Page 1 Continuing Education Coordinating Board for Emergency Medical Services Application for Accreditation of a One-Time Event or Multiple-Event Activity Instructions for submission: Every item on this form must be completed. If you are unable to respond to an item, you must explain why in the appropriate space on the form. Applications submitted on CD (four separate CDs) or via email are preferred. If you submit on CD, submit four separate CDs. The check for the fee and one signed copy of the Attesting Statement and Conditions of Accreditation documents may be submitted separately via fax, US Mail, overnight delivery, or via email with an electronically scanned signature. If you submit hard copies of the application, you must submit four (4) typed copies of the application and all required documents and related materials, CDs, etc., sorted into 4 separate groups. The check for the nonrefundable application fee may be submitted under separate cover. A surcharge of $200 is required for hard copy submissions. Applications should be sent to the following address: CECBEMS - 12200 Ford Road Suite 478 - Dallas, TX 75234 Phone: 972-247-4442 or emailed to bremkus@cecbems.org. The application must arrive at CECBEMS headquarters at least six weeks prior to the date of the activity. CECBEMS does not award retroactive credit. For applications arriving fewer than six weeks prior to the activity date will be charged an expedite fee as follows: Review completed within 4 weeks of submission- 200% of application fee Review completed within 3 weeks of submission -250% of application fee Review completed within 2 weeks of submission- 300% of application fee Minimum expedite fee- $250 Be sure to include every attachment requested. Reviewers cannot assess an incomplete application. Failure to include all items requested will delay the approval process. Neatness counts! Reviewers will have fewer questions if the application is neatly presented with all information easy to locate and read. Note: You must submit post-activity materials online. CECBEMS maintains an Accreditation Management System (AMS) of approved activities and student course completions. The AMS will ensure that students will have a reliable, easy-to-access continuing education history and that NREMT and state agencies will be able to verify each student’s course completions. Providers of CECBEMS-accredited activities are required to submit a record of course completion to the CECBEMS AMS for each certificate issued. This is an integral part of maintaining accreditation for an activity. While CECBEMS’ policy currently allows for quarterly submissions, this policy is under review and will soon change to require more frequent submissions. Providers of distributed learning CE should be prepared to program their system to submit records to the AMS using real-time reporting (the course completions record is submitted electronically no more than 24 hours after the student satisfactorily completes the activity) or via XML upload at least monthly. Providers of “live” traditional classroom courses should submit course completions within 30 days after the activity has been offered. 7/27/2010 Page 2 A summary of student evaluations for each activity must be submitted to the CECBEMS office at least quarterly. Important Notice: The online submission will require that the CE provider input the following information in each record: CECBEMS CE provider number , CECBEMS activity number, date of course completion, student’s first name, student’s last name, student’s email address, student’s city of residence, student’s state of licensure, student’s state license number, type/level of license, student’s license expiration date, student’s NREMT registration number (if student is NREMT), student’s NREMT reregistration date (if student is NREMT), Number of CEH, Category of CEH. The collection of this data is a requirement. The CE provider is expected to take all reasonable measures to ensure that students provide this information completely and accurately. Section I – Description of Continuing Education Activity: Application Date: Activity Title: (example: Online Refresher Training Program) Activity Type: This application is for (bold one) A one-time event activity A multiple-event activity Activity Date(s) and Location(s) (for multiple-event activities, use the table below to indicate all dates available at time of application; add rows to the table if necessary): Date Frequency (# of times offered on the date in Column 1) Location Has this activity been previously submitted for review (bold one):Yes No If yes, please give the CECBEMS approval number and date of last submission: Number: 7/27/2010 Date of last submission: Page 3 Number of CEH requested in each category (see appendix for a description of CEH categories; use table below to indicate CEH requested in each category and total CEH). One CEH = 60 minutes of scheduled instruction : . Note: To compute the total number of CEH, include, all sessions of the activity including concurrent sessions, entire standard program, etc. An activity with concurrent sessions may offer a total of 15 CEHs in one day; however a student may be able to attend only 7 hours. The number of hours a student can attend in one