Virginia Nurses Association Continuing Nursing Education CE

Virginia Nurses Association Continuing Nursing Education: CE & Provider Application Workshop Sharon Broscious, DNS, RN Ann Rebera, RN, MSN, BC, ONC VNA CEA Committee September 23, 2010

Announcements n n n Contact hours will not be provided No conflicts of interest have been disclosed by the planners and presenters of this activity Planners and presenters have no relevant financial relationships with any commercial companies pertaining to this workshop There is no commercial support nor sponsorship for this activity The VNA and the ANCC does not endorse any product, service or company referred to in this activity This CNE activity does not include any unannounced information about off-label use of a product.

ANCC Accreditation Program (COA) Accredits Accredited Providers Figure 1: Structure of the ANCC Accreditation Program (pg 2 ANCC manual) Accredited Approvers *(i. e. VNA) Approved Providers Educational Activities Contact Hours

Overview n Virginia Nurses Association n Accredited Approver of Continuing Education n CE Committee: Peer reviewer process (volunteers) n Approve single activity and provider applications n Germaine Forbes: CE Coordinator n Contact: (804) 282 -1808 n Application and instructions located at: www. virginianurses. com n n Nursing Continuing Education (left hand toolbar) Electronically submit to: vnacea@virginianurses. com

Single activity application Objective: n Identify the major elements required in the single activity application

Single activity application: Who is eligible to apply? n n n New: Complete eligibility questions on pg 1 of application Any healthcare association/organization is eligible to apply. For example: n n n Hospitals/acute care facilities Specialty organizations Nursing professional organizations Single activity programs (live or independent study) applying for a minimum of 1 contact hour are eligible Applicants targeting multiple regions or areas are eligible

Eligibility: Activity meets the definition of CNE Continuing Nursing Education (CNE): ‘“Systematic professional learning experiences designed to augment the knowledge, skills, and attitudes of nurses and therefore enrich the nurses’ contributions to quality health care and their pursuit of professional career goals”’ (ANCC 2009 Manual, p. 71; Scope and Standards of Practice for Nursing Professional Development, ANA, 2000, p. 24).

Applicants not eligible Commercial entities are not eligible to apply n Applicants interested in obtaining contact hours for point of care/just in time activity/learner directed activities are not eligible to apply at this time n Basic “canned” programs n Presenters can not receive contact hours for their presentation, nor for their work for preparing for their presentation n

Eligibility: Previous denials n Eligibility question: n Has this activity been previously denied by the VNA or other ANCC accredited approver units? n Indicate resolution of previous denials and who denial was given by n Previous denial does not preclude you from being eligible to apply to the VNA, however, it is strongly advised that you contact the VNA office either by email or phone to assess eligibility before completing the rest of this application

Single activity application fees Effective 7/1/09 Fees are based on the number of contact hours reviewed, not the number of contact hours the participant will receive. n Programs offering 1 to 6 contact hours: n Price will be $125. 00 n Additional contact hours are $25. 00 each additional hour n n Applications must be emailed within 60 days of the program date.

Late fees Programs sent less than 60 days prior to the program date will incur a late fee. n We will not accept any applications that are less than 30 days prior to the program date. n Late Fees: n Programs 1 to 6 Contact Hours are $200. 00 n Programs greater than 6 Contact Hours are $400. 00 n

Fees continued… Payment receipt prior to review process n Payment should be sent separately to: n Virginia Nurses Association Attn: CE Committee 7113 Three Chopt Road, Suite 204 Richmond, VA 23226 (Please indicate on your check what activity each payment is for, date of activity and total number of contact hours to be reviewed) n

Revision fee Effective 11/1/09 No fee the first 2 times an application is sent back to the applicant for revision. n After the second return: $25 per revision (each return to applicant for additional information) n Revisions complete and acceptable at minimum of 7 calendar days before the program date. n Additional assistance will be offered to applicants as needed. n This fee will apply in general to all applicants and incur on a case by case basis. n

Refund of fee payment n n Once an application has been through the full review process and a decision has been made by the reviewers (approved, denied approval, deferred until additional material provided) a refund will not be given. Applicant who fail to submit or late submission of requested revisions will not be given a refund. Applicants found ineligible to apply will receive a refund of fee payment Contact the VNA office with any questions

Activity approvals Approvals for a period of 2 years n Contact hours will not be granted retroactively nor after an activity has taken place n Future: Repeat activities will be periodically monitored n

