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Development and evaluation of online CME course for disseminating clinical guidel

Award Number: R18HS021945
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)
PERIOD OF PERFORMANCE START DATE: 01/01/2013
PERIOD OF PERFORMANCE END DATE: 12/31/2014

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Development and evaluation of online CME course for disseminating clinical guidel - DESCRIPTION (provided by applicant): The American Medical Directors Association (AMDA) proposes to develop an online, interactive educational program on its website to disseminate evidence-based guidelines on caring for nursing home residents with dementia, focusing on the appropriate use of atypical antipsychotic medications. In 2005, the Food and Drug Administration issued an advisory and subsequent "black box" warning regarding the increased risk of death in elderly patients with dementia using atypical antipsychotics. In 2009, the AMDA developed clinical practice guidelines for the management of nursing home residents with dementia using both evidence- and consensus- based approaches, The overall project goal is to decrease inappropriate use of antipsychotics for nursing home residents, particularly those with dementia, by providing an innovative, technology-based, and low-cost means of disseminating AMDA's evidence-based clinical practice guidelines for recognition, assessment, treatment/management and monitoring of residents with dementia. AMDA will revamp its dissemination methods, implementing and evaluating an online, interactive, CME course founded on adult learning theory that utilizes a personalized learning approach, problem-based learning, and testing with immediate feedback. Interactive technology features will be integrated into the curriculum and providers will be able to access the course remotely using smart phones and tablet computers. The project's objectives are: (1) At least 700 Nursing Home Medical Directors and clinicians will complete the CME course; (2) At least 90% of clinical prescribers that complete the AMDA course will achieve a score of 80% or higher when tested on their knowledge of the clinical practice guidelines; (3) At least 75% of survey responders will report that they have integrated the dementia practice guidelines into their clinical practice; (4) At leat 75% of survey responders will integrate reduction of inappropriate antipsychotic medication use in patients with dementia into their organizations' quality improvement projects; and (5) Of the organizations that have integrated this program into their quality improvement projects, at least 75% will report the reduction of inappropriate antipsychotic medication use in patients with dementia. At the completion of each course module, providers will complete a series of brief online test questions to assess their knowledge of the clinical practice guidelines. Course completers will be surveyed at 3 and 6 months post-test to evaluate their integration of acquired knowledge into clinical practice. Information on these outcomes will be collected as a part of the online, follow-up survey. For rate of inappropriate antipsychotic use, integration of guidelines, and inclusion in QI, pre-CME course practices will be assessed retrospectively; pre-CME course levels will be compared to post-CME levels using linear regression. For knowledge retention, covariates will be evaluated as potential confounders using bivariate analysis and included in a linear regression model. At the end of the project, a manuscript of the project results will be prepared for submission to the AMDA's peer-reviewed publication, JAMDA.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2014 ( Subtotal = $96,100 )
2014	2014	AMERICAN MEDICAL DIRECTORS ASSOCIATION INC	11000 BROKEN LAND PARKWAY	COLUMBIA	MD	21044	HOWARD	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	2/4/2014	NON-COMPETING CONTINUATION	$96,100
														Subtotal = $96,100

Issue Date FY: 2013 ( Subtotal = $100,000 )
2013	2013	AMERICAN MEDICAL DIRECTORS ASSOCIATION INC	11000 BROKEN LAND PARKWAY	COLUMBIA	MD	21044	HOWARD	USA	Research on Healthcare Costs, Quality and Outcomes	001	1	4/23/2013	NEW	-$100,000
2013	2013	AMERICAN MEDICAL DIRECTORS ASSOCIATION INC	11000 BROKEN LAND PARKWAY	COLUMBIA	MD	21044	HOWARD	USA	Research on Healthcare Costs, Quality and Outcomes	002	1	5/1/2013	NEW	$100,000
2013	2013	AMERICAN MEDICAL DIRECTORS ASSOCIATION INC	11000 BROKEN LAND PARKWAY	COLUMBIA	MD	21044	HOWARD	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	12/28/2012	NEW	$100,000
														Subtotal = $100,000

Grand Total All Awards = $196,100

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Development and evaluation of online CME course for disseminating clinical guidel

Award Number: R18HS021945

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)

PERIOD OF PERFORMANCE START DATE: 01/01/2013

PERIOD OF PERFORMANCE END DATE: 12/31/2014

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