virginia nurses association continuing nursing education: ce & provider application workshop...

Virginia Nurses Virginia Nurses Association Association

Continuing Nursing Continuing Nursing Education:Education:

CE & Provider Application CE & Provider Application WorkshopWorkshop

Sharon Broscious, DNS, RN Sharon Broscious, DNS, RN

Ann Rebera, RN, MSN, BC, ONCAnn Rebera, RN, MSN, BC, ONC

VNA CEA CommitteeVNA CEA Committee

September 23, 2010September 23, 2010

AnnouncementsAnnouncements Contact hours will not be provided Contact hours will not be provided No conflicts of interest have been disclosed by No conflicts of interest have been disclosed by

the planners and presenters of this activitythe planners and presenters of this activity Planners and presenters have no relevant Planners and presenters have no relevant

financial relationships with any commercial financial relationships with any commercial companies pertaining to this workshopcompanies pertaining to this workshop

There is no commercial support nor sponsorship There is no commercial support nor sponsorship for this activity for this activity

The VNA and the ANCC does not endorse any The VNA and the ANCC does not endorse any product, service or company referred to in this product, service or company referred to in this activity activity

This CNE activity does not include any This CNE activity does not include any unannounced information about off-label use of unannounced information about off-label use of a product. a product.

ANCC Accreditation Program (COA)

Accredits

Accredited Approvers *(i.e. VNA)

Accredited Providers

Approve

Approved Providers

Educational Activities

Contact Hours

Figure 1: Structure of the ANCC Accreditation Program (pg 2 ANCC manual)

OverviewOverview

Virginia Nurses Association Nurses Association Accredited Approver of Continuing Accredited Approver of Continuing

EducationEducation CE Committee: Peer reviewer process CE Committee: Peer reviewer process

(volunteers)(volunteers) Approve single activity and provider Approve single activity and provider

applicationsapplications Germaine Forbes: CE CoordinatorGermaine Forbes: CE Coordinator Contact: (804) 282-1808Contact: (804) 282-1808 Application and instructions located at: Application and instructions located at:

www.virginianurses.comwww.virginianurses.com Nursing Continuing Education (left hand toolbar)Nursing Continuing Education (left hand toolbar) Electronically submit to: Electronically submit to: [email protected]@virginianurses.com

Single activity Single activity applicationapplication

Objective: Objective: Identify the major elements Identify the major elements

required in the single activity required in the single activity applicationapplication

Single activity application: Single activity application: Who is eligible to apply?Who is eligible to apply?

New: Complete eligibility questions on pg New: Complete eligibility questions on pg 1 of application1 of application

Any healthcare association/organization is Any healthcare association/organization is eligible to apply. eligible to apply.

For example: For example: Hospitals/acute care facilitiesHospitals/acute care facilities Specialty organizationsSpecialty organizations Nursing professional organizationsNursing professional organizations

Single activity programs (live or Single activity programs (live or independent study) applying for a independent study) applying for a minimum of 1 contact hour are eligibleminimum of 1 contact hour are eligible

Applicants targeting multiple regions or Applicants targeting multiple regions or areas are eligibleareas are eligible

Eligibility: Eligibility: Activity meets the Activity meets the definition of CNEdefinition of CNE

Continuing Nursing Education (CNE):Continuing Nursing Education (CNE):‘“‘“Systematic professional learning Systematic professional learning

experiences designed to augment experiences designed to augment the knowledge, skills, and attitudes the knowledge, skills, and attitudes of nurses and therefore enrich the of nurses and therefore enrich the nurses’ contributions to quality nurses’ contributions to quality health care and their pursuit of health care and their pursuit of professional career goals”’ - professional career goals”’ - (ANCC 2009 (ANCC 2009 Manual, p. 71; Scope and Standards of Practice for Manual, p. 71; Scope and Standards of Practice for Nursing Professional Development, ANA, 2000, p.24).Nursing Professional Development, ANA, 2000, p.24).

Applicants not eligible Applicants not eligible Commercial entities are not eligible to Commercial entities are not eligible to

applyapply Applicants interested in obtaining Applicants interested in obtaining

contact hours for point of care/just in contact hours for point of care/just in time activity/learner directed activities time activity/learner directed activities are not eligible to apply at this timeare not eligible to apply at this time

Basic “canned” programs Basic “canned” programs Presenters can not receive contact Presenters can not receive contact

hours for their presentation, nor for hours for their presentation, nor for their work for preparing for their their work for preparing for their presentationpresentation

Eligibility: Previous Eligibility: Previous denialsdenials

Eligibility question: Eligibility question: Has this activity been previously denied by Has this activity been previously denied by

the VNA or other ANCC accredited the VNA or other ANCC accredited approver units? approver units?

Indicate resolution of previous denials and who Indicate resolution of previous denials and who denial was given bydenial was given by

Previous denial does not preclude you from Previous denial does not preclude you from being eligible to apply to the VNA, however, being eligible to apply to the VNA, however, it is strongly advised that you contact the it is strongly advised that you contact the VNA office either by email or phone to VNA office either by email or phone to assess eligibility before completing the rest assess eligibility before completing the rest of this application of this application

Single activity application Single activity application fees Effective 7/1/09fees Effective 7/1/09

Fees are based on the number of Fees are based on the number of contact hours reviewed, not the contact hours reviewed, not the number of contact hours the number of contact hours the participant will receive. participant will receive.

Programs offering 1 to 6 contact offering 1 to 6 contact hours:hours: Price will be $125.00Price will be $125.00 Additional contact hours are $25.00 Additional contact hours are $25.00

each additional houreach additional hour Applications must be emailed within Applications must be emailed within

60 days of the program date.60 days of the program date.

Late feesLate fees Programs sent less than 60 days prior Programs sent less than 60 days prior

to the program date will incur a late to the program date will incur a late fee. fee.

We will not accept any applications We will not accept any applications that are less than 30 days prior to the that are less than 30 days prior to the program date. program date.

Late Fees:Late Fees: Programs 1 to 6 Contact Hours are Programs 1 to 6 Contact Hours are

$200.00$200.00 Programs greater than 6 Contact Hours Programs greater than 6 Contact Hours

are $400.00 are $400.00

Fees continued…Fees continued… Payment receipt prior to review Payment receipt prior to review

processprocess Payment should be sent separately Payment should be sent separately

to: to: Virginia Nurses Association Virginia Nurses Association

Attn: CE CommitteeAttn: CE Committee7113 Three Chopt Road, Suite 2047113 Three Chopt Road, Suite 204Richmond, VA 23226 Richmond, VA 23226

(Please indicate on your check what (Please indicate on your check what activity each payment is for, date of activity each payment is for, date of activity and total number of contact activity and total number of contact hours to be reviewed)hours to be reviewed)

Revision fee Revision fee Effective 11/1/09Effective 11/1/09

No fee the first 2 times an application is sent No fee the first 2 times an application is sent back to the applicant for revision. back to the applicant for revision.

After the second return: $25 per revision After the second return: $25 per revision (each return to applicant for additional (each return to applicant for additional information) information)

Revisions complete and acceptable at Revisions complete and acceptable at minimum of 7 calendar days before the minimum of 7 calendar days before the program date. program date.

Additional assistance will be offered to Additional assistance will be offered to applicants as needed. applicants as needed.

This fee will apply in general to all This fee will apply in general to all applicants and incur on a case by case basis.applicants and incur on a case by case basis.