day, one session or for the entire activity has no bearing on the total number of CEH submitted for review. The total number of CEH listed here may exceed the total number of hours an individual student will be able to attend because a student cannot attend all tracks of all concurrent sessions. Identify on the hour-by-hour activity schedule submitted with this application the category(ies) and CEH requested for each topic/presentation. See the appendix of this application for Definitions of CEH Categories. You may request approval in more than one category for some or all of the topics in an activity if appropriate. The topic must clearly apply to each level requested. Also, if you request approval in more than one category, you must pay the review fee for each category. For example, if you request approval for one CEH at both the Basic and Advanced levels for a topic, the review fee will be 2x the current rate per CEH. Category of CEH 1st Responder Basic Advanced Educator Operational Management Total # of CEH Section II -- Activity Sponsor: Name of Sponsor: Department: Street: City, State, Zip: Contact Person: Telephone: Fax#: E-mail: Web site: Include as Attachment A a letter of support from the sponsoring agency, association, institution, organization, corporation, hospital or combination thereof, or other appropriate CE provider. The letter must be signed by an individual who is authorized to sign contracts and binding agreements for the entity involved. 7/27/2010 Page 4 Section III -- Type Of Organization (bold the appropriate category): Educational Institution Agency or Association Corporation Hospital Other (describe): Section IV -- Co-Sponsoring Organization: (may not be applicable for all activities) Name: Street: City, State, Zip: Telephone: Fax: E-mail: Section V -- Continuing Education Activity Coordinator: Name: Address: City, State, Zip Telephone: 7/27/2010 Fax: E-mail: Page 5 Section VI -- Fees (Choose the appropriate fee for this activity.) Review fees are nonrefundable. Prices are subject to change without notice. Be sure you are using a current application form recently downloaded from cecbems.org One-Time Event (Be sure to list as the total CEH requested all sessions for which you will offer credit including CEH for each track of concurrent sessions. In other words, the total number of CEH that CECBEMS reviews and approves may exceed the total number of hours an individual student will be able to attend because a student cannot attend all tracks of concurrent sessions) Review Fee: $25 per CEH requested Maximum review fee $2,000 Minimum review fee $200 Fill in the information below to compute the fee: # CEH requested x $25 = _____ Total Review Fee submitted Multiple Event Activity Fee: Initial review: = _____ $165 per CEH Fill in the information below to compute the fee: # CEH requested ____ x $165 = _____ Total Review Fee submitted = Check is (Underline or bold one): _____ included with this application will follow under separate cover. Expedite Fee (if applicable): _______________ Surcharge for hard-copy submission (if applicable): _______________ TOTAL FEES SUBMITTED: _______________ Note: You must also submit the per-student/per-topic fee with a record of each student’s course completions within 30 days of the completion of an offering of a live activity and a summary of students’ evaluations at least quarterly. Note: Credit may be applied for in increments of .25 CEH. Section VII -- Description and Justification-Activity Prerequisites: Describe the knowledge, experience or level of training necessary (if any) for the student to receive a meaningful educational experience in this activity: 7/27/2010 Page 6 Section VIII -- Verification Of Attendance: Describe your plan for verifying attendance at each activity session: Section IX– Maintenance of Records Review Submitting Student Names in the appendix of this application. After reading Submitting Student Names, describe how you will submit student names to the CECBEMS AMS: Note: You must submit post-activity materials—course completion records for each students for each course/topic included in the activity within 30 days of the completion of the activity and a summary of student evaluations at least quarterly by February 1, May 1, August 1, and November 1.You must maintain all of this information on file for five years after the activity is offered along with telephone, address, and test scores (if applicable) for each student and a copy of the information submitted to the CECBEMS AMS. This information must be provided for audit purposes at CECBEMS’ request. Section X –Activity Certificate Include as Attachment B a copy of the activity certificate for this activity. The certificate should contain the following information: Name of CE provider and CE provider number Student’s name Activity title Date(s) of activity Location of activity Number and category of CEH CECBEMS activity number Name and signature of the program coordinator Student’s license number, state of licensure Student’s NREMT number (if student is NREMT) The following statements: This continuing education activity is approved by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS). You have participated in a continuing education program that has