Series Planners & Faculty Zandra Ohri, MA, MS, RN CE Director, Ohio Nurses Association Pam Dickerson, PhD, RN-BC, FAAN CE Director, Montana Nurses Association.

Documenting Evidence of Effectiveness in Your Approved

Provider UnitFall 2014 Webinar Series

Ohio Nurses Association and

Montana Nurses Association

Series Planners & Faculty

Zandra Ohri, MA, MS, RN

CE Director, Ohio Nurses Association

Pam Dickerson, PhD, RN-BC, FAAN

CE Director, Montana Nurses Association

Terry Pope, MS, RN

President, Nursing Institute for CE

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Session 1Organizational Overview

• Objective: Identify evidence to support the structure, resources, goals and outcome measures for your provider unit.

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Disclaimer / Disclosures• Requirements for successful completion:

Attendance at event & turning in an evaluation form.

• Conflict of interest: Planners & faculty have declared no COI

• 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.

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Structure of the System: ANCC

Accreditation

Accredited Providers Accredited Approvers

Approve

Approved Providers

Educational Activities

Contact Hours 5

Eligibility to Apply – Provider Unit

• Organizational Structure

• Nurse Planner

• Functional Status & Scope of Service

• Commercial Entity Exclusion

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Organizational Structure

• Single focused organization offering continuing nursing education (SFO)

• Distinct, separately functioning unit within a complex, multi-focused organization with autonomy for providing continuing nursing education (MFO)

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Nurse Planner

• One or more nurse planners; RN with minimum baccalaureate degree in nursing – must demonstrate competence to carry out nurse planner role

• Primary nurse planner administratively and operationally responsible for coordinating all aspects of CNE activities provided by the organization.

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Functional Status (new applicant)

• Activities / Duration: Must have planned, received approval for, implemented, and evaluated at least three activities using proper personnel and criteria / rules for minimum of six months prior to application for provider unit approval– Nurse planner involved– At least 60 minutes each– No jointly provided activities

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Target Audience

• If more than 50% of your activities are offered to nurses within your region and contiguous states, you are eligible to be an approved provider.

• For broader audiences, applicant must seek ANCC accreditation.

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Commercial Entity

• Entity producing, marketing, re-selling, or distributing healthcare goods or services consumed by, or used on, patients or an entity that is owned or controlled by another entity that…

• Commercial entity is not eligible to apply as a provider unit or for approval of individual activities.

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Intent to Apply

• Complete “Intent to Apply As a Provider Unit”; submit to your approver unit:

– New applicants: Submit before planning to submit provider application

- Renewing Applicant: Submit after receiving notification that you are within 6 months of your renewal date

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Accreditation Conceptual Framework

Nursing Professional

Development: Continuing

Nursing Education

Educational Design Process• Assessment of Learning Needs • Planning and Faculty• Design Principles • Achievement of Objectives

Educational Design Process• Assessment of Learning Needs • Planning and Faculty• Design Principles • Achievement of Objectives

Quality Outcomes• Evaluation Process• Evaluation Participation• Goals for Improvement• Value/Benefit to Nursing Professional Development

Quality Outcomes• Evaluation Process• Evaluation Participation• Goals for Improvement• Value/Benefit to Nursing Professional Development

Structural Capacity

• Commitment• Accountability• Leadership• Resources

Structural Capacity

• Commitment• Accountability• Leadership• Resources

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Organizational Overview – OO1

Demographic data:

• Description of provider unit – who are you, how many are involved in provider unit – scope & size, geographic area, content areas, target audience, types of activities, etc.

• Are you single focused (SFO) or multi-focused (MFO)

• How does your provider unit relate to the larger organization

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Example 1

• ABC Hospital provides full care to the population in 5 counties. We have 150 beds, an outpatient surgery,…. There are 400 RNs employed full time. The Education Dept. provides orientation to all employees, student placement, ACLS, PALs, CPR, CE and other required activities.

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Does this clearly describe the Provider Unit?

1. Yes

2. No

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Example 2

• The provider unit is located in the Education Dept at ABC Hospital. We have 1 Primary Nurse Planner, 5 Nurse Planners, and 2 key other personnel (size). We provide 60 different activities each year primarily for our nurses, but may open some programs to nurses in the surrounding 5 counties (target audience & scope). Our live activities and enduring materials activities (types of activities) are aimed primarily at clinical issues, leadership and EBP (content areas)…

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Does this better describe the provider unit?