Refund of fee paymentRefund of fee payment

Once an application has been through the full Once an application has been through the full review process and a decision has been made review process and a decision has been made by the reviewers (approved, denied approval, by the reviewers (approved, denied approval, deferred until additional material provided) a deferred until additional material provided) a refund will not be given. refund will not be given.

Applicant who fail to submit or late submission Applicant who fail to submit or late submission of requested revisions will not be given a of requested revisions will not be given a refund.refund.

Applicants found ineligible to apply will Applicants found ineligible to apply will receive a refund of fee paymentreceive a refund of fee payment

Contact the VNA office with any questionsContact the VNA office with any questions

Activity approvalsActivity approvals

Approvals for a period of 2 yearsApprovals for a period of 2 years Contact hours will not be granted Contact hours will not be granted

retroactively nor after an activity retroactively nor after an activity has taken placehas taken place

Future: Repeat activities will be Future: Repeat activities will be periodically monitoredperiodically monitored

Application: Major Application: Major elementselements

1.1. Assessment of eligibility and demographics Assessment of eligibility and demographics 2.2. Planning committeePlanning committee3.3. Target audience and needs assessmentTarget audience and needs assessment4.4. Purpose/overall goal of the educational Purpose/overall goal of the educational

activityactivity5.5. Presenters/content specialistsPresenters/content specialists6.6. Conflict of interest (COI)Conflict of interest (COI)7.7. Educational design (Objectives, content, Educational design (Objectives, content,

time frame, presenter, method)time frame, presenter, method)8.8. EvaluationEvaluation

Application: Major Application: Major elements continued…elements continued…

9.9. Verification of participation and successful Verification of participation and successful completion completion

10.10. Record keeping systemRecord keeping system

11.11. Contact hours calculationContact hours calculation

12.12. Advertising materialAdvertising material

13.13. Sponsorship, commercial support, Sponsorship, commercial support, educational grant, financial or in-kind educational grant, financial or in-kind contributionscontributions

14.14. Disclosures provided to activity participantsDisclosures provided to activity participants

15.15. Co-providershipCo-providership

1). Assessment of eligibility 1). Assessment of eligibility and demographics and demographics

Eligibility questions as discussed Eligibility questions as discussed previouslypreviously

Demographics:Demographics: Date of repeat presentationsDate of repeat presentations Maximum number of contact hours Maximum number of contact hours

participants can earnparticipants can earn Total number of contact hours to be reviewedTotal number of contact hours to be reviewed Type of activity: face to face, independent Type of activity: face to face, independent

studystudy Human resources: Person administratively Human resources: Person administratively

responsible, contact informationresponsible, contact information

2). Planning committee2). Planning committee Nurse planner: 1 RN, minimum BSNNurse planner: 1 RN, minimum BSN

Oriented to ANCC criterion for educational designOriented to ANCC criterion for educational design Directly involved in planning the educational activity Directly involved in planning the educational activity

(from beginning to end)(from beginning to end) At least one nurse planner and one other plannerAt least one nurse planner and one other planner

Represent 3 areas: Content expert, target audience, Represent 3 areas: Content expert, target audience, responsibility for ANCC criteriaresponsibility for ANCC criteria

Planner may represent more than 1 area listed abovePlanner may represent more than 1 area listed above Bioform completed for all plannersBioform completed for all planners New: Ensure presenters/faculty meet New: Ensure presenters/faculty meet

qualificationsqualifications New: If more than 1 nurse planner, identify Lead New: If more than 1 nurse planner, identify Lead

Nurse planner and how ensures others are Nurse planner and how ensures others are oriented to ANCC criteria and updatedoriented to ANCC criteria and updated

3). Target audience and 3). Target audience and needs assessmentneeds assessment

Determine the target audience (types Determine the target audience (types and geographical area)and geographical area)

Identify the gaps in knowledge, skills Identify the gaps in knowledge, skills and practiceand practice Annual needs assessmentAnnual needs assessment Learners/mgmt requestedLearners/mgmt requested Quality studiesQuality studies Trends in literatureTrends in literature

Needs assessment should include the Needs assessment should include the learner. learner.

Develop teaching objectives, content, Develop teaching objectives, content, methods in response to the needs methods in response to the needs assessmentassessment

4). Purpose/overall goal of 4). Purpose/overall goal of the educational activitythe educational activity

Identify the purpose of the Identify the purpose of the educational activityeducational activity

Overall learning goal = purposeOverall learning goal = purpose Purpose should be appropriate for Purpose should be appropriate for

the target audience and congruent the target audience and congruent with learner objectives and contentwith learner objectives and content

5). Presenters/content 5). Presenters/content specialistsspecialists

Bioform: Declare vested interest & off-label

Do not send CVs Qualifications of the presenter/

faculty Planning committee assures

qualifications of the faculty are appropriate and accurate

6). Conflict of interest 6). Conflict of interest (COI)(COI)

Planners and presenters declare Planners and presenters declare presence or absence of any potentially presence or absence of any potentially biasing relationship of (Form C: biasing relationship of (Form C: Bioform):Bioform): FinancialFinancial ProfessionalProfessional Personal naturePersonal nature

Indicate how potential COI resolved Indicate how potential COI resolved prior to planning, implementing or prior to planning, implementing or evaluation of the continuing nursing evaluation of the continuing nursing education. education.

7). Educational Design7). Educational Design

Consistency!!!!Consistency!!!!

andand

Congruency!!!Congruency!!!

7). Educational design: 7). Educational design: In-person activity, Form A In-person activity, Form A

Objective in behavioral terms and Objective in behavioral terms and measureablemeasureable Hint: Bloom’s taxonomyHint: Bloom’s taxonomy

Content is more than a repeat of objectiveContent is more than a repeat of objective Hint: Outline what will be presentedHint: Outline what will be presented

Time frameTime frame Hint: Should be consistent with agenda/brochureHint: Should be consistent with agenda/brochure

Presenter presenting on the objectivePresenter presenting on the objective Hint: Make sure this presenter is listed on the Hint: Make sure this presenter is listed on the

application and bioform givenapplication and bioform given Method of teaching congruent with Method of teaching congruent with

objectiveobjective Submit Form A for all contact hours Submit Form A for all contact hours

applied forapplied for

7). Educational design: 7). Educational design: Independent learning, Form Independent learning, Form

BB Objectives in behavioral terms and Objectives in behavioral terms and

measureablemeasureable Content: More than a restatement of Content: More than a restatement of

objectives. Outline contentobjectives. Outline content Teaching methods, strategies, Teaching methods, strategies,

materials and resourcesmaterials and resources Congruency!Congruency!

8). Evaluation8). Evaluation Evaluation form required for all events Evaluation form required for all events

(submit copy)(submit copy) A clearly defined evaluation method and A clearly defined evaluation method and

category of evaluationcategory of evaluation Evaluation should address objectives of the Evaluation should address objectives of the

activityactivity Describe how evaluation will be usedDescribe how evaluation will be used How feedback will be provided to learnerHow feedback will be provided to learner Higher level evaluation: skill and attitude Higher level evaluation: skill and attitude

change, change in practice/performance, change, change in practice/performance, relationship of practice change to quality of relationship of practice change to quality of serviceservice

9). Verification of 9). Verification of participation and participation and

successful completionsuccessful completion Identify how you will verify participationIdentify how you will verify participation Criteria for successful completionCriteria for successful completion

Option: Submission of evaluation formOption: Submission of evaluation form The number of evaluation forms returned need to The number of evaluation forms returned need to

match the number of certificates given to participantmatch the number of certificates given to participant Option: Number of hours of the activity at Option: Number of hours of the activity at

minimum to be completed (i.e. attend 90% of minimum to be completed (i.e. attend 90% of the activity; attend no later than 5 minutes of the activity; attend no later than 5 minutes of start of activity and remain until end)start of activity and remain until end)

How learners informed of completionHow learners informed of completion

9). Sample certificate9). Sample certificate

Name and address of applicant Name and address of applicant Line for name of learnerLine for name of learner Title and date of activity Title and date of activity Number of contact hoursNumber of contact hours Approval number from VNA (optional)Approval number from VNA (optional) Official approval statement (required Official approval statement (required

word for word, stand alone)word for word, stand alone) NO CEU language NO CEU language

Difference between them: 10 contact hours = Difference between them: 10 contact hours = 1 CEU1 CEU

9). Official Approval 9). Official Approval StatementStatement

This continuing nursing This continuing nursing education activity was approved education activity was approved by the Virginia Nurses by the Virginia Nurses Association, an accredited Association, an accredited approver by the American Nurses approver by the American Nurses Credentialing Center’s Credentialing Center’s Commission on Accreditation.Commission on Accreditation.