received CECBEMS approval for continuing education credit. If you have any comments regarding the quality of this program and/or your satisfaction with it, please contact CECBEMS at: CECBEMS - 12200 Ford Road – Suite 478 Dallas, Texas 75234 – Phone: 972.247-4442 - lsibley@cecbems.org. CECBEMS represents only that its accredited programs have met CECBEMS’ standards for accreditation. These standards require sound educational offerings determined by a review of its objectives, teaching plan, faculty, and program evaluation processes. CECBEMS does not endorse or support the actual teachings, opinions or material content as presented by the speaker(s) and/or sponsoring organization. CECBEMS accreditation does not represent that the content conforms to any national, state or local standard or best practice of any nature. No student shall have any cause of action against CECBEMS based on the accreditation of the material. 7/27/2010 Page 7 Section XI -- Post Activity Evaluation Process: Include as Attachment C a copy of the evaluation instrument(s) you will use to assess student and presenter evaluation of your activity. Describe how information gained from student and presenter evaluations will be used to improve future CE activities: Note: You must a summary of evaluations and at least quarterly. Section XII – Hour-By-Hour Schedule for Activity Use the table below to list each topic along with the day (use actual date or Day 1, Day 2, etc), time, number of CEHs requested for each topic, and category of CEH requested foreach topic. This table is in MSWord table format. You may add or delete rows as needed to accommodate your topic listing; do not delete columns. Hour-by-Hour Schedule Day/Date 7/27/2010 Time Topic Category #CEH of CEH Page 8 Section XIII – Structure of Presentations Use the copy-and-paste function to create a copy of this sheet for each presentation listed in the hour-byhour schedule above. NOTE: Objectives should indicate appropriate educational orientation and not an orientation that solely promotes commercial interests. Also, be advised that issues regarding intellectual property rights are the sole responsibility of the applicant. PRESENTATION SUMMARY SHEET Title of Presentation: Number and Category of CEH requested for this presentation (Basic, Advanced, Management, Operational, Educator, First Responder): Instructional Format (bold or underline all that apply): Lecture Discussion Simulation Skills Practice Case Presentations Laboratory Other (Specify) Name of Presenter: Objectives (two to five objectives per hour of content) After attending this presentation, the student will be able to: Note: Objectives should be specific, define a short-range goal (what the student should be able to do at the end of the presentation) and should be stated with a verb that describes a measurable, observable action that can be evaluated at the completion of the activity. For instance, “Understand the ABC’s of prehospital patient care” is not a good objective because understand does not describe a measurable, observable action. On the other hand, “Explain the ABC’s of prehospital care” is an acceptable objective because explain describes an action that is measurable and observable. Bibliography/References (This item is not optional. The presenter must list complete information for all materials used to prepare the presentation or explain why it is impossible to do so. CECBEMS considers evidence of thorough research an indispensable element of a sound educational presentation. Personal experience is NOT acceptable as the sole reference for the presentation). Use the attached style sheet to format the list of sources you consulted to prepare your presentation. Section XIV – Faculty Qualifications 7/27/2010 Page 9 Use the copy-and-paste function to create a copy of this sheet for each presenter included in your activity. You may submit a CV or resume instead of this form. For a multiple-event activity with changing faculty, submit this form or a CV or resume for each member of the planning committee. If you submit a CV or resume, please be sure the document does not include sensitive data such as SSN, professional license number, DEA number, etc. BIOGRAPHICAL DATA FORM Bold one: Planning Committee Member Instructor/Presenter Name: (Please include degree designations): Company/Department: Address: City, State, Zip: Contact Person: Telephone: Fax#: E-mail: PRESENT POSITION (Title and brief job description): EDUCATION: Include institution (name, city, state), major area of study, year degree awarded, and degree for basic preparation through highest degree completed: PROFESSIONAL EXPERIENCE: Use the space below to briefly describe your professional experience or area of expertise (including publications) which contributes to your ability to present the topic(s) or fulfill you assigned role on the planning committee. Section XV –Topic Outline Include as Attachment D the outline, lesson plan, or syllabus for each topic to be presented as part of this activity. Section XVI – Medical Oversight 7/27/2010 Page 10 Include as Attachment E a letter and CV for the physician who has reviewed and approved the content for this activity. Section XVII – Marketing Materials Describe below how your activity will