2015 Individual Activities Manual – Revised April 2016

To download the printer friendly version of the entire manual, please click here: 

2015 Individual Activities Manual

CONTINUING EDUCATION APPROVER COUNCIL
Roster 2015

(chair) Terry Pope, MS, RN
Joyce Alley, MN, WHNP-BC
Lucinda Cave, MSN, RN, BC
Stephanie Clubbs, MSN, RN-BC, CNS
Susan Copeland, MS, RN, BC
Pam Dickerson, PhD, RN-BC, FAAN
Nancy McManus, MEd, BSN, RN-BC, CGRS
Diane Moyer, MS, BSN, RN
Laura Rafeld, MSN, RN

Introduction

Statement of Philosophy on Continuing Nursing Education

Nurses must continually update their knowledge and skills to promote and improve health care. As professionals, nurses make a commitment to continuing education as a lifelong process. The Ohio Nurses Association (ONA) endorses the concept of planned continuing education for all nurses as one means by which nurses can maintain competence, meet the standards of practice developed by the profession, advance the profession of nursing and facilitate professional growth.

Quality continuing education prepares the nurse to meet the challenge of rapid changes in knowledge, technology, and societal needs. We believe the Nursing Professional Development: Scope and Standards of Practice guides the continuing education process for learners, educators and the Approver Unit.

ONA is committed to enhancing CE through accreditation as an approver by ANCC Commission on Accreditation and as an approver by the Ohio Board of Nursing. We believe as an approver unit that we must take into consideration the needs and characteristics of potential applicants.

ONA Approver Unit’s Purposes:

1. To approve individual activities and provider applications according to the ANCC Commission on Accreditation criteria and the Ohio Board of Nursing rules.

2. To set policy within the guidelines of the ANCC Commission on Accreditation, the Ohio Board of Nursing, and the Ohio Nurses Association Board of Directors.

3. To monitor the quality and consistency of the Approver Unit program.

(Reviewed 4/2016)

Introduction

 

This manual includes information about the development and application for getting individual activities approved to award contact hours to nurses, dialysis technicians, community health workers and medication aides-certified in long term care and assisted living facilities.

Those organizations providing multiple different activities over time might wish to consider becoming an approved provider unit. An approved provider unit has the authority to plan, implement, and evaluate its own continuing education activities during the three-year period of provider unit approval. There is a separate manual, Provider Manual, available for applying as an approved provider unit. There are very specific criteria that must be met in order to be eligible to apply for approval as a provider unit.

Criteria of the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation (COA) and rules of the Ohio Board of Nursing (OBN) form the basis of this manual and its associated forms. The Continuing Education Approver Council of the Ohio Nurses Association (ONA) is responsible for approving provider units and approving individual activities.

Our goal is to help you be successful in completing the applications for individual activities and providing quality continuing education. Please contact the Director of Continuing Education at ONA at 614-448-1026 or the Department CE Specialist at 614-448-1030 at any time if you have questions or need further information.

Definitions

Continuing education (CE)  is defined as “learning activities intended to build upon the educational experiential bases of the …[nurse] for the enhancement of practice, education, administration, research, or theory development, to the end of improving the health of the public and [nurses’] pursuit of their professional career goals.”

All education that promotes nursing professional development and/or patient care is eligible for contact hours. (Classes on personal finance or personal retirement planning are not acceptable for CE by the Ohio Board of Nursing (OBN)).

ONA’s Authority as an Approver

The Commission on Accreditation accredits and the Ohio Board of Nursing approves approver units which have demonstrated the capacity to approve and monitor the educational activities of individual activity providers and provider units. The Ohio Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation and approved as an approver by the Ohio Board of Nursing (OBN-001-91).

Chapter1Chart

Who Can Apply for Approval of Individual Activities?

Individuals and/or organizations may apply for approval of individual activities. They must:

  1. Have a nurse planner who meet(s) qualifications of:
    1. Minimum of baccalaureate degree in nursing.
    2. An unencumbered RN license in the state in which s/he functions.
    3. Knowledge of ANCC COA criteria and OBN rules as conveyed in this manual.
  2. Be separate from any commercial entity that produces, markets, re-sells or distributes a product used on or by patients (See Note below for further clarification)

 NOTE:  Your organization is ineligible for approval if it is a commercial interest as defined in the Standards for Commercial Support. A “commercial interest” is any entity either producing, marketing, re-selling or distributing healthcare goods or services consumed by, or used, on patients or that is owned or controlled by an entity that produces, markets, re-sells or distributes healthcare goods or services consumed by, or used on, patients. Review the Standards for Commercial Support in the appendices for additional information. You may also contact the Director of CE at 614-448-1026.

TYPES OF APPROVAL

Faculty Directed Activity

A Faculty Directed activity involves participant attendance. It is distinguishable by the fact that the pace of the activity is determined by the provider who plans and schedules the activity. It involves synchronous learning – both faculty and learner are available to each other at the same time. Contact hour credit awarded is based on the time allocated for the activity. See Chapter 3 for the criteria for a Faculty Directed activity.

The Ohio Board of Nursing (OBN) defines a faculty directed activity as: “a continuing education activity in which faculty facilitates the pace and content of the activity, and the activity is one for which contact hours may be awarded in accordance with this chapter. The faculty and participants must engage in the activity at the same time. The activity may occur in settings such as, but not limited to, a classroom, on-line, webinar or via teleconference provided that one or more individuals is facilitating the pace of the activity at the time of the activity.” 4723-14, OAC.

Independent Study

An Independent Study activity is designed for completion by learners, independently, at the learner’s own pace and at a time of the learner’s choice. The provider designs the educational activity and determines the amount of credit to be awarded. See Chapter 4 for the criteria for an Independent Study activity.

Blended Activity

A blended learning activity is a combination of both independent study and faculty directed processes. For example, the learner needs to review articles online prior to the program to learn principles about a topic and then comes to class to actually apply the information.

Application and Related Policies and Processes

A.       Application Process

Submit your activity application through the Online Manager on the CE Activity Approval website (www.ohnurses.org, Education, CE Activity Approval). We strongly encourage reviewing the short training video on how to use the Online Manager prior to starting to do so.

Individual activity applications may be submitted at any time. They are reviewed throughout the year. Applications must be submitted six (6) weeks prior to the activity is presented or goes live.

  1. Review Process

Step 1:    Your application will be assigned an application number. This application number is very important and MUST be included on any subsequent correspondence or additional material related to your application. Once your activity has been approved, this application number becomes your approval number.

Step 2:    Your application is sent to peer reviewers for review.

Step 3:    You will be notified in writing as to the action of the reviewers. If further information is needed, please upload the revised information as quickly as possible. There is NO retroactive approval. The application must be approved before the activity is presented. If you have questions about the information that is needed, please contact the CE Specialist at 614-448-1030 or the CE Director at 614-448-1026.

Step 4:    One copy of your entire application, all correspondence to and from you related to the application, and action on your application are kept on file at ONA for six years. Only authorized personnel have access to the files. Accreditation and regulatory bodies such as the ANCC Accreditation program and the Ohio Board of Nursing may review files. You also need to keep a copy of your application, uploads, correspondence for six years.

As you proceed through the approval process, help is available. Phone calls or email to the ONA staff are encouraged. Consultation can be arranged. The goal is for you to be successful at providing quality continuing education.

  1. Types of action

There are three types of action possible on an application for approval.

  1. Approval for two years occurs when your written application materials indicate that the criteria and rules are met.
  1. Decision Deferred Pending receipt of additional information occurs when there is insufficient information provided to complete the review and approval process.
  1. Denial of Approval occurs when written application materials do not meet the ANCC Commission on Accreditation criteria or the Ohio Board of Nursing’s rules as provided by ONA.
  1. Retroactive Approval

Retroactive approval, approval for contact hour credit of an educational activity AFTER the activity has been presented, is not authorized in the ANCC accreditation or OBN systems. Approval MUST be granted PRIOR to the presentation of an educational activity.

E.   Withdrawal and Resubmission of an Application

An applicant has the right to withdraw an application at any time prior to completion of the approval process without prejudice to any future applications. The applicant must notify the ONA Continuing Education Department in writing of the decision to withdraw the application. One complete application and a copy of all correspondence will be kept on file for six years. Fees will not be refunded if the review process has begun. If the review process has not begun, the application fee, minus an administrative fee, will be returned to the applicant.

If your organization requests to withdraw and then wishes to apply again later, the process can be resumed. It will be treated as a new application.

F.   Length of Approval

The approval period for these applications is two years from the date ONA issues the approval notice. The activity may be repeated as often as wished during this two year period with written notification sent to the CE Specialist at ONA at 614-448-1030.

G.  Repetition of Activity

Each time the activity is repeated during its approval period, the provider must notify ONA CE Specialist in writing that the event is being repeated, when, where and if there are any changes. Be sure to include the assigned ONA number in all correspondence regarding the activity.

H.  Reapproval

When the original approval period expires, any approved activity may be submitted for approval again. The fee structure and application process is the same as for the original approval.  If the reviewers have made recommendations for improvement of the original application, these must be incorporated into the new application. Approval will be granted for two years if all criteria are met.

The approval process must be completed prior to awarding contact hours once the original approval time has expired. The application for approval must be submitted to ONA at least six weeks prior to the first activity date. The review and approval process for applications received in less time will not be completed in time for the event.

I. Reconsideration and Appeal

If your organization does not agree with the action decision, you may request in writing that the decision be reconsidered. If the result of reconsideration is not acceptable, a written appeal may be made.

J.   Suspension and Revocation of Approval

Approval may be suspended and/or revoked as a result of ANY one of the following:

  1. Failure to remain in adherence with relevant criteria, rules and requirements defined in this manual;
  2. Investigation and verification by the CEAC of written complaints or charges by consumers or others;
  1. Refusal to comply with an investigation by the CEAC;
  2. Misrepresentation;
  3. Failure to submit required information such as a survey or follow-up information.

Suspension and revocation are effective on the date the certified letter or email of notification is received by the organization. In cases of suspension, you may not award contact hours until all conditions relative to the suspension have been met. In cases of revocation, all statements regarding approval status must be removed from publicity material and certificates of attendance printed and/or distributed after that date. If approval is revoked, you may not award contact hours for that activity.

K.  Reporting of Data and Monitoring

You may be asked to submit survey data and periodic monitoring requests in order to help evaluate and monitor the ONA approval system and meet OBN and/or ANCC Commission on Accreditation requirements. Failure to respond to monitoring requests will result in suspension of approval.

You are asked to submit a Post-Activity Survey after the presentation of the activity. Please review information on the website for what is needed. Send this information to the CE Specialist within 30 days of the event.

L.   Changes

You must maintain communications with ONA during the period of approval. At a minimum the following must be reported:

  1. Reports of data requested by ONA within the time frame specified when the data is requested.
  2. Within 30 days, information about change in

(a) name, ownership or structure of the organization, or

(b)  the nurse planner(s), or

(c) the name of the contact person.

What if These Things Happen Once Your Activity is Approved?

A.  Major Changes in Learning Activities

If a learning activity has been approved and there is a significant change in the content, then another application must be completed and submitted for approval. For example, significant change could be substituting a new one hour segment for one that previously met criteria, changing objectives and content, etc.

If the speaker changes, but the new speaker will continue to present the same content, and use the same objectives and time frames, submit an email to ONA for  the activity file regarding this change and include the conflict of interest statement (COI) form for the new speaker.

If you have any questions about whether you should write another application or just submit an email, please contact ONA staff.

B.  Special Ohio Board of Nursing Application – LPN IV Therapy, APN Pharmacology & Medication Aide Courses

The Ohio Board of Nursing has specified that any individual or organization that wishes to offer a CE event on the topic of the LPN performing limited IV Therapy or an INITIAL Advanced Practice Nurse Pharmacology Course must go through a special process to obtain approval for either of these courses. (Exception: Schools of nursing can provide the initial APN Pharmacology Course without going through the CE approval process.) Please contact ONA staff for instructions and application forms. The fees for these courses are the same as listed for individual activities on the website.

Contact the Ohio Board of Nursing if you are interested in offering a training course for medication aides – certified in long term and residential care environments.

C. Other Questions or Concerns?

If other issues arise that generate questions, please contact the Nurse Peer Review Leader (ONA’s Continuing Education Director), 614-448-1026 or the CE Specialist at 614-448-1030.

 

Educational Design Process

(Copied and adapted from ANCC‘s 2015 Accreditation Manual with permission from Kathy Chappell, ANCC)

©American Nurses Credentialing Center. All rights reserved. Reproduced with permission by the American Nurse Credentialing Center.


 

This chapter outlines the process of developing and/or evaluating individual educational activities according to ANCC Accreditation Program criteria, which ensure that individual education activities are effectively planned, implemented, and evaluated according to educational standards and adult learning principles.

The educational design expectations described in this chapter and applicable at the individual activity level are fundamental to high-quality continuing nursing education (CNE). Accordingly, organizations accredited as Approver Units must ensure that these expectations are met and that the ANCC criteria for accreditation are applied in such a manner as to ensure the Approved Provider and/or Individual Activity Applicant offers individual educational activities that meet these criteria.

CNE is designed to improve the professional practice of nursing and to positively impact patient, system, and/or population outcomes. CNE is defined as “learning activities intended to build upon the educational and experiential bases of the professional RN for the enhancement of practice, education, administration, research, or theory development, to the end of improving the health of the public and RNs’ pursuit of their professional career goals. ”Interprofessional continuing education (IPCE) is defined as “when members of two or more professions learn with, from, and about each other to enable effective collaboration and improve health outcomes”  (www.jointaccreditation.org).

Within an accreditation framework, the following principles of high-quality educational design are employed:

  • Addresses a professional practice gap (change in standard of care, problem in practice, or opportunity for improvement)
  • Incorporates the active involvement of a Nurse Planner in the planning process
  • Analyzes educational need(s) (knowledge, skills, and/or practices) of registered nurses and/or healthcare team members that underlie the problem or opportunity (why the problem or opportunity exists)
  • Identifies the learning outcome(s) to be achieved by learners participating in the activity
  • Uses strategies that engage the learner in the educational activity and are congruent with the educational needs and desired learning outcome(s)
  • Chooses content based on evidence-based practice or best-available evidence
  • Evaluates achievement of learning outcome(s)
  • Plans independently from the influence of commercial interest organizations

Educational Design Process

Professional Practice Gap:

The process of planning begins with identifying when CNE, or IPCE, might be a desired intervention to address a change that has been made to a standard of care, a problem that exists in practice, or an opportunity for improvement. Once an educational intervention is determined to be appropriate, a Nurse Planner is engaged to begin the planning process.

The Nurse Planner starts by analyzing data that validate the need for the educational activity. This analysis forms the basis of a professional practice gap, or the difference between the current state of practice and the desired state of practice. It is important to note that a professional practice gap may exist for registered nurses or healthcare teams regardless of the practice setting. Professional practice gaps are not limited to clinical practice and may also exist in areas of professional work such as administration, education, and research.

Planning Committee:

Once the professional practice gap is identified, the Nurse Planner can begin to select individuals to assist with planning the educational activity by forming a Planning Committee, or the Nurse Planner may participate as a member of an interprofessional planning team. The Planning Committee must include at least two people: the Nurse Planner and a content expert. The Nurse Planner may function as both the Nurse Planner and the content expert; however, two people must be involved with planning each educational activity. Other individuals may be selected, as appropriate, to help plan the activity. The Nurse Planner ensures that the educational activity is developed in compliance with ANCC accreditation criteria.

Planning continues with further analysis of the professional practice gap. The Nurse Planner and Planning Committee evaluate the root cause(s) of the gap, or why the gap exists. If the gap is related to a lack of knowledge, skills, and/or practices of registered nurses, an educational intervention is appropriate. The gap may exist for other reasons, however, and alternate, noneducational strategies may need to be considered.

Underlying Educational Needs:

When the professional practice gap has been identified, the Nurse Planner and Planning Committee conduct a needs assessment to determine the underlying educational needs of registered nurses, or members of the healthcare team, that contribute to the gap. The Nurse Planner and Planning Committee evaluate what registered nurses or members of the healthcare team do not know (knowledge deficit), do not know how to do (skill deficit), or are not able to do in practice (practice deficit). A backward-planning process, as described by Moore, Green, and Gallis (2009), is a useful method for determining the educational needs and targeting the educational activity appropriately to address the gap.