Revised 9/20/2010 by ANCCRevised 9/20/2010 by ANCC

Incorrect Approval Incorrect Approval StatementStatement

This activity has 2 contact hours. This activity has 2 contact hours. This CE activity was approved by This CE activity was approved by the Virginia Nurses Association the Virginia Nurses Association Continuing Education Approval Continuing Education Approval Committee, an accredited Committee, an accredited approver by the American Nurses approver by the American Nurses Credentialing Center’s Credentialing Center’s Commission on Accreditation.Commission on Accreditation. VNA Approval ###. VNA Approval ###.

10). Record keeping 10). Record keeping systemsystem

Keep records on file for 6 yearsKeep records on file for 6 years Records are confidential, stored and Records are confidential, stored and

secured in a safe, logical and secured in a safe, logical and consistent mannerconsistent manner

Items required to be on file are Items required to be on file are listed under ANCC operational listed under ANCC operational requirements (Criteria document)requirements (Criteria document)

11). Contact hour 11). Contact hour calculationcalculation

Logical and defensible mannerLogical and defensible manner 60 min = 1 contact hour60 min = 1 contact hour Minimum of 1 contact hour per activityMinimum of 1 contact hour per activity Round down if using decimals (1/10Round down if using decimals (1/10thth, ,

1/1001/100thth)) In-person/live activity: In-person/live activity:

Provide a schedule with time for welcome, Provide a schedule with time for welcome, introduction, lunch, breaks, evaluation (Excel introduction, lunch, breaks, evaluation (Excel Form F) Form F)

Pre-test, post-test, demonstration and evaluation Pre-test, post-test, demonstration and evaluation is included in the contact hour calculationis included in the contact hour calculation


Independent study: Independent study: Method used to calculate contact hoursMethod used to calculate contact hours

Pilot study with target learners (can receive Pilot study with target learners (can receive contact hours after activity approved)contact hours after activity approved)

Peer review (can receive contact hours after Peer review (can receive contact hours after activity approved)activity approved)

Historical dataHistorical data Complexity of content and dataComplexity of content and data

Supportive documentation/rationale Supportive documentation/rationale


Poster session:Poster session: Need to come up with a method of Need to come up with a method of

measuring time reviewing poster measuring time reviewing poster sessionssessions

Describe the method usedDescribe the method used Needs to be logical and defensible Needs to be logical and defensible

mannermanner

12). Advertising material12). Advertising material

Brochures, registration, agenda, Brochures, registration, agenda, website, email etc. (submit copy)website, email etc. (submit copy)

Consistent with applicationConsistent with application If advertising released prior to If advertising released prior to

activity approval, use NEW PENDING activity approval, use NEW PENDING statement and not approval statementstatement and not approval statement

Statement stands aloneStatement stands alone Include contact hoursInclude contact hours NO CEU languageNO CEU language

12). Advertising material12). Advertising material

Pending approval statement for Pending approval statement for advertisements: advertisements:

This activity has been submitted to This activity has been submitted to the Virginia Nurses Association for the Virginia Nurses Association for approval to award contact hours. approval to award contact hours. The Virginia Nurses Association is The Virginia Nurses Association is accredited as an approver of accredited as an approver of continuing nursing education by the continuing nursing education by the American Nurses Credentialing American Nurses Credentialing Center’s Commission on Center’s Commission on Accreditation. Accreditation.

Incorrect Pending Approval Incorrect Pending Approval StatementStatement

This activity has been submitted to the This activity has been submitted to the Virginia Nurses Association for Virginia Nurses Association for approval to award 6 contact hours. approval to award 6 contact hours. The Virginia Nurses Association is The Virginia Nurses Association is accredited as an approver of accredited as an approver of continuing nursing education by the continuing nursing education by the American Nurses Credentialing American Nurses Credentialing Center’s Commission on Center’s Commission on Accreditation. Please register by Accreditation. Please register by May 1, 2010.May 1, 2010.

13). Sponsorship, commercial 13). Sponsorship, commercial support, educational grant, support, educational grant,

financial or in-kind contributionsfinancial or in-kind contributions Pending information in this section will Pending information in this section will

delay approval delay approval Provide name of company, representative, Provide name of company, representative,

amount, if commercial support or non-amount, if commercial support or non-profit sponsorprofit sponsor

Commercial support agreement (Form D) Commercial support agreement (Form D) signed by all partiessigned by all parties

Content integrity and precautions to Content integrity and precautions to prevent biasprevent bias

Written or verbal disclosure of commercial Written or verbal disclosure of commercial support (support and no support)support (support and no support)

14). Disclosures provided to 14). Disclosures provided to participantsparticipantsThe following disclosures The following disclosures (presence or absence)(presence or absence)

will bewill bemade to learners at each and every activity in made to learners at each and every activity in

advance of advance of or at the time of the event:or at the time of the event: Notice of requirements for successful Notice of requirements for successful

completion completion Conflicts of interest Conflicts of interest Disclosure of relevant financial relationships Disclosure of relevant financial relationships

and mechanism to identify and resolve and mechanism to identify and resolve conflicts of interest conflicts of interest

Sponsorship or commercial supportSponsorship or commercial support Non-endorsement of products*Non-endorsement of products* Off-label useOff-label use Expiration date for awarding contact hours for Expiration date for awarding contact hours for

enduringenduring materials* when applicable materials* when applicable

14). Disclosures provided to 14). Disclosures provided to participantsparticipants

Describe how the disclosures will be Describe how the disclosures will be made to the audience/learnersmade to the audience/learners Disclosures need to be made to the Disclosures need to be made to the

learners either in writing, verbally or learners either in writing, verbally or both (writing and verbally). both (writing and verbally).

If disclosure is only made verbally, If disclosure is only made verbally, Form E Verbal Disclosure form must be Form E Verbal Disclosure form must be completed by a representative of the completed by a representative of the provider who was in attendance at the provider who was in attendance at the time of the verbal disclosure. time of the verbal disclosure.

15). Co-providership15). Co-providership

2009 ANCC manual allows co-2009 ANCC manual allows co-providershipprovidership

New sectionNew section Commercial entities or commercial Commercial entities or commercial

supporters are not eligible to be co-supporters are not eligible to be co-providersproviders

Establish responsibilities: Co-provider Establish responsibilities: Co-provider Agreement Form GAgreement Form G Co-providing with approved providers or Co-providing with approved providers or

accredited providersaccredited providers

You are approved, now You are approved, now what?what?

