Transcript Conflict of Interest and Commercial Support

Conflict of Interest, Commercial
Support, Sponsorship
Northeast Multi-State Division (NE-MSD)
Conflict of Interest
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conflict of interest. An affiliation or
relationship of a financial nature that might
bias a person’s ability to objectively
participate in the planning, implementation,
or review of a learning activity.
Conflict of Interest
The potential for conflict of interest exists when an individual
has the ability to control or influence the content of an
educational activity and has a financial relationship with a
commercial interest organization, the products or services of
which are pertinent to the content of the educational
activity*.
The Nurse Planner is responsible for evaluating the presence or
absence of conflict of interest and resolving any identified
actual or potential conflict of interest during the planning
and implementation phases of an educational activity. If the
Nurse Planner has an actual or potential conflict of interest,
s/he should recuse her/himself from the role as Nurse
Planner for the educational activity.
Conflict of Interest
*Commercial Interest, as defined by ANCC, is any
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 an entity that
produces, markets, re-sells, or distributes
healthcare goods or services consumed by, or
used on, patients. Non-profit or government
organizations, non-health care related
companies and health care facilities are not
considered commercial interest organizations.
Conflict of Interest
*Relevant Relationships, as defined by ANCC,
are relationships that are expected to result
in financial benefit from a commercial
interest organization the products or services
of which are related to the content of the
educational activity.
Conflict of Interest
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No relevant relationship with a commercial interest
organization exists. No resolution required.
Relevant relationship with a commercial interest
organization exists. The relevant relationship with
the commercial interest organization is evaluated by
the Nurse Planner and determined to not be specific
to the content of the educational activity. No
resolution required.
Relevant relationship with a commercial interest
organization exists. The relevant relationship is
evaluated by the Nurse Planner and determined to be
specifically related to the content of the educational
activity. Resolution is required.
Conflict of Interest
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Removing the individual with conflict of interest from
participating in all parts of the educational activity.
Revising the role of the individual with conflict of interest so that
the relationship is no longer relevant to the educational activity.
Not awarding continuing education contact hours for a portion or
all of the educational activity.
Undertaking review of the educational activity by a content
reviewer to evaluate for potential bias, balance in presentation,
evidence-based content or other indicator of integrity and absence
of bias AND monitoring the educational activity to evaluate for
commercial bias in the presentation.
Undertaking review of the educational activity by a content
reviewer to evaluate for potential bias, balance in presentation,
evidence-based content or other indicator of integrity and absence
of bias AND reviewing participant feedback to evaluate for
commercial bias in the activity
Decision Matrix - COI
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2.
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5.
Who has the opportunity to influence the
content of the educational activity?
Collect biographical information and conflict
of interest information from each individual
who has the opportunity to influence content
Evaluate relationships individuals have with
commercial interest organizations
Is relationship relevant to content of
educational activity?
If relationship is relevant, resolution is
required
Decision Matrix - COI
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Removing the individual with conflict of interest from
participating in all parts of the educational activity.
Revising the role of the individual with conflict of interest so that
the relationship is no longer relevant to the educational activity.
Not awarding continuing education contact hours for a portion or
all of the educational activity.
Undertaking review of the educational activity by a content
reviewer to evaluate for potential bias, balance in presentation,
evidence-based content or other indicator of integrity and absence
of bias AND monitoring the educational activity to evaluate for
commercial bias in the presentation.
Undertaking review of the educational activity by a content
reviewer to evaluate for potential bias, balance in presentation,
evidence-based content or other indicator of integrity and absence
of bias AND reviewing participant feedback to evaluate for
commercial bias in the activity
Commercial Support

commercial support. Financial or in-kind
contributions given by a commercial interest
that are used to pay for all or part of the costs
of a CNE activity. Providers of commercial
support may not be providers or jointproviders of an educational activity.
Sponsorship
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sponsorship. Financial or in-kind
contribution from an organization that does
not fit the category of a commercial interest.
Financial or In-kind Support
1.
2.
3.
4.
Yes or No?
If yes, classify the organization providing the
support: commercial interest or not?
If commercial interest = commercial support
If not commercial interest = sponsorship
Commercial Support
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Template agreement
Organization may not provide, joint-provide,
or assist with planning
Required disclosures
Sponsorship
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Template agreement
May not assist with planning
Required disclosure
Joint-Providing
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Two organizations working together to plan,
implement and evaluate an educational
activity
One is provider, one is joint-provider
Joint-provider may not be a commercial
interest organization
Provider awards contact hours
Need agreement
COI, CS and Sponsorship
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COI:
 Who
can influence content
 Evaluation and resolution
 Disclosure
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Financial or In-kind Support
 Commercial
interest or not
 Written agreement
 Disclosure
Bias
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Tendency or inclination to cause partiality,
favoritism or influence
Why is it important to control
bias?
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Continuing education should be continuing
education – designed to promote the
professional practice of the registered nurse
Should not be a vehicle used to sell a product
or service
Controlling for bias/ensuring
content integrity
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All actual or potential conflicts of interest
were resolved
Content is evidence based or based on best
available evidence
Planning process was independent from the
influence of any commercial interest
organization
Activity was free from promotion
Putting it into practice *
Planners are developing an educational activity.
Purpose: Registered nurse consumers will be able
to make informed choices about the cola
products they purchase.
Objectives:
Describe the nutritional value of cola products
 Identify 3 reasons why cola products are beneficial to
consumers
 Choose the best cola product for consumers who are
also registered nurses
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* Note:
Coke and Pepsi are not commercial interest organization; used for this
activity to demonstrate COI, bias, promotion in a fun way
Putting it into practice
What might you be concerned about if:
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Coca-cola company provided funding for the educational
activity?
The activity speaker was an employee of the Coca-cola
company?
How might you control for bias/ensure content
integrity?
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COI resolved
Content is evidenced-based
Activity was planned free from influence of Coca-cola
No promotional activity
Subtle marketing influence
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Coke products ensure that registered nurses
have enough sugar and caffeine to work
through a 12 hour shift
Coke products include minerals and vitamins
Coke products are individually packaged,
ensuring that registered nurses will not be
exposed to viruses and bacteria found in
communal coffee pots