Application: Major elements 1. 2. 3. 4. 5. 6. 7. Assessment of eligibility and demographics Planning committee Target audience and needs assessment Purpose/overall goal of the educational activity Presenters/content specialists Conflict of interest (COI) Educational design (Objectives, content, time frame, presenter, method) 8. Evaluation

Application: Major elements continued… 9. Verification of participation and successful completion 10. Record keeping system 11. Contact hours calculation 12. Advertising material 13. Sponsorship, commercial support, educational grant, financial or in-kind contributions 14. Disclosures provided to activity participants 15. Co-providership

1). Assessment of eligibility and demographics Eligibility questions as discussed previously n Demographics: n Date of repeat presentations n Maximum number of contact hours participants can earn n Total number of contact hours to be reviewed n Type of activity: face to face, independent study n n Human resources: Person administratively responsible, contact information

2). Planning committee n Nurse planner: 1 RN, minimum BSN n n n At least one nurse planner and one other planner n n n Oriented to ANCC criterion for educational design Directly involved in planning the educational activity (from beginning to end) Represent 3 areas: Content expert, target audience, responsibility for ANCC criteria Planner may represent more than 1 area listed above Bioform completed for all planners New: Ensure presenters/faculty meet qualifications New: If more than 1 nurse planner, identify Lead Nurse planner and how ensures others are oriented to ANCC criteria and updated

3). Target audience and needs assessment n n Determine the target audience (types and geographical area) Identify the gaps in knowledge, skills and practice n n n Annual needs assessment Learners/mgmt requested Quality studies Trends in literature Needs assessment should include the learner. Develop teaching objectives, content, methods in response to the needs assessment

4). Purpose/overall goal of the educational activity Identify the purpose of the educational activity n Overall learning goal = purpose n Purpose should be appropriate for the target audience and congruent with learner objectives and content n

5). Presenters/content specialists Bioform: Declare vested interest & off-label n Do not send CVs n Qualifications of the presenter/ faculty n Planning committee assures qualifications of the faculty are appropriate and accurate n

6). Conflict of interest (COI) n Planners and presenters declare presence or absence of any potentially biasing relationship of (Form C: Bioform): Financial n Professional n Personal nature n n Indicate how potential COI resolved prior to planning, implementing or evaluation of the continuing nursing education.

7). Educational Design Consistency!!!! and Congruency!!!

7). Educational design: In-person activity, Form A n Objective in behavioral terms and measureable n n Content is more than a repeat of objective n n Hint: Outline what will be presented Time frame n n Hint: Bloom’s taxonomy Hint: Should be consistent with agenda/brochure Presenter presenting on the objective n Hint: Make sure this presenter is listed on the application and bioform given Method of teaching congruent with objective n Submit Form A for all contact hours applied for n

7). Educational design: Independent learning, Form B Objectives in behavioral terms and measureable n Content: More than a restatement of objectives. Outline content n Teaching methods, strategies, materials and resources n Congruency! n

8). Evaluation n n n Evaluation form required for all events (submit copy) A clearly defined evaluation method and category of evaluation Evaluation should address objectives of the activity Describe how evaluation will be used How feedback will be provided to learner Higher level evaluation: skill and attitude change, change in practice/performance, relationship of practice change to quality of service

9). Verification of participation and successful completion Identify how you will verify participation n Criteria for successful completion n n Option: Submission of evaluation form n The number of evaluation forms returned need to match the number of certificates given to participant n n Option: Number of hours of the activity at minimum to be completed (i. e. attend 90% of the activity; attend no later than 5 minutes of start of activity and remain until end) How learners informed of completion

9). Sample certificate n n n n Name and address of applicant Line for name of learner Title and date of activity Number of contact hours Approval number from VNA (optional) Official approval statement (required word for word, stand alone) NO CEU language n Difference between them: 10 contact hours = 1 CEU

9). Official Approval Statement This continuing nursing education activity was approved by the Virginia Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Revised 9/20/2010 by ANCC

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

10). Record keeping system Keep records on file for 6 years n Records are confidential, stored and secured in a safe, logical and consistent manner n Items required to be on file are listed under ANCC operational requirements (Criteria document) n

