Ohio Nurses Association
Continuing Education Department
CE Provider Newsletter
September 9, 2013
Zandra Ohri, MA, MS, RN, Director (614-448-1027) zohri@ohnurses.org
Sandy Swearingen, Admin. Assistant (614-448-1030) sswearingen@ohnurses.org
Contents of this Newsletter:
-
New: The New Nurse Planner Webinars Scheduled for October, November, and December
Article: Outcomes – Where Do I Find Them?
“Food for Thought” – 2013 Provider Survey
ANCC: Conflict of Interest – Test Yourself
2013 and 2014 Dates to Remember
New: Conference Call Schedule for those Preparing to Submit Their Provider Apps.
Be a Part of ONA’s Approval Process
Reminders
 Tips for Preparing the Provider Application
 Required Info When Submitting Provider Application
Nurse Planners Series - Webinars
A three-part series has been developed for new Nurse Planners in approved provider units by the Ohio Nurses Association
and the Montana Nurses Association. These webinars will include information regarding the roles and responsibilities of the
nurse planner to the approved provider unit and in relation to planning, implementing and evaluating individual activities.
Experienced nurse planners are welcome to join us too.
Webinar 1 – Overview of the Nurse Planner Role and Responsibilities
Objective: Describe the role and responsibility for the Nurse Planner in a Provider Unit.
Dates/Times: October 8, 2013 – 1:00 pm EST or October 15, 2013 – 10:00 am EST
Webinar 2 – Activity Assessment, Planning and Evaluation
Objective: Examine processes for activity: Assessment, Planning, Evaluation.
Dates/Times: November 5, 2013 – 10:00 am EST or November 6, 2013 – 1:00 pm EST
Webinar 3 – Handling Complex Situations
Objective: Identify ways to address complex situations.
Dates/Times: December 3, 2013 – 10:00 am EST o December 4, 2013 – 1:00 pm EST
Speakers:
Stephanie Clubbs, MSN, RN-BC, CNS, Chair, Ohio Nurses Association’s CE Approver Council
Pam Dickerson, PhD, RN-BC, Director, Continuing Education, Montana Nurses Association
Contact Hours
1 contact hour per webinar will be awarded.
The Ohio Nurses Association (OBN-001-91) is accredited as a provider of continuing nursing education by the American
Nurses Credentialing Center's Commission on Accreditation.
These webinars are being co-provided by the Ohio Nurses Association and Montana Nurses
Association.
Registration Fee: $15/ per person per webinar. Fee includes contact hours and handouts.
To register, please go to: http://www.ohnurses.org/events/
Ohio Nurses Association, 4000 East Main Street, Columbus, OH 43213 / www.ohnurses.org
To receive a certificate for any of these webinars, you must register, pay the fee, and attend the entire session.
Each part in the webinar series is offered twice with the exact same content. Make sure you select the sessions
you want to attend, but be sure you are not registering for the same session twice. No transfers or substitutions
will be made.
Outcomes – Where Do I Find Them? By Pam Dickerson, PhD, RN-BC
It’s hard to look for outcomes when you don’t know what you’re looking for! Outcomes have to be planned – they give
you a target, and then you can collect evidence to demonstrate that you’ve arrived at your destination.
Planning for Outcomes – Your Learning Activities
Determining outcomes for learning activities can only be done when you know what your learners need and why they
need it. Conducting a thoughtful and specific needs assessment is the first step in this process. Needs assessments should
be focused on the target audience for this learning activity. A generalized needs assessment may provide some overall
guidance for your educational plan, but a focused needs assessment will help you hone in on the specific reason a
particular learning activity is relevant to the target audience.
Once you know the target audience and what the needs assessment data shows, you are ready to begin your gap analysis.
The gap analysis identifies where learners are NOW (the current state) and where they should be (the ideal state). For
example, you are planning a learning activity for nurses in labor and delivery. You know that the Association for
Women’s Health, Obstetric, and Neonatal Nursing (AWHONN) has recently released new guidelines for care of an
expectant mother in premature labor because the nurse manager has asked you to develop a class on the new guidelines.
When you asked the manager what result she wanted from the education, she said “I want every patient to be treated using
the revised plan of care that we developed based on the new guidelines”. Your survey of the nurses who work in labor and
delivery at your hospital showed that 96% of them had received a copy of the new guidelines and had read them. The
nurses stated that they were most concerned about how to implement the guidelines with patients who were not following
the revised plan of care.
Is there a gap in knowledge? No – the nurses are familiar with the new guidelines.
Is there a gap in skills? No – the nurses know how to implement the new guidelines.
Is there a gap in practice? Yes – the nurses need help in developing strategies to assist patients in adhering to the
revised plan of care.
What is the desired outcome? The nurse will implement the suggested strategies in 100% of premature labor patients. Can
you monitor and measure this outcome? Absolutely. Further, the organization can evaluate the impact of this new plan of
care on healthy outcomes for both mothers and babies.