Evaluation summary and participant Evaluation summary and participant summarysummary

Submit changes to Germaine Forbes Submit changes to Germaine Forbes within 30 days of changewithin 30 days of change

Major changes to an activity will Major changes to an activity will have to re-apply for approvalhave to re-apply for approval

Monitoring of repeat activitiesMonitoring of repeat activities

Commercial supportCommercial support

Objective: •Describe the ANCC Commercial Support Standard requirements.

Reference: ANCC 2009 manual, Appendix B

What is commercial What is commercial interest?interest?

Decide if the entity has a commercial Decide if the entity has a commercial interestinterest

Standard 1.1. An entity has commercial Standard 1.1. An entity has commercial interest if it is: interest if it is: ““An entity that produces, markets, sells or An entity that produces, markets, sells or

distributes health care goods or services distributes health care goods or services consumed by or used on patients; consumed by or used on patients; OROR

An entity that is owned or operated, in whole An entity that is owned or operated, in whole or in party, by any entity that produces, or in party, by any entity that produces, markets, sells or distributes health care markets, sells or distributes health care goods or services consumed by or used on goods or services consumed by or used on patients.” patients.” ((pg 81 ANCC manual; pg 1)pg 81 ANCC manual; pg 1)

A commercial interest is A commercial interest is not…not…

““An entity is NOT a commercial interest if An entity is NOT a commercial interest if it isit is 1. A government entity1. A government entity 2. A non-profit (503 ©) organization; or2. A non-profit (503 ©) organization; or 3. A non-healthcare related entity” 3. A non-healthcare related entity” (Pg 81 (Pg 81

ANCC manual, pg 1)ANCC manual, pg 1)

Standard 3.1: Lists the organizations not Standard 3.1: Lists the organizations not considered a commercial interest and considered a commercial interest and eligible and free to control the content of eligible and free to control the content of CNE. CNE. (Pg 83 ANCC manual, pg 2, 3)(Pg 83 ANCC manual, pg 2, 3)

Commercial entitiesCommercial entities Examples: Pharmaceutical Examples: Pharmaceutical

company, device manufacturercompany, device manufacturer Question: Question:

If my organization is a for-profit If my organization is a for-profit hospital, am I considered a commercial hospital, am I considered a commercial entity (i.e. for applicant eligibility entity (i.e. for applicant eligibility requirements)? requirements)? No, the ANCC does not consider providers No, the ANCC does not consider providers

of clinical service directly to patients to be of clinical service directly to patients to be commercial interests. Eligible. Standard commercial interests. Eligible. Standard 3.13.1

Commercial entitiesCommercial entities

Question:Question: If my parent organization or “sister If my parent organization or “sister

company” is a commercial entity and company” is a commercial entity and appropriate firewalls are in place to appropriate firewalls are in place to prohibit their influence or control over the prohibit their influence or control over the continuing education program, am I continuing education program, am I eligible to apply to the VNA CEA eligible to apply to the VNA CEA committee?committee?

Yes, see standard 1.1. Eligible.Yes, see standard 1.1. Eligible. If my organization is a commercial entity, If my organization is a commercial entity,

can I apply to the VNA CEA committee?can I apply to the VNA CEA committee? NoNo

What is commercial What is commercial support?support?

“…“…financial, or in-kind, contributions financial, or in-kind, contributions given by a commercial interest, given by a commercial interest, which is used to pay all or part of which is used to pay all or part of the costs of a continuing nursing the costs of a continuing nursing education activity.” education activity.” (standard 3.1, pg 83, ANCC manual, (standard 3.1, pg 83, ANCC manual,

pg 2)pg 2)

Well then…what is Well then…what is sponsorship?sponsorship?

Support (financial or in-kind Support (financial or in-kind services) for a learning activity from services) for a learning activity from another group- one that does not fit another group- one that does not fit the definition of commercial support the definition of commercial support entity.entity.

Examples: TV studio, federal grant, Examples: TV studio, federal grant, meeting space from a church, meeting space from a church, vendor exhibitsvendor exhibits

I have commercial support, I have commercial support, now what? now what?

What are the responsibilities? Standard 1.2 What are the responsibilities? Standard 1.2 (pg 81 ANCC manual, (pg 81 ANCC manual, pg 1)pg 1)

Ensure the following decisions were made free from the control of Ensure the following decisions were made free from the control of commercial interests:commercial interests:

Identification of continuing nursing education needsIdentification of continuing nursing education needs Educational design (objectives, content, presenters/ planners, methods)Educational design (objectives, content, presenters/ planners, methods) Selection of those who will be in position to control the content of the Selection of those who will be in position to control the content of the

continuing education activitycontinuing education activity Evaluation of the activityEvaluation of the activity

Single Activity Application section L (precautions to Single Activity Application section L (precautions to maintain content integrity & prevent bias; commercial maintain content integrity & prevent bias; commercial agreement form D)agreement form D)

Question: Can a commercial interest co-provide with me?Question: Can a commercial interest co-provide with me? NoNo

Do I have to use Form D or can I use my own form?Do I have to use Form D or can I use my own form? It is preferred that you use our Form D because the standards are It is preferred that you use our Form D because the standards are

notednoted

How can I use my How can I use my commercial support? What commercial support? What

am I suppose to do?am I suppose to do? Standard 3 Standard 3 (pg 83, ANCC manual, pg 2, 3)(pg 83, ANCC manual, pg 2, 3)::

3.1: The provider must make all decisions 3.1: The provider must make all decisions regarding commercial support.regarding commercial support.

3.2: Can not be required by a commercial 3.2: Can not be required by a commercial supporter to accept advice or services supporter to accept advice or services regarding speakers, content, or other regarding speakers, content, or other educational matters as a condition of educational matters as a condition of getting the funds or servicesgetting the funds or services

3.3: Commercial support given with full 3.3: Commercial support given with full knowledge and approval of the providerknowledge and approval of the provider

3.4: Agreement. Must include provider 3.4: Agreement. Must include provider even though support is given directly to the even though support is given directly to the provider’s educational partner (i.e. CME provider’s educational partner (i.e. CME office) or co-provideroffice) or co-provider

Commercial support: What Commercial support: What am I suppose to do?am I suppose to do?

3.5: Agreement specifies the entity that is the 3.5: Agreement specifies the entity that is the source of commercial support.source of commercial support.

3.6: Agreement signed by both by supporter 3.6: Agreement signed by both by supporter and providerand provider

3.7: Policies and procedures regarding 3.7: Policies and procedures regarding honoraria and reimbursement of out of pocket honoraria and reimbursement of out of pocket expenses of planners and presenters/authorsexpenses of planners and presenters/authors

3.8: Provider, co-provider or partner must 3.8: Provider, co-provider or partner must directly pay the presenter/authors or directly pay the presenter/authors or reimbursement according to the policies and reimbursement according to the policies and procedures as in 3.7procedures as in 3.7

3.9: No other payments shall be given3.9: No other payments shall be given 3.10: Reimbursed for only their role as a 3.10: Reimbursed for only their role as a

teacher or authorteacher or author

Commercial support: How Commercial support: How can I use it?can I use it?

3.11: Social events or meals can not compete 3.11: Social events or meals can not compete with or take precedence over the educational with or take precedence over the educational activity.activity.