1. Yes

2. No

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OO2

• Lines of authority and administrative support– Names, credentials & positions of Primary

Nurse Planner (PNP), Nurse Planners and Other Key Personnel

– Position/role descriptions in relation to what do in the provider unit

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OO2

• Organizational chart of the provider unit

• Organizational chart of the larger organization, if applicable

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APU Organizational Chart• SAMPLE

• ORGANIZATIONAL CHART FOR THE PROVIDER UNIT• XYZ College of Nursing

• CE Provider Unit• Organizational Chart

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Mary Jackson, MS, RN-BCPrimary Nurse Planner

Director, CE Department

Administrative AssistantSandy Williams

Continuing Education

Advisory Council

(Nurse Planners)

Stephanie Baker, MSN, RN, BC, CNSJudy Wilkins, MSN, RNSue Walden, BSN, RN

Christina McNeil, MS, RN- BCLisa Trotter, PhD, RN-BC

Molly Moore, BSN, RN- BC

Janet Mathews, PhD, RNDean, College of Nursing

Dean

APU Organizational ChartSAMPLE

ORGANIZATIONAL CHART FOR THE LARGER ORGANIZATION & PROVIDER UNIT

XYZ University

Organizational Chart

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Betty Smith, PhDPresident

Janet Mathews, PhD, RNDean, College of Nursing

Dean

Mary Jackson, MS, RN-BCPrimary Nurse Planner

Director, CE Department

Administrative AssistantSandy Williams

Continuing Education

Advisory Council

(Nurse Planners)

Stephanie Baker, MSN, RN, BC, CNSJudy Wilkins, MSN, RNSue Walden, BSN, RN

Christina McNeil, MS, RN- BCLisa Trotter, PhD, RN-BC

Molly Moore, BSN, RN- BC

College of Education

College of Social Work

Etc.

003: Data collection and reporting

– Listing of activities that you have planned and presented in the past 12 months –

– Use spreadsheet (same as submit annually) • Items included are date of activity, title, target

audience, number of participants, number of contact hours awarded, joint providership (coprovidership), commercial support, sponsorship

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Provider Unit Goals – OO4a

• What were the measurable goals that you had for the past 12 months? Are goals written with outcomes in mind?

• Are goals specific to the scope of your provider unit? (see OO1)

• Are goals specific to the mission &

goals of the larger organization?

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Keys to Developing Goals

• Think about the “why”.

• Think about what data you will collect:

– to indicate whether or not the goal has been met.

– to show whether the provider

unit has made a difference.

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Which goal is related to the Provider Unit?

1. Contribute to the quality of patient care through certification of nurses.

2. Ensure all students are assigned a preceptor on the appropriate units.

3. Prevent falls.

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Quality Outcome Measures – OO4b

• What will you look for to indicate that your provider unit is effective?

• Possible options:– Learner engagement– Knowledge /skill gain; application– Cost effectiveness of operations –

cost / benefit analysis– Volume of “business” – how many more learners were

attracted when you offered intranet CE?– Others

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Which outcome measure is more clearly written?

1. Learner engagement.

2. At least 75% of activities will involve engagement of learners.

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Quality Outcome Measures – OO4c

• What will be the things you look for to indicate that your provider unit has made a difference in nursing practice and/or professional development (NPD)?

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OO4c

• Possible options (not inclusive):

- Professional practice behaviors

- Leadership skills

- Critical thinking skills

- Nurse competency

- High quality care based on best available evidence

- Improvement in nursing practice

- Improvement in patient outcomes

- Improvement in nursing care delivery

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Is this an example of a quality outcome measure for NPD?

• Increase satisfaction and competency of the preceptor for new employees on each unit.

• 1. Yes • 2. No

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YourProvider Unit Application

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Experience- Start early!!

- There needs to be internal consistency – examples given in one section should support comments made in other sections

- Reviewing the application enables the reviewer to “get inside the brain” of the nurse planner – extremely valuable in understanding the process used by the provider unit

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Provider Application: Hints for Preparing

• Convene the right team

• Review existing processes and activities in relation to the criteria

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Provider Application: Hints for Preparing

• Number all pages

• Keep data in sequence with criteria; use table of contents and labeled appendix if helpful

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Provider Application: Hints for Preparing

Double check:• Are all copies legible or

readable?• Are all pages numbered?• Are all questions answered?• Is there a table of contents?• Are charts or diagrams

labeled?• Are abbreviations defined?

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Provider Application: Hints for Preparing

• Have colleagues who didn’t write review for completeness and accuracy

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Individual Activities

• Submit three individual activities that you have planned and presented in the past 12 months.

• Follow specific directions from your approver unit regarding the inclusion of material in your provider application.

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For Further InformationZandra Ohri, MA, MS, RN

Director, Continuing Education, ONA

Telephone: 614-448-1027

[email protected]

Pam Dickerson, PhD, RN-BC, FAAN

Director, Continuing Education

Montana Nurses Association

Telephone: 406-465-9126

[email protected]

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