Morbidity and Mortality Conference Guidelines
June 23, 2006
Mortality and Morbidity Conferences are considered Regularly
Scheduled Conferences (RSC’s). RSC’s are the daily,
weekly, or monthly CME activities that are primarily planned by and
presented to the institution’s professional staff. Each of these
RSC’s must be in compliance with all applicable MMS accreditation
elements and policies to qualify for AMA PRA Category 1 Credit
™. The MMS expects that each session of each activity is
preplanned and presented with the intention of being “in
compliance.”
The purpose Mortality and Morbidity Conferences is to have monthly
reviews of either conventional or selective deaths and complications of
preceding periods. To meet the criteria for Category 1 Credit as
outlined below, a moderator must facilitate the activity and the cases
reviewed must be presented to illustrate preplanned topics. To
cover the chosen topics during the meeting, a
maximum of three cases should be included in an
hour’s time. Also, to be considered a planned program of CME that
covers a subject area in depth, research on the topics should be
presented and educational objectives for the series stated. The format
can include presentations given by several speakers from different
disciplines or can center on a single speaker. Following meetings,
there must be a means of evaluating if the educational objectives of the
series are being met, the quality of instructions, and the
activity’s relevancy to medical practice. Evaluation forms at
the end of this activity can provide this data.
Please Note: For conferences to qualify as risk
management, the aforementioned guidelines must be adhered to, and the
content must be in compliance with the MA Board of Registration in
Medicine’s regulations.
Planning and Needs
Assessment
- To choose cases which address identified needs of the staff (audit,
quality assurance evaluations, questions or problems raised by the
staff)
- To discuss a maximum of three cases per hour
- To use cases that illustrate preplanned topics
- To plan a form of evaluation
Use of Moderator
- To invite specialists and subspecialists, physicians-in-training,
and health professionals, when applicable
- To include pathologist(s), radiologist(s), surgeon(s), and primary
care physicians
- To include, if possible, medical librarian to provide a bibliography
applicable to the cases
- To lead discussion, summarize and evaluate conference(s)
Disclosure
The MMS requires that all RSC’s comply with the Standards for
Commercial Support and all related MMS Essential Areas and Elements,
Policies and Guidelines related to faculty disclosure and commercial
support.
Monitoring
All accredited providers are asked to have a
system in place to monitor the compliance of their entire RSC
activity. Accredited providers will be asked
to:
- Describe their monitoring system
- Demonstrate that the monitoring system has been implemented
- Explain and show that the monitoring system has facilitated
improvements
- Be able to store and retrieve information about learner
participation.
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