11). Contact hour calculation n n Logical and defensible manner 60 min = 1 contact hour Minimum of 1 contact hour per activity Round down if using decimals (1/10 th, 1/100 th) In-person/live activity: n n Provide a schedule with time for welcome, introduction, lunch, breaks, evaluation (Excel Form F) Pre-test, post-test, demonstration and evaluation is included in the contact hour calculation

11). Contact hour calculation n Independent study: n Method used to calculate contact hours n Pilot study with target learners (can receive contact hours after activity approved) n Peer review (can receive contact hours after activity approved) n Historical data n Complexity of content and data n Supportive documentation/rationale

11). Contact hour calculation n Poster session: Need to come up with a method of measuring time reviewing poster sessions n Describe the method used n Needs to be logical and defensible manner n

12). Advertising material Brochures, registration, agenda, website, email etc. (submit copy) n Consistent with application n If advertising released prior to activity approval, use NEW PENDING statement and not approval statement n Statement stands alone n Include contact hours n NO CEU language n

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

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

13). Sponsorship, commercial support, educational grant, financial or in-kind contributions n n n Pending information in this section will delay approval Provide name of company, representative, amount, if commercial support or non-profit sponsor Commercial support agreement (Form D) signed by all parties Content integrity and precautions to prevent bias Written or verbal disclosure of commercial support (support and no support)

14). Disclosures provided to participants The following disclosures (presence or absence) will be made to learners at each and every activity in advance of or at the time of the event: n Notice of requirements for successful completion n Conflicts of interest n Disclosure of relevant financial relationships and mechanism to identify and resolve conflicts of interest n Sponsorship or commercial support n Non-endorsement of products* n Off-label use n Expiration date for awarding contact hours for enduring materials* when applicable

14). Disclosures provided to participants n Describe how the disclosures will be made to the audience/learners Disclosures need to be made to the learners either in writing, verbally or both (writing and verbally). n If disclosure is only made verbally, Form E Verbal Disclosure form must be completed by a representative of the provider who was in attendance at the time of the verbal disclosure. n

15). Co-providership 2009 ANCC manual allows co-providership n New section n Commercial entities or commercial supporters are not eligible to be co-providers n Establish responsibilities: Co-provider Agreement Form G n n Co-providing with approved providers or accredited providers

You are approved, now what? Evaluation summary and participant summary n Submit changes to Germaine Forbes within 30 days of change n Major changes to an activity will have to re-apply for approval n Monitoring of repeat activities n

Commercial support Objective: • Describe the ANCC Commercial Support Standard requirements. Reference: ANCC 2009 manual, Appendix B

What is commercial interest? Decide if the entity has a commercial interest n Standard 1. 1. An entity has commercial interest if it is: n “An entity that produces, markets, sells or distributes health care goods or services consumed by or used on patients; OR n An entity that is owned or operated, in whole or in party, by any entity that produces, markets, sells or distributes health care goods or services consumed by or used on patients. ” (pg 81 ANCC manual; pg 1) n

A commercial interest is not… n “An entity is NOT a commercial interest if it is n 1. A government entity n 2. A non-profit (503 ©) organization; or n 3. A non-healthcare related entity” (Pg 81 ANCC manual, pg 1) n Standard 3. 1: Lists the organizations not considered a commercial interest and eligible and free to control the content of CNE. (Pg 83 ANCC manual, pg 2, 3)

Commercial entities Examples: Pharmaceutical company, device manufacturer n Question: n n If my organization is a for-profit hospital, am I considered a commercial entity (i. e. for applicant eligibility requirements)? n No, the ANCC does not consider providers of clinical service directly to patients to be commercial interests. Eligible. Standard 3. 1

Commercial entities Question: n If my parent organization or “sister company” is a commercial entity and appropriate firewalls are in place to prohibit their influence or control over the continuing education program, am I eligible to apply to the VNA CEA committee? n Yes, see standard 1. 1. Eligible. n If my organization is a commercial entity, can I apply to the VNA CEA committee? n No

What is commercial support? n “…financial, or in-kind, contributions given by a commercial interest, which is used to pay all or part of the costs of a continuing nursing education activity. ” (standard 3. 1, pg 83, ANCC manual, pg 2)

Well then…what is sponsorship? Support (financial or in-kind services) for a learning activity from another group- one that does not fit the definition of commercial support entity. n Examples: TV studio, federal grant, meeting space from a church, vendor exhibits n

