title: Sharing collaborative designs of tobacco cessation performance improvement CME projects.
abstract: BACKGROUND
  Performance Improvement Continuing Medical Education (PI CME) provides an important opportunity for CME providers to combine educational and quality health care improvement methodologies. Very few CME providers take on the challenges of planning this type of intervention because it is still a new practice and there are limited examples from which to model. This article offers case examples of educational design, results, and lessons learned from 4 tobacco cessation PI CME activities.
  
  
  OBJECTIVE
  To share with the CME community different cases of PI CME educational design and results so that CME providers may have examples to draw from and develop more PI CME activities.
  
  
  METHODS
  This is a case report.
  
  
  RESULTS
  Four of 9 partners of the Cease Smoking Today (CS2day) initiative developed the 4 tobacco cessation PI CME activities. Each project was designed and implemented using a common planning framework and clinical performance measures but with varying operational and educational design components depending on the strengths and resources of the leading partner. Three projects that are completed show improvements in aggregated practitioner performance and smoking quit rates. One project is currently under way.
  
  
  CONCLUSIONS
  These cases highlight the value of collaboration, identify influences of operational and educational designs on variation in compliance with performance measures, and lead to a discussion of similarities in barriers, successes, and lessons for future practice.
authors.affiliation: Office of Continuing Professional Development, University of Wisconsin School of Medicine and Public Health, USA. eamullikin@ocpd.wisc.edu
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Mullikin
authors.forename: Mary W
authors.initials: MW
authors.lastname: Ales
authors.forename: Jane
authors.initials: J
authors.lastname: Cho
authors.forename: Teena M
authors.initials: TM
authors.lastname: Nelson
authors.forename: Shelly B
authors.initials: SB
authors.lastname: Rodrigues
authors.forename: Mike
authors.initials: M
authors.lastname: Speight
mesh_terms: D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated; D020375:Education, Distance / Q000379:methods* / Q000458:organization & administration; D004502:Education, Medical, Continuing; D019983:Guideline Adherence; D006282:Health Personnel / Q000592:standards*; D006801:Humans; D033181:Information Dissemination; D007373:Interinstitutional Relations; D020407:Internet; D017146:Models, Organizational; D019982:Organizational Case Studies; D010865:Pilot Projects; D016730:Program Development; D058996:Quality Improvement / Q000706:statistics & numerical data*; D020340:Tobacco Use Cessation / Q000379:methods*; D014029:Tobacco Use Disorder / Q000517:prevention & control / Q000628:therapy