify the most common drugs, dosages, and basic side effects related to dementing illnesses 23 Background of the QA Procedure Since January 2008, ACPE has started a prospective monitoring system of technician activities to assure the quality of activities meets the specified learning needs of technicians. In monitoring technician activities, we ve used the PTCB competencies as the baseline for reviewing activity objectives. We are reviewing all learning objectives from specific activities to see whether they are appropriate or not for the technician audience. 24 8
QA Procedure Once activities are reviewed, they are separated into three categories: 1. Appropriate No further action required possible letters of commendation 2. Guidance Activity content is deemed appropriate, except for minor modifications(s) example: terminology modification, pathophysiology 3. Not appropriate Statistics: Letters Sent Learning objectives do not meet specific competencies and must be modified Provider is given 30 days to make necessary changes or open dialogue with ACPE (deadline provided in the letter) 129 providers sent letters 47 responses received *A letter is sent for any guidance or not appropriate categorized activity that is inconsistent with the specific competencies. 25 QA Procedure If a provider receives a letter from ACPE, they can: 1. Make the necessary modifications via the Provider Web Tool. 2. Open a dialogue with ACPE. ACPE can provide further guidance via workshops, consults, or calls. We are making every effort to understand the nature of each individual program, collect data, and report back to the profession. 26 Instructional Design Process at a glance Set mission & goals of an organization Definition of CE entails what CE is and the competencies for P/T To understand what the needs of the audience are, do a needs assessment! Plan your activity keeping the competencies in mind 27 9