Target Audience:

Once the educational need has been identified, the Nurse Planner and Planning Committee can determine the target audience for the educational activity. The target audience is defined as the specific registered nurse learners or healthcare team members the educational activity is intended to impact.

Learning Outcome(s):

The Nurse Planner and Planning Committee then develop the desired learning outcome for participants in the target audience. A learning outcome is written as a statement that reflects what the learner will be able to do as a result of participating in the educational activity. The learning outcome must be observable and measurable. The learning outcome addresses the educational needs (knowledge, skills, and/or practices) that contribute to the professional practice gap, and achieving the learning outcome results in narrowing or closing the gap. A learning outcome may be assessed short term or long term. There may be more than one learning outcome for an educational activity.

Content for Educational Activity:

Content for the educational activity may be chosen by the Nurse Planner and Planning Committee, or it may be selected by others participating in the educational activity such as individual speakers or authors. It is the responsibility of the Nurse Planner and Planning Committee to ensure that content is based on the most current evidence, which may include, but is not limited to, evidence-based practice, literature/peer-reviewed journals, clinical guidelines, best practices, and content experts/expert opinion. If there is concern that content selected is not based on best-available evidence or may be biased within the educational activity, the Nurse Planner and Planning Committee may choose to engage a content reviewer. The purpose of a content reviewer is to provide independent and expert evaluation of content to ensure best-available evidence is presented, content is balanced, and the content is not promotional or biased.

Content that has previously been developed may also be identified as appropriate to include within the educational activity. If previously developed content is incorporated, the Nurse Planner is responsible for ensuring that content meets criteria for best-available evidence and is appropriate in relation to the identified practice gap, and that permission to use the content has been obtained as applicable.

Active Learner Engagement:

As part of the design process, the Nurse Planner and Planning Committee develop ways to actively engage learners in the educational activity. Strategies to engage learners may include, but are not limited to, integrating opportunities for dialogue or question/answer, including time for self-check or reflection; analyzing case studies; and providing opportunities for problem-based learning. Active learner engagement may function as an opportunity for formative assessment during the educational activity by providing the presenter with immediate learner feedback.

Criteria for Awarding Contact Hours:

During the planning process, the Nurse Planner and Planning Committee determine the criteria that learners must meet to earn contact hours. Criteria should be based on the desired learning outcome(s). Criteria may include, but are not limited to, awarding credit commensurate with participation in the activity, requiring attendance for a specified period of time (e.g., 100% of activity, or miss no more than 10 minutes of activity), successfully completing a post-test (e.g., attendee must score X% or higher), completing an evaluation form, or successfully completing a return demonstration.

Evaluation:

The Nurse Planner and Planning Committee determine the method that will be used to evaluate the educational activity. The evaluation components and method of evaluation should be relative to the desired learning outcome(s) of the educational activity. Evaluation may be formative and integrated within the educational activity. Evaluation is also summative at the conclusion of the educational activity. Evaluation methods include assessment of change in knowledge, skills, and/or practices of the target audience. Change in knowledge, skills, and/or practices may or may not occur based on a variety of factors; however, evaluation should assess for such change. Evaluation may also include collecting data that reflect barriers to learner change.

Evaluations may include, but are not limited to, both short- and long-term methods, as illustrated in Table 4.

 

Evaluation-Options

Following the conclusion of the educational activity, the Nurse Planner and/or Planning Committee review the summative evaluation data to assess the impact of the educational activity and determine how results may be used to guide future educational activities, as applicable.

Independence From Commercial Interest Organizations

The educational planning process outlined in this chapter is designed to provide independent continuing education firmly rooted in the identification of professional practice gaps and learning needs of registered nurses and/or members of the healthcare team. In order to fully ensure independence of these CNE/IPCE activities and meet accreditation criteria, actions that ensure there is no commercial influence in the planning and execution of these activities is an important component of the overall process. The next section focuses on conflict of interest, commercial support, and content integrity in the presence of commercial support.

Ensuring Independence and Content Integrity

The following is an abbreviated outline of the requirements for ensuring independence and content integrity when planning educational activities. See ANCC Content Integrity Standards for Industry Support in Continuing Nursing Educational Activities available … in the Appendix of this manual for full standard requirements.

Conflict of Interest

A conflict of interest exists when an individual is in a position to control or influence the content of an educational activity and has a financial relationship with a commercial interest, the products or services of which are pertinent to the content of the educational activity. The Nurse Planner is responsible for identifying and resolving conflicts of interest during the planning and implementation phases of an educational activity. The Nurse Planner may engage the individual with the identified conflict of interest to participate in the resolution process through actions such as having the individual sign a speaker agreement outlining expected practice or submitting/revising presentation materials, but the Nurse Planner must be actively engaged in the resolution process and is ultimately accountable for compliance. The Nurse Planner is also responsible for informing learners of the presence or absence of conflicts of interest for all individuals in a position to control content of the educational activity. If the Nurse Planner has a conflict of interest, he or she should recuse himself or herself from the role as Nurse Planner for the educational activity.

It is critical that all individuals in a position to control content of an educational activity are provided with the definition of a commercial interest organization prior to disclosing relevant relationships.

Identification and Evaluation:

The Nurse Planner is responsible for ensuring that all individuals who have the ability to control or influence the content of an educational activity disclose all relevant relationships with any commercial interest, including, but not limited to, members of the Planning Committee, speakers, presenters, authors, and/or content reviewers. Relationships with commercial interest organizations are considered relevant if they exist within the past 12 months. Relationships of the individual’s spouse/partner may be considered relevant and must be reported, evaluated, and resolved.

  • Employees of commercial interest organizations are not permitted to serve as planners, speakers, presenters, authors, and/or content reviewers if the content of the educational activity is related to the products or services of the commercial interest organization.
  • Employees of commercial interest organizations are permitted to serve as planners, speakers, presenters, authors, and/or content reviewers if the content of the educational activity is NOT related to the products of the commercial interest organization.
  • Individuals who have nonemployee relationships with commercial interest organizations are permitted to serve as planners, speakers, presenters, authors, and/or content reviewers as long as the Provider has implemented a mechanism to identify, resolve, and disclose the relationship as outlined in these standards.

Resolution:

When an individual has a relevant relationship with a commercial interest organization, the Nurse Planner must implement a process to resolve the conflict of interest. Actions taken to resolve conflicts of interest must demonstrate resolution of the identified conflicts of interest prior to presenting/providing the educational activity to learners. Such actions must be documented in the activity file, and documentation must demonstrate (1) the identified conflict and (2) how the conflict was resolved.

Resolution processes may include, but are not limited to

  • Removing the individual with a conflict of interest from participating in all parts of the educational activity;
  • Revising the role of the individual with a conflict of interest so that the relationship is no longer relevant to the educational activity;
  • Not awarding continuing education contact hours for a portion or all of the educational activity;
  • Undertaking review of the educational activity by the Nurse Planner and/or member of the Planning Committee to evaluate for potential bias, balance in presentation, evidence-based content or other indicator of integrity, and absence of bias, AND monitoring the educational activity to evaluate for commercial bias in the presentation;
  • Undertaking review of the educational activity by the Nurse Planner and/or member of the Planning Committee to evaluate for potential bias, balance in presentation, evidence-based content or other indicator of integrity, and absence of bias, AND reviewing participant feedback to evaluate for commercial bias in the activity;
  • Undertaking review of the educational activity by a Content Reviewer to evaluate for potential bias, balance in presentation, evidence-based content or other indicator of integrity, and absence of bias, AND monitoring the educational activity to evaluate for commercial bias in the presentation; and
  • Undertaking review of the educational activity by a Content Reviewer to evaluate for potential bias, balance in presentation, evidence-based content or other indicator of integrity, and absence of bias, AND reviewing participant feedback to evaluate for commercial bias in the activity.

Commercial Support:

Commercial Interest Organizations may provide monetary funding or other support (Commercial Support) for continuing nursing educational activities in accordance with the following fundamental principles:

1.      Commercial Support must not influence the planning, development, content, implementation, or evaluation of an educational activity; AND

2.      Receipt of Commercial Support must be disclosed to learners.

Commercial Support may be used to pay for all or part of an educational activity and for expenses directly related to the educational activity, including, but not limited to, travel, honoraria, food, support for learner attendance, and location expenses. Commercial Support may be used to support more than one educational activity at the same time or multiple activities over a period of time.

Commercial Support is:

·         Financial Support – money supplied by a Commercial Interest Organization to be used by a Provider for expenses related to the educational activity. Financial support may be provided as an unrestricted grant, educational grant, donation, or scholarship.

·         “In-Kind” Support – materials, space, or other nonmonetary resources or services used by a Provider to conduct an educational activity, which may include, but are not limited to, human resources, marketing services, physical space, equipment such as audiovisual materials, and teaching tools (for example, anatomic models).

Ensuring Content Integrity of an Educational Activity in the Presence of Commercial Support:

Commercial Interest Organizations providing commercial support for continuing educational activities may not influence or participate in the planning, implementation, or evaluation of an educational activity. All of the following requirements to ensure content integrity must be satisfied by the Provider when commercial support is accepted.

1.      The commercial interest organization and … [approved] provider must have a written agreement setting forth the terms of the relationship and the support that will be provided.  The written agreement will also reflect the requirements set forth in items 2-4, below.

2.      All payments for expenses related to the educational activity must be made by the Provider. The Provider must keep a record of all payments made using Commercial Support funding. Commercial Support funds may only be used to support expenses directly related to the educational activity.

3.      The Provider is responsible for maintaining an accounting of expenses related to Commercial Support.

4.      A Commercial Interest Organization may not jointly provide educational activities.

Educational Activity Characteristics

Types of activities:

There are … [two] primary types of educational activities that may be delivered live or via an enduring format.  (The following definitions are adapted to ONA’s types of activities.)

  • Faculty Directed: The Provider controls all aspects of the learning activity. The Provider determines the desired learning outcome based on a needs assessment and gap analysis, selects content based on best-available evidence, chooses strategies to facilitate learning, and identifies methods for collecting and analyzing evaluation data. (Examples include live activities and live webinars.)
  • Independent Study: The Provider determines the desired learning outcome based on a needs assessment and gap analysis, selects content based on best-available evidence, chooses strategies to facilitate learning, and identifies methods for collecting and analyzing evaluation data. The learner determines the pace at which he/she engages in the learning activity. (Examples include print articles, online courses, e-books, and self-learning modules/independent studies.)

Considerations for Live and Enduring Formats:

Live educational activities, whether in person or web-based, are Faculty Directed activities. There is no expiration date for a live activity; however, the Provider is expected to evaluate repeated activities as needed to determine that the practice gap still exists, that the underlying educational needs are still relevant for the target audience, and that content is still based on current evidence. Live activities, or portions of live activities, may be repurposed for enduring materials. If repurposed, an expiration date is assigned to the enduring activity.

Enduring activities are Independent Study activities. Enduring materials have an expiration date, after which no contact hours may be awarded. The period of expiration of enduring material should be based on the content of the material. Providers must review content of enduring materials at least once every 3 years, or more frequently if indicated by new developments in the field specific to the enduring material. Review of enduring material content should be conducted for 

·         Accuracy of content,

·         Current application to practice, and

·         Evidence-based practice.

Upon completion of the enduring material review, a new expiration date should be established.

Joint Providership:

Approved Providers and Individual Activity Applicants may jointly provide educational activities with other organizations. The jointly providing organization cannot be a commercial interest. The Approved Provider or Individual Activity Applicant is referred to as the Provider of the educational activity; the other(s) is referred to as the Joint Provider(s). In the event that two or more organizations are approved, one will assume responsibility for adherence to the ANCC criteria and is the Provider; the other(s) is referred to as the Joint Provider(s). Materials associated with the educational activity, such as marketing materials, advertising, agendas, and certificates of completion, must clearly indicate the approved organization (Provider) awarding contact hours and responsible for adherence to ANCC criteria.

Awarding Contact Hours:

Contact hours are determined in a logical and defensible manner. Contact hours are awarded to participants for those portions of the educational activity devoted to the learning experience and time spent evaluating the activity. One contact hour = 60 minutes. If rounding is desired in the calculation of contact hours, the Provider must round down to the nearest 1/10th or 1/100th (e.g., 2.758 should be 2.75 or 2.7, not 2.8). Educational activities may also be conducted asynchronously and contact hours awarded at the conclusion of the activities. [Per the Ohio Board of Nursing, there must be a minimum of 30 minutes in order to give 0.5 contact hour.]

Time frames must match and support the contact hour calculation for live activities. Evidence may include, but is not limited to, agenda for the activity, outline of content to be delivered in the activity, and/or other marketing materials. Time for breaks and meals should be clearly delineated and not included in total contact hours awarded. For enduring materials such as print, electronic, web-based, etc., the method for calculating the contact hours must be identified. The method may include, but is not limited to, a pilot study, historical data, or complexity of content.

Contact hours may not be awarded retroactively except in the case of a pilot study. Participants in a pilot study assist in determining the length of time required for completing an educational activity in order to calculate the number of contact hours to award. Those participants may be awarded contact hours once the number is determined.

 

Individual CNE Activities Approval Statement:

Individual Activity Applicants are required to provide the official activity approval statement to learners prior to the start of each educational activity and on each certificate of completion. The official approval statement for Individual CNE Activities must be displayed clearly to the learner and worded according to the most current Accreditation Manual. When referring to contact hours, the term “accredited contact hours” should never be used—contact hours are awarded.

If advertising is released prior to approval AND after an application has been submitted, the following statement may be used:

This activity has been submitted to the Ohio Nurses Association for approval to award contact hours. The Ohio Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)

If the advertising is to be released after approval is received, then use the following statement:

This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)

Certificate or Documentation of Completion:

A certificate or documentation of completion is awarded to a participant who successfully completes the requirements for the individual education activity.

The certificate or document must include:

·         Title and date of the educational activity;

·         Name and address of the provider of the educational activity (web address acceptable);

·         Number of contact hours awarded;

·         Approval statement; and

·         Participant name.

Required Information Provided to the Learner:

Learners must receive required information prior to the start of an educational activity. In live activities, required information must be provided to the learner prior to initiation of the educational content. In enduring materials (print, electronic, or web-based activities), required information must be visible to the learner prior to the start of the educational content. Required information may not occur or be located at the end of an educational activity.

Required information for learners includes:

  • Approval statement of provider responsible for educational activity
  • Notice of requirements to receive contact hours: Learners are informed of the criteria that will be used to award contact hours, which may include, but are not limited to:
  • Actual time spent in the educational activity
  • Required attendance time at activity (e.g., 100% of activity, or miss no more than 10 minutes of activity)
  • Successful completion of post-test (e.g., attendee must score X% or higher)
  • Completed evaluation form
  • Return demonstration
  • Presence or absence of conflicts of interest for all individuals in a position to control content of the educational activity.
  • For individuals in a position to control content who have a relevant relationship with a commercial interest organization (conflict of interest is present), the following required information must be provided to learners: 
    • Name of individual
    • Name of commercial interest
    • Nature of the relationship the individual has with the commercial interest
  • For individuals in a position to control content who do not have a relevant relationship with a commercial interest organization, the activity Provider must inform learners that no conflict of interest exists.
  • Additional required information, if applicable, includes:
    • Commercial support: Learners must be informed if a commercial interest organization has provided financial or in-kind support for the educational activity.
    • Expiration of enduring materials: Educational activities provided through an enduring format (e.g., print, electronic, web-based) are required to include an expiration date documenting how long contact hours will be awarded.
    • Joint Providership: Learners must be informed of the Provider of the educational activity and all other organizations that participated in jointly planning the activity.

Note: There are additional requirements based on Ohio Board of Nursing rules for CE. Please review the appropriate chapter for the type of application you are submitting.

Faculty Directed Activities

This chapter has been developed to guide you in completing the application form for your Faculty Directed activity. More detailed information about different components of planning an activity can be found in Chapter 2.

A faculty directed CE activity involves participant attendance. It is distinguishable by the fact that the pace of the activity is determined by the provider who plans and schedules the activity. Contact hour credit awarded is based on the time allocated for the activity. Examples of faculty directed CE activities include but are not limited to conventions, courses, seminars, workshops, lecture series, and distance learning activities such as teleconferences and live audio conferences. The speaker(s) and participants are present at the same time; it is synchronous learning. Knowledge and use of adult learning principles should be reflected in all aspects of the educational design, i.e. objectives, content, teaching methods, etc.

