Defense Health Agency (DHA), J7, Continuing Education Program Office (CEPO) Updates

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Defense Health Agency (DHA), J7, Continuing Education Program Office (CEPO) Updates Mr. Gerald Creech Chief, Business Operations, DHA, J7, Education & Training 23 APR 2018 Governance Implementation Planning Team

Education & Training (E&T) Defense Health Board (DHB) Briefing Overview Slide Briefing Type Informational Briefing Overview (BLUF) DHA, J7 (Education & Training), CEPO Updates Issue / Topic Routing Recommendation Continuing Education (CE) Program Overview and CE/Event Milestones Decision(s) Required No decision required at this time 2

DHA E&T CEPO Agenda Capabilities & Accreditation Offerings Current Status Way Forward CE/Event Milestone Timeline 3

DHA E&T CEPO Capabilities & Accreditation Offerings DHA, J7, CEPO Provides CE Activity Accreditation Services & Offers the Following: (1) CE requirements management (requirements identification, requirements routing & coordination, conference package support) (2) CE accreditation support and curriculum development & management (curriculum development & management, CE activities data management services, outcomes assessment) (3) Other live event technical & logistics support (virtual, and/or onsite logistical & technical support) (4) CE office operations (CEPO strategic planning & process improvements, policies & procedures, educational event archival repository) Accreditation Offerings Accredited for live educational events by the American Psychological Association (APA) for a two-year term on 20 OCT 2016, and 29 SEP 2017 for homestudy educational events. Accredited by the Joint Accreditation Interprofessional CE for a two-year term on 2 DEC 2017. Joint Accreditation is a collaboration of the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), and Council on Optometric Practitioner Education (ARBO/COPE). In addition, DHA, J7, CEPO has the capability to grant CEs through a third party CE provider for the following health care professions: occupational therapists, physical therapists, social workers, counselors, case managers, nurse practitioners, health care executives, speech language pathologists, medical coders, kinesiotherapists, and dentists, as well as a general participation certificate. 4

DHA E&T CEPO Current Status The 2015 Defense Health Board (DHB) Report s Overarching Recommendation is that DoD implement a centralized, inter-professional CE program, which DHA, J7, CEPO is currently implementing on a small-scale. The recommendations included below are functions of the DHA, J7, CEPO. Recommendation 3: In coordination with the Uniformed Services University of the Health Sciences and the Military Departments, DoD should establish a central office of CE for health professionals under the DHA E&T Directorate. This office should: Serve as the consolidated accredited CE administrator for DoD. Continue to develop and maintain a single learning management system delivery platform with planning and bi-directional tracking capabilities to support the Military Departments in managing CE for health professionals while reducing the administrative burden to the individual and the system. Recommendation 4: DoD should create and maintain a dedicated continuing education web portal to provide a single gateway to all CE resources available to DoD health professionals, including links to appropriate resources outside of DoD. Recommendation 5: DoD should leverage its medical expertise by developing unique CE opportunities to enhance military readiness and share expertise broadly with civilian health professionals. Recommendation 6: DoD should continually review the effectiveness of interprofessional education initiatives to identify opportunities to add, modify, or delete activities to optimize educational benefits. Recommendation 7.1: DoD should collaborate with other stakeholders to develop a common approach and methodology for assessing the effectiveness of CE in accomplishing specific health care goals. Recommendation 7.2: DoD should lead the health care field in facing these challenges through the research, development, application, and delivery of new technologies and learning theories to provide exceptional, cost-effective, evidence-based CE. Recommendation 11: DoD health professionals, with peer review and supervisory input, should create and periodically update professional development plans to provide balanced and cost-effective individual and interprofessional team CE roadmaps targeted to knowledge and performance gaps and goals. Recommendation 12: DoD should seek to be a leader in responding to the changing focus of CE by implementing a mechanism to continually monitor, evaluate, and improve the CE program to accomplish these aims. Recommendation 13.1: DoD should ensure that DoD health professionals have opportunities for regular in-person participation in CE meetings and conferences. 5

DHA E&T CEPO Way Forward Accreditation Applications National Board for Certified Counselors (NBCC) Approved Continuing Education Provider Application was submitted on 23 JAN 2018. American Occupational Therapy Association Candidacy Accreditation Application was submitted on 26 MAR 2018. CE Working Group Review the Defense Health Agency Recommendation for Shared Service Continuing Education Program Management (DHA SS CE) report for accuracy by validating facts and creating a course of action for implementing a fully functioning centralized CE program across the Military Health System that is efficient and cost effective, leveraging all information from existing accreditation services. Evaluate recommendations on how to best utilize CE resources that support the creation of a centralized CE office establishing a system structure to plan, approve, deliver, track/report, and perform outcomes assessments. The final deliverable will be comprised of a comprehensive analysis of the existing DHA SS CE report, CEWG recommended changes, and updated COAs, if applicable. The compiled information is due JUL 2018 for presentation to the Deputy Medical Operation Group and Medical Operations Group, and then routed for concurrence across the services. 6

DHA E&T CEPO CE/Event Milestone Timeline AUG 2012 Offered Psychologists (APA) CEUs via Third Party CE Provider MAR 2014 Offered CatA Contact Psychology, International Association for CE & Training (IACET), & Counselors (NBCC) CEUs via Third Party CE Provider OCT 2015 Offered ACCME Non-Physician CEU for PT & OT; replaced AOTA, APTA, & IACET FEB 2016 Launched Defense Suicide Prevention Office (DSPO) Veterans Affairs (VA) Webinar Series OCT 2016 Defense Centers of Excellence (DCoE) Received APA Provider Approval for Live Events JAN 2018 Submitted NBCC Approved Continuing Education Provider Application DCoE OCT 2017 Realigned to DHA J7; DCoE was Dissolved 2012 2013 2014 2015 2016 2017 2018 JAN 2012 Offered Physicians & Non- Physicians (AMA PRA), Nurses (ANCC), Occupational Therapists (AOTA), Physical Therapists (APTA), & Social Work (NASW) CEUs AUG 2013 Offered Speech Language Professionals, Audiologists (ASHA) CEUs APR 2015 Offered Nurse Practitioners (AANP), Counselors (CRCC), Case Managers (CCMC), & Health Care Executives (ACHE) CEUs via Third Party CE Provider JAN 2016 Launched MHS Speaker Series w/ DHA LDD AUG 2016 Launched DHA Pharmacy & Therapeutics (P&T) Committee Meetings & Webinar Series NOV 2016 Launched Opioid Prescriber Safety Training Modules 1 & 2 SEP 2017 DCoE Received APA CESA Provider Approval for Homestudy Events DEC 2017 DCoE Received Joint Accreditation Provider Approval for Physicians, Nurses, & Pharmacists (Name change to DHA, J7, CEPO approval received) MAR 2018 Joint Accreditation Providership Expanded to Include Physician Assistants (APAA) and Optometrists (COPE) Submitted AOTA Candidacy Accreditation Application Updated by DHA, J7, CEPO as of 10 APR 2018 7