7.5 The provider shall maintain a roster of individuals participating in Attach a roster for each continuing each continuing education activity. education activity. The roster must include the name of provider, title of activity, maximum continuing education contact hours available, date(s) of the activity, names of individual learners, and number of continuing education contact hours awarded each learner. Attach the documented record (e.g., 7.6 The provider shall provide a documented record of attendance to each certificate, letter, or transcript) for each learner upon satisfactory completion of the continuing education continuing education activity. activity. STANDARD 8.0 - The provider ensures the protection and confidentiality of patients involved in all aspects of its continuing education activities. Requirement Requested Information 8.1 The provider shall ensure patient protection. In continuing education Complete table 8.1 activities involving patient treatment by either faculty or learners, indicate which of the following method(s) the provider utilizes to ensure patient protection. 8.2 The material(s) presented and/or distributed shall be in accordance How does the provider ensure all with the Health Insurance Portability and Accountability Act identifying patient information or visual (HIPAA), as amended. has been removed from all presentations and handouts? Describe: STANDARD 9.0 - The provider appropriately manages administration related to instructional Requirement Requested Information 9.1 The provider shall be responsible for ensuring quality educational content and production YES NO N/A of the activity. Have you consulted with individuals with expertise in media and self- directed learning techniques? If NO please explain: Has the instructional media been reviewed at least bi-annually or more frequently? If NO please explain: Have any instructional media been certified for contact hours more than three years without being review on the part of the provider ensuring current and accurate educational content? If YES please explain: Were all sources of funds given as unrestricted educational grants and /or in-kind support? If NO please explain: 9.2 The provider shall establish conditions for effective participation Describe how the bulleted conditions in each activity. (listed in the guidelines) are communicated to learners. Describe:
7.5 The provider shall maintain a roster of individuals participating in each continuing education activity. Attach a roster for each continuing education activity. The roster must include the name of provider, title of activity, maximum continuing education contact hours available, date(s) of the activity, names of individual learners, and number of continuing education contact hours awarded each learner. 7.6 The provider shall provide a documented record of attendance to each learner upon satisfactory completion of the continuing education activity. Attach the documented record (e.g., certificate, letter, or transcript) for each continuing education activity. STANDARD 8.0 - The provider ensures the protection and confidentiality of patients involved in all aspects of its continuing education activities. Requirement Requested Information 8.1 The provider shall ensure patient protection. In continuing education activities involving patient treatment by either faculty or learners, indicate which of the following method(s) the provider utilizes to ensure patient protection. Complete table 8.1 8.2 The material(s) presented and/or distributed shall be in accordance with the Health Insurance Portability and Accountability Act (HIPAA), as amended. How does the provider ensure all identifying patient information or visual has been removed from all presentations and handouts? Describe: STANDARD 9.0 - The provider appropriately manages administration related to instructional Requirement Requested Information 9.1 The provider shall be responsible for ensuring quality educational content and production of the activity. YES NO N/A Have you consulted with individuals with expertise in media and self- directed learning techniques? If NO please explain: Has the instructional media been reviewed at least bi-annually or more frequently? If NO please explain: Have any instructional media been certified for contact hours more than three years without being review on the part of the provider ensuring current and accurate educational content? If YES please explain: Were all sources of funds given as unrestricted educational grants and /or in-kind support? If NO please explain: 9.2 The provider shall establish conditions for effective participation in each activity. Describe how the bulleted conditions (listed in the guidelines) are communicated to learners. Describe:
CPME735PetitionJanuary2017UP.docx