Approval Period.  A Faculty Directed CE activity may be repeated as often as desired during the two year approval period unless substantial changes are made.

Fees:  See the Individual Activities webpage for current application fee structure.(www.ohnurses.org / Education). Fees are to be submitted with the application and are not refundable once the review process has begun. ONA reserves the right to change fees at any time without notice. Fees may be paid by check or credit card online (MasterCard, VISA). If requested, ONA will invoice you for the amount due.

ONA districts and local units are not required to pay the fee for the individual activity applications. The districts and local units must meet all other criteria as stated in this manual to obtain approval for their CE events.

Submission:  In order to provide adequate time for review, applications must be submitted at least 6 weeks prior to the presentation or release of the study.  Retroactive approval is never granted.

Eligibility for Approval of Individual CE Activities (adapted from 2015 Primary Accreditation Approver Application Manual from ANCC)

The individual activity applicant is defined as an individual, organization, or part of an organization submitting an educational activity for approval. The individual activity applicant must have at least one currently licensed registered nurse prepared at the baccalaureate degree level or higher in nursing who functions as the nurse planner for the activity. The nurse planner is responsible for ensuring that the educational activity is developed according to ONA guidelines, which are based on ANCC accreditation criteria and the Ohio Board of Nursing rules.

Those interested in submitting a CNE activity for approval from ONA must meet all eligibility requirements. ONA is responsible for ensuring that the applicant is eligible to apply. To be eligible to apply for activity approval, the applicant must:

  • Be administratively and operationally responsible for coordinating the entire process of planning, implementing, and delivering the CE activity
  • Have one nurse planner with a current, valid and unencumbered license as an RN and who has a baccalaureate degree or higher in nursing
  • Ensure a qualified nurse planner is an active participant in the planning, implementing, and evaluation process of the CE activity
  • Have a planning committee led by a nurse planner and one other committee member to plan each educational activity. The nurse planner is knowledgeable about the CE criteria and process as defined in this Manual and is responsible for adherence to ONA’s guidelines. One planning committee member needs to have appropriate subject matter expertise for the educational activity being offered. (The nurse planner can also be the content expert, but there must be at least 2 people on the planning committee.)
  • Ensure the nurse planner is responsible for ensuring completion and review of Conflict of Interest (COI) forms by each planning committee member, each faculty/presenter/author, and content reviewer (if applicable), to ensure appropriate qualifications and evaluation of actual or potential COI. (Note: Someone knowledgeable will need to first ascertain that the nurse planner has no conflict of interest.)
  • Not be a commercial interest as defined in the glossary and the American Nurses Credentialing Center’s Content Integrity Standards for Industry Support in Continuing Nursing Educational Activities (see Appendix)
  • Be in compliance with all applicable federal, state, and local laws and regulations that affect the organization’s ability to meet ANCC accreditation criteria and Ohio Board of Nursing rules
  • Disclose previous denials, suspensions, and/or revocations.

Educational Design Process

The individual activity applicant must have a clearly defined process for assessing needs as the basis for planning, implementing, and evaluating CE. CE activities are designed, planned, implemented, and evaluated in accordance with adult learning principles, professional education standards, and ethics.

Note: Review Chapter 2: Educational Design Process.

Application Form

The application form has multiple items that need a response. The following is a description of these items.

List the title of the activity. This title needs to appear the same throughout the application and all attachments such as the certificate, advertising, etc.

Commercial Entity

Identify if you are a Commercial Entity. A commercial entity is an organization that produces, distributes, markets or re-sells a product that is used on or by patients or is owned or controlled by a company that produces, markets, re-sells or distributes a product that is used on or by patients. A commercial entity is not eligible to apply for continuing education activity approval.

Planning committee and commercial entity: Identify if anyone on the planning committee is an employee or owner of a commercial entity AND the products of t he commercial entity are related to the topic of the activity. If yes, you are not eligible to apply. Note that this also applies to the spouse or significant other of the person on the planning committee.

Speaker/author and commercial entity: Identify if the speaker(s) or author(s) is an employee or owner of a commercial entity AND the products of the commercial entity are related to the topic of the activity. If yes, contact hours may not be approved for that person’s session. If this is the only speaker or author for the activity, the activity cannot be approved.  Note that this also applies to the spouse or significant other of the speaker or author.

NOTE: If you have questions, please feel free to contact the Director, CE Approver Unit at 614-448-1027.

Activity Information

List the number of contact hours you wish to provide for your activity.

Insert dates as appropriate for the Faculty Directed activity,

The date of the event is the date that you will provide the faculty directed presentation in the future. If you are uncertain about the date, you can state “To be scheduled.” Note: Contact hours may never be given retroactively. The application must be completed before the start of the event.

Check whether or not you are planning a CE activity for Ohio licensed nurses and/or other Ohio Board of Nursing (OBN) certificate holders that are specifically related to Ohio nursing law and rules. If you are planning to do a Category A activity, you must do the following:

  • The content for Category A must address current Ohio nursing law and rules specifically. For example, information might include the function and composition of the OBN, disciplinary process, standards (related to rules chapter 4), delegation (related to rules chapter 13), etc. Information about incident reports, legal cases such as malpractice, etc., are probably, in general, not related to 4723 Ohio Administrative Code (OAC) or Ohio Revised Code (ORC).
  • If you are a provider based outside of Ohio, you must get approval for Category A activities through an OBN approver such as ONA.
  • You must include the handouts, slides, etc. that the learner will receive for review.
  • The certificate must include the words “Category A” with the amount of contact hours related to it.
  • Category A content must be evaluated annually to ensure that it is still current.

Check whether or not this activity includes pharmacotherapeutics specifically designed for the APRN. If yes, be sure to describe the content and how much of it (time) is related to pharmacotherapeutics in the abstract section of the application.

Applicant Information

List the name of the organization applying for approval of the activity.

Identify the type of your organization from the list provided. This will contribute to the determination if you are a commercial entity and eligible to apply.

Check whether you have been denied approval or had approval revoked for nursing CE activities or provider unit approval by ONA OR by another approver (state or national). Describe the circumstances in which this occurred. Note: Previous denial does not automatically mean that you are ineligible to apply for this activity. Each situation will be explored.

Planning Committee, Faculty and Others

Nurse Planner

List the name and contact information for the nurse planner for this activity. Note: There is only one nurse planner for an activity. This person is an RN with an unencumbered nursing license, has a minimum of a baccalaureate degree in nursing or higher, and has knowledge of the CE criteria. S/he is responsible for adherence to CE criteria, rules and requirements.

  • Include information about the nurse planner’s job title/position, name of employer, and
  • RN license number including state in which s/he is registered.
  • Check all the ways that the nurse planner has developed knowledge of the CE criteria and planning process.
  • Upload the completed COI form for this person.

Identify Planning Committee

  1. List the name and credentials of each person on the planning committee. Upload their completed current conflict of interest (COI) forms. DO NOT include resumes or CVs.

There must be a planning committee for the activity. The planning committee must, at the minimum, consist of two people. Areas that must be represented on the planning committee include:

  1. One nurse planner responsible for the activity; and
  2. One person who has relevant content expertise.

As long as there are at least two people on the planning committee, one person can fill one or more of the required roles listed in items 1 and 2 above.

  1. In Ohio, one LPN if LPNs are expected in the target audience (For OBN system, 4723-14, OAC).
  2. If the activity is designed specifically for APRNs with prescriptive authority, then an APRN must be included on the planning committee.
  3. Content Reviewer: In some instances the planning committee may ask an expert in the content to review the speaker(s) slides, references and handouts to insure that there is no bias, that there is content integrity, and that the information is the best available evidence at the time of the presentation. This content reviewer will need to provide a COI form and to be evaluated for conflict of interest prior to engaging in the review of the content. The content reviewer is NOT a member of the planning committee. If a content reviewer has been used, list his/her name, credentials, role and upload the completed COI form.
  4. For independent studies: Feedback Personnel: Identify the person(s) providing feedback to the learner. (4723-14, OAC)

Note: The nurse planner is responsible for evaluating the presence or absence of conflicts of interest and resolving any identified actual or potential conflicts of interest during the planning of an educational activity. If the nurse planner has an actual or potential conflict of interest, he or she should excuse himself or herself from the role as nurse planner for the educational activity.

  1. Faculty/presenters.

While there is no documentation requirement regarding Faculty/Presenters’ expertise and qualifications, they should be able to address the content area they are presenting. Expertise in subject matter can be evaluated based on education, professional achievements and credentials, work experience, honors, awards, professional publications, etc. All presenters do not have to be nurses, but nurses should address nursing care and nursing implications. It is the nurse planner’s responsibility to ensure that the speakers are qualified. Upload current completed COI forms for each person.

The conflict of interest forms must be updated with each newly planned activity.

  • List name, credentials, position and employer.
  • Upload COI forms for each speaker.
  1. Non-Clinical topics and COI forms. If the topic to be presented is in no way related to clinical issues and there is absolutely no possibility of a conflict of interest occurring, then you do not need to collect completed COI forms from the planning committee and faculty/presenters/authors. It is the responsibility of the nurse planner to ensure that this is a non-clinical topic. Examples of a non-clinical topic might be leadership, communication styles, precepting, etc.
  • Check the attestation statement if this is applicable.

Assessment of Learner Needs and Target Audience

A. The professional practice gap (e.g. change in practice, problem in practice, or opportunity for improvement).

  1. Describe the learner’s current state. Describe what the problem or issue is.
  1. Describe the learner’s desired state. Describe what/how the nurse should know, know how to do or practice differently.

This criterion addresses WHAT. What is the issue that has created the stimulus for the request for the educational activity? There might be a problem in practice – the nurse is not doing something that s/he should be doing, or perhaps is doing something that should not be done. There might be a new opportunity for professional development – a national organization has issued new guidelines and nurses are not familiar with them.

One strategy to identify the professional practice gap is to ask “what is the current state” – where is the learner now – and “what is the desired state” – where should the learner be in relation to the issue at hand. While differentiating the current and desired states is not required in order to identify a professional practice gap, many nurse planners find it helpful. A gap analysis worksheet [see Appendix] is one resource that might be used to critically analyze a professional practice gap.

Identification of a professional practice gap is a critical first step in developing an educational activity, though it historically has been overlooked. Nurse planners often receive a request for an activity and immediately jump into planning logistics – when the class will be held, who will be the speaker, and what content will be covered. This can lead to wasted time, energy, and money on the part of both the activity planners and the learners, because the educational activity is often not targeted specifically to address the problem at hand – therefore, no change or improvement in practice occurs.

 B. Evidence to validate the professional practice gap.

  1. Check all methods /types of data sources that apply that validate the gap.
  2. Provide a brief summary of data gathered that validates the need for this activity. Describe why this problem exists.

This criterion addresses WHY. Why does the gap exist between where the learner is now and where s/he should be in relation to the issue? What factors are contributing to this gap? Are there knowledge deficits? Skill deficits? Difficulty in transferring what the nurse knows and is able to do into the practice setting?

Once the professional practice gap has been identified, the nurse planner, often in conjunction with the planning committee, completes a needs assessment to determine the cause for the disconnect between where the learner is and where s/he should be. This process may involve such things as observing practice behaviors, collecting data from risk managers, reviewing the literature for evidence of best practices, or doing pre-tests. Collecting and analyzing data helps to identify whether the immediate need for the learner is knowledge (gaining new knowledge or perhaps letting go of knowledge that is no longer current), skills (improving the ability to demonstrate competent performance), or application in practice. This critical step helps to assure that the educational intervention is targeted at the appropriate level to address the gap and therefore improve practice.

Failure to complete this step often results in implementation of inappropriate educational activities for two reasons. Picture this scenario: A critical care manager tells the educator that nurses are having difficulty with 12-leads. A class is held to teach 12-lead interpretation to experienced critical care nurses, only to find the nurses frustrated because they already knew this information – the problem they were having was related to communicating need for change in plans of care to other members of the healthcare team based on their findings. The educational need contributing to the practice gap was not technical knowledge, it was about communication. Properly addressing the “why” question helps to target the intervention at the appropriate level.

The other issue is that the needs assessment may show that the issue is not educational at all – it’s related to a policy and procedure that needs to be changed, equipment that is not available or not in working order, or staffing issues that preclude carrying out desired plans. Determining this as part of the needs assessment process again saves educators, learners and organizations time and money.

C. Check the educational need(s) that underlies the professional practice gap – knowledge, skill and/or practice. A gap in knowledge involves not knowing something. A gap in skill consists of having knowledge, but not knowing how to do something. A gap in practice involves having knowledge and the skill, but the inability to put it into actual practice.

D. Identify who the potential target audience is for this activity by checking all that apply. If checking RNS in specialty area, please list what the specialty area is. If checking other, describe what other is. The information about the target audience should be congruent with what is listed as the target audience on the advertising.

E. Identify what learning outcome you want the learner to achieve based on the information in items A 1 and 2 above. What will the learner know, show how to do, or plan to implement in practice as a result of participating in the educational activity? (Note: This outcome does not refer to what the provider will do to the learner, but what the learner can do at the end of the activity.) Be sure to write this outcome in measurable terms.

F. Area of Impact: Check whether this activity applies to or is related to nursing professional development or a patient outcome or both.

Content

The content needs to be developed based on the gap identified. The content must be reflective of continuing education principles, practice and needs of the target audience.

  • Provide an abstract describing the content that will be presented.

Category A: If presenting content related to Category A (Ohio nursing law and rules), the numeric citation of the appropriate law and/or rules must be cited with the content. A copy of the handouts and/or slides to be used for this topic must be included in the documentation file.

Pharmacology hours: If presenting content related to pharmacotherapeutics for APRNs, identify this specific content as well as the time allotted for it.

Copyright. If using material developed by others, it is the responsibility of the author(s) and nurse planner to ensure s/he has copyright permission to use the material.

Calculation of Contact Hours           .

Contact Hours: The appropriate measure of credit is the 60 minute contact hour.

Pharmacology Hours: If the activity is being planned specifically for APRNs with prescriptive authority and the content specifically addresses pharmacotherapeutics, the nurse planner needs to delineate the exact amount of time that is devoted to pharmacotherapeutics. This will allow the number of contact hours related to pharmacotherapeutics to be calculated correctly. The certificate would then include the number of contact hours to be awarded AND the number of Pharm hours. (e.g., 6 contact hours including 2 Pharm contact hours)

Category A Hours. If the activity or any portion of the activity is designed specifically to address Ohio nursing law and rules, then clearly identify how much time will be spent on this topic so that the appropriate number of Category A contact hours can be awarded.

  • Include the amount of time spent on introduction/welcome, content, testing/return demonstration, and evaluation in the application if the activity is two hours or less.
  • Include the agenda/schedule including evaluation time if the activity is more than two hours long.

Agenda/schedule and contact hours.  Contact hours are awarded to participants for those portions of the educational activity devoted to didactic or clinical experience and to evaluating the activity.

An agenda or schedule is needed if an activity is more than two hours long in order to determine the number of contact hours to be awarded to learners. The time spent on welcome, introductions of people vs. introduction to the topic, pre/post tests, breaks, and evaluation need to be clearly and separately stated. Welcomes, introductions to people and space, breaks and exhibits are not included in the calculation of contact hours. The topic, pre/post-tests, demonstration/return demonstration, and evaluation are included in the calculation of contact hours. Evaluation is considered part of the learning activity and needs to be included in the calculation of contact hours.

If the CE activity is two hours or less, a separate schedule does not need to be included.

The appropriate measure of credit is the 60 minute contact hour. A contact hour is 60 minutes of an organized learning activity, which is either a didactic or clinical experience. The minimum number of contact hours to be awarded is 0.5 (30 minutes). Contact hours may be calculated to the hundredths (i.e. 1.45, 0.91, etc.). They may not be rounded up! (e.g., 4.59 = 4.5 or 4.59, not 4.6)

A sample schedule might look like this:

8:00     Welcome & Introduction to facility

10 min. (not applicable NA)

8:10     Pre-test

20 min.

8:30     Session #1                   

100 min.

10:10   Break 

15 min. NA

10:25   Supervised Practice     

50 min.

11:15   Lunch & Exhibits

60 min. NA

12:15   Panel Discussion         

100 min.

1:55     Break   

15 min. NA

2:10    Session #3 – Pharmacology for APRNs

50 min.