be marketed. Include as Attachment F a copy or draft of each marketing vehicle you plan to distribute. These materials must clearly state the overall objectives for the activity; list prerequisites; identify speakers and their expertise; clearly state fees; provide necessary information about available travel, lodging, and meals; identify time, date, place, and topics; be free of statements that are deceptive misleading, or discriminatory. Section XVIII—Attesting Statement To the best of my ability and knowledge, all the statements contained in this application are true and accurately represent the proposed continuing education activity. _________________________________________________ Activity Coordinator Signature ____________ Date (Insert an electronic version of your personal signature or sign and fax to 972.716.2007.) Section XIX—Conditions of Accreditation Download , sign, and submit via fax or email the document located at http://cecbems.org/applications/Default.aspx on the CECBEMS Web site. Section XX – Complaint Review and Disciplinary Policy Download, print, read, and file this document located at http://cecbems.org/applications/Default.aspx should you need it for future reference. Before you submit this application, please review the checklist below to ensure that you have included all required items: 1. Have you signed Section XVIII—Attesting Statement? 2. Have you signed and submitted Section XIX—Conditions of Accreditation? 3. Have you responded to all parts of all Sections of the application? 4. Have you included the following: a. A letter of support from the sponsoring organization? b. A copy of the course certificate for this activity? c. A copy of the evaluation instrument(s) you will use to assess student and presenter evaluation of your activity? d. An outline, lesson plan, or syllabus for each topic to be presented as part of this activity. e. A letter from a physician who has reviewed and approved the activity content. f. A copy or draft of each marketing material you plan to distribute? g. A check for the application fee? 5. Are you prepared to collect and store the following information from each student? first name, last name, email address, city of residence, state of licensure, state license number, type/level of license, license expiration date, NREMT registration number (if student is NREMT), NREMT reregistration date (if student is NREMT). 7/27/2010 Page 11 Style Sheet for Activities Applying for CECBEMS Accreditation Units of Measure: Provide units of measure in common reference values, followed by Systeme International (SI) units in parentheses. See http://physics.nist.gov/Pubs/SP330/sp330.pdf for SI units. Drugs: Use generic names and, if necessary, list brand names (including the manufacturer's name, city, and state) in parentheses. Please include the International Nonproprietary Name (INN) as well. See http://whqlibdoc.who.int/hq/1997/WHO_PHARM_S_NOM_1570.pdf References: Number references (including references to unpublished information) consecutively in the order of their appearance in the manuscript. Type a list of references in their order of mention in the text, not alphabetically, at the end of the manuscript. Abbreviate journal names according to Index Medicus. Indicate abstracts by "abstract" in parentheses. List t the first three authors, followed by "et al" if there are more than three. Accuracy of citations is the author's responsibility. Examples of correct referencing forms are as follows: Journal Article: Raftery KA, Smith-Coggins R, Chen AHM. Gender-associated differences in emergency department pain management. Ann Emerg Med. 1995;26:414421. Book: Huddy J. Emergency Department Design: A Practical Guide to Planning for the Future. Dallas, TX: American College of Emergency Physicians; 2002. Book Chapter: Mengert TJ, Eisenberg MS. Prehospital and emergency medicine thrombolytic therapy. In: Tintinalli JE, Ruiz E, Krome RL, eds. Emergency Medicine: A Comprehensive Study Guide. 4th ed. New York NY: McGraw-Hill; 1996:337-343. Courses, lectures (unpublished): Sokolove PE. Needlesticks and high-risk exposure. Course lecture presented at: American College of Emergency Physicians, Scientific Assembly, October 12, 1998; San Diego, CA. Internet: Gore L. ACEP hails House passage of the HEALTH Act [press release]. American College of Emergency Physicians Web site. Available at: http://www.acep.org/1,32181,0.html. Accessed March 14, 2003. Personal Communication: Avoid reference to personal communications, but when necessary, include the person's name, his or her title, month, and year. A letter granting permission to publish from the person providing the information must be included at the time of submission. Tables: Number tables consecutively. Refer to each table consecutively in the text. Each table must be on a separate page after the references. Figures: Figures (charts, graphs, photographs, etc.) and legends should be selfexplanatory and able to stand alone; the data presented in a figure should not be duplicated in the text. Refer to each figure consecutively in the text. Public Statements about CECBEMS approval: When you mail the application, you may use the following statement: 7/27/2010 Page 12 Continuing Education Hours have been applied