1. Continuing Nursing Education Retreat
December 10, 2010

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

3. 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

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

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

6. 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 .

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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)

17. 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

18. Measurable behavioral objectives (Verb List)

19. 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.

20. 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

21. 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.

22. 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.

23. 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

24. 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

25. 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.

26. 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

27. 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.

28. 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.

29. 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.

30. 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.

31. 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

32. 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

33. 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.

34. 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

35. 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.

36. 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

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