I have commercial support, now what? n What are the responsibilities? Standard 1. 2 (pg 81 ANCC manual, pg 1) n Ensure the following decisions were made free from the control of commercial interests: n n n Single Activity Application section L (precautions to maintain content integrity & prevent bias; commercial agreement form D) Question: Can a commercial interest co-provide with me? n n Identification of continuing nursing education needs Educational design (objectives, content, presenters/ planners, methods) Selection of those who will be in position to control the content of the continuing education activity Evaluation of the activity No Do I have to use Form D or can I use my own form? n It is preferred that you use our Form D because the standards are noted

How can I use my commercial support? What am I suppose to do? n Standard 3 (pg 83, ANCC manual, pg 2, 3): n 3. 1: The provider must make all decisions regarding commercial support. n 3. 2: Can not be required by a commercial supporter to accept advice or services regarding speakers, content, or other educational matters as a condition of getting the funds or services n 3. 3: Commercial support given with full knowledge and approval of the provider n 3. 4: Agreement. Must include provider even though support is given directly to the provider’s educational partner (i. e. CME office) or co-provider

Commercial support: What am I suppose to do? n n n 3. 5: Agreement specifies the entity that is the source of commercial support. 3. 6: Agreement signed by both by supporter and provider 3. 7: Policies and procedures regarding honoraria and reimbursement of out of pocket expenses of planners and presenters/authors 3. 8: Provider, co-provider or partner must directly pay the presenter/authors or reimbursement according to the policies and procedures as in 3. 7 3. 9: No other payments shall be given 3. 10: Reimbursed for only their role as a teacher or author

Commercial support: How can I use it? n n n 3. 11: Social events or meals can not compete with or take precedence over the educational activity. 3. 12: May not use support to pay for non-teachers or non-authors of a CNE activity. May use for travel, lodging, honoraria or personal expenses of employees, volunteers of the provider, co-provider or educational partner (only to nurses whose residence is in US) 3. 13: Accountable for accurate documentation detailing receipt and expenditure of commercial support

Management of commercial promotion n Standard 4 (pg 85 ANCC manual, pg 4): n Is the money received from commercial exhibits and advertisements considered commercial support? n No, however, you are expected to fulfill standard 4 requirements and use sound fiscal and business practices n 4. 1: Arrangements for commercial exhibits or advertisement cannot influence planning or interfere with presentation, nor be a condition for receipt of support

Management of commercial promotion n 4. 2: Advertisements are prohibited in or during the CNE activity. Must be kept separate. Print: Can not interleaf within the educational content. May face first or last pages of printed CNE content as long as unrelated to CNE content they face and not paid for by a commercial interest/entity in the CNE. n Computer-based: Not visible with content and not interleafed between window screens of content. n

Management of commercial promotion 4. 2: Audio and video recording: Advertisement not included with in the CNE and no commercial breaks n 4. 2: Live-face to face: Advertisements and promotional materials shall not be displayed or distributed in educational space, before, during or after a CNE activity. Representatives can not engage in selling or promotion in the CNE space. n

Management of commercial promotion n So, can the back of the last page of my handbook have an advertisement on it? n n Yes, because the back of the last page is not facing any content But I have to disclose the name of the commercial supporter to the audience, can I have their name listed at the beginning of our presentation on a slide? n Yes. Disclose the commercial supporter but do not promote them (i. e. their slogan). Coming up in standard 6. 4

Management of commercial promotion n 4. 3: Educational materials such as slides, abstracts and handouts shall not contain any advertising, trade name or product group message. 4. 4: Print or electronic materials, such as schedules, content descriptions, not directly related to the transfer of educational content to the leaner may include promotion material or product specific advertisement 4. 5: Commercial interest can not be the one to distribute or arrange electronic access to CNE activity.

Well then…what is conflict of interest (COI)? n n n Perceived potentially biasing relationship of a financial, personal or professional nature that could impact the integrity of an educational activity. Standard 2. 5: COI exists when an individual has the opportunity to affect the CNE content in relation to a commercial interest with which he/she has a financial relationship (pg 83 ANCC manual, pg 1, 2) Examples: Stock holder, speakers bureau, has a spouse/family who works at a pharmaceutical company that may influence the content of your presentation; instructor/student relationship; book author

Conflict of interest n n n COI is declared on the bioform (Form C) (New sections: financial, personal, professional COI) Standard 2. 1: An individual must disclose any financial relationships with an entity with a commercial interest Standard 2. 3: n If a presenter/planner refused to disclose, can they still be a presenter/planner? n No, disqualified from being a planning committee member, a teacher or author and can not have control of, responsibility for any part of the CNE activity