for through the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS). When your activity has received CECBEMS approval, you must use the following statement if any mention is made of continuing education credit for EMS personnel: This continuing education activity is approved by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS). CECBEMS#: CEH Type: CECBEMS represents only that its accredited programs have met CECBEMS’ standards for accreditation. These standards require sound educational offerings determined by a review of its objectives, teaching plan, faculty, and program evaluation processes. CECBEMS does not endorse or support the actual teachings, opinions or material content as presented by the speaker(s) and/or sponsoring organization. CECBEMS accreditation does not represent that the content conforms to any national, state or local standard or best practice of any nature. No student shall have any cause of action against CECBEMS based on the accreditation of the material. In addition, you may use the following description of CECBEMS. If you opt to use this statement, you must use it in its entirety: CECBEMS is an organization established to develop and implement policies to standardize the review and approval of EMS continuing education activities. The sponsoring organizations of CECBEMS are, the American College of Emergency Physicians, National Registry of Emergency Medical Technicians National Association of Emergency Medical Services Physicians, National Association of State Emergency Medical Services Directors, National Council of State Emergency Medical Services Training Coordinators, the National Association of Emergency Medical Technicians, the National Association of EMS Educators, and the American College of Osteopathic Emergency Physicians. If the CE provider significantly revises any aspect of the activity (i.e., format, content, or operation) at any time during the approval period, activity approval terminates and the CE provider must submit a new application. In such a situation, a new review process will be required along with a new review fee. If CE providers is uncertain as to whether or not a revision is “significant,” they should contact the CECBEMS office. Failure to submit a description of a significant change in an activity to CECBEMS in a timely fashion may be cause for suspension of the activity’s approval. Definitions of CEH Categories CECBEMS awards credit for each session or portion of the activity based on the 7/27/2010 Page 13 activity content. You must indicate on the application the category(ies) and number of credit hours requested. Basic: Topics which address skill and knowledge objectives included in the patient care practice of basic prehospital care personnel (as described in the current U.S. D.O.T. National Standard Curriculum for EMT Basic). Advanced: Topics, which address skill and knowledge objectives included in the patient, care practice of advanced EMT or EMT-Paramedic personnel and beyond the scope of basic prehospital care personnel (as described in the current U.S. D.O.T. National Standard Curriculum for EMT-Intermediate and Paramedic). Operational: Topics, which are relevant to the operational activities of EMS personnel, such as emergency vehicle operations, dispatch communications, rescue, etc. (non-patient care activities as described in the current U.S. D.O.T. National Standard curriculum for EMT-Basic, Intermediate and Paramedic). Educator: Topics oriented to the EMS educator (e.g., instructional methodologies and techniques, evaluation principles and techniques, etc.), and not directly related to the provision of emergency patient care. Management: Topics directed to the manager/supervisor, related to the administration of emergency medical services, and not directly related to the provision of emergency patient care. (fiscal, personnel and vehicle management issues.) First Responder: Topics that address the care of the patient in the first minutes of an emergency and before the arrival of BLS or ALS unit as described in the current DOT curriculum. DOT Refresher: CECBEMS has also pre-approved the following standardized courses. Credit for these activities is tracked under the specific activity title rather than the above categories. DOT Refresher EMT-Basic DOT Refresher EMT-Intermediate DOT Refresher EMT-Paramedic Submitting Course Completion Records to the CECBEMS Accreditation Management System As a condition of being granted accreditation from CECBEMS all providers agree to comply with several requirements, including the collecting and reporting of specific pieces of data. CECBEMS is committed to the provision of quality continuing education activities. We feel 7/27/2010 Page 14 strongly that maintenance of reliable records is paramount to recertification of practicing EMS providers. To make recertification easier for providers we are phasing in a new resource, the CECBEMS Accreditation Management System (AMS). The CECBEMS AMS allows continuing education (CE) providers to report data in three ways: manual entry, XLS (Microsoft Excel file), and XML file. All methods require the same data be reported, differing only in the method in which the data are reported. In the first year the AMS has been in operation, we