Planning for Outcomes – Your Provider Unit
Your provider unit is required to have goals – what do you want to achieve? As you develop goals, think about your
desired achievements in relation to your organization. What is the mission and purpose of the organization? How does
your work as a provider unit support the mission and purpose of the organization? It is important for you to have goals
and outcome measures that reflect your relevance to the organization.
Once you have developed goals, you then select outcome measures – the metrics you will evaluate periodically in order to
track your progress in achieving your goals. As an example, a goal of your organization is to ensure that nurses have
resources to continue their learning so they can provide quality patient care. The goal for your provider unit is to offer a
variety of learning options to meet learners’ requests for resources they can access more easily. Your outcome measure
will be diversity of learning opportunities. In reviewing last year’s data, you found that 96% of the activities offered to
your learners were classroom based, and 4% were enduring materials – all were paper/pen independent studies. You met
with your provider unit team and decided that in the upcoming year, your specific goal was to provide at least 30% of the
learning activities in different modalities than classroom. In a brainstorming session, a plan was developed to have at least
10% of the learning activities developed as individual paper/pen studies, 10% web based, and 10% audiocasts that
learners could download to their smart devices. Do you have a measurable goal? Yes. Do you have an outcome measure
Ohio Nurses Association, 4000 East Main Street, Columbus, OH 43213 / www.ohnurses.org
that will allow you to collect data related to goal achievement? Yes. Will you be able to provide evidence to
administration that your department is contributing to the mission of the organization? Absolutely!
“FOOD FOR THOUGHT” – 2013 Provider Survey
As the summer winds down, I hope that everyone has had a good one! Many are probably going back to school and
planning fall events. The CEAC here at ONA is gearing up for ANCC accreditation which will occur next spring. Along
those lines, we are also preparing the provider survey for 2013. Below please find the questions that will asked on the
survey (which will go out in December, 2013). We are giving you this information early so that you have the time to think
about how you will want to respond:
Two part question:
A) Name one quality outcome measure that you are evaluating for your provider unit.
B) Then describe how you are measuring it.
Please be aware that the information that we have asked for in the past (changes in providership; statistical data for your
provider unit) will still be asked for. The two questions above will be in addition to this information.
Note: In the past we have asked you to separate out the first time that you present an activity vs all the times when you
repeat that event. You no longer have to have the separation.
ANCC
Excerpt from August 12, 2013 ANCC August Update
Accreditation Criteria – Information and Tips for Accredited Organizations
ANCC’s staff, appraisers, and commissioners routinely see the same issues in documentation. In this section, we offer
some tips and suggestions. Examples are not attributed to any particular organization but are rather a summary of common
deficiencies and/or opportunities for improvement.
CONFLICT OF INTEREST OR NOT? OPPORTUNITY TO TEST YOURSELF!
Review first:
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.
Now test yourself!
Ohio Nurses Association, 4000 East Main Street, Columbus, OH 43213 / www.ohnurses.org
a. Jane Smith is being considered to serve as a content expert on your planning committee. She is also on the speaker’s
bureau with a commercial entity, which produces drugs for diabetes. The conference is about the latest research in
diabetes management.
b. Lisa Taylor is being considered to serve as a content expert on your planning committee. Her husband is vice
president of a company that produces pacemakers. The topic for the conference is horizontal violence.
c. Jack Williams is a sales representative with a pharmaceutical entity and is being considered to serve on your planning
committee.
d. The individual being considered as the keynote speaker is an expert in the topic of women’s health and wrote a bestselling book on the topic. The conference is about implementing the latest research findings on women’s health.
e. The author of a web-based learning activity on special considerations for people with arthritis has declared no conflict
of interest on his biographical data form. When his assistant sends you a copy of the author’s publicity statement, you
discover he wrote multiple books on arthritis and produced a topical ointment for patients with arthritis.
SCROLL DOWN FOR THE ANSWERS!
a. PLANNING COMMITTEE CONTENT EXPERT ON SPEAKER’S BUREAU FOR A COMMERCIAL INTEREST
ORGANIZATION:
According to accreditation criteria, “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.”
Based on this definition, Jane Smith has a conflict of interest because she is a member of a speaker’s bureau for a
company that produces drugs for diabetes and the content of the educational activity is relevant to the products or
services of the commercial interest organization (management of diabetes).
Jane could be a speaker for the conference if the Nurse Planner/planning committee believes she is knowledgeable in
the topic and appropriate to be a speaker. Steps to resolve Jane’s actual conflict of interest must be taken. For
example, the Nurse Planner/planning committee might ask a content reviewer to evaluate Jane’s presentation for any
bias towards the pharmaceutical company and its products, for balance in the presentation, and for other indicators of
integrity. The Nurse Planner or designee could then monitor Jane’s presentation to ensure no bias is introduced during
the session.
