Continuing Nursing Education Retreat December 10, 2010

Overview of Provider Status Activity eligibility for contact hours 2011 Process based on MONA criteria changes

Activity Eligibility Continuing education – professional learning designed to augment the knowledge, skills, and attitudes of nurse to improve health care and the pursuit of professional career goals Staff development – process of assessment, planning, development, and evaluation that enhanced the performance/competence of health care providers

Staff Development examples Orientation Annual competency assessment In-services Mandatory regulatory or skills training BLS, ACLS, or PALS

Continuing Education characteristics Builds on and expands the basic knowledge Provides new information relevant to nursing practice Voluntary attendance

Activities offered multiple times Contact hours are approved for two years as long as content of the program doesn’t change All known dates, times, and locations should be completed on CNE Activity Planning Guide. Dates, times, and locations added later can be communicated via e-mail.

Criteria 1: Assessment of Learner Needs 1.1 – The needs assessment How did you determine you needed to have an activity on the chosen topic? The process used must include nurses in the determination of the topic 1.2 – Target audience How did you determine to whom you should present the activity? Nurses must be at least part of your target audience

Criteria 1: Assessment of Learner Needs 1.3 – Development of the objectives, content, and teaching-learning strategies in response to the needs assessment How did you decide what and how to present the topic? Can not be by an outside commercial interest At WUSM, the planning committee generally makes these decisions

Criteria 2: Qualified Planners & Presenters 2.1 – Planning committee Must include people who represent Nurse Planner(s) Content Experts Target Audience One person can represent more than one role Can not include an outside commercial interest May include other nonprofit agencies, if co-providing

Criteria 2: Qualified Planners & Presenters 2.1 – Planning committee (cont.) Nurse Planner Qualifications Be a registered nurse licensed to practice in Missouri Hold at least a baccalaureate degree in nursing from an accredited program Be qualified by education and experience to guide the development of each activity offered by the Approved Provider Demonstrate knowledge of the ANCC COA/MONA Approved Provider criteria

Criteria 2: Qualified Planners & Presenters 2.1 – Planning committee (cont.) Nurse Planner Responsibilities Contributes oversight and must actively be involved in the entire process of planning, implementation, and evaluation for any activity awarded contact hours. Is responsible for ensuring the quality of the educational activities provided Is responsible for ensuring adherences to the educations design criteria for each activity offered

Criteria 2: Qualified Planners & Presenters 2.2 – Biographical Data Forms for each of the planning committee members and presenters If submitting a CV, must still complete role on planning committee and familiarity with the target audience Role on planning committee section should only be completed if on the planning committee Valid for one year, unless changes occur

Criteria 2: Qualified Planners & Presenters 2.2 – Biographical Data Forms for each of the planning committee members If submitting a CV, must still complete role on planning committee and familiarity with the target audience Valid for one year, unless changes occur 2.3 – Role on planning committee section should only be completed if on the planning committee

Criteria 2: Qualified Planners & Presenters 2.4 – Biographical Data Forms for each of the presenters If submitting a CV, must still complete role on planning committee and familiarity with the target audience 2.5 – How did the planning committee decide the qualifications of the presenters 2.6 – How did the planning committee decide which presenter would meet the qualifications

Criteria 2: Qualified Planners & Presenters 2.7 – Conflict of Interest Disclosure statements for each of the planning committee members and presenters Must be completed for each activity 2.8 – If a conflict of interest is identified, describe how it was resolved. For example, planning committee member removed

Criteria 3: Effective Design Principles 3.1 – Overall purpose of the activity Could be a general objective for the entire activity Use presentation objectives and content to meet the activity purpose Learner Objectives – verbs matter Content – needs to describe what will be presented to meet the objective(s)

Measurable behavioral objectives (Bloom’s Taxonomy of Cognitive Objectives) Area of Taxonomy Definition What the Participant Does Knowledge Recalling of specific bits of information Define “primary care” Name the nurse who developed… List the steps in the nursing process State the reason for hospitalization Comprehension Understanding of information; the ability to grasp meaning, translate and interpret information Compare Orem’s definition of nursing with Roy’s definition of nursing Interpret the lab values for the patient described in the case study Application Use knowledge in new and concrete situations Demonstrate how to comfort a grieving family Analysis Examining the parts of the whole; analyzing relationships; looking at organization Explain the impact managed care has had on health care economics Describe the order in which treatment should be instituted for a cardiac patient Synthesis Putting together the parts into a whole; use of information to create something new and different Design a new process for double checking transfusion orders Evaluation Involves judging the value of materials and methods Evaluate the effectiveness of care

Measurable behavioral objectives (Verb List)

Criteria 3: Effective Design Principles 3.2 – Gap Analysis What gaps in knowledge, skills, and/or practice does the activity address Can be more than one 3.3 – Teaching/Learning Strategies Delivery methods - PowerPoint slides, overheads, etc.) Learner feedback mechanisms - Discussion, group discussion, etc.) Resources used – policies & procedures, etc.