have identified the top three problems encountered with data submissions. We have analyzed these problems and have found the following common issues: 1. Some providers have failed to collect the required data. All providers are required to collect and report the same data. The most common pieces of data that providers have not collected include state license number, state license expiration date, NREMT number and re-registration date, and time of course completion. These are key pieces of data that are necessary to ensure EMS professionals receive credit for their CE activities. One reason providers of distributed learning (DL) courses have failed to collect this data is that they do not have a learning management system in place that is designed to meet the special requirements necessary to deliver CECBEMS accredited continuing education. Distributed learning providers must ensure all required data, is collected prior to delivering a course with a CECBEMS accreditation. Likewise, providers of live courses must ensure their data collection procedures collect all required data during the registration process. 2. Providers have collected data in ways that make retrieval and reporting difficult. Regardless of how you collect data, you must maintain it in accordance with CECBEMS, requirements. If the student’s name, state of licensure, and license number are not entered accurately each and every time a course completion is entered for that person, the course completion information will not appear on that person’s record. Providers of live activities frequently use handwritten forms for collecting data. Our experience is that handwritten information is frequently illegible. If you use this method, you need a back-up method in place for verifying information submitted. Providers of distributed learning activities frequently allow a student to complete an activity whether or not the student has entered the required information. We strongly recommend that you program your system to require a student enter all required information before launching an activity. Of those providers using electronic methods of capturing and storing data, many are using a spreadsheet program such as Excel. Excel is not a database program and is designed for the manipulation of numbers, not data. Its ability to output and share data is very limited. The CECBEMS AMS currently has a method of accepting data from an Excel file, but this method requires manual review and manipulation and there is a charge for handling each Excel file of a maximum of 1,000 records. A true enterprise class Database Management System, such as Microsoft SQL Server, Oracle, or IBM DB2 is the ideal tool for capturing data. If you are using a database, be sure it is 7/27/2010 Page 15 robust enough to handle the types and amounts of data you are required to collect. Be sure it collects and stores all required pieces of data and is set up to retrieve those pieces of data. 3. Providers do not have (or have not dedicated) sufficient or appropriate resources to collect and submit the data to the CECBEMS AMS. The CECBEMS AMS is built on the newest platform that is designed to share data between systems via the Internet. The easiest and most efficient tool for this transfer is an Extensible Markup Language (XML) file. XML is a W3C initiative that allows information and services to be encoded with meaningful structure and semantics that both computers and humans can understand. In the simplest possible terms, an XML file is a text file in a specific format that contains individual pieces of data written to conform to a specific set of rules or “schema”. There are many ways to create this kind of text file, including simply typing it into notepad (although this is not efficient for large amounts of data.) Ideally, a programmer can create a tool that will essentially copy the required data from your database and then write the XML file in the correct format and syntax. Once you have this tool it can be used repeatedly by any non-programmer to create and submit the required reports to CECBEMS. For example, one CECBEMS-approved provider has such a tool that allows any non-tech person to simply enter the beginning and ending date of the report, enter their CECBEMS AMS log-in name and password, and click one button to create and submit the XML file to the AMS. This is the beauty of the XML reporting tool – build one small application and reporting will not require technical resources from then on. Our analysis of the troubles providers have been experiencing in successfully writing the XML files shows that the single biggest problem has been that the technical resources assigned to create the XML file are not sufficiently trained in XML syntax. We want to be sure that you understand that we are not commenting on any individual’s abilities, but rather have found that many Web Designers have not had the benefit of training or experience in XML. Our goal here is simply to try to help providers understand that the resources you may successfully use on a daily basis may not be the best resources to use when confronted with the demands of business to business data transfer. If you are having difficulty finding a resource that can successfully produce your XML