3.12: May not use support to pay for non-3.12: May not use support to pay for non-teachers or non-authors of a CNE activity. May teachers or non-authors of a CNE activity. May use for travel, lodging, honoraria or personal use for travel, lodging, honoraria or personal expenses of employees, volunteers of the expenses of employees, volunteers of the provider, co-provider or educational partner (only provider, co-provider or educational partner (only to nurses whose residence is in US)to nurses whose residence is in US)

3.13: Accountable for accurate documentation 3.13: Accountable for accurate documentation detailing receipt and expenditure of commercial detailing receipt and expenditure of commercial supportsupport

Management of commercial Management of commercial promotionpromotion

Standard 4 Standard 4 (pg 85 ANCC manual, pg 4)(pg 85 ANCC manual, pg 4):: Is the money received from commercial Is the money received from commercial

exhibits and advertisements considered exhibits and advertisements considered commercial support?commercial support? No, however, you are expected to fulfill standard No, however, you are expected to fulfill standard

4 requirements and use sound fiscal and 4 requirements and use sound fiscal and business practicesbusiness practices

4.1: Arrangements for commercial exhibits 4.1: Arrangements for commercial exhibits or advertisement cannot influence planning or advertisement cannot influence planning or interfere with presentation, nor be a or interfere with presentation, nor be a condition for receipt of supportcondition for receipt of support


4.2: Advertisements are prohibited in or 4.2: Advertisements are prohibited in or during the CNE activity. Must be kept during the CNE activity. Must be kept separate.separate. Print: Can not interleaf within the educational Print: Can not interleaf within the educational

content. May face first or last pages of content. May face first or last pages of printed CNE content as long as unrelated to printed CNE content as long as unrelated to CNE content they face and not paid for by a CNE content they face and not paid for by a commercial interest/entity in the CNE.commercial interest/entity in the CNE.

Computer-based: Not visible with content and Computer-based: Not visible with content and not interleafed between window screens of not interleafed between window screens of content.content.


4.2: Audio and video recording: 4.2: Audio and video recording: Advertisement not included with in Advertisement not included with in the CNE and no commercial breaksthe CNE and no commercial breaks

4.2: Live-face to face: 4.2: Live-face to face: Advertisements and promotional Advertisements and promotional materials shall not be displayed or materials shall not be displayed or distributed in educational space, distributed in educational space, before, during or after a CNE activity. before, during or after a CNE activity. Representatives can not engage in Representatives can not engage in selling or promotion in the CNE space.selling or promotion in the CNE space.


So, can the back of the last page of my So, can the back of the last page of my handbook have an advertisement on it?handbook have an advertisement on it? Yes, because the back of the last page is not Yes, because the back of the last page is not

facing any contentfacing any content But I have to disclose the name of the But I have to disclose the name of the

commercial supporter to the audience, can commercial supporter to the audience, can I have their name listed at the beginning of I have their name listed at the beginning of our presentation on a slide? our presentation on a slide? Yes. Disclose the commercial supporter but do Yes. Disclose the commercial supporter but do

not promote them (i.e. their slogan). Coming up not promote them (i.e. their slogan). Coming up in standard 6.4in standard 6.4


4.3: Educational materials such as slides, 4.3: Educational materials such as slides, abstracts and handouts shall not contain any abstracts and handouts shall not contain any advertising, trade name or product group advertising, trade name or product group message.message.

4.4: Print or electronic materials, such as 4.4: Print or electronic materials, such as schedules, content descriptions, not directly schedules, content descriptions, not directly related to the transfer of educational content to related to the transfer of educational content to the leaner may include promotion material or the leaner may include promotion material or product specific advertisementproduct specific advertisement

4.5: Commercial interest can not be the one to 4.5: Commercial interest can not be the one to distribute or arrange electronic access to CNE distribute or arrange electronic access to CNE activity.activity.

Well then…what is conflict Well then…what is conflict of interest (COI)?of interest (COI)?

Perceived potentially biasing relationship of a Perceived potentially biasing relationship of a financial, personal or professional nature that financial, personal or professional nature that could impact the integrity of an educational could impact the integrity of an educational activity.activity.

Standard 2.5: COI exists when an individual has Standard 2.5: COI exists when an individual has the opportunity to affect the CNE content in the opportunity to affect the CNE content in relation to a commercial interest with which relation to a commercial interest with which he/she has a financial relationship he/she has a financial relationship (pg 83 ANCC manual, pg 1, (pg 83 ANCC manual, pg 1, 2)2)

Examples: Stock holder, speakers bureau, has a Examples: Stock holder, speakers bureau, has a spouse/family who works at a pharmaceutical spouse/family who works at a pharmaceutical company that may influence the content of your company that may influence the content of your presentation; instructor/student relationship; presentation; instructor/student relationship; book authorbook author

Conflict of interestConflict of interest

COI is declared on the bioform (Form C) COI is declared on the bioform (Form C) (New (New sections: financial, personal, professional sections: financial, personal, professional COI)COI)

Standard 2.1: An individual must disclose any Standard 2.1: An individual must disclose any financial relationships with an entity with a financial relationships with an entity with a commercial interestcommercial interest

Standard 2.3: Standard 2.3: If a presenter/planner refused to disclose, can they If a presenter/planner refused to disclose, can they

still be a presenter/planner?still be a presenter/planner? No, disqualified from being a planning committee No, disqualified from being a planning committee

member, a teacher or author and can not have control of, member, a teacher or author and can not have control of, responsibility for any part of the CNE activityresponsibility for any part of the CNE activity

COI: Financial COI: Financial relationshipsrelationships

Standard 2.2: ANCC defines financial relationships Standard 2.2: ANCC defines financial relationships as:as: Benefits from “salary, royalty, intellectual property rights, Benefits from “salary, royalty, intellectual property rights,

consulting fee, honoraria, ownership interests (i.e. stocks, consulting fee, honoraria, ownership interests (i.e. stocks, stock options or other ownership interest, excluding stock options or other ownership interest, excluding diversified mutual funds) or other financial benefit.” pg 82diversified mutual funds) or other financial benefit.” pg 82

Contracted research grantContracted research grant Employment, management position, independent Employment, management position, independent

contractor, consulting, speaking and teaching, contractor, consulting, speaking and teaching, membership on advisory committees or review panels, membership on advisory committees or review panels, board membershipboard membership

Financial relationship of a spouse/partner that can Financial relationship of a spouse/partner that can influence the activityinfluence the activity

Conflict of interestConflict of interest

Question:Question: What if the financial relationship does not amount to What if the financial relationship does not amount to

a lot of money? Do I still need to disclose this?a lot of money? Do I still need to disclose this? Any amount of money within the past 12 months of activity Any amount of money within the past 12 months of activity

as relevantas relevant What if I no longer have a financial relationship with What if I no longer have a financial relationship with

a commercial interest? Do I still need to disclose a commercial interest? Do I still need to disclose this?this? Relationship no longer exists with COI, but you must Relationship no longer exists with COI, but you must

disclose this for 12 months after the end of the relationship disclose this for 12 months after the end of the relationship (standard 2.5)(standard 2.5)

If I have a mutual fund, is this a conflict of interest?If I have a mutual fund, is this a conflict of interest? No, because this is managed by another group. Individual No, because this is managed by another group. Individual

stock holders who can control what they buy (i.e. shares in a stock holders who can control what they buy (i.e. shares in a pharmaceutical company) is considered conflict of interest. pharmaceutical company) is considered conflict of interest.

Ok, I have COI, now Ok, I have COI, now what?what?

Standard 2.4: Have a mechanism to identify Standard 2.4: Have a mechanism to identify and method to resolve all conflicts of and method to resolve all conflicts of interest before the educational activity is interest before the educational activity is given.given.

