Part 1 of 2
Continuing Education Committee:
CE Workshop & ANCC 2013 Manual Update
Presenters: Lolita Ramsey, RN, PhD
Sharon Broscious, RN, DSN
Co-Chairs/Nurse Peer Review Leaders
April 20, 2013
Richmond, VA (South University)
Welcome and Introductions!
Overall Purpose

To provide the learner/applicant with:



The ANCC and VNA criteria required for continuing
education approval for contact hours
Overview of the new criteria from the ANCC 2013 manual
Learner objectives:
• List the major changes in the ANCC 2013 criteria.
• To identify the major elements required in individual
activities.
• To identify the three criteria required of approved provider
units.
• Define commercial support, sponsorship and bias in CNE.
Overview
 Virginia

Nurses Association
Accredited Approver of Continuing Education
•
•
•
•
•
CE Committee: Peer reviewer process (volunteers)
Approve single activity and provider applications
CE Coordinator: Germaine Forbes
Contact: (804) 282-1808
Application and instructions located at:
www.virginianurses.com


Continuing Education (top blue toolbar, far right, click on
link)
Electronically submit to: vnacea@virginianurses.com

The mission of the Virginia Nurses Association is to promote
advocacy and education for registered nurses to advance
professional practice and influence the delivery of quality care.

The mission or belief of the VNA CEA Committee is to
promote excellence in nursing practice through the approval
of quality continuing education programs for nurses.

The vision or goal of the VNA CEA Committee is to be a
leader in nursing professional development and excel in the
role of approving continuing education programs.
ANCC
Accreditation Program (COA)
Adapted Figure 1:
ANCC Primary
Accreditation Program
Structure (pg 4)
Accredits
Accredited Providers
Accredited Approvers
(i.e. VNA)
Approve
Individual Activity
Applicants
Educational Activities
Contact Hours
Approved
Providers
Rationale for ANCC Changes
ANCC is committed to supporting the lifelong
learning needs of professional registered
nurses by ensuring that educational activities
are designed using criteria that are evidencebased and that are independent from
commercial influence.
Rationale for ANCC Changes
ANCC’s commitment to continuous quality
improvement.
The ANCC is an ISO credentialed organization
and continually review existing processes, adjust
criteria as indicated by research or evidence,
apply “lessons learned” with the goal of
reviewing all organizations applying for
approval consistently, fairly and reliably.
ANCC Mini-Manuals
 Mini-Manuals
(electronic and print)
 Educational Design Principles
 Approved Providers and Individual Activity
Applicants
 Buy directly from: ANCC
 VNA CEA Criterion document: Pending
Resources
 ANCC




http://www.nursecredentialing.org/Accreditation/R
esourcesServices/ManualUpdates.aspx
Crosswalks
Webinars
FAQ
 VNA


Website:
CEA Website:
Pending Webinars and Samples
FAQ
Change: Applicant Information
 Identify organization type








Constituent member association of ANA
College/university
Healthcare facility
Health-related organization
Multi-disciplinary educational group
Professional nursing education group
Specialty nursing organization
Other
Change: Language
 Changes
in terms:

Face to face vs. provider-directed, provider paced
(AKA live– in-person or webinar)

Independent study vs. provider-directed, learner
paced (AKA enduring material– print/journal,
online, electronic)
Educational Activity
 Planning
committee: Removal of target
audience requirement
 Needs Assessment: Additional details are
requested (source of evidence)
 Additional question on partial credit
New: Gap Analysis
 Method
of assessing learning needs
 Using data to identify a gap

Gap is the difference between the current
state of “what is” and the desirable or
achievable state “what should be or desired”
Identification of a gap
Miller’s Model
of Clinical
Competence
• Knows: Learner has knowledge about the topic/subject
• Knows how: Learner is capable of applying the
knowledge
• Shows how/does: Learner is able to apply knowledge
and skills in a simulated setting (shows how) or the
practice environment (does)
© 2012 American Nurses Credentialing Center
Gap Analysis
 Identify the
appropriate gap that will be
addressed:



Gap in Knowledge (i.e. does not know)
Gap in Skills (i.e. does not know how)
Gap in Practice (i.e. not able to show/do in
practice)
 Required
documentation of detailed analysisavailable upon request
 Optional: Gap analysis form L
Optional Form L: Gap Analysis
Desired
State
Current
State
Details of
Identified
Gap
Gap due to:
Knowledge,
Skills or
Practice?
Purpose
Outcome
Measure(s)
Example
Example
Bioforms and Conflict of Interest
 Bioform:



Clearer section on role and description of
experience and expertise
Removal of discussion of off-label
New section: Completed by Nurse Planner
 Conflict


of Interest
Review by Nurse Planner and resolution
Form C: Bioforms
Form A and B
 Additional section:

Content must be evidenced-based or based on the
best available evidence. Identify source of content
•
•
•
•
•
•
Organization/website such as CDC
Peer reviewed journal/resource used
Clinical guideline used
Expert resource
Textbook
Other
Certificate
 New:
Acceptable to have web address instead
of physical address
 Same criteria as before






Name
Date and title
Number of contact hours
Name and address of provider of activity
Official approval statement stands alone
VNA approval number optional
New: Sponsorship Agreement
 Separate
agreement from commercial support
agreement
 Form D-2
 Signatures from both parties: Applicant and
sponsor representative
Disclosures
 Removed
disclosure of off-label use
 Removed disclosure of financial relationships
and mechanism to resolve (falls under COI
disclosure)
 Exceptions: VNA CEA require disclosures be
made regardless if present or not
New Attestation Statements
 New
attestation in single activity application
 Approved provider: Additional attestation for
providing contact hours and not acting as an
approver
Approved Provider Changes
 Removal
of mission statement
 Change in language (previously key elements)
 Emphasis on description and example
 Three criteria (new):



Structural Capacity (SC)
Educational Design Process (EDP)
Quality Outcome (QO)
Approved Provider Changes
 Emphasis
on accountability by the lead nurse
planner
 Emphasis on quality outcomes and impact on
professional nursing development
 Removal of APIE narrative
 Removal of strengths and weaknesses section
Approved Provider Changes
 Sample
activity must have majority of criteria
met for approval (no revisions allowed)
 Impact on review:



Standardized review process by committee
Summary of findings provided to approved
provider
Revisions/additional evidence accepted for
approved provider application
Crosswalk: 2013 from 2009
2013 Criteria
2013 Requirements
2009 Requirements
Changes
Organizational Overview
001
Demographics
002
Lines of
Authority/Admin
Support
• Description of PU: Scope of
Service, size, geography
• Types of educational activities
offered
• List of full names and
credentials of LNP, other
NP(s), all key personnel in PU
• Position descriptions of the
above
• Chart with structure and all key
personnel including LNP and all
NP(s)
CR, KE1
CR1, KE2
CR3, KE1
CR3, KE2
Organizational Overview (cont.)
2013
Criteria Requirements
003
Data Collection and
Reporting
004
Evidence
2009
• Completed
demographic form
• Accredited Provider
Continuing
Education Summary
Application for Provider
CR3, KE2
• CNE strategic goals
for last 12 months
• Quality outcome
measures specific to
PU
• Quality outcome
Specific to Nursing
Professional
Development
CR4, KE4
New
New
2013 from 2009
2013 Criteria
2013 Requirements
2009 Requirements
Structural Capacity
SC 1
SC 2
SC 3
SC 4
SC 5
SC 6
• LNP’s commitment to learner
needs
• Includes how PU goals are
revised based on data
• Organizational support of PU
goals by leadership
• How LNP ensures training for
ANCC criteria
• LNP resolves issues related to
CNE
• LNP ensures NP(s)/key
personnel maintain standards
• LNP advocates for resources
NEW
CR3, KE 2
CR2, KE2
CR 3, KE1
New
CR2, KE2
CR3, KE 1
CR3, KE 2
2013 Criteria
2009Changes
to 2013
2013 Requirements
2009 Requirements
• NP learning needs
assessment
• NP data collection to
determine gap
• Planning committee selection
method
• Process to identify actual and
potential COI
CR2, KE1
CRS, KE 3
CR2, KE1
CR2, KE 3
CR2, KE2
CR2, KE 9
Educational Design
EDP 1
EDP 2
EDP 3
EDP 4
EDP 5
EDP 6
EDP 7
EDP 8
• Resolution of COI
• Planning phase of learners
successful completion
• Measurable educational
objectives
• Evidence-based selection of
activity
CR2,KE 9
CR2, KE 3
CR2, KE1
CR2, KE3
CR2, KE1
CR2, KE3
2013 from 2009
2013 Criteria
2013 Requirements
2009 Requirements
Educational Design ( cont.)
EDP 9
EDP 10
EDP 11
EDP 12
EDP 13
• Content integrity for CNE
activities
• Commercial
support/sponsorship precautions
• Teaching methods rationale
• Summative evaluation for future
activities
• Evaluation and change in
nursing practice or professional
development
CR2, KE 1, KE 3
CR2, KE1, KE2,
KE3, KE9
CR2, KE1, KE2,
KE3, KE8
CR2, KE5
New
2013 from 2009
2013 Criteria
2013 Requirements
2009 Requirements
Quality Outcomes
Q01
Q02
Q03
Q04
Q05
• Process utilized for evaluating
PU in delivering quality CNE
• How evaluation process for PU
resulted in development or
improvement of QO measure
• Rationale for specific
stakeholders participation in the
evaluation process
• How input from stakeholders
resulted in an improvement or
specific QOM for PU
• How over past 12 mo., PU
enhanced professional
development
CR4, KE1
NEW
CR4, KE2
CR4, KE3
NEW
Overall Form Changes
 Reduced
redundancy
 Clarified previous questions with response
options (i.e. how presenters are ensured they
are qualified)
 Removal of items not clear or provided
response options
 Removed category of evaluation
Q&A
Q
& A regarding changes
 Break!!!
Part 2: Single activity application