3:00 – 3:30  Q&A, Evaluation & Conclusion

30 min.

 

350 min

350 min. divided by 60 = 5.83 contact hours including 0.83 Pharm hours

References

List References/Resources.  Content should be selected based on the most current available evidence. Documentation should support quality of evidence chosen for content. Examples include but are not limited to evidence-based practice, literature/peer-reviewed journals, clinical guidelines, best practices, and content expert/expert opinion.

The planning committee may provide the speaker/author with reference(s) about which they want the speaker/author to address in the content. For example, if the organization is seeking accreditation or certification in a particular area, the planning committee may share the standard(s)/criteria related to this process. The speaker(s) may also provide a list of references (bibliography) used in the preparation of the presentation so that the nurse planner and/or content reviewer can evaluate if the content is based on best available evidence.

Check all types of references used and list the sources of those references in the application. You can add a separate sheet to list the references if they do not fit into the application. Each citation should include title of article/book/video, author(s), date of publication, etc. If information is found on reputable websites, include the website address, what was reviewed on the website along with the date of the download. References should be within the past 5-7 years unless the reference is a classic that is still relevant or you are addressing a historical topic.

Learner Engagement Strategies

Identify Learner Engagement Strategies. Identify the strategies that will be used during the activity that will get the participant actively involved in learning. Check all that apply on the application. Note: There may be other strategies that would be appropriate that can be included under Other.

 

Criteria for Successful  Completion

Identify Criteria for Successful Completion: Check the criterion or criteria for successful completion that the learner must meet in order to get a certificate. These criteria must be consistent with the outcome, content and learner engagement strategies.

Notes: If an activity is only 30 minutes and attendance is required, then the person must attend the entire 30 minutes in order to get the certificate. If it is a Category A activity, then the learner would need to attend the full 60 minutes in order to get a one contact hour certificate.

Evaluation

Evaluation: Check the method(s) of evaluation for this activity.

It is an expectation that learners provide input into evaluation of each activity. The form of evaluation may vary depending upon the outcome expected, the content and learning engagement strategies. ANCC requires the evaluation be conducted at the level of identified educational need (knowledge, skill or application in practice). The Ohio Board of Nursing requires that there be a method of evaluation that addresses achievement of the outcome and the teaching effectiveness of each speaker. The planning committee may also decide to evaluate whether the participant gained knowledge at the conclusion of the activity through testing, a question (s) on the evaluation form, etc. The learner may also need to return demonstrate knowledge or skills such as in Fetal Monitoring or Basic EKG courses.

The planning committee must provide a copy of the evaluation methods.

Short term options of evaluation: Check all options that will be used for short term evaluation. This type of evaluation occurs during or at the very end of the program. It should demonstrate whether the need (knowledge, skill and/or practice) was closed or narrowed.

Long term options of evaluation. The nurse planner needs to decide if this activity’s outcome will be evaluated in the long-term, e.g. 3-6 months after the event. The key is looking to see if there is a change in nursing practice or nursing professional development. Check the option(s) that you intend to use if this is one of the outcomes for which you will conduct long term evaluation.

Commercial Support

  1. Check if you did not or will not get commercial support.
  2. If you are seeking support, you need to list the name of the commercial entity and provide a copy of the signed written agreement.
  • A commercial interest is defined by ANCC as any entity either producing, marketing, re-selling, or distributing healthcare goods or services consumed by, or used on , patients or an entity that is owned or controlled by an entity that produces, markets, re-sells or distributes healthcare goods or services consumed by, or used on, patients. Exceptions are made for non-profit or government organizations and non-healthcare related companies.
  • Commercial Support is financial or in-kind contributions given by a commercial interest that are used to pay for all or part of the costs of a CNE activity.
  • A provider of commercial support may not be on an educational planning committee, be a joint provider of the activity, or the provider of the activity.
  • If commercial support is provided for a CE activity, an employee from the organization providing commercial support may not be a speaker.
  • There must be a signed, written agreement if commercial support is accepted between the commercial entity and the provider.
  • Note: You are not required to have a commercial support agreement for those who are only exhibiting at the event.

The applicant must adhere to the American Nurses Credentialing Center’s Content Integrity Standards for Industry Support in Continuing Nursing Educational Activities at all times. These standards are listed in the appendices.

Joint providership

Joint providership occurs when two or more groups decide to plan and present a program together.

  1. Check if you are or are not jointly providing this activity.
  2. If you are, list who your joint provider is.
  3. Check that you will maintain the overall responsibility for the activity.
  4. Ensure your name is prominent on the advertising along with the joint providers.
  5. Attach the signed joint provider agreement.

When an activity is jointly provided, the provider is referred to as the provider of the educational activity. The other organization(s) are referred to as the joint provider(s) of the educational activity. The jointly providing organization may not be a commercial interest. The provider’s nurse planner must be on the planning committee and is responsible for ensuring adherence to ANCC criteria and the OBN rules.

When an educational activity is jointly provided, the nurse planner is responsible for:

  • The signed joint provider agreement (OBN requirement – OAC 4723-14)
  • Ensuring that the provider’s name is prominently displayed in all marketing material
  • The name(s) of the organizations acting as the joint provider(s)
  • Statement that the nurse planner will maintain responsibility for adherence to the criteria and rules
  • The certificate is issued in the name of the provider
  • Name and signature of the individual on behalf of the provider
  • Name and signature of the individual on behalf of the joint provider(s)
  • Date the agreement was signed

Advertising

Advertising Material: Include a copy of the advertising material(s).

Advertising material includes any method of announcing an educational activity. This may include a brochure, flyer, bulletin board announcement, newsletter, memo, e-mail, web site or other form of electronic method. The advertising material must be included with the application.  The advertising material may be the completed copy of a mock-up or the final material. If a mock-up of the advertising was used, the final copy of the advertising must be uploaded in the file as soon as it is printed.

If your advertising states that contact hours will be awarded for the activity, the following statement must also appear on that advertising.

Sample:

Participants who successfully complete the entire activity receive at least 75 % on the post-test and complete an evaluation form will earn 1 contact hour.   OR

This activity will provide 1 contact hour.

This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  (OBN-001-91)       

If advertising needs to be released prior to receiving approval AND you have submitted an application for approval, you may state:

This activity has been submitted to the Ohio Nurses Association for approval to award contact hours. The Ohio Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91) 

Please call xxxx at ### for more information about contact hours. (You would insert the name and contact information in your organization who will answer these questions.)

Disclosures

  • Check how disclosures will be made to the learner and include a copy of these written disclosures that are given to the learners before the start of the activity.

Disclosures provided to the Learner:

Learners must receive disclosure of required items prior to the start of an educational activity. In faculty directed activities, disclosures must be made to the learner prior to initiation of the educational content. In enduring print materials or web-based activities, disclosures must be visible to the learner prior to the start of the educational content. Required disclosures may not occur or be located at the end of an educational activity. Evidence of the disclosures to the learner must be retained in the activity file. Examples of how disclosures could be written are included in the appendix.

Disclosures always required include:

A. Notice of requirements for successful completion of the educational activity:

Prior to the start of an educational activity, learners must be informed of the criteria used to determine successful completion.  Note: These criteria need to be consistent with what you stated in the application.

B. Presence or absence of conflict of interest for planners, presenters, faculty, and content reviewers. Any influencing relationships, or lack thereof, of planners, presenters, faculty, authors, or content reviewers in relation to the educational activity. If anyone has a COI, the following information must be disclosed to the learner:

  • Name of individual
  • Name of commercial interest
  • Nature of the relationship the individual has with the commercial interest.

C. Notice of approval using the approval statement. Prior to the start of the event, the learner must be informed that your activity is approved by ONA. Use the approval statement as written under the Certificate section.

Disclosures required, if applicable, include:

D. Commercial Support. Learners must be informed if a commercial interest has provided financial or in-kind support for the educational activity.

E. Joint Providers. In addition to the provider, all joint providers must be disclosed to the learners.

Documentation of Completion/Certificate

A copy of the completed certificate or documentation of completion to be given to the learner must be uploaded. It must include the following information:

  • Name of learner
  • Name and address of provider of the educational activity (web address acceptable)
  • Title & date of completion of educational activity
  • Number of contact hours awarded
  • Official approval statement

This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  (OBN-001-91) 

Approval valid through (insert expiration date). Assigned ONA #

  • If the activity is designed for APRNs with prescriptive authority and provides content related to pharmacology and prescribing, then the number of pharmacology hours needs to be designated. (e.g., 6.0 contact hours including 3.0 Pharm hours.)
  • If the activity is or includes information about Category A (Ohio nursing law and rules), add the words “Category A” on the certificate and indicate how many contact hours are related to Category A. (e.g., 5 contact hours including 1 contact hour of Category A.)

Record Keeping

The applicant is required to maintain a complete copy of the application, all attachments and corrections, records of attendance, summative evaluation(s), contact hours awarded, and all correspondence with ONA. These records must be maintained in a retrievable file which is accessible to only authorized personnel for six years.

  • Check the response that you will keep these records.
  • List the address at which these records will be stored.

Payment:

There will be a section asking for payment of the application fee at the end of the application form. Please follow directions regarding how and what to pay for the application. 

Notes:

  • Refunds will not occur once the review process has begun.
  • Payment must be made prior to receipt of approval.
  • The application fee may be changed at any time.

Independent Study (IS) Educational Activities

This chapter has been developed to guide you in completing the application form for your IS activity. More detailed information about different components of planning an activity can be found in Chapter 2.

An independent study CE activity is designed for completion by learners, independently, at the learner’s own pace and at a time of the learner’s choice. The provider designs the educational activity and determines the amount of credit to be awarded. Examples of independent study activities include but are not limited to viewing videotapes or listening to audio tapes and completing post test questions; accessing on-line activities; reading selected article(s) and completing post-test questions; and learning and practicing skills independently in the activity and seeking an instructor to evaluate a return demonstration. Knowledge and use of adult learning principles should be reflected in all aspects of the educational design, i.e. learning outcomes, content, etc. Periodic review of evaluation feedback from learners is an important aspect of ongoing monitoring of effectiveness of the activity.

Approval Period.  An IS CE activity may be repeated as often as desired during the two year approval period unless substantial changes are made.

Fees:  See the Individual Activities webpage for current application fee structure.(www.ohnurses.org / Education). Fees are to be submitted with the application and are not refundable once the review process has begun. ONA reserves the right to change fees at any time without notice. Fees may be paid by check or credit card online (MasterCard, VISA). If requested, ONA will invoice you for the amount due.

ONA districts and local units are not required to pay the fee for the individual activity applications. The districts and local units must meet all other criteria as stated in this manual to obtain approval for their CE events.

Submission:  In order to provide adequate time for review, applications must be submitted at least 6 weeks prior to the release of the study.  Retroactive approval is never granted.

Eligibility for Approval of Individual CE Activities (adapted from 2015 Primary Accreditation Approver Application Manual from ANCC)

The individual activity applicant is defined as an individual, organization, or part of an organization submitting an educational activity for approval. The individual activity applicant must have at least one currently licensed registered nurse prepared at the baccalaureate degree level or higher in nursing who functions as the nurse planner for the activity. The nurse planner is responsible for ensuring that the educational activity is developed according to ONA guidelines, which are based on ANCC accreditation criteria and the Ohio Board of Nursing rules.

Those interested in submitting a CNE activity for approval from ONA must meet all eligibility requirements. ONA is responsible for ensuring that the applicant is eligible to apply. To be eligible to apply for activity approval, the applicant must:

  • Be administratively and operationally responsible for coordinating the entire process of planning, implementing, and delivering the CE activity
  • Have one nurse planner with a current, valid and unencumbered license as an RN and who has a baccalaureate degree or higher in nursing
  • Ensure a qualified nurse planner is an active participant in the planning, implementing, and evaluation process of the CE activity
  • Have a planning committee led by a nurse planner and one other committee member to plan each educational activity. The nurse planner is knowledgeable about the CE criteria and process as defined in this Manual and is responsible for adherence to ONA’s guidelines. One planning committee member needs to have appropriate subject matter expertise for the educational activity being offered. (The nurse planner can also be the content expert, but there must be at least 2 people on the planning committee.)
  • Ensure the nurse planner is responsible for ensuring completion and review of Conflict of Interest (COI) forms by each planning committee member, each faculty/presenter/author, and content reviewer (if applicable), to ensure appropriate qualifications and evaluation of actual or potential COI. (Note: Someone knowledgeable will need to first ascertain that the nurse planner has no conflict of interest.)
  • Not be a commercial interest as defined in the glossary and the American Nurses Credentialing Center’s Content Integrity Standards for Industry Support in Continuing Nursing Educational Activities (see Appendix)
  • Be in compliance with all applicable federal, state, and local laws and regulations that affect the organization’s ability to meet ANCC accreditation criteria and Ohio Board of Nursing rules
  • Disclose previous denials, suspensions, and/or revocations.

Educational Design Process

The individual activity applicant must have a clearly defined process for assessing needs as the basis for planning, implementing, and evaluating CE. CE activities are designed, planned, implemented, and evaluated in accordance with adult learning principles, professional education standards, and ethics.

Note: Review Chapter 2: Educational Design Process.

Application Form

The application form has multiple items that need a response. The following is a description of these items.

List the title of the activity. This title needs to appear the same throughout the application and all attachments such as the certificate, advertising, etc.

Commercial Entity

Identify if you are a Commercial Entity. A commercial entity is an organization that produces, distributes, markets or re-sells a product that is used on or by patients or is owned or controlled by a company that produces, markets, re-sells or distributes a product that is used on or by patients. A commercial entity is not eligible to apply for continuing education activity approval.

Planning committee and commercial entity: Identify if anyone on the planning committee is an employee or owner of a commercial entity AND the products of t he commercial entity are related to the topic of the activity. If yes, you are not eligible to apply. Note that this also applies to the spouse or significant other of the person on the planning committee.

Speaker/author and commercial entity: Identify if the speaker(s) or author(s) is an employee or owner of a commercial entity AND the products of the commercial entity are related to the topic of the activity. If yes, contact hours may not be approved for that person’s session. If this is the only speaker or author for the activity, the activity cannot be approved.  Note that this also applies to the spouse or significant other of the speaker or author.

NOTE: If you have questions, please feel free to contact the Director, CE Approver Unit at 614-448-1027.

Activity Information

List the number of contact hours you wish to provide for your activity.

Insert dates as appropriate for the Independent Study activity,

The date of the event is the start and ending date of the independent study. If you are uncertain about the date, you can state “To be scheduled.” Note: Contact hours may never be given retroactively. The application must be completed before the start of the event.

Check whether or not you are planning a CE activity for Ohio licensed nurses and/or other Ohio Board of Nursing (OBN) certificate holders that are specifically related to Ohio nursing law and rules. If you are planning to do a Category A activity, you must do the following:

  • The content for Category A must address current Ohio nursing law and rules specifically. For example, information might include the function and composition of the OBN, disciplinary process, standards (related to rules chapter 4), delegation (related to rules chapter 13), etc. Information about incident reports, legal cases such as malpractice, etc., are probably, in general, not related to 4723 Ohio Administrative Code (OAC) or Ohio Revised Code (ORC).
  • If you are a provider based outside of Ohio, you must get approval for Category A activities through an OBN approver such as ONA.
  • You must include the handouts, slides, etc. that the learner will receive for review.
  • The certificate must include the words “Category A” with the amount of contact hours related to it.
  • Category A content must be evaluated annually to ensure that it is still current.

Check whether or not this activity includes pharmacotherapeutics specifically designed for the APRN. If yes, be sure to describe the content and how much of it (time) is related to pharmacotherapeutics in the abstract section of the application.

Applicant Information

List the name of the organization applying for approval of the activity.

Identify the type of your organization from the list provided. This will contribute to the determination if you are a commercial entity and eligible to apply.

Check whether you have been denied approval or had approval revoked for nursing CE activities or provider unit approval by ONA OR by another approver (state or national). Describe the circumstances in which this occurred. Note: Previous denial does not automatically mean that you are ineligible to apply for this activity. Each situation will be explored.

Planning Committee, Authors and Others

Nurse Planner

List the name and contact information for the nurse planner for this activity. Note: There is only one nurse planner for an activity. This person is an RN with an unencumbered nursing license, has a minimum of a baccalaureate degree in nursing or higher, and has knowledge of the CE criteria. S/he is responsible for adherence to CE criteria, rules and requirements. – — 

  • Include information about the nurse planner’s job title/position, name of employer, and
  • RN license number including state in which s/he is registered.
  • Check all the ways that the nurse planner has developed knowledge of the CE criteria and planning process.
  • Upload the completed COI form for this person. 