Declare COI of personal, professional and Declare COI of personal, professional and financial nature on the bioform (Form C- financial nature on the bioform (Form C- new version to come reflecting this)new version to come reflecting this)

Section E of single activity application. Section E of single activity application. Identify how any potential conflict of Identify how any potential conflict of interest was resolved prior to the planning, interest was resolved prior to the planning, implementing or evaluation of the implementing or evaluation of the continuing nursing education? continuing nursing education?

Content and format without Content and format without commercial biascommercial bias

Standard 5 Standard 5 (pg 86 ANCC manual, pg 4, 5)(pg 86 ANCC manual, pg 4, 5): : 5.1: Content of CNE should promote 5.1: Content of CNE should promote

improvements or quality in health care improvements or quality in health care and not a specific commercial interestand not a specific commercial interest

5.2: Presentations give a balanced view 5.2: Presentations give a balanced view of treatment options (i.e. generic names, of treatment options (i.e. generic names, trade names from several companies trade names from several companies and not just one when possible)and not just one when possible)

Off-label discussion, investigational useOff-label discussion, investigational use

Disclosures relevant to Disclosures relevant to potential commercial biaspotential commercial bias

Standard 6 (pg 86, 87 ANCC manual, pg 5): Standard 6 (pg 86, 87 ANCC manual, pg 5):

When disclosed verbally only, complete When disclosed verbally only, complete written verification that verbal disclosure written verification that verbal disclosure was completed at time of activity (verbal was completed at time of activity (verbal disclosure Form E). Disclose also disclosure Form E). Disclose also resolution.resolution.

6.1: Disclose name of individual, name of 6.1: Disclose name of individual, name of commercial interest and nature of commercial interest and nature of relationshiprelationship

6.2: Disclose no relevant financial 6.2: Disclose no relevant financial relationships to learners if none are presentrelationships to learners if none are present

Disclosures relevant to Disclosures relevant to potential commercial biaspotential commercial bias

6.3: Source of support from entities 6.3: Source of support from entities with commercial interests must be with commercial interests must be disclosed to learners. Nature of disclosed to learners. Nature of support should be disclosed if not support should be disclosed if not monetary (i.e. meeting space, in-kind)monetary (i.e. meeting space, in-kind)

6.4: Disclosure should not include 6.4: Disclosure should not include trade name or product group messagetrade name or product group message

6.5: Disclosures made to learners 6.5: Disclosures made to learners prior to or in beginning of CEprior to or in beginning of CE

Wrap up triviaWrap up trivia

Is money provided by a federally Is money provided by a federally funded grant commercial support? funded grant commercial support? No. It is considered sponsorshipNo. It is considered sponsorship

If commercial support is handled If commercial support is handled through a grant office or through through a grant office or through CME, do I still have to get a CME, do I still have to get a commercial support agreement?commercial support agreement? YesYes

Wrap up triviaWrap up trivia Can a vendor provide notepads with a Can a vendor provide notepads with a

company’s logo in the conference room?company’s logo in the conference room? No; Can have this in the vendor room but not in No; Can have this in the vendor room but not in

the room the activity is held.the room the activity is held. Can the hotel provide notepads and pens Can the hotel provide notepads and pens

with their logo on it in the conference room?with their logo on it in the conference room? Yes; This is not considered a commercial interest.Yes; This is not considered a commercial interest.

What if a participant picks up items from the What if a participant picks up items from the vendor hall and brings this into the vendor hall and brings this into the conference room?conference room? This is fine; Can’t have vendor hand out in the This is fine; Can’t have vendor hand out in the

conference roomconference room

Wrap up triviaWrap up trivia Can a commercial supporter or exhibitor attend Can a commercial supporter or exhibitor attend

your continuing education session?your continuing education session? Yes, but they can’t interfere with the educational Yes, but they can’t interfere with the educational

activity, speak or promote in the conference room.activity, speak or promote in the conference room. Can a co-provider be in charge of commercial Can a co-provider be in charge of commercial

support?support? No, the provider has the responsibility to manage any No, the provider has the responsibility to manage any

commercial support or sponsorshipcommercial support or sponsorship Can you award contact hours for viewing vendor Can you award contact hours for viewing vendor

exhibits? exhibits? No. Can do for poster presentations, but not for No. Can do for poster presentations, but not for

vendorsvendors


Can a commercial supporter’s logo Can a commercial supporter’s logo may appear on your certificate?may appear on your certificate? NoNo

Can a commercial supporter’s logo Can a commercial supporter’s logo appear on your marketing materials?appear on your marketing materials? YesYes

Is paying for food considered Is paying for food considered commercial support or sponsorship?commercial support or sponsorship? YesYes


When introducing a speaker and their When introducing a speaker and their credentials, is it okay to mention that credentials, is it okay to mention that they have published a book?they have published a book? Ok. But can’t advertise the book or that Ok. But can’t advertise the book or that

they will be available for a book signingthey will be available for a book signing Is it bad to have commercial support Is it bad to have commercial support

or COI? or COI? No. Just disclose this in your application No. Just disclose this in your application

and to the participants/learners. and to the participants/learners.

ConclusionConclusion

Decision making guides and resourcesDecision making guides and resources http://www.nursecredentialing.org/Continuinghttp://www.nursecredentialing.org/Continuing

Education/Accreditation/How-to-Apply/CommeEducation/Accreditation/How-to-Apply/CommercialSupport.aspxrcialSupport.aspx

Does it make me feel uncomfortable?Does it make me feel uncomfortable? Is there a potential for bias?Is there a potential for bias? Keep CE separate from commercial Keep CE separate from commercial

support and advertisementssupport and advertisements Have policies and procedures in place to Have policies and procedures in place to

cover youcover you When it doubt, call us. When it doubt, call us.

Provider applicationProvider application

ObjectiveObjective Identify the four criterion involved in Identify the four criterion involved in

the provider application. the provider application.

AnnouncementsAnnouncements Contact hours will not be provided Contact hours will not be provided No conflicts of interest have been disclosed by No conflicts of interest have been disclosed by

the planners and presenters of this activitythe planners and presenters of this activity Planners and presenters have no relevant Planners and presenters have no relevant

financial relationships with any commercial financial relationships with any commercial companies pertaining to this workshopcompanies pertaining to this workshop

There is no commercial support nor sponsorship There is no commercial support nor sponsorship for this activity for this activity

The VNA and the ANCC does not endorse any The VNA and the ANCC does not endorse any product, service or company referred to in this product, service or company referred to in this activity activity

This CNE activity does not include any This CNE activity does not include any unannounced information about off-label use of unannounced information about off-label use of a product. a product.

ANCC Accreditation Program (COA)

Accredits

Accredited Approvers *(i.e. VNA)

Accredited Providers

Approve

Approved Providers

Educational Activities

Contact Hours

Figure 1: Structure of the ANCC Accreditation Program (pg 2 ANCC manual)

Why apply to be a Why apply to be a provider?provider?

Approved providers may provide contact hours Approved providers may provide contact hours for activities in their organizationfor activities in their organization

Providers do not approve activities nor do they Providers do not approve activities nor do they provide contact hours to other organizations provide contact hours to other organizations

Providers are responsible for following the Providers are responsible for following the ANCC criteria and ensuring that activities ANCC criteria and ensuring that activities follow the criteriafollow the criteria

Depends on the needs of your organization Depends on the needs of your organization (apply to VNA for every single activity vs. (apply to VNA for every single activity vs. approved provider)approved provider)

3 year approval period for providers3 year approval period for providers Provider may offer an unlimited number of Provider may offer an unlimited number of

educational activities during approval periodeducational activities during approval period

Provider application: Provider application: Who is eligible to apply?Who is eligible to apply?

