CME ‘RCME ‘R US! US!JOINTLY SPONSORED

Assumption:Assumption:

That you have reviewed That you have reviewed the content of the updated CME the content of the updated CME

manual posted on line in early manual posted on line in early August. August.

Not really a “training” Not really a “training” session.session.

It’s a It’s a collaborationcollaboration session!session!

Session ObjectivesSession Objectives1.1. Establish a clearer understanding Establish a clearer understanding

of our CME joint sponsorship of our CME joint sponsorship program.program.

2.2. Address questions regarding Address questions regarding ACCME guidelines and ACEP ACCME guidelines and ACEP processes.processes.

We have a lot of ground to We have a lot of ground to cover. cover.

Kindly bear with me!Kindly bear with me!

Five Segments Today:Five Segments Today:

Touch on some background and CME basics.Touch on some background and CME basics. Look at some Look at some notnot so basics. so basics. Quickly review ACEP’s CME processes.Quickly review ACEP’s CME processes. Address the latest ACCME challenge areas.Address the latest ACCME challenge areas. Open forum (Q&A/discussion) – to help one Open forum (Q&A/discussion) – to help one

another.another.

BLINDING GLIMPSES OF BLINDING GLIMPSES OF THE OBVIOUSTHE OBVIOUS

““BGOs”BGOs”

BGO’sBGO’s ACEP’s ACCME accreditation = one of the ACEP’s ACCME accreditation = one of the

College’s most important assets.College’s most important assets. Accreditation – Not easy to earn, difficult to Accreditation – Not easy to earn, difficult to

maintain, but maintain, but easyeasy to loseto lose!! The ACCME (not ACEP!) is the law maker.The ACCME (not ACEP!) is the law maker. ACCME Essentials & their related Elements & ACCME Essentials & their related Elements &

Policies = “The Law of CMELand”.Policies = “The Law of CMELand”. Vague, subject to interpretation – Vague, subject to interpretation – mustmust do our do our

best to comply. best to comply.

BGO’sBGO’s The ACCME CME accreditation system: The ACCME CME accreditation system:

developed to ensure developed to ensure qualityquality CME programming. CME programming. ACEP’s missionACEP’s mission (as an accredited provider) = (as an accredited provider) =

assure physicians and the public that activities assure physicians and the public that activities have been planned and implemented in have been planned and implemented in accordance with ACCME guidelines. accordance with ACCME guidelines.

(Not rocket science! But challenging!)(Not rocket science! But challenging!)

BGO’sBGO’s cont’d cont’d

ACEP’s initial purpose in life = fill the void in ACEP’s initial purpose in life = fill the void in EM – specific education. EM – specific education.

1973 -- ACEP membership requirement: 150 1973 -- ACEP membership requirement: 150 hours of EM postgrad education every 3 years. hours of EM postgrad education every 3 years.

Ever since: dedicated to provide the Ever since: dedicated to provide the highest qualityhighest quality EM educational courses, products and learning EM educational courses, products and learning experiences available in EM.experiences available in EM.

BGO’sBGO’s cont’d cont’d

The national org. The national org. believesbelieves in joint sponsoring CME with in joint sponsoring CME with chapters.chapters.

Enhances physician education; better patient care.Enhances physician education; better patient care.

Enables chapters to add value to their educational Enables chapters to add value to their educational meetings and enduring products.meetings and enduring products.

We We ALLALL need to understand – w/ every jointly sponsored need to understand – w/ every jointly sponsored activity – ACEP puts its name, reputation and its ACCME activity – ACEP puts its name, reputation and its ACCME accreditation accreditation on the line.on the line.

BGO:BGO:Non-compliance =Non-compliance =

ACCME Probation, ACCME Probation,

Suspension, or Termination!Suspension, or Termination!

The “not so obvious”!The “not so obvious”!

NSO’sNSO’s

NSO’sNSO’s• When auditing, the ACCME does When auditing, the ACCME does notnot distinguish distinguish between ACEP events and events ACEP jointly between ACEP events and events ACEP jointly sponsors with chapters.sponsors with chapters.

• To the ACCME, every activity ACEP jointly To the ACCME, every activity ACEP jointly sponsors with its chapters is an sponsors with its chapters is an ACEPACEP event! event!

• Jointly sponsored activities are subject to the Jointly sponsored activities are subject to the samesame scrutiny; must comply with scrutiny; must comply with ALLALL of the same of the same requirements!requirements!

NSO’s NSO’s cont’dcont’d

National ACEP is National ACEP is notnot the lawmaker; it is, however, the lawmaker; it is, however, charged with charged with enforcementenforcement..

Policies/procedures include requirements over/above Policies/procedures include requirements over/above those required by the ACCME to ensure support of the those required by the ACCME to ensure support of the College’s mission/vision statements, objectives, and College’s mission/vision statements, objectives, and membership requirements. All CME activities must be membership requirements. All CME activities must be directly related to Emergency Medicine and be directly related to Emergency Medicine and be planned/implemented by EM professionals. planned/implemented by EM professionals.