Objective:
Identify the major elements required in
individual activities.
Single activity application fees
 Fees
are based on the number of contact hours
reviewed, not the number of contact hours the
participant will receive.
 Programs offering 1


to 6 contact hours:
Price will be $125.00
Additional contact hours are $25.00 each
additional hour
Fees continued…
 Cap
on fee is $700
 Applications
must be emailed within 60 days
of the program date.
 Programs
sent less than 60 days prior to the
program date will incur a late fee.
 We
will not accept any applications that are
less than 30 days prior to the program date.
Fees continued…
 Late


Fees:
Programs 1 to 6 Contact Hours are $200.00
Programs greater than 6 Contact Hours are
$400.00
 Payment
receipt prior to review process
 Payment should be sent separately to:

Virginia Nurses Association
Attn: CE Committee
7113 Three Chopt Road, Suite 204
Richmond, VA 23226
(Please indicate on your check what activity each payment is for)
Activity approvals
 Approvals for
a period of 2 years
 Contact
hours will not be granted retroactively
nor after an activity has taken place
 Fee
will be incurred for additional reviews
(more than 1 revision submission)
Review of Forms
Form A
Learner
Objectives
(in behavioral
terms – “The
participant will be
able to …”)
1.
2.
3.
Outline of
Time Frame for
Content for this this Objective in
Objective
Minutes
(must be more
than a
restatement of the
objective)
Presenter for this Teaching
Objective
Methods
(Teaching/
learning
strategies,
materials &
resources for each
objective)
Example: Objective and content
For
Example:
Incorrect
Correct
Objective
Content
1. Analyze six case
studies for potential
abuse situations.
1. Case studies
1. Analyze six case
studies for potential
abuse situations.
1. Case studies:
Elder abuse, child
abuse, adult abuse
situations – clues,
interventions, legal
issues, resources for
help.
Example: Objective and Content
For
Example:
Incorrect
Objective
Content
1. Objective 1…
2. Objective 2…
3. Objective 3…
Content
1. Objective 1
Content 1
2. Objective 2
Content 2
3. Objective 3
Content 3
Correct
Form A or B
 Objectives
measureable and are in the
perspective of the learner



Use an active verb
List one objective for each content, method, time,
presenter
Who (the learner), how (the action verb), what (the
content)
 Content
must be evidenced-based or based on
the best available evidence (include reference)
Sample certificate
 Name
and address of applicant (web address ok)
 Line for name of learner
 Title and date of activity
 Number of contact hours
 Approval number from VNA (optional)
 Official approval statement (required word for
word, stand alone)
 NO CEU language