file, we suggest you ask a prospective XML programmer the following questions: A. B. C. D. E. F. What database experience do you have? What development environment(s) do you use? (“translation program”) Can you write code directly without the development environment? What training/experience have you had with XML? Are you familiar with XML syntax? Have you ever transferred data between Database Management Systems using XML? CECBEMS has budgeted for providers to receive a limited amount of technical assistance from our AMS manager. Our experience shows that when we are dealing with an experienced XML programmer who has read the CECBEMS AMS Manual we need to answer a few questions and/or review a small test upload to identify problems. Subsequently, these providers are able to upload data quickly and effectively. If you would like for CECBEMS to provide services beyond this limited amount, we will be happy to contract with you for these services. 7/27/2010 Page 16 Providers have failed to utilize the resources we have provided them, including the AMS Providers Manual, an XLS template, an XML schema (template), and an XML file example. We encourage providers to download these resources, make them available to your XML programmer, and refer to them when building files for submitting data to the AMS. These resources can be found in the “For CE Providers – Documentation” section of the FAQ page on www.cecbems.org. CECBEMS has budgeted for providers to receive a limited amount of technical assistance from our AMS manager. Our experience shows that when we are dealing with an experienced XML programmer who has read the CECBEMS AMS Manual, we need to answer a few questions and/or review a small test upload to identify potential problems. Subsequently, these providers are able to upload data quickly and effectively. If you would like for CECBEMS to provide services beyond this limited amount, we will be happy to arrange for you to contract for these services. CECBEMS also offers limited technical assistance to providers who are submitting data via and Excel file or manual entry. Again, when we are dealing with someone who has read the manual carefully, we are able to identify potential problems quickly and subsequent submissions have uploaded smoothly. As with XML users, if you would like for CECBEMS to provide services beyond this limited amount, we will be happy to arrange for you to contract for these services. Summary 1. Collect the information listed below from each student. This is not Failure to collect this information could result in loss of accreditation. optional. CECBEMS activity number, date of course completion, first name, last name, email address, city of residence, state of licensure, state license number, type/level of license, license expiration date, NREMT registration number (if student is NREMT), NREMT reregistration date (if student is NREMT), Number of CEH, Category of CEH. 2. Put a process in place to ensure that data is complete and accurate. 3. Read the CECBEMS AMS manual carefully and forward it to your technical support people and anyone else in your organization who will be involved in data collection and/or submission. 4. Utilize the limited technical support offered by CECBEMS to resolve initial technical issues. 5. Schedule regular data uploads to comply with deadlines for reporting post-activity materials. Provider Evaluation of the CECBEMS Application Process The CECBEMS process is designed to provide an objective review of the instructional design of EMS continuing education activities. The application process is designed to verify that the key elements of the educational planning, implementation, and evaluation process have been addressed by the applicant. Our goal is to keep the process as simple as possible while making sure that CECBEMS reviewers will be able to verify that the activity has a sound educational design and that appropriate steps have been taken to ensure effective implementation. 7/27/2010 Page 17 Using a five-point scale with 1 indicating strongly agree and 5 indicating strongly disagree, circle or bold your response to each of the items below: Strongly Agree…………….. Strongly Disagree 1. The instructions were easy to read and understand. 1 2. 4 5 NA 2 3 4 5 NA The CECBEMS office responded to my e-mail requests for information promptly. 1 4. 3 The document was easy to fill out on my computer 1 3. 2 2 3 4 5 NA The CECBEMS office responded to my telephone requests for information promptly 1 2 3 4 5 NA 5. The CECBEMS office responded to my e-mail requests for information courteously. 1 2 3 4 5 NA 6. The CECBEMS office responded to my telephone requests for information courteously. 1 7. 2 3 4 5 NA The review was completed in a timely manner. 1 2 3 4 5 NA Please take a few minutes to respond to the following questions: 8. Did you have difficulty completing any section(s) of the application? If so, please which section(s) and give the reason for the difficulty. 9. Do you have suggestions for improving the application process? If so, please suggestions below. 10. Approximate total time to complete application 11. Type of application: circle one distributed learning one-time event 7/27/2010 ________ hrs multiple-event activity indicate detail your