The Nurse Planner/planning committee might also include a question on the evaluation form asking if the presentation
was presented free of bias. It might be beneficial to include a definition of bias on the evaluation form so learners are
aware of what to evaluate. For example, rather than, "Was the learning activity free of bias?" the question could be
worded as "Was the learning activity free of product promotion?"
Prior to the start of the presentation, the Nurse Planner/planning committee must also ensure that Jane’s conflict of
interest is disclosed to the learners. This could be done on the advertising, on the agenda, or on the first page of
handouts, or on the first slide of the presentation.
b. PLANNING COMMITTEE MEMBER WITH SPOUSE EMPLOYED BY A COMMERCIAL INTEREST ENTITY:
The topic for this conference is not related to pacemakers therefore, Lisa would not have a conflict of interest. (Note:
Lisa would have a COI if the topic was related to pacemakers, such as treatment of cardiac dysrhythmias.)
c. SALES REPRESENTATIVE ON PLANNING COMMITTEE:
There is insufficient information to make a decision about whether Jack has an actual or potential conflict of interest.
Questions to consider include: What is the topic of the CE activity? What is the purpose of including Jack on the
planning committee?
Ohio Nurses Association, 4000 East Main Street, Columbus, OH 43213 / www.ohnurses.org
d. KEYNOTE SPEAKER WITH BOOK:
This speaker can influence learners but does not appear to have a financial relationship with a commercial interest
organization related to the content of this educational activity. To be sure, the Nurse Planner/planning committee
should closely evaluate the speaker’s Biographical/Conflict of Interest disclosure form.
Note: A publishing company does not fit the definition of a commercial entity.
While this particular scenario does not appear to present a conflict of interest in relation to a commercial interest
organization, the speaker does have the ability to benefit financially from promoting his book. The Nurse
Planner/planning committee will need to ensure the presentation is evidence-based, free from promotion, and
advances the professional development of registered nurses.
Book sales may only be conducted if separated from the educational activity. Sales may not be part of an educational
activity.
e. AUTHOR AND RELATIONSHIP WITH A COMMERCIAL INTEREST ORGANIZATION:
It appears this author does have an actual conflict of interest. The Nurse Planner/planning committee must evaluate
the discrepancy between the conflict of interest declaration by the author and the materials forwarded from the
assistant. If an actual conflict of interest exists, it is the responsibility of the Nurse Planner to resolve the identified
conflict prior to the start of the educational activity.
How did you do?
DATES TO REMEMBER
New:
Preparation for Submitting Your App Conference Calls
We have begun holding a one hour conference call once a month for those who have a provider app due soon. The next
dates are 9/24 at 10:00 am EST; 10/28 1:00 pm EST; 11/13 2:00 pm. Please let Sandy know if you are interested in
attending so that we can send you the call in information.
Ohio Nurses Association - Continuing Education Approver Council Meeting Dates for 2013 and 2014
Committee Meeting Date
October 4, 2013
December 6, 2013
January 10, 2014
March 14, 2014
June 27, 2014
September 12, 2014
November 7, 2014
To Go to this Meeting
Application Must be Received by:
September 4, 2013
November 6, 2013
December 10, 2013
February 14, 2014
May 27, 2014
August 12, 2014
October 7, 2014
Continuing Education Events for 2014
Provider Update Conferences: 9:30 a.m. to 3:30 p.m.
4/4/2014 (ONA, Columbus) – While everyone is welcome, the examples will be focused on non-hospital provider units such
as schools of nursing, AHEC, public health departments, associations.
4/10/2014 (OCLC, Columbus)
A third program will be held in Columbus – TBD
4/17/2014 (Okemos, MI)
5/7/2014 (Franciscans St. Francis Health, Beech Grove, IN)
5/12/14 (Springfield, IL)
One program will be held in Chicago, IL – TBD (We are seeking a location in the Chicago area. Are you interested in
hosting the 2014 event? Please let me know if you are interested.)
Ohio Nurses Association, 4000 East Main Street, Columbus, OH 43213 / www.ohnurses.org
Staff Development Conference
4/11/14
OCLC Conference Center, Dublin
Becoming An Approved Provider – 2014
ONA, Columbus
3/12/2014
7/23/2014
10/8/2014
Be a Part of ONA’s Approval Process
If you are interested in becoming a member of the Continuing Education Approver Council CE Review Panel,
please contact Zandra.
REMINDERS
Tips for Preparing the Provider Application
The tips can be found at www.ohnurses.org, Education, Teach, approved provider section.
Required Info When Submitting Provider Application
1. Include a table of contents so peer reviewers can quickly and easily find the relevant information in your application.
2. All pages must be numbered.
3. A maximum of 50 pages for the provider application packet. The individual activity files are not included in this
number.
4. Applications must be bound or placed in a notebook. (Bound does not include rubber banding, stapling, or paper
clipping the information together).
Ohio Nurses Association, 4000 East Main Street, Columbus, OH 43213 / www.ohnurses.org