Differences: 10 contact hours = 1 CEU
Official Approval Statement:
Single Activity Applicants
This continuing nursing education activity
was approved by the Virginia Nurses
Association, an accredited approver by the
American Nurses Credentialing Center’s
Commission on Accreditation.
Revised 9/20/2010 by ANCC
Incorrect Approval Statement
This activity has 2 contact hours. This CE
activity was approved by the Virginia
Nurses Association Continuing Education
Approval Committee, an accredited
approver by the American Nurses
Credentialing Center’s Commission on
Accreditation. VNA Approval ###.
Advertising material
Pending approval statement for advertisements:
This activity has been submitted to the
Virginia Nurses Association for approval to
award contact hours. The Virginia Nurses
Association is accredited as an approver of
continuing nursing education by the American
Nurses Credentialing Center’s Commission on
Accreditation.
Incorrect Pending Approval Statement
This activity has been submitted to the Virginia
Nurses Association for approval to award 6
contact hours. The Virginia Nurses
Association is accredited as an approver of
continuing nursing education by the American
Nurses Credentialing Center’s Commission on
Accreditation. Please register by May 1, 2010.
After Approval of Activity
 Evaluation Summary
 Participant
Summary Form
 Repeat Activity: Monitoring
 Correct any pending approval statements on
advertisements to approved statement
Provider application
 Objective:
Identify the three criteria
involved in the provider application.
Why apply to be a provider?

Approved providers may provide contact hours for
activities in their organization

Providers do not approve activities nor do they provide
contact hours to other organizations

Providers are responsible for following the ANCC criteria
and ensuring that activities follow the criteria

Depends on the needs of your organization (apply to
VNA for every single activity vs. approved provider)

3 year approval period for providers

Provider may offer an unlimited number of educational
activities during approval period
Provider application:
Who is eligible to apply?
Geographic eligibility:

Organizations targeting more than 50% of their
educational activities in the previous calendar year
to nurses in multiple regions (DHHS regions) are
not eligible to apply to be an approved provider
with the VNA.
• Must apply through the ANCC as an accredited
provider.
Provider application:
Who is eligible to apply?
 In


other words…
Organizations targeting more than 50% of their
activities in the previous calendar year to nurses in
a single state or region (contiguous region) may
apply to the VNA for approval as a provider.
Internet is considered multi-region
Source: http://www.hhs.gov/about/regionmap.html
Provider application:
Getting ready to apply…

Complete pg 1 of application assessing eligibility
 Confirm you are eligible before you start the process
 Contact Germaine Forbes for assistance if you are
planning on applying
 Tips:


Clearly outline and appropriately and correctly reference
the attached page numbers
Address all sections and do not leave any sections blank
Provider application fee
 New
provider fee: $1,250
 Renewal
 Submit
 Apply
fee: $1,075
application to VNA electronically
for renewal 90 days before approval
expires
 Same application process for renewal, only
difference is the fee
 Late fee $480 if application received less than
90 days before expiration of provider status
Revision fee
Effective 11/1/09
 No
fee the first 2 times an application is sent
back to the applicant for revision.
 After the second return: $25 per revision (each
return to applicant for additional information)
 Additional assistance will be offered to
applicants as needed.
 This fee will apply in general to all applicants
and incur on a case by case basis.
Approved Provider Application
 Sample
activities (using single activity forms)
 Sections:




Organizational Overview
Structural Capacity
Educational Design Process
Quality Outcomes
Approved Provider Application
Forms
Practice Writing Narratives

A narrative description of how the organization operationalizes each
criterion is required for the sections on Structural Capacity,
Educational Design Process and Quality Outcomes.

Opportunity to tell how the organization is adhering to the
accreditation/Approver Unit criteria and requires both a description
(Describe) and an example (Demonstrate) for each criterion.

Narrative documentation with supporting evidence/examples:

“Telling a story” “Description of the wonderful work done by
your organization for registered nurses”
Examples may be chosen from supplemental activity files but
examples may also come from other activities or work done within
the organization

• “Describe” – tell the story ; “Demonstrate” – provide evidence to
substantiate the story
Practice Writing Narratives







Pause and reflect on the intent of the question
Answer the question directly
Do not add unnecessary extraneous information
If an individual’s name is used in the narrative, indicate
the position/title of the individual to ensure the reader
can follow the response
Give enough background/context for the reader to
understand the response
Ask several colleagues to read the responses and tell
you if they make sense
Remember to answer all parts of the criterion
requirement in each response.
Practice Writing Narratives

Process description should be a general overview of
the process used by the Approved Provider applicant
to meet the criterion requirement
 Example should be a specific and detailed description
demonstrating how the Approved Provider applicant
operationalized the process. Examples should include
details such as who, when, where, how and why.
 Scoring examples…
Approved Provider Application
 After
approval, annual report form H
 Additional monitoring as needed
Questions???