COI: Financial relationships n Standard 2. 2: ANCC defines financial relationships as: n n Benefits from “salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interests (i. e. stocks, stock options or other ownership interest, excluding diversified mutual funds) or other financial benefit. ” pg 82 Contracted research grant Employment, management position, independent contractor, consulting, speaking and teaching, membership on advisory committees or review panels, board membership Financial relationship of a spouse/partner that can influence the activity

Conflict of interest Question: n What if the financial relationship does not amount to a lot of money? Do I still need to disclose this? n n What if I no longer have a financial relationship with a commercial interest? Do I still need to disclose this? n n Any amount of money within the past 12 months of activity as relevant Relationship no longer exists with COI, but you must disclose this for 12 months after the end of the relationship (standard 2. 5) If I have a mutual fund, is this a conflict of interest? n No, because this is managed by another group. Individual stock holders who can control what they buy (i. e. shares in a pharmaceutical company) is considered conflict of interest.

Ok, I have COI, now what? n n n Standard 2. 4: Have a mechanism to identify and method to resolve all conflicts of interest before the educational activity is given. Declare COI of personal, professional and financial nature on the bioform (Form C- new version to come reflecting this) Section E of single activity application. Identify how any potential conflict of interest was resolved prior to the planning, implementing or evaluation of the continuing nursing education?

Content and format without commercial bias Standard 5 (pg 86 ANCC manual, pg 4, 5): n 5. 1: Content of CNE should promote improvements or quality in health care and not a specific commercial interest n 5. 2: Presentations give a balanced view of treatment options (i. e. generic names, trade names from several companies and not just one when possible) n Off-label discussion, investigational use n

Disclosures relevant to potential commercial bias Standard 6 (pg 86, 87 ANCC manual, pg 5): n When disclosed verbally only, complete written verification that verbal disclosure was completed at time of activity (verbal disclosure Form E). Disclose also resolution. n 6. 1: Disclose name of individual, name of commercial interest and nature of relationship n 6. 2: Disclose no relevant financial relationships to learners if none are present n

Disclosures relevant to potential commercial bias 6. 3: Source of support from entities with commercial interests must be disclosed to learners. Nature of support should be disclosed if not monetary (i. e. meeting space, in-kind) n 6. 4: Disclosure should not include trade name or product group message n 6. 5: Disclosures made to learners prior to or in beginning of CE n

Wrap up trivia n Is money provided by a federally funded grant commercial support? n No. It is considered sponsorship n If commercial support is handled through a grant office or through CME, do I still have to get a commercial support agreement? n Yes

Wrap up trivia n Can a vendor provide notepads with a company’s logo in the conference room? n n Can the hotel provide notepads and pens with their logo on it in the conference room? n n No; Can have this in the vendor room but not in the room the activity is held. Yes; This is not considered a commercial interest. What if a participant picks up items from the vendor hall and brings this into the conference room? n This is fine; Can’t have vendor hand out in the conference room

Wrap up trivia n Can a commercial supporter or exhibitor attend your continuing education session? n n Can a co-provider be in charge of commercial support? n n Yes, but they can’t interfere with the educational activity, speak or promote in the conference room. No, the provider has the responsibility to manage any commercial support or sponsorship Can you award contact hours for viewing vendor exhibits? n No. Can do for poster presentations, but not for vendors

Wrap up trivia n Can a commercial supporter’s logo may appear on your certificate? n n Can a commercial supporter’s logo appear on your marketing materials? n n No Yes Is paying for food considered commercial support or sponsorship? n Yes

Wrap up trivia n When introducing a speaker and their credentials, is it okay to mention that they have published a book? n n Ok. But can’t advertise the book or that they will be available for a book signing Is it bad to have commercial support or COI? n No. Just disclose this in your application and to the participants/learners.

Conclusion n Decision making guides and resources n n n http: //www. nursecredentialing. org/Continuing. Education/A ccreditation/How-to-Apply/Commercial. Support. aspx Does it make me feel uncomfortable? Is there a potential for bias? Keep CE separate from commercial support and advertisements Have policies and procedures in place to cover you When it doubt, call us.

Provider application n Objective n Identify the four criterion involved in the provider application.