In order to be eligible:In order to be eligible: Must have planned, implemented and Must have planned, implemented and

evaluated at least 3 evaluated at least 3 separate separate educational educational activities approved by the VNAactivities approved by the VNA

Direct involvement of a designated nurse Direct involvement of a designated nurse plannerplanner

Adhere to the relevant criteria of the ANCC Adhere to the relevant criteria of the ANCC accreditation program accreditation program

Each learning activity at least 1 hour in lengthEach learning activity at least 1 hour in length Co-provided activities may not be counted as 1 Co-provided activities may not be counted as 1

of the 3 activitiesof the 3 activities

Provider application:Provider application:Who is eligible to apply? Who is eligible to apply?

In order to be eligible:In order to be eligible: Demonstrate established provider unit Demonstrate established provider unit

in your organizationin your organization Single focused organization devoted to Single focused organization devoted to

offering continuing education offering continuing education OROR A distinct, separately identified unit within A distinct, separately identified unit within

a complex, multi-focused organizationa complex, multi-focused organization Provider unit must have been Provider unit must have been

operational for a minimum of 6 monthsoperational for a minimum of 6 months New: Can not be a commercial entityNew: Can not be a commercial entity


NEW eligibility:NEW eligibility: Organizations Organizations targetingtargeting more than 50% more than 50%

of their educational activities in the of their educational activities in the previous calendar year to nurses in previous calendar year to nurses in multiple regions (DHHS regions) are multiple regions (DHHS regions) are not eligible to apply to be an approved not eligible to apply to be an approved provider with the VNA. provider with the VNA. Must apply through the ANCC as an Must apply through the ANCC as an

accredited provideraccredited provider..


New eligibility: In other words…New eligibility: In other words… Organizations Organizations targetingtargeting more than 50% more than 50%

of their activities in the previous of their activities in the previous calendar year to nurses in a single state calendar year to nurses in a single state or region (contiguous region) may apply or region (contiguous region) may apply to the VNA for approval as a provider. to the VNA for approval as a provider.

Internet is considered multi-regionInternet is considered multi-region

Source: http://www.hhs.gov/about/regionmap.html

Eligibility: Previous Eligibility: Previous denialsdenials

Eligibility question: Eligibility question: Have you been previously denied by the Have you been previously denied by the

VNA or other ANCC accredited approver VNA or other ANCC accredited approver units? units?

Indicate resolution of previous denials and who Indicate resolution of previous denials and who denial was given bydenial was given by

Previous denial does not preclude you from Previous denial does not preclude you from being eligible to apply to the VNA, however, being eligible to apply to the VNA, however, it is strongly advised that you contact the it is strongly advised that you contact the VNA office either by email or phone to VNA office either by email or phone to assess eligibility before completing the rest assess eligibility before completing the rest of this application of this application

Provider application:Provider application:Getting ready to apply…Getting ready to apply…

Complete pg 1 of application assessing Complete pg 1 of application assessing eligibilityeligibility

Confirm you are eligible before you start the Confirm you are eligible before you start the processprocess

Contact Germaine Forbes for assistance if you Contact Germaine Forbes for assistance if you are planning on applyingare planning on applying

Tips: Tips: Clearly outline and appropriately and correctly Clearly outline and appropriately and correctly

reference the attached page numbersreference the attached page numbers Address all sections and do not leave any sections Address all sections and do not leave any sections

blankblank Each section may sound repetitive, but complete each Each section may sound repetitive, but complete each

section in reference to that elementsection in reference to that element

Provider application fee Provider application fee New provider fee: $1,250New provider fee: $1,250 Renewal fee: $1,075Renewal fee: $1,075 Submit application to VNA electronically Submit application to VNA electronically Apply for renewal 90 days before Apply for renewal 90 days before

approval expiresapproval expires Same application process for renewal, Same application process for renewal,

only difference is the feeonly difference is the fee Late fee $480 if application received Late fee $480 if application received

less than 90 days before expiration of less than 90 days before expiration of provider statusprovider status

Revision fee Revision fee Effective 11/1/09Effective 11/1/09

No fee the first 2 times an application No fee the first 2 times an application is sent back to the applicant for is sent back to the applicant for revision. revision.

After the second return: $25 per After the second return: $25 per revision (each return to applicant for revision (each return to applicant for additional information) additional information)

Additional assistance will be offered Additional assistance will be offered to applicants as needed. to applicants as needed.

This fee will apply in general to all This fee will apply in general to all applicants and incur on a case by case applicants and incur on a case by case basis.basis.

Approved Provider Approved Provider CriterionCriterion

1).1). Mission statement Mission statement 2). Educational 2). Educational

designdesign

3). Unit operations 3). Unit operations

4). Provider unit evaluation4). Provider unit evaluation

Criterion 1: Mission Criterion 1: Mission statementstatement

Key element 1: Key element 1: Describe the provider unit and how linked to the larger Describe the provider unit and how linked to the larger

organizationorganization Submit the beliefs and goals (mission statement) of the Submit the beliefs and goals (mission statement) of the

provider unitprovider unit If part of a multi-focused organization, describe how If part of a multi-focused organization, describe how

mission statement of provider unit links with the total mission statement of provider unit links with the total organizationorganization

Key element 2:Key element 2: Organizational structure: Organizational chart, name and Organizational structure: Organizational chart, name and

credentialscredentials VNA criteria: VNA criteria:

Scope and Standards of Practice for Nursing Professional Scope and Standards of Practice for Nursing Professional DevelopmentDevelopment (ANA, 2000- update in 2010) incorporated (ANA, 2000- update in 2010) incorporated into the Approved Provider Unit’s functionsinto the Approved Provider Unit’s functions

Operational requirements pg 8-12Operational requirements pg 8-12

Criterion 2: Educational Criterion 2: Educational designdesign

Design elements as described in Design elements as described in single activity applicationsingle activity application

Provide 3 sample activitiesProvide 3 sample activities At least 1 hour in lengthAt least 1 hour in length Activity not co-providedActivity not co-provided If sample activity is more than 3 contact If sample activity is more than 3 contact

hours (180 minutes), submit hours (180 minutes), submit documentation for at least 3 contact documentation for at least 3 contact hours. And keep documentation for hours. And keep documentation for complete activity on file and accessible.complete activity on file and accessible.


Educational activities in the past 3 yearsEducational activities in the past 3 years Provide application, advertising, Provide application, advertising,

bioforms, certificate, summative bioforms, certificate, summative evaluation for each activity (everything evaluation for each activity (everything you would submit for a single activity you would submit for a single activity application)application)

Make sure the 3 activities are complete Make sure the 3 activities are complete and not deficient (complete with and not deficient (complete with application revisions requested etc.)application revisions requested etc.)


First time applicantsFirst time applicants should submit all 3 should submit all 3 activities. activities.

First time applicants First time applicants should submit a sample should submit a sample certificate for use as an approved provider, certificate for use as an approved provider, with the following approval statement (stands with the following approval statement (stands alone):alone):

[Name of approved provider] is an approved [Name of approved provider] is an approved provider of continuing nursing education by the provider of continuing nursing education by the Virginia Nurses Association, an accredited approver Virginia Nurses Association, an accredited approver by the American Nurses Credentialing Center’s by the American Nurses Credentialing Center’s Commission on Accreditation.Commission on Accreditation.