Criteria 3: Effective Design Principles 3.4 – Criteria for successful completion What does the participant need to do to achieve successful completion of the activity and why 3.5 – Verification of completion What mechanism will you use to determine whether or not participants successfully completed the activity

Criteria 4: Awarding Contact Hours 60 minutes = 1 contact hour Minimum number of contact hours awarded is one. Awarding contact hours should be calculated in the hundredths (i.e., two digits past the decimal point) or round down. Do not round up. Time allowed for introduction, breaks and meals should be excluded. Time allowed to complete evaluation should be included. Awarded contact hours are contingent on return of attendance list and evaluation summary.

Criteria 5: Activity Evaluation 5.1 – Describe the method used to evaluate the activity – a clearly defined method to evaluate the effectiveness of the activity must be used which includes learner input 5.2 – What type of evaluation will be used (see handout) 5.4 – Describe how the evaluation data is used to improve activities – generate new activity topics, change teaching strategies, etc.

Criteria 5: Activity Evaluation 5.3 – Submit a copy of the Evaluation tool which must include: How well the speaker met each of the stated objectives Expertise of the speaker Effectiveness of teaching strategies used Anticipated impact of activity on practice Appropriateness of the physical facility

Criteria 6: Promotional Materials Must include: Title of program Presenter name and credentials Date and time of the activity Location of the activity Number of contact hours available Approval statement

Criteria 6: Promotional Materials Washington University School of Medicine is an approved provider of continuing nursing education by the Missouri Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Logo Usage Our logo is acceptable Commercial advertising or logos can be present in an exhibit room, but not in the room where presentations occur Slides and handouts must be free from company logos and advertising Give-away items or handout materials furnished by commercial entities with their logos or advertisements must be picked up by participants in an areas separate from registration

Criteria 7: Document of Completion 7.1 – Must include: Name of the participant learner Name and address of the Approved Provider Title and date of the educational activity Number of contact hours awarded The official approval statement adhering to requirements by: Placing a line before and after the approval statement The statement must stand alone, meaning that it should be listed on a separate line from any other statement.

Official Statement Washington University School of Medicine is an approved provider of continuing nursing education by the Missouri Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Criteria 7: Document of Completion 7.2 – Participant Roster must include: Participant Name Credentials (RN, MD, etc.) Institution/Department Address/Campus Box Contact Hours Awarded, per participant if different Should not have any sensitive identifying information including SSN, DOB, etc.

Criteria 8: Commercial Support Commercial Support – Financial, or in-kind, contributions given by a commercial interest, which is used to pay all or part of the costs of a CNE activity. Commercial Interest – Any entity that produces, markets, sells or distributes health care goods or services consumed by, or used on, patients or is owned or operated by an entity that does. Sponsorship – Support (monetary or “in-kind”) furnished to the provider of the education activity.

Criteria 8: Commercial Support 8.2 – How was the integrity of the activity content maintained 8.3 – Commercial Support Agreement 8.4 – How was bias prevented in the educational content, even if commercial support or sponsorship was not received

Criteria 9: Disclosures 9.1 – Items included in disclosure to participants Requirements for successful completion Number of contact hours available Sponsorship and commercial support Any conflicts of interest, or lack thereof Non-endorsement of commercial products Discussion of off label use Expiration date for enduring materials

Criteria 9: Proof of disclosures 9.2 – If disclosures are made verbally, there must be some written proof that the disclosures were made such as adding a section on the program evaluation (see handout) If disclosures are written, the written document must be included in activity forms.

Example of written disclosures Successful Completion: Participants must complete an evaluation form to receive a certificate of completion Contact Hours: 5.5 contact hours are available to those who meet the successful completion requirements Sponsorship & Commercial Support: This activity has received no sponsorship or commercial support Conflict of Interest: No conflicts of interest were identified Non-Endorsement: Accreditation approval refers only to MONAs continuing education activities and does not imply MONA or ANCC Commission on Accreditation endorsement of any commercial products Off Label Use: There will be no discussion of uses of products other than what is approved by the FDA. Expiration: Contact Hours expire on Dec 10, 2012

Criteria 10: Co-Provider Information Co-Providership is the planning, developing, and implementing an educational activity by two or more organizations or agencies. Co-Providers may only include other nonprofit agencies A mutual, written agreement must be completed WUSM retains responsibilities as the Provider.

Criteria 10: Co-Provider Information Provider responsibilities are: Determination of the educational objectives and content Selection of the content specialist planners and activity presenters Awarding of contact hours, as appropriate Record keeping of attendees Evaluation methodology, completion, and review Management of any commercial support or sponsorship

Criteria 11: Post Activity Submit a summary of evaluation results Submit the participant roster