The Elephant in the Room

1
The Elephant in the Room

• Policy and Procedures Update

Ron Murray, Ed.D. Associate Director
CME Affiliates Workshop 29th September 2005
2
Were glad youre here!
UVA CME Affiliates and Outreach Services 
3
Goals

• Discuss ACCME policies and their effects
• Review Affiliates Role
• Review updated documentation
• Explore further educational opportunities
• Answer questions!

4
Who or what is the elephant?
5
ACCME
6
ACCME Website http//www.accme.org/
7
Dancing with Elephants
8
Can hurt you!
9
A Herd of Elephants
OIG
ACCME
Joe Public
FDA
10
Dancing Lessons
11
Appropriate Dancing Lessons
12
To navigate the minefield
13
Leading to Harmony!
14
Lesson Number 1
Read the manual!
15
CME Affiliates Policy and Procedures Handbook
Updated September 2005
16
Keeping Control

• Too much paper?

17
The ACCME (Accreditation Council for Continuing
Medical Education) monitors providers of
credit-designated CME.
18
UVA Office of Continuing Medical Education
Link to cmevillage.org
19
What we do

• The UVA Office of CME works to help identify and
  plan CME activities bothin-house and with
  non-accreditedpartners includingour Affiliates.

20
In order to maintain our accreditation and
ability to designate credit, we must follow the
policies and procedures of both the ACCME and the
AMA.
21
Role of Affiliates

• Administration - CME director (physician) and
  staff coordinator(s)
• Activity Planning -
• Timelines,Target Audience,
• Commercial Support,Documentation
• Compliance with Essentials.
• Communication

22
Review Process

• Application for Affiliate Status.
• Review by CME Committee.
• Renewable agreement every two years
• Separate submission of application(s) for RSCs
  and/or single conference(s) based on needs
  assessment.
• CME Committee review for approval and credit
  designation.

23
Application form changes
Planning Committee Please list the names and
titles of those individuals directly involved in
the planning of the content of this activity (add
extra sheet if necessary). Please attach a
completed, signed disclosure form for each member
of the planning committee. Attachment 1
Required
24
Commercial Support plays a vital role in CME
25
Oversight

• To help protect the integrity of CME, the ACCME
  adopted the Standards for Commercial Support of
  Continuing Medical Education in 1992.

26
SCS
27
Commercial supporters may not control the
planning, content, or presentation of the CME
activity.
28
Standards for Commercial Support

• These standards outline the required procedures
  for commercial supporters, accredited providers,
  activity presenters, and participants in a CME
  activity.

29
Presentations must give a balanced view of
therapeutic options.
If possible, only generic names should be used.
However, If trade names are used, those of
several companies should be used.
30
Commercial exhibits may be a part of CME
activities but may not interfere with the
presentation of the activity.
Exhibits
Education
31
No promotional materials may be displayed or
distributed in the same room as the educational
activity.
This includes pens, banners, notepads, samples,
etc.
32
Funds for support of a CME activity must be given
in the form of an educational grant, outlined
in a Letter of Agreement that specifies the terms
and conditions.
33
Funds may be used for any aspect of the activity
e.g. supplies, a-v services, food beverage,
and speaker honoraria expenses.
34
Note that money MUST be paid to the Affiliate
or UVA CME Office and CANNOT be paid directly to
any speaker or supplier.
35
Funds must not be used to pay travel, lodging,
registration fees, or personal expenses for
non-faculty attendees.
36
All Commercial support must be acknowledged in
printed announcements and activity materials. The
acknowledgement may not mention any specific
product(s).
37
On request, the CME provider must supply
commercial supporters with full accounting of the
expenditure of all funds provided for an activity.
38
Disclosure, Its important!
39
Why is disclosure so important?
Because, the audience has the right
to know what influences a speakers presentation.
40
Each Activity Faculty member must disclose any
financial relationships with commercial
interests.
Hi, I get money from..
41
The CME provider must have a mechanism to resolve
any conflicts of interest
42
The participants must be informed prior to the
presentation that faculty either

• Have no financial relationship(s).
• Have a financial relationship (and then state the
  nature of the relationship).

43
The CME Offices role is to help our Affiliates
to develop high quality activities and to ensure
that all UVA, ACCME, and AMA policies are
followed.
44
Remember, we are here to help you with your CME
activities.
45
If you are unsure of how to do something, ask us
BEFORE you do it.
46
Forward completed paperwork to us in a timely
fashion.
47
Use Checklists
48
Share your suggestions of ways we can improve our
services.
49
What does it cost?
CME Fees for Affiliates and Partners   Regularly
Scheduled Conferences (RSCs) e.g. Grand Rounds,
Tumor Boards, Lecture Series.   Application fee
Nil (Please note though that expired series will
no longer be in compliance and will be ineligible
for AMA category 1 credits or CEUs.)
  Affiliates will be notified 3 months in
advance of renewal dates for RSCs   Participant
fee per session for CME/CEU - 8.00 per credit
hour e.g. fee for 20 participants in 1 hour CME
Grand Rounds session 20 x 8.00 160.00  
50
What does it cost?
CME Fees for Affiliates and Partners   Single
Conferences   Application/ Base fee - 500.00
(includes first 15 participants) CME/CEU
thereafter 8.00 per credit hour per
participant. Late fee 500.00 for applications
received fewer than 90 days before the planned
conference.   Enduring materials e.g.
print/cd-rom negotiated on an individual
basis.   Please note that these fees will be
subject to an annual review by the Office of
Continuing Medical Education at the University of
Virginia School of Medicine.
51
Educational Opportunities
Telehealth
52
UVA Office of Continuing Medical Education
Link to cmevillage.org
53
Educational Opportunities
Virginia CME Provider Network Friday, October 21,
2005 1000 am to 200 pm Hosted by Sentara
Healthcare Corporate Building 6015 Poplar Hall
Drive, Norfolk, VA 23502
54
Topics for Discussion
Regularly Scheduled Conferences (RSC)    Updated
Standards for Commercial Support
(SCS)  Documentation  Enhanced Competency
CME  Audience Response System (ARS) Please
bring your CME program forms or documents to
share with your colleagues. To register, please
contact Perry Francisco at [phone] or by
email at pcfranci_at_sentara.com.
55
Key Points

• Communicate
• Collaborate
• Educate
• Frequently!
• Clearly!
• Comprehensively!

56
And finally
Words of wisdom from some CME family members
57
CME Rocks!
Oh Yeah!