This course is intended for the interdisciplinary members of the healthcare team in the hospital setting to improve knowledge of issues surrounding delirium in the elderly hospitalized patient. This 23-question module focuses on the evidence behind the recognition, prevention, and management of delirium in the geriatric patient.
The funding for the creation of this educational module is by the Texas Consortium Geriatric Education Center (TCGEC) at Baylor College of Medicine. Founded in 1985, the TCGEC is one of 48 such centers funded by the federal Health Resources and Services Administration. The TCGEC has offered interdisciplinary professional development programs in geriatrics to over 55,000 health care providers to provide better age-specific care for older Texans.
Further support for continuing education credits and monitoring of the program is provided by Center for Medicare and Medicaid Improvement Project Grant to The Methodist Hospital Research Institute for Delirium Detection and Prevention Across the Continuum.
This course was created by Elaine Chang, MD and Kathryn Agarwal, MD, both of Baylor College of Medicine. Below are descriptions of continuing education credits for nurses and physicians.
Accreditation and Credit Designation Statements
Physician-Houston Methodist® is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Houston Methodist® designates this online educational activity for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians should only claim credit commensurate with the extent of their participation in the activity. The estimated time to complete this education activity: 2.0 hours Release date: June 2013 Expiration date: September 2015
Pharmacy-Houston Methodist Hospital is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Participants receiving documentation of course completion and completing an online evaluation will receive 4 contact hours (0.4 CEU) of pharmacy continuing education credit as a knowledge-based activity
Nursing- The Methodist Hospital System is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This module has been approved for 1.7 Contact Hours.
How to Receive Credit
The following Spaced Education module consist of 23 multiple choice questions. Questions will be sent to you in small amounts from the website www.qstream.com. Once you answer a question correctly two times in a row, it will be completed. Participants may receive credit or contact hours ONLY by completing all 23 questions in a module AND completing the end of course survey in LESS THAT FOUR MOTHS FROM TIME OF ENROLLMENT.. A certificate of participation will be sent following successful completion of the module and the post module survey.
Disclosure Policy and Procedure
The Methodist Hospital System (TMHS) Office of Continuing Medical Education (OCME) makes every effort to develop CME activities that are scientifically based, accurate, current, and objectively presented. In accordance with the Accreditation Council for Continuing Medical Education Standards for Commercial Support, TMHS has implemented a mechanism requiring everyone in a position to control content of an educational activity (e.g., directors, planning committee members, contributors, peer reviewers, CME staff) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships: 1) at the time of the activity or 12 months prior; and 2) of their spouses/partners.
The Methodist Hospital System does not view the existence of interests or relationships with commercial entities as implying bias or decreasing the value of a presentation. It is up to the participants to determine whether the interests or relationships influence the presenter with regard to exposition or conclusions.
In addition, contributors have been requested to use generic names for products (drugs/devices), and to include various products within and across classes. If at any time during this activity you feel that there has been commercial or promotional bias, please inform us by using the commercial bias comments box in the evaluation form. Please answer the question about balance in the CME activity evaluation candidly.
Some drugs/devices identified during this activity may have United States Food and Drug Administration (FDA) clearance for specific purposes only or for use in restricted research settings. The FDA has stated that it is the responsibility of the individual physician to determine the FDA status of each drug or device that he/she wishes to use in clinical practice and to use the products in compliance with applicable law.
The Methodist Hospital System requires that all faculty disclose any unlabeled use or investigational use (not yet approved for any purpose) of pharmaceutical and medical device products, and provide adequate scientific and clinical justification for such use. Physicians are urged to fully review all the available data on products or procedures before using them to treat patients.
The following planning committee members disclosed having no financial relationships. There will not be mention of any off-label or unapproved uses
Kathryn Agarwal, MD – Course Director
Assistant Professor - Baylor College of Mediicne
George Taffet, MD- Course Co-Director
Professor - Baylor College of Medicine
Research Activities - Novartis
Thomas Knight, MD-Planning Committee Member
Sr. Vice President, Chief Quality Officer - The Methodist Hospital System
CME Representative Officer
Chris Ralls, MBA – OCME Representative
Director CME, The Methodist Hospital System
Sponsored by The Methodist Hospital System®.
The Interactive Spaced Education [ISE] Delirium Module 2: Prevention and Management of Delirium in Hospitalized Elders program will consist of 23 multiple- choice questions on delirium in the geriatric patient in the hospital setting. The module will begin with two questions every other day in a single email from the website, www.qstream.com. This website will facilitate the delivery of questions and answers to the participant.
- If a question is answered incorrectly, the participant will receive the same question 5 days later.
- If a question is answered correctly, the participant will receive the same question 14 days later.
- If the participant answers the question correctly two times in a row, the question is then retired from the program and is no longer repeated.
- The participant will complete the program when all 23 questions are retired (each question is answered correctly twice in a row). However, CE credit may be given when the program is 80% completed.
Given these parameters, it is estimated that the participant will complete the program in less than three months.
Participants may receive credit or contact hours ONLY by completing 80% of the questions in a module AND completing the end of module survey in LESS THAN FOUR MONTHS FROM TIME OF ENROLLMENT.
1. The learner will be able to use the Confusion Assessment Method* to screen for delirium.
2. The learner will understand features that differentiate delirium from dementia.
3. The learner will be able to name at least five risk factors for delirium and techniques that target each risk factor to prevent the development of delirium.
4. The learner will be able to name at least three drugs that should be avoided in the geriatric patient.
5. The learner will understand basic principles to the management of delirium, including work-up, behavioral management, and pharmacologic management.
6. The learner will understand the importance of documentation of delirium and ways to improve transitions of care.
The authors would like to thank the following experts for their review and edits of the material in this course:
Katharine Zeman Dhupar, RN, NP-BC
Victoria Landry, DNP, RN, NP-BC
Anita Major, M.D.
Shannon Pearce, DNP, RN, A/GNP-BC
James Rudolph, M.D.
Joshua Swann, PharmD
George Taffet, M.D.
Terry Throckmorton, PhD, RN
*Reference: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948.
Physicians, Physician Assistants, Nurses, Nurse Practitioners, and Pharmacists practicing in a hospital setting with elderly medical and surgical patients.
The course was time-consuming and very informative.
I have a concern because I didn’t receive the CE credit certificate after having completed the course over several weeks’ time, then completing the Evaluation Tool. Upon completion of these, shouldn’t you send CE certificate to the learner?
Most online websites that offer CE courses provide CE certificates immediately after the learner completes the evaluation tool. In addition,all other online learning websites that I have used also provide a User Account page where the certificates for all completed courses can be easily accessed and printed. Is this lacking at Qstream?