CERTAIN Program Series
CERTAIN (Checklist for Early Recognition and Treatment of Acute Illness and iNjury) is a quality improvement program that offers a systematic approach to the initial assessment and evidence-based management of the critically ill or injured patient. An international (34 ICUs from 15 countries) quality improvement trial showed how CERTAIN implementation is feasible and associated with better adherence to best practices of critical care processes, shorter ICU and hospital lengths of stay, decrease in complications, and lower mortality. Built on strong preliminary data and state-of-the art implementation science, the CERTAIN programs have the potential to transform ICU practice globally.
Learning Objectives
Describe the importance of managing acutely ill and injured patients by a standardized, systematic, and structured approach.
Apply the CERTAIN Approach (admission, rounding, and patient-centered decision making) to consistently deliver the best possible care to acutely ill and injured patients.
Develop implementation strategies to incorporate the CERTAIN approach into diverse daily clinical practice.
Intended Audiences
Anyone in a healthcare setting caring for patients with or at risk of critical illness
• Inter-professional clinical teams working in these settings
• Hospital leaders
Key Benefits
Custom implementation of Mayo Clinic model of care
Better care and outcomes for the sickest and most expensive patients, including better quality of life and better quality of death for those who are at the end of their life
Sustained improvement in quality, safety, and financial performance
Brings joy to staff and minimizes burnout by promoting excellence, autonomy, and purpose
Convenient and affordable with a minimal carbon footprint
CERTAIN Online
Twenty on-demand webinars (7 CME hours, with closed caption in English, Spanish, Mandarin, Vietnamese) accessible via computer or mobile devices. Didactic lectures and video demonstrations on the following topics:
Structured Approach to Critical Illness Alexander S. Niven, M.D.
CERTAIN Admission Demo Ognjen Gajic, M.D.
CERTAIN Rounding Demo Alexander S. Niven, M.D.
Ultrasound as Stethoscope Demo Alexander S. Niven, M.D.
Patient/Family Engagement Kate Heise, APRN, C.N.P., M.S.N.
Shared Decision Making in the ICU Michael E. Wilson, M.D.
Shared Decision-Making Demo Ognjen Gajic, M.D.
Get to Know Me Board Demo Kate Heise, APRN, C.N.P., M.S.N.
Essential Communication Skills Kimberly Schoonover, M.D.
Critical Care Research: Current State, Future and Collaboration. Rahul Kashyap, M.B.B.S.
Introduction to Clinical Informatics Vitaly Herasevich, M.D., Ph.D.
Simulation to Improve Patient Safety in Critical Care Medicine Yue Dong, M.D.
American Medical Education James A. Onigkeit, M.D.
Assessment of a Person with Advanced Illness Kimberly Schoonover, M.D.
CERTAIN Global Clinical Trials Marija Vukoja, M.D., PhD
Critical Care Training in the USA Dante N. Schiavo. M.D.
Implementation Science Alexander S. Niven
Introduction to Mayo Clinic Dante N. Schiavo, M.D.
Introduction to Palliative Care Kimberly Schoonover, M.D.
Tough Talks: Strategies for difficult patient/family conversations in the ICU Hemang Yadav, M.D.
WHERE
Online via computer or mobile device.
CERTAIN Simulation Workshop
Experience the systematic, evidence-based CERTAIN approach to the initial resuscitation and ongoing care of acutely and critically ill patients using a model that is simple to implement within an ICU environment. Our simulation workshop provides participants with the opportunity to experience and reflect on our recommended approach and to discuss the best ways to incorporate these practices in different ICUs. Additional opportunities during this workshop include interactive discussions on best approaches to shared decision making, humanizing the ICU, and challenging controversies commonly faced in critical care practice. Additional module options include rapid use of point of care ultrasound to guide resuscitation, mechanical ventilation, and targeted shock management. The remote simulation has been shown to improve both individual skills and teamwork.
WHERE
Virtual Online or Onsite
CERTAIN Coaching
CERTAIN Coaching is a year-long ICU remote coaching program offering a longitudinal, weekly, and interactive virtual learning experience with Mayo Clinic critical care experts and CERTAIN faculty. This program offers a monthly core critical care curriculum, weekly case-based discussions, journal clubs, along with opportunities to develop, discuss, and collaborate on research and quality improvement projects.
By using state of art asynchronous online learning, remote simulation training, competency assessment, and coaching, this novel tele-education program is designed to maximize education efficiency and effectiveness, and ultimately improve meaningful patient outcomes. Implementation of CERTAIN coaching in critical care setting with limited resources resulted in lasting changes in structure and processes and was associated with improvement in outcomes of critically ill patients and marked cost-savings.
Weekly Video-Assisted Case-Based Presentations: Weekly hour-long case-based discussions will be conducted using Zoom web conferencing platform. Expert moderators proficient in local language will facilitate interdisciplinary and inter-institutional discussion of each case.
Outcome evaluation: We evaluate the program effectiveness based on Kirkpatrick model 1) Reaction: learner participation and engagement; 2) Learning: educational outcomes (knowledge and skill); 3) Behavior: bedside application of evidence-based care processes in learner institution. 4) Results: patient-centered outcomes (length of stay, mortality). The participating institution has the option to conduct research project to study the impact the education program.
WHERE
40 hour weekly interactive remote coaching sessions
CERTAIN Faculty Development (Train-the-trainer)
CERTAIN Faculty Development course is designed for those willing to advance their skills in teaching others to implement CERTAIN program in various hospitals. This requires advanced skills to conduct analysis for training needs, skill gaps and goals of organization, and to design customized curriculum and evaluation metrics to improve clinical skill. We will cover topics listed below:
Fundamental of medical education
Incorporate system thinking and design thinking for program development
Change management principles
Practical project management skills
Engagement of social media for medical professionals
Data analysis principles
Completion of the Faculty development course and teaching two CERTAIN courses with CERTAIN Faculty is required for any candidates to become CERTAIN Faculty. The CERTAIN Faculty provides committed individuals with opportunities to educate and lead the course in his/her own hospital and countries.
CERTAIN International
One or two days live education program with didactic lectures, simulations, workshops. Participants will learn from the practical experience of an international group of faculty experts, who have implemented this program in the hospitals across five continents. This program will be delivered by Mayo and regional faculty on selected US and international locations in partnership with host institution or organization. The course have been conducted in India, Croatia, Slovenia, China and Vietnam.
WHERE
Hosted by CERTAIN Network Hospitals around world.
CERTAIN Rochester
Implementation of best acute care practices to drive safety and quality improvements remains challenging in many healthcare systems. The CERTAIN program offers healthcare teams a validated, bedside decision support tool to standardize best approaches for the evaluation and treatment of acutely ill patients.
This 1.5 day course provides participants an interactive opportunity to learn the CERTAIN approach, including hands on simulation based training. Participants will also learn from the practical experience of an international group of faculty experts, who have implemented this program in intensive care units (ICUs) across five continents over the past 10 years. Hospital tours is also included the workshop.
WHERE
Mayo Clinic, Rochester, MN
Disclaimer: Participation in any given course does not imply or ensure competence, proficiency, or expertise in the clinical skills, knowledge, or procedures covered during the course. Additionally, completion of the course should not be considered as a substitute for formal training, certification, or professional licensure required to safely and effectively perform such skills or procedures.
