1. 1 Content Collaboration Across Multiple Systems How The American College Of Cardiology Is Creating A Unified Approach Towards Lifelong Learning Wednesday April 28, 2010

2. 2 Lynne Galiatsatos Andy Rabin Gary Rae David Raimist

3. 3 Agenda ACC and CECity Overview Lifelong Learning & Learning Portfolio –Concepts –What, Why & How A Vision In Practice Partnerships, Technology, and Standards Implementation Demonstration Challenges & Benefits Questions/Comments

4. ACC Overview The mission of the American College of Cardiology is to advocate for quality cardiovascular care—through education, research promotion, development and application of standards and guidelines—and to influence health care policy Founded 1949 37,000+ Members 4

5. CECity Overview CECity is the world’s leading SaaS (Software as a Service) provider of online healthcare education, outcomes, and performance improvement technologies & distribution networks Experienced Management Team –Broad healthcare, CME, association, pharmacy, managed care, performance assessment & improvement, six sigma, and technology experience CECity is not a Content Provider –No Content Creation –No Content Accreditation CECity is not a web destination –Technology is branded and focused on our partner not CECity 5

6. Business Case No single system could provide the member, or ACC, with a complete picture of the member’s education activities No linkage between education, competencies, certification, quality, outcomes, and reimbursement opportunities (P4P) Not leveraging ACC data products, like NCDR™, as part of overall performance improvement strategy External Influences – Emphasis On Competency, Quality Performance And Patient-centered Care 6

7. 7 The Concept Provide a Lifelong Learning Portfolio to ACC Members –From Fellowship to Emeritus (F2E) Deliver seamless access for members to multiple products (ACC and non-ACC) across multiple systems Integrate with the new Cardiosource.org site launching in June 2010 Meld Practice & Quality Improvement With Educational Content –Utilizes Data That Are Trusted By The Learner –Links Learners To Competency-based Curricula To Assess Individual & Peer Competence, Gaps & Performance –Provides Awareness For The Lifelong Learner Facilitate The Ability To Engage Lifelong Learning Support Certification & Licensure –Easy access to products that offer MOC and MOL

8. 8 Providing Context To A Vision Lifelong Learning

9. 9 Siemens, G. (2004). Stages of eportfolio development. Retrieved October 16, 2009 from http://www.elearnspace.org/Articles/eportfolios.htm How Level 1: Simple website, blogs, wikis Level 5: Industry and standards. Inter- operability, cross-institution sharing Level 4: Integrated. Portfolios are integrated into the process of instruction and assessment Level 3: Institution-sponsored Level 2: Dynamic, database driven. Central artifact pool is used to create different representations based on learner need Levels 1 & 2 provide the greatest value for the learner Levels 3 & 4 provide value for the institution and faculty Level 5 provides health and sustainability to the industry

10. 10 A Vision In Practice Past Present Future Level 1 Level 5 Level 4 Level 3 Level 2 Mid 90’s to Present

11. 11 Level 1 Level 5 Level 4 Level 3 Level 2 2001-2007

12. 12 Level 1 Level 5 Level 4 Level 3 Level 2 2009

13. 13 Level 1 Level 5 Level 4 Level 3 Level 2 2011 and Beyond

14. 1. Begin Activity2. Added To Curriculum 3. Complete Activity4. Moved To Transcript

15. Partnerships, Technology, and Standards Platforms & Partners –ACC Association Management System - iMIS –Sitecore Enterprise CMS Sitecore Consultants –CME360 from CECity –Lifetime from CECity 3 rd Party Content Providers (initial list) –ACCardio –Medcases –MedIQ –Clinical Care Options Medbiquitous Standards Used To Tie Everything Together 15

16. Overall System Integration Model 16

17. Activity Integration Model 17

18. Activity Integration Implementation Standards Utilized To Enable Integrations OASIS SAML SSO Medbiquitous HCLOM Medbiquitous Activity Report IMS QTI CECity API’s ACC iMIS API’s 18

19. 19 Challenges & Benefits Challenges –Adoption To Become Part Of Daily Activities –Not All Competencies Are Quantitative –Utilizing Aggregate or System Data –Incorporating “Quality” Into Learning Process Benefits –Comprehensive, Discoverable, Targeted, Integrated –Inter- and Intra- Organizational Collaboration –Process Of Standardization (Moving to Level 5)

20. 20 Question/Comments

21. Thank You Lynne M. Galiatsatos (lgaliats@acc.org) Andy Rabin (arabin@cecity.com)