Session 1 Addressing Conflict of Interest Provided by ONA and MNA Facilitator Pam Dickerson PhD RNBC FAAN Director of Continuing Education Montana Nurses Association 1 Disclosures ID: 642955
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Content Integrity in Continuing Nursing Education Session 1 – Addressing Conflict of Interest
Provided by ONA and MNAFacilitator: Pam Dickerson, PhD, RN-BC, FAAN Director of Continuing Education, Montana Nurses Association
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DisclosuresCriteria for successful completion
: Submit registration and payment, participate in the webinar, complete the evaluation Conflict of Interest: There is no conflict of interest for anyone in a position to control content for this activity.Provider Statement: 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.Joint Providers
: This session is provided collaboratively by the Ohio Nurses Association and the Montana Nurses Association.
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What is content integrity?
Conflicts of interest are resolvedContent is presented independent of organizations providing commercial supportContent is based on best available evidenceContent is free from promotional activity
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Conflict of Interest
3 key components:Individual has the ability to control content of the educational activityIndividual has a financial relationship with a commercial interestThe products or services of the commercial interest are relevant to the topic of the educational activity
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Why does this matter?
Financial relationship with a commercial interest creates the opportunity for the individual to “slant” the activity toward the products / services of that commercial interestThe individual has the ability to accrue financial gain from any additional business acquired by the commercial interestThese factors unfairly jeopardize the educational experience for the learner
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What is a “commercial interest”?
“Any entity producing, marketing, reselling, or distributing healthcare goods or services consumed by or used on patients”.Could also be entity owned or controlled by such an entityANCC – see COI form
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Who is “the individual”?
Anyone with ability to control content of the educational activity, such as:Nurse plannerPlanning committee member, including content expert
Content reviewer
Speaker / author
Instructional designer
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Assessing for Conflict of Interest (COI)First step: Be sure the nurse planner has no COI
How:Nurse planner completes COI form, acknowledging relationships with commercial interestsSomeone else with knowledge of this process reviews the data, determines whether there is a conflict
If a conflict exists, nurse planner should not continue with this activity
If no COI, planning continues
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Assessing for Conflict of Interest (COI)Next steps:
Everyone else with ability to control content completes COI formNurse planner evaluates evidence to determine presence/absence of COIIf questions, may consider additional informationEmployer
Web search
Questions to individual
Other
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Types of Financial Relationships
Employee: an employee of a commercial interest can NEVER be involved with an activity that pertains to his/her field of employment. Non-employee: may be involved with an activity IF the conflict of interest is identified, resolved, and disclosed to the learnerTypes of non-employee relationships include:Speakers’ bureau
Research funding
Consulting
Other
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Other factors to consider
Applies to relationships currently in effect OR that have been in effect within the past 12 monthsApplies to spouse or partner of personApplies to holding shares of individual stocks – does NOT apply to mutual funds
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Analyzing a COI
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Is this a COI?The nurse planner for an activity on women’s health is the author of an article that recently appeared in a peer-reviewed nursing journal on the topic of osteoporosis.
YesNoUnable to determine
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Is this a COI?Tom Jones is invited to speak on the topic of heart disease in patients with diabetes. He shares that he is on the speakers’ bureau for Eli Lilly. Does he have a COI?
YesNoUnable to determine
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Is this a COI?Ruth Wilson is on the agenda to present at a conference on
precepting. She states that she does not have any financial relationships with commercial interests. However, she provides you with a bio sketch to be used in her introduction, which includes the fact that, for 5 years, she was a manager at Wyeth. Does she have a COI?YesNo
Unable to determine
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Is this a COI?Sarah Jackson is on the planning committee for an activity on caring for patients with hip replacement surgery. She shares that she has received research funding from a company that makes artificial joints. Does she have a COI?
YesNo Unable to determine
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Is this a COI?Alice Graham is suggested as a speaker for a conference on alternative therapies. You learn that she owns her own business, Herbals for Life. Your web search shows that her business sells herbal products. Does she have a COI?
YesNoUnable to determine
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Resolving a COI
Nurse planner makes decision:Removing the person from the activityChanging the role of the person
Offering the activity (or session) without contact hours
Nurse planner and/or planning committee talk with person, review content
Nurse planner engages independent content reviewer to provide objective input
In addition to pre-activity actions, personally attend activity to assure integrity
In addition to pre-activity actions, collect data from learners to assess for content integrity
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How to resolveTom Jones is invited to speak on the topic of heart disease in patients with diabetes. He shares that he is on the speakers’ bureau for Eli Lilly
.What would you do?Is he an employee?Can the conflict be resolved?
What options would you consider?
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How to resolveAlice Graham is suggested as a speaker for a conference on alternative therapies. You learn that she owns her own business, Herbals for Life. Your web search shows that her business sells herbal products
.What would you do?20Slide21
Scenario 1You have a small provider unit and always use the same planners for every activity. Do you need to assess COI for each planner for every activity?
YesNoUnsure
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Scenario 2Your provider unit always uses planners and speakers from your own organization. The organization has a policy that employees may not have working relationships with any commercial interests. Do you still have to assess for COI?
YesNoUnsure
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Scenario 3Your hospital often requests that the provider unit use speakers from companies that provide its products. The purpose of this request is to ensure that staff appropriately use these products. What do you do?
Refuse to have the company employee presentOffer the education but don’t award contact hoursHave the speaker do a train-the-trainer session
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Scenario 4Your organization is implementing a new electronic medical record system. Every nurse in the facility needs to attend mandatory education on this activity, which will be presented by representatives of the EMR company.
What would you do?Can you award contact hours for this activity?24Slide25
Scenario 5Your college of nursing provider unit has identified a need for education for faculty on test writing skills. A prospective speaker has been identified – she owns her own education consulting company. She also shares that her husband owns stock in a company that makes wound care products.
What do you do?25Slide26
Disclosure to the learnersNo COI:
Examples:There is no conflict of interest for any planner or presenter for this activity.There is no conflict of interest for anyone with ability to control the content of this educational activity.No conflict of interest has been identified for any planner for this activity or for the author of the study.
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Disclosure to the learners
Presence of COI:Example:There is no conflict of interest for any planner or presenter for this activity, except for Sharon Green, who is on the speakers’ bureau for Eli Lilly.With presence of COI – disclosure must include:Name of individual
Type of relationship
Name of commercial interest
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Questions?For additional information, please contact:
Pam Dickersonpam@mtnurses.orgZandra Ohrizohri@ohnurses.org
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ReferencesAmerican Nurses Credentialing Center (2013) Primary Accreditation Application Manual for Providers and Approvers, version 3. Silver Spring, MD: Author.
ONA Provider information:MNA Provider information: http://www.mtnurses.org/Main-Menu-Category/Continuing-Education/MNA-Approved-Providers/Activity-Documentation-Forms-2
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