Identify Planning Committee

  1. List the name and credentials of each person on the planning committee. Upload their completed current conflict of interest (COI) forms. DO NOT include resumes or CVs.

There must be a planning committee for the activity. The planning committee must, at the minimum, consist of two people. Areas that must be represented on the planning committee include:

  1. One nurse planner responsible for the activity; and
  2. One person who has relevant content expertise.

As long as there are at least two people on the planning committee, one person can fill one or more of the required roles listed in items 1 and 2 above.

  1. In Ohio, one LPN if LPNs are expected in the target audience (For OBN system, 4723-14, OAC).
  2. If the activity is designed specifically for APRNs with prescriptive authority, then an APRN must be included on the planning committee.
  3. Content Reviewer: In some instances the planning committee may ask an expert in the content to review the speaker(s) slides, references and handouts to insure that there is no bias, that there is content integrity, and that the information is the best available evidence at the time of the presentation. This content reviewer will need to provide a COI form and to be evaluated for conflict of interest prior to engaging in the review of the content. The content reviewer is NOT a member of the planning committee. If a content reviewer has been used, list his/her name, credentials, role and upload the completed COI form.
  4. For independent studies: Feedback Personnel: Identify the person(s) providing feedback to the learner. (4723-14, OAC)

Note: The nurse planner is responsible for evaluating the presence or absence of conflicts of interest and resolving any identified actual or potential conflicts of interest during the planning of an educational activity. If the nurse planner has an actual or potential conflict of interest, he or she should excuse himself or herself from the role as nurse planner for the educational activity.

While there is no documentation requirement regarding Authors’ expertise and qualifications, they should be able to address the content area they are presenting. Expertise in subject matter can be evaluated based on education, professional achievements and credentials, work experience, honors, awards, professional publications, etc. All presenters/authors do not have to be nurses, but nurses should address nursing care and nursing implications. It is the nurse planner’s responsibility to ensure that the speakers/authors are qualified. Upload current completed COI forms for each person.

The conflict of interest forms must be updated with each newly planned activity.

  • List name, credentials, position and employer.
  • Upload COI forms for each author.
  1. Non-Clinical topics and COI forms. If the topic to be presented is in no way related to clinical issues and there is absolutely no possibility of a conflict of interest occurring, then you do not need to collect completed COI forms from the planning committee and authors. It is the responsibility of the nurse planner to ensure that this is a non-clinical topic. Examples of a non-clinical topic might be leadership, communication styles, precepting, etc. 
  • Check the attestation statement if this is applicable.

Assessment of Learner Needs and Target Audience

A. The professional practice gap (e.g. change in practice, problem in practice, or opportunity for improvement).

  1. Describe the learner’s current state. Describe what the problem or issue is.
  1. Describe the learner’s desired state. Describe what/how the nurse should know, know how to do or practice differently.

This criterion addresses WHAT. What is the issue that has created the stimulus for the request for the educational activity? There might be a problem in practice – the nurse is not doing something that s/he should be doing, or perhaps is doing something that should not be done. There might be a new opportunity for professional development – a national organization has issued new guidelines and nurses are not familiar with them.

One strategy to identify the professional practice gap is to ask “what is the current state” – where is the learner now – and “what is the desired state” – where should the learner be in relation to the issue at hand. While differentiating the current and desired states is not required in order to identify a professional practice gap, many nurse planners find it helpful. A gap analysis worksheet [see Appendix] is one resource that might be used to critically analyze a professional practice gap.

Identification of a professional practice gap is a critical first step in developing an educational activity, though it historically has been overlooked. Nurse planners often receive a request for an activity and immediately jump into planning logistics – when the class will be held, who will be the speaker, and what content will be covered. This can lead to wasted time, energy, and money on the part of both the activity planners and the learners, because the educational activity is often not targeted specifically to address the problem at hand – therefore, no change or improvement in practice occurs.

B. Evidence to validate the professional practice gap.

  1. Check all methods /types of data sources that apply that validate the gap.
  2. Provide a brief summary of data gathered that validates the need for this activity. Describe why this problem exists.

This criterion addresses WHY. Why does the gap exist between where the learner is now and where s/he should be in relation to the issue? What factors are contributing to this gap? Are there knowledge deficits? Skill deficits? Difficulty in transferring what the nurse knows and is able to do into the practice setting?

Once the professional practice gap has been identified, the nurse planner, often in conjunction with the planning committee, completes a needs assessment to determine the cause for the disconnect between where the learner is and where s/he should be. This process may involve such things as observing practice behaviors, collecting data from risk managers, reviewing the literature for evidence of best practices, or doing pre-tests. Collecting and analyzing data helps to identify whether the immediate need for the learner is knowledge (gaining new knowledge or perhaps letting go of knowledge that is no longer current), skills (improving the ability to demonstrate competent performance), or application in practice. This critical step helps to assure that the educational intervention is targeted at the appropriate level to address the gap and therefore improve practice.

Failure to complete this step often results in implementation of inappropriate educational activities for two reasons. Picture this scenario: A critical care manager tells the educator that nurses are having difficulty with 12-leads. A class is held to teach 12-lead interpretation to experienced critical care nurses, only to find the nurses frustrated because they already knew this information – the problem they were having was related to communicating need for change in plans of care to other members of the healthcare team based on their findings. The educational need contributing to the practice gap was not technical knowledge, it was about communication. Properly addressing the “why” question helps to target the intervention at the appropriate level.

The other issue is that the needs assessment may show that the issue is not educational at all – it’s related to a policy and procedure that needs to be changed, equipment that is not available or not in working order, or staffing issues that preclude carrying out desired plans. Determining this as part of the needs assessment process again saves educators, learners and organizations time and money.

C. Check the educational need(s) that underlies the professional practice gap – knowledge, skill and/or practice. A gap in knowledge involves not knowing something. A gap in skill consists of having knowledge, but not knowing how to do something. A gap in practice involves having knowledge and the skill, but the inability to put it into actual practice.

D. Identify who the potential target audience is for this activity by checking all that apply. If checking RNS in specialty area, please list what the specialty area is. If checking other, describe what other is. The information about the target audience should be congruent with what is listed as the target audience on the advertising.

E. Identify what learning outcome you want the learner to achieve based on the information in items A 1 and 2 above. What will the learner know, show how to do, or plan to implement in practice as a result of participating in the educational activity? (Note: This outcome does not refer to what the provider will do to the learner, but what the learner can do at the end of the activity.) Be sure to write this outcome in measurable terms.

F. Area of Impact: Check whether this activity applies to or is related to nursing professional development or a patient outcome or both.

Content

The content needs to be developed based on the gap identified. The content must be reflective of continuing education principles, practice and needs of the target audience.

  • Provide an abstract describing the content that will be presented for the independent study. In addition, include the following:
  • A description of what is included in the independent study package which includes an outline of all activities of the learner, materials needed to complete the study, and how the learner will get assistance with resources or interact with the provider of the independent study. (OAC 4723-14)
  • A description of how the effectiveness of the study was assessed prior to its use by learners, the results of that assessment, and the changes made based on the assessment prior to making the study available to learners (OAC 4723-14).

Note: If the independent study expires and it is being reviewed again for another period, the people who have completed the study during the past period become the pilot group. You need to describe how many took the study during the past period, what comments/suggestions they had, what problems they had with the post-test (if applicable), how long it took them to complete the study, and how you have changed the independent study based on the findings. It is not appropriate to use the initial pilot information for the sections on effectiveness of the study and rationale for contact hours in this re-application.

Category A: If presenting content related to Category A (Ohio nursing law and rules), the numeric citation of the appropriate law and/or rules must be cited with the content. A copy of the handouts and/or slides to be used for this topic must be included in the documentation file.

Pharmacology hours: If presenting content related to pharmacotherapeutics for APRNs, identify this specific content as well as the time allotted for it.

Copyright. If using material developed by others, it is the responsibility of the author(s) and nurse planner to ensure s/he has copyright permission to use the material.

Calculation of Contact Hours           .

Contact Hours: The appropriate measure of credit is the 60 minute contact hour.

Pharmacology Hours: If the activity is being planned specifically for APRNs with prescriptive authority and the content specifically addresses pharmacotherapeutics, the nurse planner needs to delineate the exact amount of time that is devoted to pharmacotherapeutics. This will allow the number of contact hours related to pharmacotherapeutics to be calculated correctly. The certificate would then include the number of contact hours to be awarded AND the number of Pharm hours. (e.g., 6 contact hours including 2 Pharm contact hours)

Category A Hours. If the activity or any portion of the activity is designed specifically to address Ohio nursing law and rules, then clearly identify how much time will be spent on this topic so that the appropriate number of Category A contact hours can be awarded.

Independent Study Contact Hour Calculation

Contact hours are determined in a logical and defensible manner, consistent with the objectives, content, teaching/learning strategies, and target audience. The rationale used to determine the number of contact hours to be awarded needs to be described. For example: Was a pilot study done? Was the determination made based on historical data? (For example, has an independent study of the same length and complexity been included in each monthly newsletter and it consistently takes learners “x” amount of time to complete it?) Is complexity of the content and data determined? If yes, how? Was a recognized formula such as the Mergener Formula used for written materials?

Participants in the pilot study may receive contact hours for their participation once the pilot study is completed and the appropriate number of contact hours to be awarded has been determined.

  • Describe the method for calculating the contact hours and show evidence of how contact hours were calculated.

 

References

List References/Resources.  Content should be selected based on the most current available evidence. Documentation should support quality of evidence chosen for content. Examples include but are not limited to evidence-based practice, literature/peer-reviewed journals, clinical guidelines, best practices, and content expert/expert opinion.

The planning committee may provide the speaker/author with reference(s) about which they want the speaker/author to address in the content. For example, if the organization is seeking accreditation or certification in a particular area, the planning committee may share the standard(s)/criteria related to this process. The speaker(s) may also provide a list of references (bibliography) used in the preparation of the presentation so that the nurse planner and/or content reviewer can evaluate if the content is based on best available evidence.

Check all types of references used and list the sources of those references in the application. You can add a separate sheet to list the references if they do not fit into the application. Each citation should include title of article/book/video, author(s), date of publication, etc. If information is found on reputable websites, include the website address, what was reviewed on the website along with the date of the download. References should be within the past 5-7 years unless the reference is a classic that is still relevant or you are addressing a historical topic.

Learner Engagement Strategies

Identify Learner Engagement Strategies. Identify the strategies that will be used during the activity that will get the participant actively involved in learning. Check all that apply on the application. Note: There may be other strategies that would be appropriate that can be included under Other.

Criteria for Successful  Completion

Identify Criteria for Successful Completion: Check the criterion or criteria for successful completion that the learner must meet in order to get a certificate. These criteria must be consistent with the outcome, content and learner engagement strategies.

Evaluation

Evaluation: Check the method(s) of evaluation for this activity.

It is an expectation that learners provide input into evaluation of each activity. The form of evaluation may vary depending upon the outcome expected, the content and learning engagement strategies. ANCC requires the evaluation be conducted at the level of identified educational need (knowledge, skill or application in practice). The Ohio Board of Nursing requires that there be a method of evaluation that addresses achievement of the outcome and the teaching effectiveness of each speaker. The planning committee may also decide to evaluate whether the participant gained knowledge at the conclusion of the activity through testing, a question (s) on the evaluation form, etc. The learner may also need to return demonstrate knowledge or skills such as in Fetal Monitoring or Basic EKG courses.

The planning committee must provide a copy of the evaluation methods.

Short term options of evaluation: Check all options that will be used for short term evaluation. This type of evaluation occurs during or at the very end of the program. It should demonstrate whether the need (knowledge, skill and/or practice) was closed or narrowed.

Long term options of evaluation. The nurse planner needs to decide if this activity’s outcome will be evaluated in the long-term, e.g. 3-6 months after the event. The key is looking to see if there is a change in nursing practice or nursing professional development. Check the option(s) that you intend to use if this is one of the outcomes for which you will conduct long term evaluation.

 

Commercial Support

  1. Check if you did not or will not get commercial support.
  2. If you are seeking support, you need to list the name of the commercial entity and provide a copy of the signed written agreement.
  • A commercial interest is defined by ANCC as any entity either producing, marketing, re-selling, or distributing healthcare goods or services consumed by, or used on , patients or an entity that is owned or controlled by an entity that produces, markets, re-sells or distributes healthcare goods or services consumed by, or used on, patients. Exceptions are made for non-profit or government organizations and non-healthcare related companies.
  • Commercial Support is financial or in-kind contributions given by a commercial interest that are used to pay for all or part of the costs of a CNE activity.
  • A provider of commercial support may not be on an educational planning committee, be a joint provider of the activity, or the provider of the activity.
  • If commercial support is provided for a CE activity, an employee from the organization providing commercial support may not be a speaker.
  • There must be a signed, written agreement if commercial support is accepted between the commercial entity and the provider.
  • Note: You are not required to have a commercial support agreement for those who are only exhibiting at the event.

The applicant must adhere to the American Nurses Credentialing Center’s Content Integrity Standards for Industry Support in Continuing Nursing Educational Activities at all times. These standards are listed in the appendices.

Joint providership

Joint providership occurs when two or more groups decide to plan and present a program together.

  1. Check if you are or are not jointly providing this activity.
  2. If you are, list who your joint provider is.
  3. Check that you will maintain the overall responsibility for the activity.
  4. Ensure your name is prominent on the advertising along with the joint providers.
  5. Attach the signed joint provider agreement.

When an activity is jointly provided, the provider is referred to as the provider of the educational activity. The other organization(s) are referred to as the joint provider(s) of the educational activity. The jointly providing organization may not be a commercial interest. The provider’s nurse planner must be on the planning committee and is responsible for ensuring adherence to ANCC criteria and the OBN rules.

When an educational activity is jointly provided, the nurse planner is responsible for:

  • The signed joint provider agreement (OBN requirement – OAC 4723-14)
  • Ensuring that the provider’s name is prominently displayed in all marketing material
  • The name(s) of the organizations acting as the joint provider(s)
  • Statement that the nurse planner will maintain responsibility for adherence to the criteria and rules
  • The certificate is issued in the name of the provider
  • Name and signature of the individual on behalf of the provider
  • Name and signature of the individual on behalf of the joint provider(s)
  • Date the agreement was signed

Advertising

Advertising Material: Include a copy of the advertising material(s).

Advertising material includes any method of announcing an educational activity. This may include a brochure, flyer, bulletin board announcement, newsletter, memo, e-mail, web site or other form of electronic method. The advertising material must be included with the application.  The advertising material may be the completed copy of a mock-up or the final material. If a mock-up of the advertising was used, the final copy of the advertising must be uploaded in the file as soon as it is printed.

If your advertising states that contact hours will be awarded for the activity, the following statement must also appear on that advertising.

Sample:

Participants who successfully complete the entire activity receive at least 75 % on the post-test and complete an evaluation form will earn 1 contact hour.   OR

This activity will provide 1 contact hour.

This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  (OBN-001-91)         

If advertising needs to be released prior to receiving approval AND you have submitted an application for approval, you may state:

This activity has been submitted to the Ohio Nurses Association for approval to award contact hours. The Ohio Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)

Please call xxxx at ### for more information about contact hours. (You would insert the name and contact information in your organization who will answer these questions.)

Disclosures

  • Check how disclosures will be made to the learner and include a copy of these written disclosures that are given to the learners before the start of the activity.

Disclosures provided to the Learner:

Learners must receive disclosure of required items prior to the start of an educational activity. In faculty directed activities, disclosures must be made to the learner prior to initiation of the educational content. In enduring print materials or web-based activities, disclosures must be visible to the learner prior to the start of the educational content. Required disclosures may not occur or be located at the end of an educational activity. Evidence of the disclosures to the learner must be retained in the activity file. Examples of how disclosures could be written are included in the appendix.

Disclosures always required include:

A. Notice of requirements for successful completion of the educational activity:

Prior to the start of an educational activity, learners must be informed of the criteria used to determine successful completion.  Note: These criteria need to be consistent with what you stated in the application.