Announcements n n n Contact hours will not be provided No conflicts of interest have been disclosed by the planners and presenters of this activity Planners and presenters have no relevant financial relationships with any commercial companies pertaining to this workshop There is no commercial support nor sponsorship for this activity The VNA and the ANCC does not endorse any product, service or company referred to in this activity This CNE activity does not include any unannounced information about off-label use of a product.

ANCC Accreditation Program (COA) Accredits Accredited Providers Figure 1: Structure of the ANCC Accreditation Program (pg 2 ANCC manual) Accredited Approvers *(i. e. VNA) Approved Providers Educational Activities Contact Hours

Why apply to be a provider? n n n Approved providers may provide contact hours for activities in their organization Providers do not approve activities nor do they provide contact hours to other organizations Providers are responsible for following the ANCC criteria and ensuring that activities follow the criteria Depends on the needs of your organization (apply to VNA for every single activity vs. approved provider) 3 year approval period for providers Provider may offer an unlimited number of educational activities during approval period

Provider application: Who is eligible to apply? n In order to be eligible: n Must have planned, implemented and evaluated at least 3 separate educational activities approved by the VNA n Direct involvement of a designated nurse planner n Adhere to the relevant criteria of the ANCC accreditation program n Each learning activity at least 1 hour in length n Co-provided activities may not be counted as 1 of the 3 activities

Provider application: Who is eligible to apply? n In order to be eligible: n Demonstrate established provider unit in your organization n Single focused organization devoted to offering continuing education OR n A distinct, separately identified unit within a complex, multi-focused organization Provider unit must have been operational for a minimum of 6 months n New: Can not be a commercial entity n

Provider application: Who is eligible to apply? n NEW eligibility: n Organizations targeting more than 50% of their educational activities in the previous calendar year to nurses in multiple regions (DHHS regions) are not eligible to apply to be an approved provider with the VNA. n Must apply through the ANCC as an accredited provider.

Provider application: Who is eligible to apply? n New eligibility: In other words… Organizations targeting more than 50% of their activities in the previous calendar year to nurses in a single state or region (contiguous region) may apply to the VNA for approval as a provider. n Internet is considered multi-region n

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

Eligibility: Previous denials n Eligibility question: n Have you been previously denied by the VNA or other ANCC accredited approver units? n Indicate resolution of previous denials and who denial was given by n Previous denial does not preclude you from being eligible to apply to the VNA, however, it is strongly advised that you contact the VNA office either by email or phone to assess eligibility before completing the rest of this application

Provider application: Getting ready to apply… n n Complete pg 1 of application assessing eligibility Confirm you are eligible before you start the process Contact Germaine Forbes for assistance if you are planning on applying Tips: n n n Clearly outline and appropriately and correctly reference the attached page numbers Address all sections and do not leave any sections blank Each section may sound repetitive, but complete each section in reference to that element

Provider application fee n New provider fee: $1, 250 n Renewal fee: $1, 075 n Submit application to VNA electronically n Apply for renewal 90 days before approval expires n Same application process for renewal, only difference is the fee n Late fee $480 if application received less than 90 days before expiration of provider status

Revision fee Effective 11/1/09 No fee the first 2 times an application is sent back to the applicant for revision. n After the second return: $25 per revision (each return to applicant for additional information) n Additional assistance will be offered to applicants as needed. n This fee will apply in general to all applicants and incur on a case by case basis. n

Approved Provider Criterion 1). Mission statement 2). Educational design 3). Unit operations 4). Provider unit evaluation

Criterion 1: Mission statement n Key element 1: n n Key element 2: n n Describe the provider unit and how linked to the larger organization Submit the beliefs and goals (mission statement) of the provider unit If part of a multi-focused organization, describe how mission statement of provider unit links with the total organization Organizational structure: Organizational chart, name and credentials VNA criteria: n n Scope and Standards of Practice for Nursing Professional Development (ANA, 2000 - update in 2010) incorporated into the Approved Provider Unit’s functions Operational requirements pg 8 -12

Criterion 2: Educational design Design elements as described in single activity application n Provide 3 sample activities n At least 1 hour in length n Activity not co-provided n If sample activity is more than 3 contact hours (180 minutes), submit documentation for at least 3 contact hours. And keep documentation for complete activity on file and accessible. n

