Getting to Goal: Managed Care Strategies for Children, Adolescents, and Adults With ADHD

Transcription

1 n osttest n Getting to Goal: Managed Care Strategies for Children, Adolescents, and Adults With ADHD Instructions There are no fees for articiating in and receiving CME credit for this activity. During the eriod May 15, 2009, through November 30, 2010, articiants must (1) read the learning objectives and faculty disclosures; (2) study the educational activity; (3) comlete the osttest by recording the best answer to each question in the answer key on the evaluation form; (4) comlete the evaluation form; and (5) mail or fax the evaluation form with answer key to: Postgraduate Institute for Medicine 367 Inverness Parkway Suite 215 Englewood, CO Fax: A statement of credit will be issued only uon receit of a comleted activity evaluation form and a comleted osttest with a score of 70% or better. Your statement of credit will be mailed to you within 3 weeks. Release date: May 15, 2009 Exiration date: November 30, 2010 Physician Continuing Medical Education Accreditation Statement This activity has been lanned and imlemented in accordance with the Essential Areas and olicies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sonsorshi of Postgraduate Institute for Medicine (PIM) and Imact Education, LLC. PIM is accredited by the ACCME to rovide continuing medical education for hysicians. Credit Designation Postgraduate Institute for Medicine designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their articiation in the activity. Pharmacist Continuing Education Accreditation Statement Postgraduate Institute for Medicine is accredited by the Accreditation Council for Pharmacy Education as a rovider of continuing harmacy education. Credit Designation Postgraduate Institute for Medicine designates this continuing education activity for 1.5 contact hours (0.15 CEUs) of the Accreditation Council for Pharmacy Education. (Universal Activity Number H01-P) Estimated time to comlete activity: 1.5 hours. After reading Getting to Goal: Managed Care Strategies for Children, Adolescents, and Adults With ADHD comlete the rogram evaluation and select the 1 best answer to each of the following questions. 1. Childhood ADHD ersists into adulthood in of individuals. a. ~10% b. ~25% c. >50% d. >75% 2. Which tye of ADHD constitutes less than 15% of all cases and redominates in childhood? a. Hyeractive-imulsive b. Hyeractive c. Imulsive d. Inattentive S160 n n May 2009

2 3. Vocational or academic underachievement/ failure, risky behavior, substance abuse disorders, and criminal activity are examles of the resentation of ADHD in: a. Adolescents b. Adolescents and adults c. Children d. Children and adolescents 4. Which of the following serve as the informants in most childhood ADHD rating scales? a. Patients b. Parents c. Teachers d. Both b and c 5. As high as 90% of children resond to which tye of harmacotheray with minimal side effects? a. Stimulants b. Nonstimulants c. Antideressants d. Antisychotics 6. Which of the following is a safeguard built into the Schedule II designation assigned to most stimulant medications rescribed for ADHD? a. 30-day suly limit b. No refills c. Hard-coy rescritions d. All of the above 8. According to the National Committee for Quality Assurance s (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) measure for Follow-U Care for Children Prescribed ADHD Medications, what is the goal for follow-u visits during the 9-month continuation and maintenance hase? a. >1 b. >2 c. >3 d. >4 9. Aroximately what ercentage of individuals with ADHD indicated that they have lost or changed jobs due to their disorder? a. 30 b. 40 c. 50 d Comared to treatment with immediaterelease methylhenidate, which of the following agents was associated with longer treatment eriods, fewer switches in theray, increased atient adherence, and a lower usage rate of emergency deartment services in a retrosective analysis? a. Atomoxetine b. Dextroamhetamine c. Buroion d. Extended-release methylhenidate 7. The behavioral interventions emloyed in the treatment of adult ADHD tyically centered on a(n) comonent. a. Educational b. Chemical c. Creative d. Pragmatic VOL. 15, No. 5 n The American Journal of Managed Care n S161

3 OUTCOMES SURVEY To what extent do you agree with the following statements? (Please circle the aroriate number on the scale.) 1. When rescribing ADHD medications, current ADHD treatment guidelines recommend extended-release formulations of stimulants over immediate-release rearations. 2. There are validated assessment tools to aid in the diagnosis of ADHD for adults resenting with symtoms in accordance with DSM-IV criteria. 3. For atients with ADHD and no redominant sychiatric comorbidities, stimulant harmacotheray is the most clinically desirable and cost-effective aroach to care. 4. Aroriate harmacotheray in children with ADHD is associated with reduced emergency deartment use and medical costs. 5. During the titration hase of medication initiation in children and adolescents with ADHD, observations of the atient s behavior should be sought from multile sources in evaluating the effect of the medication. 6. The use of harmacy database monitoring assists in imroving atient outcomes by tracking medication adherence in adult ADHD atients. S162 n n May 2009

4 EVALUATION FORM Getting to Goal: Managed Care Strategies for Children, Adolescents, and Adults With ADHD Project ID: 6066-ES-37 To assist us in evaluating the effectiveness of this activity and to make recommendations for future educational offerings, lease take a few minutes to comlete this evaluation form. You must comlete this evaluation form to receive acknowledgment for comleting this activity. Please answer the following questions by circling the aroriate rating: 1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree Extent to Which Program Activities Met the Identified Objectives After comleting this activity, I am now better able to: Describe the overall costs associated with ADHD and related comorbidities Secify the clinical and financial imact of various ADHD treatment otions Describe a managed care road ma for imroving clinical and economic outcomes for ADHD. Cite recommendations for health lans to assist their roviders with strategies to imrove HEDIS erformance scores for ADHD. Identify a ste theray model to rovide aroriate drug theray for ADHD treatment by managed care. Overall Effectiveness of the Activity The content resented: Was timely and will influence how I ractice Enhanced my current knowledge base Addressed my most ressing questions Provided new ideas or information I exect to use Addressed cometencies identified by my secialty Avoided commercial bias or influence Imact of the Activity Name 1 thing you intend to change in your ractice as a result of comleting this activity: VOL. 15, No. 5 n The American Journal of Managed Care n S163

5 Please list any toics you would like to see addressed in future educational activities: Additional comments about this activity: Follow-u As art of our continuous quality imrovement effort, we conduct ostactivity follow-u surveys to assess the imact of our educational interventions on rofessional ractice. Please indicate if you would be willing to articiate in such a survey: Yes, I would be interested in articiating in a follow-u survey. No, I m not interested in articiating in a follow-u survey. If you wish to receive acknowledgment for comleting this activity, lease comlete the osttest by selecting the best answer to each question, comlete the evaluation for verification of articiation, and fax to Answer Key Request for Credit Name Degree Organization Secialty Address City, State, Zi Telehone Fax Signature Date For Physicians Only I certify my actual time sent to comlete this educational activity to be: I articiated in the entire activity and claim 1.5 credits. I articiated in only art of the activity and claim credits. S164 n n May 2009