B. Presence or absence of conflict of interest for planners, presenters, faculty, authors, and content reviewers. Any influencing relationships, or lack thereof, of planners, presenters, faculty, authors, or content reviewers in relation to the educational activity. If anyone has a COI, the following information must be disclosed to the learner:

  • Name of individual
  • Name of commercial interest
  • Nature of the relationship the individual has with the commercial interest.

C. Notice of approval using the approval statement. Prior to the start of the event, the learner must be informed that your activity is approved by ONA. Use the approval statement as written under the Certificate section.

Disclosures required, if applicable, include:

D. Commercial Support. Learners must be informed if a commercial interest has provided financial or in-kind support for the educational activity.

E. Joint Providers. In addition to the provider, all joint providers must be disclosed to the learners.

F. Expiration date. Learners must be informed how long the independent study/enduring material is available to be completed. The period of expiration of enduring material should be based on the content of the material but cannot exceed two years.

Note: If the independent study is a Category A program, then the author and nurse planner should review it annually to ensure that the OBN rules have not changed. If they have, then the independent study needs to be revised.

Documentation of Completion/Certificate

A copy of the completed certificate or documentation of completion to be given to the learner must be uploaded. It must include the following information:

  • Name of learner
  • Name and address of provider of the educational activity (web address acceptable)
  • Title & date of completion of educational activity
  • Number of contact hours awarded
  • Official approval statement

This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  (OBN-001-91)

Approval valid through (insert expiration date). Assigned ONA #

  • If the activity is designed for APRNs with prescriptive authority and provides content related to pharmacology and prescribing, then the number of pharmacology hours needs to be designated. (e.g., 6.0 contact hours including 3.0 Pharm hours.)
  • If the activity is or includes information about Category A (Ohio nursing law and rules), add the words “Category A” on the certificate and indicate how many contact hours are related to Category A. (e.g., 5 contact hours including 1 contact hour of Category A.)

Record Keeping

The applicant is required to maintain a complete copy of the application, all attachments and corrections, records of attendance, summative evaluation(s), contact hours awarded, and all correspondence with ONA. These records must be maintained in a retrievable file which is accessible to only authorized personnel for six years.

  • Check the response that you will keep these records.
  • List the address at which these records will be stored.

Payment:

There will be a section asking for payment of the application fee at the end of the application form. Please follow directions regarding how and what to pay for the application. 

Note:

  • Refunds will not occur once the review process has begun.
  • Payment must be made prior to receipt of approval.
  • The application fee may be changed at any time.

Blended Educational Activities

This chapter has been developed to guide you in completing the application form for your blended activity. More detailed information about different components of planning an activity can be found in Chapter 2.

A blended learning activity is a combination of both independent study and faculty directed processes. For example, the learner needs to review information online prior to the program to learn principles about a topic and then come to class to actually apply the information.

A faculty directed CE activity involves participant attendance. It is distinguishable by the fact that the pace of the activity is determined by the provider who plans and schedules the activity. Contact hour credit awarded is based on the time allocated for the activity. Examples of faculty directed CE activities include but are not limited to conventions, courses, seminars, workshops, lecture series, and distance learning activities such as teleconferences and live audio conferences. The speaker(s) and participants are present at the same time; it is synchronous learning. Knowledge and use of adult learning principles should be reflected in all aspects of the educational design, i.e. objectives, content, teaching methods, etc.

An independent study CE activity is designed for completion by learners, independently, at the learner’s own pace and at a time of the learner’s choice. The provider designs the educational activity and determines the amount of credit to be awarded. Examples of independent study activities include but are not limited to viewing videotapes or listening to audio tapes and completing post test questions; accessing on-line activities; reading selected article(s) and completing post-test questions; and learning and practicing skills independently in the activity and seeking an instructor to evaluate a return demonstration. Knowledge and use of adult learning principles should be reflected in all aspects of the educational design, i.e. learning outcomes, content, etc. Periodic review of evaluation feedback from learners is an important aspect of ongoing monitoring of effectiveness of the activity.

Approval Period

A blended CE activity may be repeated as often as desired during the two year approval period unless substantial changes are made.

Fees

See the Individual Activities webpage for current application fee structure. (www.ohnurses.org / Education). Fees are to be submitted with the application and are not refundable once the review process has begun. ONA reserves the right to change fees at any time without notice. Fees may be paid by check or credit card online (MasterCard, VISA). If requested, ONA will invoice you for the amount due.

ONA districts and local units are not required to pay the fee for the individual activity applications. The districts and local units must meet all other criteria as stated in this manual to obtain approval for their CE events.

Submission

In order to provide adequate time for review, applications must be submitted at least 6 weeks prior to the presentation or release of the study.  Retroactive approval is never granted.

Eligibility for Approval of Individual CE Activities

(adapted from 2015 Primary Accreditation Approver Application Manual from ANCC)

The individual activity applicant is defined as an individual, organization, or part of an organization submitting an educational activity for approval. The individual activity applicant must have at least one currently licensed registered nurse prepared at the baccalaureate degree level or higher in nursing who functions as the nurse planner for the activity. The nurse planner is responsible for ensuring that the educational activity is developed according to ONA guidelines, which are based on ANCC accreditation criteria and the Ohio Board of Nursing rules.

Those interested in submitting a CNE activity for approval from ONA must meet all eligibility requirements. ONA is responsible for ensuring that the applicant is eligible to apply. To be eligible to apply for activity approval, the applicant must:

  • Be administratively and operationally responsible for coordinating the entire process of planning, implementing, and delivering the CE activity
  • Have one nurse planner with a current, valid and unencumbered license as an RN and who has a baccalaureate degree or higher in nursing
  • Ensure a qualified nurse planner is an active participant in the planning, implementing, and evaluation process of the CE activity
  • Have a planning committee led by a nurse planner and one other committee member to plan each educational activity. The nurse planner is knowledgeable about the CE criteria and process as defined in this Manual and is responsible for adherence to ONA’s guidelines. One planning committee member needs to have appropriate subject matter expertise for the educational activity being offered. (The nurse planner can also be the content expert, but there must be at least 2 people on the planning committee.)
  • Ensure the nurse planner is responsible for ensuring completion and review of Conflict of Interest (COI) forms by each planning committee member, each faculty/presenter/author, and content reviewer (if applicable), to ensure appropriate qualifications and evaluation of actual or potential COI. (Note: Someone knowledgeable will need to first ascertain that the nurse planner has no conflict of interest.)
  • Not be a commercial interest as defined in the glossary and the American Nurses Credentialing Center’s Content Integrity Standards for Industry Support in Continuing Nursing Educational Activities (see Appendix)
  • Be in compliance with all applicable federal, state, and local laws and regulations that affect the organization’s ability to meet ANCC accreditation criteria and Ohio Board of Nursing rules
  • Disclose previous denials, suspensions, and/or revocations.

Educational Design Process

The individual activity applicant must have a clearly defined process for assessing needs as the basis for planning, implementing, and evaluating CE. CE activities are designed, planned, implemented, and evaluated in accordance with adult learning principles, professional education standards, and ethics.

Note: Review Chapter 2: Educational Design Process.

Application Form

The application form has multiple items that need a response. The following is a description of these items.

List the title of the activity.

This title needs to appear the same throughout the application and all attachments such as the certificate, advertising, etc.

Commercial Entity: 

Identify if you are a Commercial Entity. A commercial entity is an organization that produces, distributes, markets or re-sells a product that is used on or by patients or is owned or controlled by a company that produces, markets, re-sells or distributes a product that is used on or by patients. A commercial entity is not eligible to apply for continuing education activity approval.

Planning committee and commercial entity:

Identify if anyone on the planning committee is an employee or owner of a commercial entity AND the products of t he commercial entity are related to the topic of the activity. If yes, you are not eligible to apply. Note that this also applies to the spouse or significant other of the person on the planning committee.

Speaker/author and commercial entity:

Identify if the speaker(s) or author(s) is an employee or owner of a commercial entity AND the products of the commercial entity are related to the topic of the activity. If yes, contact hours may not be approved for that person’s session. If this is the only speaker or author for the activity, the activity cannot be approved.  Note that this also applies to the spouse or significant other of the speaker or author.

NOTE: If you have questions, please feel free to contact the Director, CE Approver Unit at 614-448-1027.

Activity Information

  • List the number of contact hours you wish to provide for your activity.
  • Insert dates as appropriate for the Faculty Directed and Independent Study components of this Blended activity,
  • The date of the event is the date that you will provide the faculty directed presentation in the future or start and ending date of the independent study. If you are uncertain about the date, you can state “To be scheduled.” Note: Contact hours may never be given retroactively. The application must be completed before the start of the event.
  • Check whether or not you are planning a CE activity for Ohio licensed nurses and/or other Ohio Board of Nursing (OBN) certificate holders that are specifically related to Ohio nursing law and rules. If you are planning to do a Category A activity, you must do the following:
    • The content for Category A must address current Ohio nursing law and rules specifically. For example, information might include the function and composition of the OBN, disciplinary process, standards (related to rules chapter 4), delegation (related to rules chapter 13), etc. Information about incident reports, legal cases such as malpractice, etc., are probably, in general, not related to 4723 Ohio Administrative Code (OAC) or Ohio Revised Code (ORC).
    • If you are a provider based outside of Ohio, you must get approval for Category A activities through an OBN approver such as ONA.
    • You must include the handouts, slides, etc. that the learner will receive for review.
    • The certificate must include the words “Category A” with the amount of contact hours related to it.
    • Category A content must be evaluated annually to ensure that it is still current.
  • Check whether or not this activity includes pharmacotherapeutics specifically designed for the APRN. If yes, be sure to describe the content and how much of it (time) is related to pharmacotherapeutics in the abstract section of the application.

Applicant Information

  • List the name of the organization applying for approval of the activity.
  • Identify the type of your organization from the list provided. This will contribute to the determination if you are a commercial entity and eligible to apply.
  • Check whether you have been denied approval or had approval revoked for nursing CE activities or provider unit approval by ONA OR by another approver (state or national). Describe the circumstances in which this occurred. Note: Previous denial does not automatically mean that you are ineligible to apply for this activity. Each situation will be explored.

Planning Committee, Faculty, Authors, and Others

Nurse Planner

List the name and contact information for the nurse planner for this activity. Note: There is only one nurse planner for an activity. This person is an RN with an unencumbered nursing license, has a minimum of a baccalaureate degree in nursing or higher, and has knowledge of the CE criteria. S/he is responsible for adherence to CE criteria, rules and requirements. – — 

  • Include information about the nurse planner’s job title/position, name of employer, and
  • RN license number including state in which s/he is registered.
  • Check all the ways that the nurse planner has developed knowledge of the CE criteria and planning process.
  • Upload the completed COI form for this person.

Identify Planning Committee

A.           List the name and credentials of each person on the planning committee. Upload their completed current conflict of interest (COI) forms.  DO NOT include resumes or CVs.

There must be a planning committee for the activity. The planning committee must, at the minimum, consist of two people. Areas that must be represented on the planning committee include:

1.            One nurse planner responsible for the activity; and

2.            One person who has relevant content expertise.

As long as there are at least two people on the planning committee, one person can fill one or more of the required roles listed in items 1 and 2 above.

3.            In Ohio, one LPN if LPNs are expected in the target audience (For OBN system, 4723-14, OAC).

4.            If the activity is designed specifically for APRNs with prescriptive authority, then an APRN must be included on the planning committee.

5.            Content Reviewer: In some instances the planning committee may ask an expert in the content to review the speaker(s) slides, references and handouts to insure that there is no bias, that there is content integrity, and that the information is the best available evidence at the time of the presentation. This content reviewer will need to provide a COI form and to be evaluated for conflict of interest prior to engaging in the review of the content. The content reviewer is NOT a member of the planning committee. If a content reviewer has been used, list his/her name, credentials, role  and upload the completed COI form.

6.            For independent studies: Feedback Personnel: Identify the person(s) providing feedback to the learner.  (4723-14, OAC)

Note: The nurse planner is responsible for evaluating the presence or absence of conflicts of interest and resolving any identified actual or potential conflicts of interest during the planning of an educational activity. If the nurse planner has an actual or potential conflict of interest, he or she should excuse himself or herself from the role as nurse planner for the educational activity.

B.           Faculty/presenters/authors.  

While there is no documentation requirement regarding Faculty/Presenters/Authors’ expertise and qualifications, they should be able to address the content area they are presenting. Expertise in subject matter can be evaluated based on education, professional achievements and credentials, work experience, honors, awards, professional publications, etc. All presenters do not have to be nurses, but nurses should address nursing care and nursing implications. It is the nurse planner’s responsibility to ensure that the speakers are qualified. Upload current completed COI forms for each person.

The conflict of interest forms must be updated with each newly planned activity.

–          List name, credentials, position and employer.

–          Upload COI forms for each speaker/author.

C.           Non-Clinical topics and COI forms. If the topic to be presented is in no way related to clinical issues and there is absolutely no possibility of a conflict of interest occurring, then you do not need to collect completed COI forms from the planning committee and faculty/presenters/authors. It is the responsibility of the nurse planner to ensure that this is a non-clinical topic. Examples of a non-clinical topic might be leadership, communication styles, precepting, etc.

–          Check the attestation statement if this is applicable.

Assessment of Learner Needs and Target Audience

A.     The professional practice gap (e.g. change in practice, problem in practice, or opportunity for improvement).

1.     Describe the learner’s current state. Describe what the problem or issue is.

2.     Describe the learner’s desired state. Describe what/how the nurse should know, know how to do or practice differently.

This criterion addresses WHAT. What is the issue that has created the stimulus for the request for the educational activity? There might be a problem in practice – the nurse is not doing something that s/he should be doing, or perhaps is doing something that should not be done. There might be a new opportunity for professional development – a national organization has issued new guidelines and nurses are not familiar with them.

One strategy to identify the professional practice gap is to ask “what is the current state” – where is the learner now – and “what is the desired state” – where should the learner be in relation to the issue at hand. While differentiating the current and desired states is not required in order to identify a professional practice gap, many nurse planners find it helpful. A gap analysis worksheet [see Appendix] is one resource that might be used to critically analyze a professional practice gap.

Identification of a professional practice gap is a critical first step in developing an educational activity, though it historically has been overlooked. Nurse planners often receive a request for an activity and immediately jump into planning logistics – when the class will be held, who will be the speaker, and what content will be covered. This can lead to wasted time, energy, and money on the part of both the activity planners and the learners, because the educational activity is often not targeted specifically to address the problem at hand – therefore, no change or improvement in practice occurs.

B.           Evidence to validate the professional practice gap.

1.            Check all methods /types of data sources that apply that validate the gap.

2.            Provide a brief summary of data gathered that validates the need for this activity. Describe why this problem exists.

This criterion addresses WHY. Why does the gap exist between where the learner is now and where s/he should be in relation to the issue? What factors are contributing to this gap? Are there knowledge deficits? Skill deficits? Difficulty in transferring what the nurse knows and is able to do into the practice setting?

Once the professional practice gap has been identified, the nurse planner, often in conjunction with the planning committee, completes a needs assessment to determine the cause for the disconnect between where the learner is and where s/he should be. This process may involve such things as observing practice behaviors, collecting data from risk managers, reviewing the literature for evidence of best practices, or doing pre-tests. Collecting and analyzing data helps to identify whether the immediate need for the learner is knowledge (gaining new knowledge or perhaps letting go of knowledge that is no longer current), skills (improving the ability to demonstrate competent performance), or application in practice. This critical step helps to assure that the educational intervention is targeted at the appropriate level to address the gap and therefore improve practice.

Failure to complete this step often results in implementation of inappropriate educational activities for two reasons. Picture this scenario: A critical care manager tells the educator that nurses are having difficulty with 12-leads. A class is held to teach 12-lead interpretation to experienced critical care nurses, only to find the nurses frustrated because they already knew this information – the problem they were having was related to communicating need for change in plans of care to other members of the healthcare team based on their findings. The educational need contributing to the practice gap was not technical knowledge, it was about communication. Properly addressing the “why” question helps to target the intervention at the appropriate level.

The other issue is that the needs assessment may show that the issue is not educational at all – it’s related to a policy and procedure that needs to be changed, equipment that is not available or not in working order, or staffing issues that preclude carrying out desired plans. Determining this as part of the needs assessment process again saves educators, learners and organizations time and money.

C.           Check the educational need(s) that underlies the professional practice gap – knowledge, skill and/or practice. A gap in knowledge involves not knowing something. A gap in skill consists of having knowledge, but not knowing how to do something. A gap in practice involves having knowledge and the skill, but the inability to put it into actual practice.

