Prime®: Moving Evidence to Practice Through Education for 20 years
Kathleen Moreno, RN, BC, BSN, BHSA, CCM, CM, CDMS, President
Laurence Green, PhD, Director of Scientific Education and Outcomes
Holly Murray, MS, CMP, Director of Quality
Objectives of the KT-IDIQ Task Orders
- Enhance awareness and knowledge among key target audiences about AHRQ's evidence-based products, tools, and research findings and how they may improve the quality of health care.
- Assist target audiences in the actual implementation of AHRQ research, tools, and products.
- Better understand target audience motivations and barriers to implementing AHRQ's evidence-based products, tools, and research findings.
- Provide evidence-based tools, and materials that meet the needs of specific target audiences in order to implement research findings.
- Determine effectiveness of knowledge transfer activities.
1. Enhancing Awareness and Knowledge of AHRQ's Research, Tools, and Products
Prime®'s Partners Among AHRQ's Targeted Audiences
- >300 closed systems (quality improvement CE programs).
- >50,000 health-policy decisionmakers in database
- >275,000 clinicians in database.
- >750 academic medical centers and their professors (GME).
- >100 medical report panels (i.e. TEPs) to guide programs.
- Diverse stakeholders including URAC, NCQA, prison systems, FQHC, non-profits.
- Like-minded competitors who strengthen our medical education:
- Indegene TTM.
Driving Clinicians to AHRQ's Research
Image of different components all leading to AHRQ's effectivehealthcare.ahrq.gov Web site.
Web Site Metrics of Contract HHSA290201000006G
Visit Origins for AHRQ CE Modules Contract (Apr 1, 2011 to Sep 28, 2014): 1/3 of all visitors during the first contract originated from primeinc.org.
Screen shot of top of table from Google Analytics showing number of visitors to primeinc.org. A pie chart showing the breakdown by Web site is also shown.
Nearly identical traffic report for current contract HHSA2902012000211 (Sep 29, 2013 to March 1, 2014).
>128 Million Patient Lives Impacted through PRIME's CE Projects in Closed Systems: 2012-2013
Map of the United States showing points where the CE projects are being used. A list of all the health care organizations by State comprises the majority of the slide.
2. Assisting Clinicians with Implementation of AHRQ's Research, Tools, and Products
- Tutorial-based training on skills in:
- Evaluating methods of patient-centered health research.
- Interpreting the clinical significance of research findings.
- Development of tools to support effective clinical decisionmaking at the point of care.
- Modeling of successful application of AHRQ tools and products for:
- Clinical decisionmaking.
- Patient and caregiver education.
To the left of the text are images of a CME video, publication covers, and a tool for smartphones and PDAs.
- Peer-reviewed journal articles.
- Evidence-based case studies.
- Interprofessional education.
- CE multimedia modules.
- Social media educational tools.
To the right and bottom of the text are images of publications produced by PRIME.
Physician Implementation Through CE
Image of a line chart titled "Physician Participation in CE Activities in Millions". The chart shows an increase from 7.6 million in 2005 to 12.5 million in 2012. Above the chart is states "89% complete more CE than required for licensure." Below the chart it states" Prime® ranked 3rd among all academic institutions, medical education companies, and others for the total number of CE activities delivered in 2012 by a single organization (3,761).
Source: ACCME 2012 Annual Report. Available at www.accme.org.
3. Understanding Motivations and Barriers to Implementation of Evidence
- Conduct and analyze surveys to identify motivations and barriers among HCPs.
- HCPS trust and expect learner surveys in CE.
- Design educational and practice-based interventions to overcome barriers to implementation.
- Apply a Continuous Improvement Model to inform revision and new program development.
To the left of the list is a flowchart showing the process. Pre-test leads to CE Activity which leads to Post-test with a Control Group and the CE Group leading to a Post-impact Survey.
4. Providing Evidence-Based Tools and Materials
Image of materials that have been produced.
Advancing the Learning Paradigm
- Design of educational programs according to adult learning principles.
- Active and interactive.
- Situated and experiential.
- Applied to clinical practice.
- Multichannel educational formats that meet diverse learning styles and needs.
- Leading physician-teachers as expert faculty.
Disseminating evidence through patient education in a tailored social media platform.
Image showing the patient education process and the published or online materials used.
Step 1: Analyze
- Analyze data from various sources:
- Health Risk Assessment
- Clinical Models and Expertise
Step 2: Educate
- Build patient awareness on medication schedules:
- Navigator Platform
- Member Portals
Step 3: Empower
- Provide tools and reminders for self-check:
- Social Media Platform
- Reminder Apps
Step 4: Monitor
- Alerts to caregivers and HCPS:
- Multichannel Outreach
- Optimax Platform
5. Determining the Effectiveness of Knowledge Transfer Activities
Needs assessment and evaluation data sets collected and analyzed from more than 15 million learners.
Image of a pyramid with different layers. The bottom layer is Participant Demographics. The one above it is Participant Program Evaluation. The one above that is Knowledge Acquisition and Attitudinal Change with the sub-layers being Declarative Knowledge, Procedural Knowledge, and Learning Insights, Values, and Behaviors. The next level above that is Clinical Competence, then Performance, then Patient Health. The layer at the top of the pyramid is Community Health.
Prime® Experience Across Portfolio Focus Areas
Images of the different products shown with the portfolio focus areas. The areas include: Patient-Centered Health Research, Innovations/Models of Health Care, Value/Quality Improvement, Value/Cost Effectiveness, Care Management, and Patient Safety.
Doing Our Part to Make a Better Healthcare System
- The Affordable Care Act promotes improved access to care, affordable care, quality care, and consumer protection.
- As healthcare educators, we support this effort by:
- Creating, disseminating, promoting, and evaluating the effectiveness of evidence-based tools and materials.
- Provided with evidence, healthcare professionals can improve the quality, affordability, access, and safety of the care they deliver.