Commercial Support Considerations
Any entity whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by, or on, patients.
What is an ineligible company?
the difference between health care processes or outcomes observed in practice, and those potentially achievable on the basis of current professional knowledge.
What is a professional practice gap?
The time period in which a person involved in any portion of planning or presenting a CME activity is asked to disclose relationships with ineligible companies
What is 24 months?
An ineligible company that is located in a separate room from education receives a table and area to set up promotional material about their company is referred to as:
An exhibitor
The phrase "I can explain the difference between a CT and MRI scan" meets the expectation for competence measurement as an evaluation strategy.
False.
This statement is an attestation of knowledge.
The agreement between parties when receiving in-kind or commercial support for a CME activity
What is the Commercial Support Agreement?
Which of the following is an acceptable practice gap:
A. Dr Smith is an expert on minimally invasive spine surgery
B. A variety of minimally invasive decompression and fusion surgeries can now be performed due to the development of transforaminal and retroperitoneal anterior and lateral approaches that our spine surgeons are not familiar with.
C. Medtronic asks KMA to teach a course on artificial discs
D. None of the above
What is B?
The minimum financial threshold individuals need to disclose
What is no minimum?
In the activity presented, representatives of community organizations that had a focus on nutrition and access to healthy food were an active part of the planning committee, helping to develop and deliver the content of a public health summit focusing on healthy food access and nutrition.
Name 2 Commendation Criteria that may align with this activity.
What are:
Collaborates Effectively
Engages Patients/Public
Improves Patient/Community Health
Attestation only is an acceptable form of resolution in the mitigation process.
False.
Utilization of attestation is a component of mitigation, but should not be used as the sole process for mitigation.
The entity(ies) involved when signing a Commercial Support Agreement
Who are:
The Accredited Provider
The Ineligible Company (providing support)
AND the Joint Provider
Activities should be designed to change
[fill in the blank]
of learners.
What is:
knowledge, competence, patient outcomes
These should never be included in disclosure to learners
What are logos or trade names of ineligible companies that provide support for CME activity.
A provider's post activity evaluation includes this language:
I plan to make changes in practice based on my participation in the activity.
Does this meet expectations for analyzing change?
No.
When utilizing post activity evaluations,
Patent holders who receive royalty payments from ineligible companies are considered to be owners of those companies.
FALSE.
Individuals who receive patent royalties from ineligible companies are not considered owners or employees of those companies. Those individuals may control content in accredited continuing education, if the appropriate steps are taken:
What can NOT be paid for with commercial support funds?
A. Modest meals during the CME activity
B. Faculty honoraria
C. Expenses for development of CME activity
D. Registrants' air and ground transportation
What is: D. Registrants' air and ground transportation?
These are determined by the education needs that underlie the professional practice gap and help outline/define expected results and/or change in learners.
What are objectives?
When this exists, financial relationships need to be disclosed to learners
What is relevency?
NAME THE COMMENDATION CRITERIA ASSOCIATED WITH THIS ACTIVITY:
6 wks after a course on heart failure therapy for minority patients, a follow-up survey was sent to measure change in practice.
1000 total learners in activity--25 learners responded to survey
9 said they implemented performance and quality measures.
11 said they more frequently based decision's on patient's ethnicity.
What is "Improves Performance"
Majority of the 25 respondents is what matters.
In this case, 20 total respondents, which constitutes a majority.
The disclosure statement presented to learners as described below demonstrates compliance with Standard 3, SII.
All planners disclose they have no relevant financial relationships with ineligible companies to disclose.
The following speaker discloses:
Charlie Brown, speakers bureau, Lucy Pharmaceuticals
FALSE.
Mitigation statement is missing.
All of the relevant financial relationships listed for these individuals have been mitigated.
Approaches to acknowledgement of commercial support
What are:
Name of commercial supporter
Nature of support
Prior to activity
No logos or trade names
The provider asks its learners what topics they want covered at the next annual meeting.
The provider uses its expert faculty recommendations for hot topics and developing areas of interest that should be included.
DO THESE EXAMPLES MEET THE EXPECTATIONS OF THE EDUCATIONAL NEEDS CRITERION?
DOUBLE POINTS FOR ELABORATION OF WHY/WHY NOT.
NO, these examples do not meet the expectation for this criterion.
The provider did not describe or demonstrate that it plans its activities to address professional practice gaps and the needs that are the cause of those gaps.
Accredited providers do not need to identify, mitigate, or disclose relevant financial relationships for this type of content
What is non-clinical?
The provider evaluates its individual activities for changes in learners’ C/P through immediate and 6 month post activity evaluations. However, the provider does not use these or any other change data in an overall analysis of the changes (learner competence, performance, or patient outcomes) that resulted from the provider’s program of CME.
Does this meet the expectation for Analyzing Change criterion?
DOUBLE POINTS FOR DESCRIPTION OF WHY/WHY NOT
No.
Analyzes change requires that the provider has data about learners’ change from its activities and that the provider engages in an analysis of that data across its program of CME.
The latter asks that you look at all data across your accreditation term to determine impact of change in learners.
Colorectal cancer represents 8 percent of all new cancer cases and is the second leading cause of cancer deaths in the United States....Being male and black are also associated with higher incidence and mortality. This cancer is most frequently diagnosed among people 65 to 74 years old Screening can be effective for finding precancerous lesions (polyps) that could later become malignant, and for detecting early cancers that can be more easily and effectively treated.
Provider held colorectal cancer symposium to educate on changes to screening and system initiative to increase screening in at risk patient demographics by improved communication strategies.
To analyze change, provider utilized MIPS CLINICAL QUALITY MEASURES (CQMS) provided by Quality to measure change related to increased screening and diagnosis over a 12 month period related to specific patient populations.
T/F: This example demonstrates measurement in performance and patient outcomes.
True.