D.           Identify who the potential target audience is for this activity by checking all that apply. If checking RNS in specialty area, please list what the specialty area is. If checking other, describe what other is. The information about the target audience should be congruent with what is listed as the target audience on the advertising.

 

E.            Identify what learning outcome you want the learner to achieve based on the information in items A 1 and 2 above.  What will the learner know, show how to do, or plan to implement in practice as a result of participating in the educational activity? (Note: This outcome does not refer to what the provider will do to the learner, but what the learner can do at the end of the activity.) Be sure to write this outcome in measurable terms.

F.            Area of Impact: Check whether this activity applies to or is related to nursing professional development or a patient outcome or both.

Content

The content needs to be developed based on the gap identified. The content must be reflective of continuing education principles, practice and needs of the target audience.

A.           Provide an abstract describing the content that will be presented for the live portion (faculty directed activity).

B.           Provide an abstract describing the content that will be presented for the independent study portion of this activity. In addition, include the following:

  • A description of what is included in the independent study package which includes an outline of all activities of the learner, materials needed to complete the study, and how the learner will get assistance with resources or interact with the provider of the independent study. (OAC 4723-14)
  • A description of how the effectiveness of the study was assessed prior to its use by learners, the results of that assessment, and the changes made based on the assessment prior to making the study available to learners (OAC 4723-14).

Note: If the independent study expires and it is being reviewed again for another period, the people who have completed the study during the past period become the pilot group. You need to describe how many took the study during the past period, what comments/suggestions they had, what problems they had with the post-test (if applicable), how long it took them to complete the study, and how you have changed the independent study based on the findings. It is not appropriate to use the initial pilot information for the sections on effectiveness of the study and rationale for contact hours in this re-application.

Category A: If presenting content related to Category A (Ohio nursing law and rules), the numeric citation of the appropriate law and/or rules must be cited with the content. A copy of the handouts and/or slides to be used for this topic must be included in the documentation file.

Pharmacology hours: If presenting content related to pharmacotherapeutics for APRNs, identify this specific content as well as the time allotted for it.

Copyright. If using material developed by others, it is the responsibility of the author(s) and nurse planner to ensure s/he has copyright permission to use the material.

Calculation of Contact Hours           .

Contact Hours: The appropriate measure of credit is the 60 minute contact hour.

Pharmacology Hours: If the activity is being planned specifically for APRNs with prescriptive authority and the content specifically addresses pharmacotherapeutics, the nurse planner needs to delineate the exact amount of time that is devoted to pharmacotherapeutics. This will allow the number of contact hours related to pharmacotherapeutics to be calculated correctly. The certificate would then include the number of contact hours to be awarded AND the number of Pharm hours. (e.g., 6 contact hours including 2 Pharm contact hours)

Category A Hours. If the activity or any portion of the activity is designed specifically to address Ohio nursing law and rules, then clearly identify how much time will be spent on this topic so that the appropriate number of Category A contact hours can be awarded.

Faculty Directed activity:

–          Include the amount of time spent on introduction/welcome, content, testing/return demonstration, and evaluation in the application if the activity is two hours or less.

–          Include the agenda/schedule including evaluation time if the activity is more than two hours long.

Agenda/schedule and contact hours.  Contact hours are awarded to participants for those portions of the educational activity devoted to didactic or clinical experience and to evaluating the activity.

An agenda or schedule is needed if an activity is more than two hours long in order to determine the number of contact hours to be awarded to learners. The time spent on welcome, introductions of people vs. introduction to the topic, pre/post tests, breaks, and evaluation need to be clearly and separately stated. Welcomes, introductions to people and space, breaks and exhibits are not included in the calculation of contact hours. The topic, pre/post-tests, demonstration/return demonstration, and evaluation are included in the calculation of contact hours. Evaluation is considered part of the learning activity and needs to be included in the calculation of contact hours.

If the CE activity is two hours or less, a separate schedule does not need to be included.

The appropriate measure of credit is the 60 minute contact hour. A contact hour is 60 minutes of an organized learning activity, which is either a didactic or clinical experience. The minimum number of contact hours to be awarded is 0.5 (30 minutes). Contact hours may be calculated to the hundredths (i.e. 1.45, 0.91, etc.). They may not be rounded up! (e.g., 4.59 = 4.5 or 4.59, not 4.6)

A sample schedule might look like this:

 

Sample-Schedule

Independent Study Contact Hour Calculation. 

Contact hours are determined in a logical and defensible manner, consistent with the objectives, content, teaching/learning strategies, and target audience. The rationale used to determine the number of contact hours to be awarded needs to be described. For example: Was a pilot study done? Was the determination made based on historical data? (For example, has an independent study of the same length and complexity been included in each monthly newsletter and it consistently takes learners “x” amount of time to complete it?) Is complexity of the content and data determined? If yes, how? Was a recognized formula such as the Mergener Formula used for written materials?

Participants in the pilot study may receive contact hours for their participation once the pilot study is completed and the appropriate number of contact hours to be awarded has been determined.

Describe the method for calculating the contact hours and show evidence of how contact hours were calculated.

References

List References/Resources.  Content should be selected based on the most current available evidence. Documentation should support quality of evidence chosen for content. Examples include but are not limited to evidence-based practice, literature/peer-reviewed journals, clinical guidelines, best practices, and content expert/expert opinion.

The planning committee may provide the speaker/author with reference(s) about which they want the speaker/author to address in the content. For example, if the organization is seeking accreditation or certification in a particular area, the planning committee may share the standard(s)/criteria related to this process. The speaker(s) may also provide a list of references (bibliography) used in the preparation of the presentation so that the nurse planner and/or content reviewer can evaluate if the content is based on best available evidence.

Check all types of references used and list the sources of those references in the application. You can add a separate sheet to list the references if they do not fit into the application. Each citation should include title of article/book/video, author(s), date of publication, etc. If information is found on reputable websites, include the website address, what was reviewed on the website along with the date of the download. References should be within the past 5-7 years unless the reference is a classic that is still relevant or you are addressing a historical topic.

Learner Engagement Strategies

Identify Learner Engagement Strategies. Identify the strategies that will be used during the activity that will get the participant actively involved in learning. Check all that apply on the application. Note: There may be other strategies that would be appropriate that can be included under Other.

Criteria for Successful  Completion

Identify Criteria for Successful Completion: Check the criterion or criteria for successful completion that the learner must meet in order to get a certificate. These criteria must be consistent with the outcome, content and learner engagement strategies.

Notes: If an activity is only 30 minutes and attendance is required, then the person must attend the entire 30 minutes in order to get the certificate. If it is a Category A activity, then the learner would need to attend the full 60 minutes in order to get a one contact hour certificate.

Evaluation

Evaluation: Check the method(s) of evaluation for this activity.

It is an expectation that learners provide input into evaluation of each activity. The form of evaluation may vary depending upon the outcome expected, the content and learning engagement strategies. ANCC requires the evaluation be conducted at the level of identified educational need (knowledge, skill or application in practice). The Ohio Board of Nursing requires that there be a method of evaluation that addresses achievement of the outcome and the teaching effectiveness of each speaker. The planning committee may also decide to evaluate whether the participant gained knowledge at the conclusion of the activity through testing, a question (s) on the evaluation form, etc. The learner may also need to return demonstrate knowledge or skills such as in Fetal Monitoring or Basic EKG courses.

The planning committee must provide a copy of the evaluation methods.

Short term options of evaluation: Check all options that will be used for short term evaluation. This type of evaluation occurs during or at the very end of the program. It should demonstrate whether the need (knowledge, skill and/or practice) was closed or narrowed.

Long term options of evaluation. The nurse planner needs to decide if this activity’s outcome will be evaluated in the long-term, e.g. 3-6 months after the event. The key is looking to see if there is a change in nursing practice or nursing professional development. Check the option(s) that you intend to use if this is one of the outcomes for which you will conduct long term evaluation.

Commercial Support

A.     Check if you did not or will not get commercial support.

B.      If you are seeking support, you need to list the name of the commercial entity and provide a copy of the signed written agreement.

·         A commercial interest is defined by ANCC as any entity either producing, marketing, re-selling, or distributing healthcare goods or services consumed by, or used on , patients or an entity that is owned or controlled by an entity that produces, markets, re-sells or distributes healthcare goods or services consumed by, or used on, patients. Exceptions are made for non-profit or government organizations and non-healthcare related companies.

·         Commercial Support is financial or in-kind contributions given by a commercial interest that are used to pay for all or part of the costs of a CNE activity.

·         A provider of commercial support may not be on an educational planning committee, be a joint provider of the activity, or the provider of the activity.

·         If commercial support is provided for a CE activity, an employee from the organization providing commercial support may not be a speaker. 

·         There must be a signed, written agreement if commercial support is accepted between the commercial entity and the provider.

·         Note: You are not required to have a commercial support agreement for those who are only exhibiting at the event.

The applicant must adhere to the American Nurses Credentialing Center’s Content Integrity Standards for Industry Support in Continuing Nursing Educational Activities at all times. These standards are listed in the appendices.

Joint providership

Joint providership occurs when two or more groups decide to plan and present a program together.

A.           Check if you are or are not jointly providing this activity.

B.           If you are, list who your joint provider is.

C.           Check that you will maintain the overall responsibility for the activity.

D.           Ensure your name is prominent on the advertising along with the joint providers.

E.            Attach the signed joint provider agreement.

When an activity is jointly provided, the provider is referred to as the provider of the educational activity. The other organization(s) are referred to as the joint provider(s) of the educational activity. The jointly providing organization may not be a commercial interest. The provider’s nurse planner must be on the planning committee and is responsible for ensuring adherence to ANCC criteria and the OBN rules.

When an educational activity is jointly provided, the nurse planner is responsible for:

·         The signed joint provider agreement (OBN requirement – OAC 4723-14)

·         Ensuring that the provider’s name is prominently displayed in all marketing material

·         The name(s) of the organizations acting as the joint provider(s)

·         Statement that the nurse planner will maintain responsibility for adherence to the criteria and  rules

·         The certificate is issued in the name of the provider

·         Name and signature of the individual on behalf of the provider

·         Name and signature of the individual on behalf of the joint provider(s)

·         Date the agreement was signed

Advertising

Advertising Material: Include a copy of the advertising material(s).

Advertising material includes any method of announcing an educational activity. This may include a brochure, flyer, bulletin board announcement, newsletter, memo, e-mail, web site or other form of electronic method. The advertising material must be included with the application.  The advertising material may be the completed copy of a mock-up or the final material. If a mock-up of the advertising was used, the final copy of the advertising must be uploaded in the file as soon as it is printed.

If your advertising states that contact hours will be awarded for the activity, the following statement must also appear on that advertising.

Sample:

Participants who successfully complete the entire activity receive at least 75 % on the post-test and complete an evaluation form will earn 1 contact hour.  

OR

This activity will provide 1 contact hour.

This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  (OBN-001-91)=

If advertising needs to be released prior to receiving approval AND you have submitted an application for approval, you may state:

This activity has been submitted to the Ohio Nurses Association for approval to award contact hours. The Ohio Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)

Please call xxxx at ### for more information about contact hours. (You would insert the name and contact information in your organization who will answer these questions.)

Disclosures

Check how disclosures will be made to the learner and include a copy of these written disclosures that are given to the learners before the start of the activity.

Disclosures provided to the Learner:

Learners must receive disclosure of required items prior to the start of an educational activity. In faculty directed activities, disclosures must be made to the learner prior to initiation of the educational content. In enduring print materials or web-based activities, disclosures must be visible to the learner prior to the start of the educational content. Required disclosures may not occur or be located at the end of an educational activity. Evidence of the disclosures to the learner must be retained in the activity file. Examples of how disclosures could be written are included in the appendix.

Disclosures always required include:

A.           Notice of requirements for successful completion of the educational activity:

Prior to the start of an educational activity, learners must be informed of the criteria used to determine successful completion.  Note: These criteria need to be consistent with what you stated in the application.

B.           Presence or absence of conflict of interest for planners, presenters, faculty, authors, and content reviewers. Any influencing relationships, or lack thereof, of planners, presenters, faculty, authors, or content reviewers in relation to the educational activity. If anyone has a COI, the following information must be disclosed to the learner:

–          Name of individual

–          Name of commercial interest

–          Nature of the relationship the individual has with the commercial interest.

C.           Notice of approval using the approval statement. Prior to the start of the event, the learner must be informed that your activity is approved by ONA. Use the approval statement as written under the Certificate section.

Disclosures required, if applicable, include:

D.           Commercial Support. Learners must be informed if a commercial interest has provided financial or in-kind support for the educational activity.

E.            Joint Providers. In addition to the provider, all joint providers must be disclosed to the learners.

F.            Expiration date. Learners must be informed how long the independent study/enduring material is available to be completed. The period of expiration of enduring material should be based on the content of the material but cannot exceed two years.

Note: If the independent study is a Category A program, then the author and nurse planner should review it annually to ensure that the OBN rules have not changed. If they have, then the independent study needs to be revised.

Documentation of Completion/Certificate

A copy of the completed certificate or documentation of completion to be given to the learner must be uploaded. It must include the following information:

–          Name of learner

–          Name and address of provider of the educational activity (web address acceptable)

–          Title & date of completion of educational activity

–          Number of contact hours awarded

–          Official approval statement

This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  (OBN-001-91)

Approval valid through (insert expiration date). Assigned ONA #

–          If the activity is designed for APRNs with prescriptive authority and provides content related to pharmacology and prescribing, then the number of pharmacology hours needs to be designated. (e.g., 6.0 contact hours including 3.0 Pharm hours.)

–          If the activity is or includes information about Category A (Ohio nursing law and rules), add the words “Category A” on the certificate and indicate how many contact hours are related to Category A. (e.g., 5 contact hours including 1 contact hour of Category A.)

Record Keeping

The applicant is required to maintain a complete copy of the application, all attachments and corrections, records of attendance, summative evaluation(s), contact hours awarded, and all correspondence with ONA. These records must be maintained in a retrievable file which is accessible to only authorized personnel for six years.

–          Check the response that you will keep these records.

–          List the address at which these records will be stored.

Payment:

There will be a section asking for payment of the application fee at the end of the application form. Please follow directions regarding how and what to pay for the application. 

Note:

–          Refunds will not occur once the review process has begun.

–          Payment must be made prior to receipt of approval.

–          The application fee may be changed at any time.

American Nurses Credentialing Center’s Content Integrity Standards For Industry Support in Continuing Nursing Educational Activities

(Effective date: 1/1/2013)
(Updated: 5/1/2013)
(Updated: 8/8/2014)

A.      Introduction

B.      Definition of a Commercial Interest Organization

C.      Related Organizations

1.       Separate federal tax ID number

2.       Separate legal entity

3.       Operational structure separation

a.       Phone, fax line, email

b.      Web sites/links to web sites;

c.    Electronic databases and hard copy documents;

d.   Written policies and procedures

e.      Governance structure and personnel;

f.        Independent decision making

4.     Control of educational content

D.      Types of Commercial Support for Continuing Nursing Educational Activities

1.       Financial Support

2.       “In-Kind” Support

E.       Ensuring Content Integrity of an Educational Activity in the Presence of Commercial Support

1.       Written agreement between Commercial Interest and Provider

2.       Payments

3.       Unused Funds

4.       Accounting of Expenses

5.       Joint Providership

F.       Conflict of Interest Evaluation and Resolution

G.     Additional Criteria for Ensuring Content Integrity

1.       Promotion

2.       Advertisements

3.       Recruitment

4.       Confidentiality

5.     Advertising an Educational Activity

6.     Acknowledgement of Commercial Support

7.     Distribution of the Educational Activity

8.     Content of the Educational Activity

a.          Slides, handouts or other materials

b.         Live (in-person) activities – Logos and trademarks

c.          Enduring materials – Logos and trademarks

d.         Web-based materials – Logos and trademarks

e.         Evaluations

f.           Learner recruitment

H.         Exhibits, Promotions and Sales

I.           Giveaways

J.           Failure to Comply

K.         Complaints


A.       Introduction

The American Nurses Credentialing Center’s Content Integrity Standards for Industry Support in Continuing Nursing Educational Activities serves as a resource for Providers* to plan, implement and evaluate quality continuing nursing educational activities with integrity, free from the  undue influence of commercial interest organizations. Federal law, core values for the Accreditation Program (2009 and 2013 Application Manuals, Accreditation Program) and the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) create the foundation for these standards, which are designed to help Providers comply with Food and Drug Administration Guidance on Industry-Supported Scientific and Educational Activities.