NSO’s NSO’s cont’dcont’d

Per ACCME’s guidelines, a Per ACCME’s guidelines, a singlesingle jointly sponsored jointly sponsored activity found to be in non-compliance during activity found to be in non-compliance during

ACEP’s reaccreditation could result in placing our ACEP’s reaccreditation could result in placing our accreditation in jeopardy.accreditation in jeopardy.

Serious stuff, folks.Serious stuff, folks.

NSO’s NSO’s cont’dcont’d

If we don’t enforce/comply – If we don’t enforce/comply – disasterdisaster is the potential!is the potential!

If forced to choose between loss of If forced to choose between loss of accreditation and ending the joint accreditation and ending the joint sponsorship program…sponsorship program…

ImagineImagine the impactthe impact ! !

NSO’s NSO’s cont’dcont’d

Scientific AssemblyScientific Assembly and other ACEP educational and other ACEP educational meetings and enduring materials would meetings and enduring materials would notnot be able to be able to offer AMA Category I CME credit!offer AMA Category I CME credit!

Chapters would not be able to obtain AMA credit for Chapters would not be able to obtain AMA credit for their events and enduring materials from the College.their events and enduring materials from the College.

Third party sponsorships of chapter events would Third party sponsorships of chapter events would notnot be be possible.possible.

Clearly, Clearly, no oneno one wants any of this to happen! (Least of all wants any of this to happen! (Least of all our members!)our members!)

Let’s turn now to Let’s turn now to ACEP’sACEP’s

“Joint Sponsorship CME “Joint Sponsorship CME ProcessProcess””

““I promise you, we are I promise you, we are notnot trying to be the bane of trying to be the bane of your existence or add to your workload. We are your existence or add to your workload. We are simply trying to do what simply trying to do what mustmust be done and trying be done and trying to do it the best way that we know how. But we to do it the best way that we know how. But we need your support and cooperation. Joint need your support and cooperation. Joint sponsorship means joint responsibility. It is sponsorship means joint responsibility. It is at at leastleast a 50-50 proposition.” a 50-50 proposition.”

Tom WerlinichTom WerlinichAssociate Executive DirectorAssociate Executive Director

ACEP Educational Products DivisionACEP Educational Products Division

Joint Sponsorship ApplicationsJoint Sponsorship Applications

Submit applications for CME approval in a Submit applications for CME approval in a timelytimely manner. manner.

Incomplete applications can NOT be processed for CME.Incomplete applications can NOT be processed for CME.

Do not make us Do not make us chasechase you. Non-complying/incomplete you. Non-complying/incomplete documentation will prevent applications from being given timely documentation will prevent applications from being given timely approval. (We’ve no choice!)approval. (We’ve no choice!)

Not trying to be hard nosed. Just trying to meet ACCME Not trying to be hard nosed. Just trying to meet ACCME requirements. requirements.

PleasePlease work with us on this. Don’t curse us when we call or write. work with us on this. Don’t curse us when we call or write.

Let’s walk through the app. process and Let’s walk through the app. process and responsibilities…responsibilities…

Proper Application.Proper Application. Chapter responsibilities.Chapter responsibilities. National staff responsibilities.National staff responsibilities. NER (ACEP’s National Education Representative NER (ACEP’s National Education Representative

responsibilities).responsibilities). Accreditation Oversight Subcommittee responsibilities.Accreditation Oversight Subcommittee responsibilities.

Post activity chapter responsibilities.Post activity chapter responsibilities. National ACEP final responsibilities.National ACEP final responsibilities. Data in ACCME annual reports must match the data presented Data in ACCME annual reports must match the data presented

during the corresponding reaccreditation cycle.during the corresponding reaccreditation cycle.

Now, let’s shift gears -- focus on Now, let’s shift gears -- focus on what’s what’s NEWNEW from ACCME… from ACCME…

Really two main changes:Really two main changes: Identifying and resolving conflicts of Identifying and resolving conflicts of

interest (“COI”).interest (“COI”).Outcomes measurement requirements.Outcomes measurement requirements.

Identifying & Resolving COIIdentifying & Resolving COI

Financial RelationshipsFinancial Relationships: the individual benefits by : the individual benefits by receiving salary, royalty, intellectual property rights, receiving salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest or other consulting fee, honoraria, ownership interest or other financial benefit from a commercial interest.financial benefit from a commercial interest.

COI existsCOI exists when the individual when the individual can affect CME contentcan affect CME content about products or services of that commercial interest. about products or services of that commercial interest.