Criterion 2: Educational design Educational activities in the past 3 years n Provide application, advertising, bioforms, certificate, summative evaluation for each activity (everything you would submit for a single activity application) n Make sure the 3 activities are complete and not deficient (complete with application revisions requested etc. ) n

Criterion 2: Educational design n n First time applicants should submit all 3 activities. First time applicants should submit a sample certificate for use as an approved provider, with the following approval statement (stands alone): n n [Name of approved provider] is an approved provider of continuing nursing education by the Virginia Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Renewing applicants submit 1 sample activity and identify the previous activities submitted with your annual report

Criterion 2: Educational design Describe process for assessment, planning, implementation and evaluation of continuing education activities n Describe record keeping process, storage, confidentiality and retrieval (check as instructed) n Describe how responsibilities are assigned and maintained for co-provided activities, if any n

Criterion 3: Unit operations n Nurse planner Contribute oversight and must be actively involved in planning, implementing, and evaluation of a continuing education activity. n RN with a baccalaureate or graduate degree in nursing n Knowledge of: n n Accreditation program and requirements n Adult learning theory n Policies and procedures of accreditation program n Scope and Standards of Practice for Nursing Professional Development (ANA, 2000).

Criterion 3: Unit operations n Lead nurse planner n n Criteria of nurse planner AND Education or experience in the field of education or adult learning Assures all nurse planners are appropriately prepared, oriented and trained to function in their role and meet the ANCC Accreditation program requirements Describe how the provider unit ensures that the performance of each Nurse Planner meets the requirements of the provider unit and expectations of the ANCC and VNA

Criterion 3: Unit operations n Resources Sufficient human, material and financial resources are available n Submit descriptions of the above n Human resources – list names and provide bioforms n Submit a report identifying the amount and frequency with which commercial support is received for educational activities n Business practices: Sign attestation (compliance with laws and regulations) n

Criterion 4: Provider unit evaluation n n Provider unit evaluation addresses the entire provider unit and not just the evaluation of a single activity. Provider unit evaluation process n n Process used in evaluating the provider unit. Written plan for evaluation describes what was evaluated, when it occurs and who participates. Describe how provider unit will be evaluated (i. e. learning activities, unit goals, resources, planning process, informal or formal) Give an example of how you have used the evaluation process described to improve unit

Criterion 4: Provider unit evaluation n Provider unit evaluation participants n Lead nurse planner n Identify other participants to include Provider unit evaluation results n Results used to confirm, expand improve the unit operations Provider unit goals for improvement n How goals addressed n Changes and progress with goals n New goals identified for improvement n Operational plans for implementation with the goals identified

Additional information Describe the strengths and areas for improvement associated with each criterion n Operational requirements attestation n Provider unit’s responsibilities n Record keeping (what needs to be on file) n Verify participation and requirements for completion n Timely communication w/VNA CEA committee n n Notify w/in 30 days of changes (i. e. name changes, ownership or structural change, contact person, bioforms, new nurse planners)

Additional information n Operational requirements attestation: n n n Appropriate language- approved provider approval statement ANCC contact hour credit calc, 2 decimals, round down Provide but not approve activities n n n Provide activities only which a provider unit nurse planner has actively participated in, from planning through evaluation Ensure all continuing education free from bias, declare vested interest Commercial support

Co-provided activities If co-providing with an accredited provider, the accredited provider is the provider, approved provider is a co-provider n If co-providing with another approved provider, must determine who will retain responsibilities n If co-providing with a non-provider, approved provider is responsible n Co-provider written agreement n

Co-provided activities n When the approved provider is the designated “provider”, the following responsibilities apply: Determine objectives and content n Selection of planners and presenter n Awarding of contact hours n Recordkeeping n Evaluation methods and categories n Management of any sponsorship or commercial support n

Now that you are approved. . . Provider annual report n n n Submit provider annual report before your annual anniversary to VNA Record program in report every time a session was given (i. e. pain assessment given 4 times, record 4 different times) Independent activity- record once for each person Brief evaluation of program (not individual evaluation summary) Future: Periodic monitoring

References American Nurses Credentialing Center (2009). Accrediting excellence in continuing nursing education: Application manual, accreditation program. Silver Spring: MD: ANCC. n American Nurses Credentialing Center (2009). Accreditation Symposium: The Changing CNE Environment. n US Department of Health and Human Services (n. d. ). Regions. Retrieved on July 22, 2009 from: http: //www. hhs. gov/about/regionmap. html n

Questions? ? ?