*”Provider” refers to an ANCC Accredited Provider or an organization or individual

approved by an ANCC Accredited Approver (Approved Provider or Individual Activity Applicant).

B.        Definition of a Commercial Interest Organization

The American Nurses Credentialing Center (ANCC) defines an organization as having a commercial interest (“Commercial Interest Organization”)* if it:

  • Produces, markets, sells or distributes health care goods or services consumed by or used on patients;
  • Is owned or operated, in whole or in part, by an organization that produces, markets, sells or distributes health care goods or services consumed by or used on patients; or
  • Advocates for use of the products or services of commercial interest organizations.

(*Reference:  Accreditation Council for Continuing Medical Education (ACCME) Standards of Commercial Support, August 2007 (www.accme.org) – ANCC’s definition is intended to ensure compliance with Food and Drug Administration Guidance on Industry-Supported Scientific and Educational Activities and consistency with the ACCME definition)

Commercial Interest Organizations are ineligible for accreditation.

An organization is NOT a Commercial Interest Organization* if it is:

  • A government entity;
  • A non-profit (503(c)) organization;
  • A provider of clinical services directly to patients, including but not limited to hospitals, health care agencies and independent health care practitioners;
  • An entity the sole purpose of which is to improve or support the delivery of health care to patients, including but not limited to providers or developers of electronic health information systems, database systems, and quality improvement systems;
  • A non-healthcare related entity whose primary mission is not producing, marketing or selling or distributing health care goods or services consumed by or used on patients.
  • Liability insurance providers
  • Health insurance providers
  • Group medical practices
  • Acute care hospitals (for profit and not for profit)
  • Rehabilitation centers (for profit and not for profit)
  • Nursing homes (for profit and not for profit)
  • Blood banks
  • Diagnostic laboratories

(*Reference:  Accreditation Council for Continuing Medical Education (ACCME) Standards of Commercial Support, August 2007 (www.accme.org) – ANCC’s definition is intended to ensure compliance with Food and Drug Administration Guidance on Industry-Supported Scientific and Educational Activities and consistency with the ACCME definition)

C.        Related Organizations

  • Parent Organization – An organization that owns one or more subsidiary organizations. A parent organization that is a Commercial Interest Organization is not eligible for accreditation.
  • Subsidiary Organization – An organization that is owned by a parent company. A subsidiary of a Commercial Interest Organization is not eligible for accreditation.
  • Sister Organizations – Two organizations that share a common parent owner are “sister organizations.”  An organization may be eligible for accreditation if it establishes and maintains an adequate corporate firewall to shield it from the influence of a sister organization that is a Commercial Interest Organization.

Adequacy of a corporate firewall will be evaluated by examining evidence demonstrating independence, based on the following factors:

1.       The commercial interest organization and its non-commercial interest sister organization (the “educational organization”) have separate federal tax ID numbers;

2.       The commercial interest organization and the educational organization are separate legal entities;

3.       The operational structure of the commercial interest organization and the educational organization are separate and distinct, including but not limited to:

  • Phone, fax and email communication;
  • Web sites/links to web sites;
  • Electronic and hard copy documents;
  • Written policies and procedures that may impact the delivery of continuing education;
  • Separate governance structures and personnel; and
  • Independence in decision making;

4.       Educational content for activities is planned, developed, implemented and controlled exclusively by the educational organization. The commercial interest organization may have no influence over content of the educational activity.

D.       Types of Commercial Support for Continuing Nursing Educational Activities

Commercial Interest Organizations may provide monetary funding or other support (“Commercial Support”) for continuing nursing educational activities in accordance with the following fundamental principles:

(1)       Commercial Support must not influence the planning, development, content, implementation or evaluation of an educational activity; AND

(2)       Receipt of Commercial Support must be disclosed to learners.

Commercial Support may be used to pay for all or part of an educational activity and for expenses directly related to the educational activity, including but not limited to: travel, honoraria, food, support for learner attendance and location expenses. Commercial Support may be used to support more than one educational activity at the same time or multiple activities over a period of time.

Commercial Support is:

1.          Financial Support – money supplied by a Commercial Interest Organization to be used by a Provider for expenses related to the educational activity. Financial support may be provided as an unrestricted grant, educational grant, donation or scholarship.

2.          “In-Kind” Support – materials, space or other non-monetary resources or services used by a Provider to conduct an educational activity; which may include and is not limited to human resources, marketing services, physical space, equipment such as audio-visual materials and teaching tools (for example, anatomic models). In-kind donations may  not bear the trade names, logos or other identifying insignia of the Commercial Interest Organization. In-kind support may not include promotion of goods or services of the Commercial Interest Organization. In the event that the trade name, logo or other identifying insignia cannot be removed (i.e. embedded in the piece of equipment), the Provider must ensure that learners are aware of similar products produced by other companies.  In addition, disclosure of the in-kind donation must be provided to learners.

E.       Ensuring Content Integrity of an Educational Activity in the Presence of Commercial Support

Commercial Interest Organizations providing Commercial Support for continuing educational activities may not influence the planning, implementation or evaluation of an educational activity. The following requirements to ensure content integrity must be satisfied by the Provider when Commercial Support is accepted:

1.          Written Agreement. There must be a written agreement between a Commercial Interest Organization providing Commercial Support and the Provider utilizing Commercial Support.  The written agreement must include the following:

a.       Name of the Commercial Interest Organization;

b.      Name of the Provider;

c.   Complete description of all Commercial Support provided, including both financial and in-kind support; 

d.   Statement that the Commercial Interest Organization will not participate in planning, developing, implementing or evaluating the educational activity;

e.   Statement that the Commercial Interest Organization will not recruit learners from the educational activity for any purpose;

f.    Description of how Commercial Support must be used by the Provider

i.            Unrestricted Use:  Commercial Support given freely and without constraint by the Commercial Interest Organization and the Provider  has sole discretion to administer Commercial Support as appropriate for planning, developing, implementing or evaluating the educational activity;

ii.          Restricted Use:  Commercial Support given to support a specific aspect of an educational activity such as meals, breakout sessions or speaker honoraria

g.   Signature of a duly authorized representative of the Commercial Interest Organization with authority to enter into binding contracts on behalf of the Commercial Interest Organization;

h.   Signature of a duly authorized representative of the Provider with authority to enter into binding contracts on behalf of the Provider; and

i.    Date on which the written agreement was signed.

2.          Payments.  All payments for expenses related to the educational activity must be made by the Provider.  The Provider must keep a record of all payments made using Commercial Support funding. Commercial Support funds may only be used to support expenses directly related to the educational activity.

3.          Unused Funds.  The Commercial Interest Organization may request the return of unused Commercial Support funds.

4.          Accounting of Expenses. The Commercial Interest Organization may request that the Provider submit a record of how Commercial Support funding was spent

5.          Joint Providership.  In the event that more than two organizations will be providing an educational activity receiving Commercial Support (jointly providing), the organization identified as the “Provider” of the activity is responsible for managing Commercial Support funds in adherence with the ANCC Accreditation criteria. A Commercial Interest Organization may not jointly provide educational activities.

F.       Conflicts of Interest Evaluation and Resolution 

The potential for conflicts of interest exists when an individual has the ability to control or influence the content of an educational activity and has a financial relationship with a commercial interest,* the products or services of which are pertinent to the content of the educational activity. The Nurse Planner is responsible for evaluating the presence or absence of conflicts of interest and resolving any identified actual or potential conflicts of interest during the planning and implementation phases of an educational activity. If the Nurse Planner has an actual or potential conflict of interest, he or she should recuse himself or herself from the role as Nurse Planner for the educational activity.

*Commercial interest, as defined by ANCC, is any entity producing, marketing, reselling, or distributing healthcare goods or services consumed by or used on patients, or an entity that is owned or controlled by an entity that produces, markets, resells, or distributes healthcare goods or services consumed by or used on patients. Nonprofit or government organizations, non- healthcare-related companies, and healthcare facilities are not considered commercial interests.

  • Employees of commercial interest organizations are not permitted to serve as planners, speakers, presenters, authors and/or content reviewers if the content of the educational activity is related to the products or services of the commercial interest organization.
  • Employees of commercial interest organizations are permitted to serve as planners, speakers, presenters, authors and/or content reviewers if the content of the educational activity is NOT related to the products of the commercial interest organization.
  • Individuals who have non-employee relationships with commercial interest organizations (see bullet 2 below) are permitted to serve as planners, speakers, presenters, authors and/or content reviewers as long as the Provider has implemented a mechanism to identify, resolve and disclose the relationship as outlined in these standards.

The Nurse Planner is responsible for ensuring that all individuals who have the ability to control or influence the content of an educational activity disclose all relationships with any commercial interest, including but not limited to members of the Planning Committee, speakers, presenters, authors, and/or content reviewers. Relevant relationships** must be disclosed to the learners during the time when the relationship is in effect and for 12 months afterward. All information disclosed must be shared with the participants/learners prior to the start of the educational activity.

**Relevant relationships, as defined by ANCC, are relationships with a commercial interest if the products or services of the commercial interest are related to the content of the educational activity.

  • Relationships with any commercial interest of the individual’s spouse/partner may be relevant relationships and must be reported, evaluated, and resolved.
  • Evidence of a relevant relationship with a commercial interest may include but is not limited to receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (stock and stock options, excluding diversified mutual funds), grants, contracts, or other financial benefit directly or indirectly from the commercial interest.
  • Financial benefits may be associated with employment, management positions, independent contractor relationships, other contractual relationships, consulting, speaking, teaching, membership on an advisory committee or review panel, board membership, and other activities from which remuneration is received or expected from the commercial interest.

Evaluation

The Nurse Planner is responsible for evaluating whether any relationship with a commercial interest is considered relevant to the content of the educational activity. Disclosures may be categorized in the following ways:

  • No relationship with a commercial interest exists. No resolution required.
  • Relationship with a commercial interest exists. The relationship with the commercial interest is evaluated by the Nurse Planner and determined not to be relevant to the content of the educational activity. No resolution required.
  • Relevant relationship with a commercial interest exists. The relevant relationship is evaluated by the Nurse Planner and determined to be pertinent to the content of the educational activity. Resolution is required.

Resolution and Activity Assessment

Actions taken to resolve conflicts of interest must demonstrate resolution of the identified conflicts of interest prior to presenting/providing the educational activity to learners. Such actions must be documented and the documentation must demonstrate (1) the identified conflict, and (2) how the conflict was resolved. Actions may include but are not limited to the following:

  • Removing the individual with conflicts of interest from participating in all parts of the educational activity.
  • Revising the role of the individual with conflicts of interest so that the relationship is no longer relevant to the educational activity.
  • Not awarding continuing education contact hours for a portion or all of the educational activity.
  • Undertaking review of the educational activity by a content reviewer to evaluate for potential bias, balance in presentation, evidence-based content or other indicator of integrity, and absence of bias, AND monitoring the educational activity to evaluate for commercial bias in the presentation.
  • Undertaking review of the educational activity by a content reviewer to evaluate for potential bias, balance in presentation, evidence-based content or other indicator of integrity, and absence of bias, AND reviewing participant feedback to evaluate for commercial bias in the activity.

Disclosure

Individuals refusing to disclose relationships with Commercial Interest Organizations may not participate in any part of the educational activity.

G.        Additional Criteria for Ensuring Content Integrity 

1.       Promotion.  A Commercial Interest Organization may not promote its goods or services in relation to the content of an educational activity at any time during which the educational activity takes place including the introduction and conclusion of the activity, regardless of the format of the educational activity.

2.       Advertisements for the Commercial Interest Organization.  Advertisements promoting the products or services of a Commercial Interest Organization in relation to the content of an educational activity must be physically separated from the educational activity, regardless of the format of the educational activity.

3.       Recruitment. A Commercial Interest Organization\may not recruit learners from an audience for any reason.

4.       Confidentiality. Providers may not share contact information related to learners without written permission from the learner.

5.       Advertising an Educational Activity.  A Commercial Interest Organization may advertise an educational activity for which it has given Commercial Support. Examples of advertising may include but are not limited to: Save the Date cards, flyers and emails.

6.       Acknowledgement of Commercial Support.  Providers may acknowledge Commercial Support provided by a Commercial Interest Organization on marketing materials for the educational activity

7.       Distribution of the Educational Activity.  A Commercial Interest Organization may not distribute educational activities directly to learners.

8.       Content of the Educational Activity.  Content is the responsibility of the Provider of the educational activity. All materials used for the educational activity must be free from commercial bias. To guard against the presence of commercial bias, the Provider is responsible for ensuring the following:

a.       Slides, handouts or other materials presented to the learner related to the educational activity do not display any logos or other trademarks of a Commercial Interest Organization;

b.      Live (in-person) educational activities are presented without reference to a Commercial Interest Organization; acknowledgement of commercial support is limited to the name of the entity providing support

c.       Enduring materials do not include logos, trademarks or other insignia of, or references to, a Commercial Interest Organization; acknowledgement of commercial support is limited to the name of the entity providing support

d.      Web-based materials do not include logos, other trademarks or other insignia of, or reference to, a Commercial Interest Organization; acknowledgement of commercial support is limited to the name of the entity providing support

e.      Evaluations of the educational activity make no reference to a Commercial Interest Organization or its products or  services; and

f.        Learners are not recruited for any purpose during the activity or evaluation.

H.     Exhibits, Promotions and Sales

Commercial Interest Organizations may not exhibit, promote or sell products or services during the introduction of an educational activity, while the educational activity takes place or at the conclusion of an educational activity, regardless of the format of the educational activity. Exhibits, promotion and sales must be separated from the educational activity. The following standards apply to exhibiting, promoting and selling products or services:

  • Exhibiting, promoting and selling products may not take place during an educational activity;
  • Marketing or advertising for exhibits, promotions or sales may not be included within educational activity content (e.g., slides, handouts, enduring materials).
  • Marketing or advertisement for exhibits, promotions or sales must take place in a location that is physically separated from the area where educational content is delivered.

I.       Giveaways

Commercial Interest Organizations may provide giveaways for learners, as long as there is physical separation between accessing the giveaway and learner engagement in the educational activity. Educational materials for an activity may not be packaged in items bearing logos, trademarks of a Commercial Interest Organization.

J.      Failure to Comply

Failure to comply with the American Nurses Credentialing Center’s Content Integrity Standards for Industry Support in Continuing Nursing Educational Activities may result in suspension or revocation of accreditation or approval.

K.     Complaints

All complaints related to a Provider’s compliance with the American Nurses Credentialing Center’s Content Integrity Standards for Industry Support in Continuing Nursing Educational Activities will be investigated by the ANCC Accreditation Program Office.

Reprinted with permission from ANCC Accreditation Program.

American Nurses Credentialing Center, 8515 Georgia Ave., Suite 400, Silver Spring, MD 20910 / 1-800-284-2378 / nursecredentialing.org

Commercial Support Decision Tree

SAMPLE DISCLOSURE STATEMENTS

For Individual Activities

 The following are brief examples of how disclosures might be made prior to the start of the event. These disclosures can be made on the advertising, the confirmation letter, the agenda on top of the handouts received on the day of the event, etc. They could also be listed in multiple ways – e.g., criteria for successful completion on advertising, and then the remainder on the agenda received on the day of the event.

 Required Disclosures for all activities:                            

Conflict of Interest

  • The planners and faculty have declared no conflict of interest.
  • The planners and all but one faculty have declared no conflict of interest. Janet Smith has a conflict of interest. She received a research grant on this topic from ABC Pharmaceutical Company.

Criteria for Successful Completion

  • Criteria for successful completion include attendance at the entire event and submission of a completed evaluation form.
  • Criteria for successful completion include attendance of at least 80% of the event and submission of a completed evaluation form.
  • Criteria for successful completion includes reviewing the online video, passing a post-test with at least 80%, and completing the evaluation questions.

Approval Statement

  • This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)

Required Disclosures if applicable

Commercial Support if being provided

  • ABC Health Products Company provided an unrestricted grant for this activity.

Joint Providership if being jointly provided

  • XYZ Hospital and ABC Association present…

Expiration Date if an independent study

  • This activity will be available for nurses to complete until April 1, 2018.