COI (cont’d)COI (cont’d)

Disclosure of any/all COI is mandatoryDisclosure of any/all COI is mandatoryWritten proofWritten proof of disclosure is mandatory – whether COI of disclosure is mandatory – whether COI

exists or not!exists or not!Participant disclosure:Participant disclosure:

Disclosure must be in writing to audience Disclosure must be in writing to audience beforebefore CME CME activity indicating what was disclosed or that there activity indicating what was disclosed or that there was nothing to disclose; no verbal disclosures at the was nothing to disclose; no verbal disclosures at the podium.podium.

Copy of Copy of allall disclosures must be in file. disclosures must be in file. Who must disclose? All faculty, authors, and Who must disclose? All faculty, authors, and

planners.planners. COI must (now) be COI must (now) be resolved.resolved.

ResolvingResolving COI in CME COI in CME

Must identify and resolve all conflicts of interest Must identify and resolve all conflicts of interest prior toprior to the activity. the activity.

Options:Options: Replace the faculty member.Replace the faculty member. Discuss ACCME requirements to be free of any Discuss ACCME requirements to be free of any

commercial content or bias; commercial content or bias; documentdocument the discussion. the discussion. (See ACEP policy and form)(See ACEP policy and form)

Suspend offenders from serving in future CME Suspend offenders from serving in future CME activities.activities.

Courses with last minute faculty withdrawal must be Courses with last minute faculty withdrawal must be cancelled – no verbal disclosure from the podium.cancelled – no verbal disclosure from the podium.

The “HOT SPOTS”The “HOT SPOTS”

Late submissions – Late submissions – Plan ahead!Plan ahead! Watch Watch submission vs. program start dates; submission vs. program start dates; suggested timelines can be found in CME suggested timelines can be found in CME handbook; please keep in mind that all handbook; please keep in mind that all transfer of documentation to/from NER is transfer of documentation to/from NER is conducted via regular mail (not e-mail).conducted via regular mail (not e-mail).

Incomplete applications – please do not Incomplete applications – please do not submit documentation piecemeal.submit documentation piecemeal.

General “HOT SPOTS”General “HOT SPOTS”

Planning meeting minutes for 3Planning meeting minutes for 3rdrd party programs (NER party programs (NER involvementinvolvement).). MOU for 3MOU for 3rdrd party programs – draft must be submitted for approval party programs – draft must be submitted for approval

priorprior to obtaining signatures. ACEP is the to obtaining signatures. ACEP is the lastlast party to sign. party to sign. Needs assessment for all programs (“Professional Practice Gaps”) – Needs assessment for all programs (“Professional Practice Gaps”) –

must reflect “need” not “want”.must reflect “need” not “want”. Measurable Learning Objectives for all programs (not teaching Measurable Learning Objectives for all programs (not teaching

objectives).objectives). Promotional brochure draft content approval & submission of Promotional brochure draft content approval & submission of final final

samples samples for all programsfor all programs.. Proper ACCME credit statement used!Proper ACCME credit statement used! Faculty Disclosures - Watch signature date! Must be dated prior to Faculty Disclosures - Watch signature date! Must be dated prior to

activity and reflect correct activity title.activity and reflect correct activity title.

General “HOT SPOTS”, cont.General “HOT SPOTS”, cont. No CME credit for testing.No CME credit for testing. CME credit for introduction/conclusion/Q&A sessions, CME credit for introduction/conclusion/Q&A sessions,

etc. will be considered if measurable learning objectives etc. will be considered if measurable learning objectives are provided that support “new learning material” not are provided that support “new learning material” not previously covered during the activity.previously covered during the activity.

Payment must be received with application package or Payment must be received with application package or Chapter will be direct billed.Chapter will be direct billed.

No Excel spreadsheets accepted; please configure into No Excel spreadsheets accepted; please configure into Word/PDF format.Word/PDF format.

Website links not acceptable for supporting Website links not acceptable for supporting documentation; you must provide us with 2 hard copies.documentation; you must provide us with 2 hard copies.

Supporting documentation listed in body of e-mail, on Supporting documentation listed in body of e-mail, on cover sheet, or note paper, etc. will not be accepted.cover sheet, or note paper, etc. will not be accepted.

Meeting Specific “HOT SPOTS”Meeting Specific “HOT SPOTS”

Post activity report/analysis due within 60 Post activity report/analysis due within 60 days.days.

SignedSigned faculty COI disclosures. faculty COI disclosures.

Enduring Material Specific “HOT Enduring Material Specific “HOT SPOTS”SPOTS”

SignedSigned faculty COI disclosures to be faculty COI disclosures to be submitted submitted withwith application. application.

Faculty CV’s are required Faculty CV’s are required withwith application. application.Quarterly post activity report/analysis.Quarterly post activity report/analysis.

Questions SubmittedQuestions Submitted

Why has ACEP changed policy/tightened Why has ACEP changed policy/tightened up so much? up so much?

Can we go somewhere else for our AMA Can we go somewhere else for our AMA credit? credit?

OPENOPEN FORUM FORUM