Renewing applicantsRenewing applicants submit 1 sample activity submit 1 sample activity and identify the previous activities submitted and identify the previous activities submitted with your annual report with your annual report


Describe process for assessment, Describe process for assessment, planning, implementation and evaluation planning, implementation and evaluation of continuing education activitiesof continuing education activities

Describe record keeping process, Describe record keeping process, storage, confidentiality and retrieval storage, confidentiality and retrieval (check as instructed)(check as instructed)

Describe how responsibilities are Describe how responsibilities are assigned and maintained for co-provided assigned and maintained for co-provided activities, if any activities, if any

Criterion 3: Unit Criterion 3: Unit operationsoperations

Nurse plannerNurse planner Contribute oversight and must be actively Contribute oversight and must be actively

involved in planning, implementing, and involved in planning, implementing, and evaluation of a continuing education evaluation of a continuing education activity.activity.

RN with a baccalaureate or graduate RN with a baccalaureate or graduate degree in nursingdegree in nursing

Knowledge of:Knowledge of: Accreditation program and requirementsAccreditation program and requirements Adult learning theoryAdult learning theory Policies and procedures of accreditation Policies and procedures of accreditation

program program Scope and Standards of Practice for Nursing Scope and Standards of Practice for Nursing

Professional DevelopmentProfessional Development (ANA, 2000). (ANA, 2000).


Lead nurse plannerLead nurse planner Criteria of nurse planner ANDCriteria of nurse planner AND Education or experience in the field of Education or experience in the field of

education or adult learningeducation or adult learning Assures all nurse planners are appropriately Assures all nurse planners are appropriately

prepared, oriented and trained to function in prepared, oriented and trained to function in their role and meet the ANCC Accreditation their role and meet the ANCC Accreditation program requirementsprogram requirements

Describe how the provider unit ensures Describe how the provider unit ensures that the performance of each Nurse that the performance of each Nurse Planner meets the requirements of the Planner meets the requirements of the provider unit and expectations of the provider unit and expectations of the ANCC and VNAANCC and VNA


ResourcesResources Sufficient human, material and financial Sufficient human, material and financial

resources are availableresources are available Submit descriptions of the aboveSubmit descriptions of the above Human resources – list names and provide Human resources – list names and provide

bioformsbioforms Submit a report identifying the amount and Submit a report identifying the amount and

frequency with which commercial support frequency with which commercial support is received for educational activities is received for educational activities

Business practices: Sign attestation Business practices: Sign attestation (compliance with laws and regulations)(compliance with laws and regulations)

Criterion 4: Provider unit Criterion 4: Provider unit evaluationevaluation

Provider unit evaluation addresses the Provider unit evaluation addresses the entire provider unit and not just the entire provider unit and not just the evaluation of a single activity. evaluation of a single activity.

Provider unit evaluation processProvider unit evaluation process Process used in evaluating the provider unit.Process used in evaluating the provider unit. Written plan for evaluation describes what Written plan for evaluation describes what

was evaluated, when it occurs and who was evaluated, when it occurs and who participates. participates.

Describe how provider unit will be evaluated Describe how provider unit will be evaluated (i.e. learning activities, unit goals, resources, (i.e. learning activities, unit goals, resources, planning process, informal or formal)planning process, informal or formal)

Give an example of how you have used the Give an example of how you have used the evaluation process described to improve unitevaluation process described to improve unit

Criterion 4: Provider unit Criterion 4: Provider unit evaluationevaluation

Provider unit evaluation participantsProvider unit evaluation participants Lead nurse plannerLead nurse planner Identify other participants to includeIdentify other participants to include

Provider unit evaluation resultsProvider unit evaluation results Results used to confirm, expand and Results used to confirm, expand and

improve the unit operationsimprove the unit operations Provider unit goals for improvementProvider unit goals for improvement

How goals addressedHow goals addressed Changes and progress with goalsChanges and progress with goals New goals identified for improvementNew goals identified for improvement Operational plans for implementation Operational plans for implementation

with the goals identifiedwith the goals identified

Additional informationAdditional information Describe the strengths and areas for Describe the strengths and areas for

improvement associated with each improvement associated with each criterioncriterion

Operational requirements attestationOperational requirements attestation Provider unit’s responsibilitiesProvider unit’s responsibilities Record keeping (what needs to be on file)Record keeping (what needs to be on file) Verify participation and requirements for Verify participation and requirements for

completioncompletion Timely communication w/VNA CEA committeeTimely communication w/VNA CEA committee

Notify w/in 30 days of changes (i.e. name changes, Notify w/in 30 days of changes (i.e. name changes, ownership or structural change, contact person, ownership or structural change, contact person, bioforms, new nurse planners)bioforms, new nurse planners)

Additional informationAdditional information

Operational requirements attestation:Operational requirements attestation: Appropriate language- approved provider Appropriate language- approved provider

approval statementapproval statement ANCC contact hour credit calc, 2 decimals, ANCC contact hour credit calc, 2 decimals,

round downround down Provide but not approve activitiesProvide but not approve activities

Provide activities only which a provider unit nurse Provide activities only which a provider unit nurse planner has actively participated in, from planning planner has actively participated in, from planning through evaluation through evaluation

Ensure all continuing education free from Ensure all continuing education free from bias, declare vested interestbias, declare vested interest

Commercial supportCommercial support

Co-provided activitiesCo-provided activities

If co-providing with an accredited If co-providing with an accredited provider, the accredited provider is provider, the accredited provider is the provider, approved provider is a the provider, approved provider is a co-providerco-provider

If co-providing with another approved If co-providing with another approved provider, must determine who will provider, must determine who will retain responsibilitiesretain responsibilities

If co-providing with a non-provider, If co-providing with a non-provider, approved provider is responsibleapproved provider is responsible

Co-provider written agreementCo-provider written agreement

Co-provided activitiesCo-provided activities

When the approved provider is the When the approved provider is the designated “provider”, the following designated “provider”, the following responsibilities apply: responsibilities apply: Determine objectives and contentDetermine objectives and content Selection of planners and presenterSelection of planners and presenter Awarding of contact hoursAwarding of contact hours RecordkeepingRecordkeeping Evaluation methods and categoriesEvaluation methods and categories Management of any sponsorship or Management of any sponsorship or

commercial supportcommercial support

Now that you are Now that you are approved...approved...

Provider annual reportProvider annual report Submit provider annual report before Submit provider annual report before

your annual anniversary to VNAyour annual anniversary to VNA Record program in report every time a Record program in report every time a

session was given (i.e. pain assessment session was given (i.e. pain assessment given 4 times, record 4 different times)given 4 times, record 4 different times)

Independent activity- record once for each Independent activity- record once for each personperson

Brief evaluation of program (not Brief evaluation of program (not individual evaluation summary)individual evaluation summary)

Future: Periodic monitoringFuture: Periodic monitoring

ReferencesReferences American Nurses Credentialing Center American Nurses Credentialing Center

(2009). (2009). Accrediting excellence in continuing Accrediting excellence in continuing nursing education: Application manual, nursing education: Application manual, accreditation program. accreditation program. Silver Spring: MD: Silver Spring: MD: ANCC.ANCC.

American Nurses Credentialing Center American Nurses Credentialing Center (2009). Accreditation Symposium: The (2009). Accreditation Symposium: The Changing CNE Environment. Changing CNE Environment.

US Department of Health and Human US Department of Health and Human Services (n.d.). Services (n.d.). Regions. Regions. Retrieved on July 22, Retrieved on July 22, 2009 from: 2009 from: http://www.hhs.gov/about/regionmap.html

Questions???Questions???

virginia nurses association continuing nursing education: ce & provider application workshop...

Documents

activity planners

cne activity

application new

contact hours

ce coordinator contact

ancc manual slide

workshop planners

contact hour ar