CME Information | eqipp.aap.org

EQIPP: Talking About Serious Illness

Activity Dates: July 28, 2020 – July 27, 2024

Attendees: Prior to the start of the activity, please review the below information to ensure successful participation in this Enduring Activity

Accreditation and Designation Statements

The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The AAP designates this enduring material activity for a maximum of 7.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity is acceptable for a maximum of 7.0 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.

PAs may claim a maximum of 7.0 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

This program is accredited for 7.0 NAPNAP CE contact hours of which 0 contain pharmacology (Rx), (0 related to psychopharmacology) (0 related to controlled substances), content per the National Association of Pediatric Nurse Practitioners (NAPNAP) Continuing Education Guidelines.

This activity is approved for 5.0 points of MOC Part 2 credit by the American Board of Pediatrics through the AAP MOC Portfolio Program. All approved activities must be completed by the MOC Credit Approval End Date. All deadlines and MOC point values should be confirmed by checking the ABP Activity Catalog within each physician’s ABP Portfolio. Consult your ABP portfolio at www.abp.org for details about your specific certification requirements. For questions about how to access this activity, contact [email protected].

If you do not successfully complete all components of the activity and evaluation assessment ABP MOC Part 2 Points will not be awarded.

Track 1

The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The AAP designates this PI CME activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program is accredited for 20 NAPNAP CE contact hours of which 0 contain pharmacology (Rx), (0 related to psychopharmacology) (0 related to controlled substances), content per the National Association of Pediatric Nurse Practitioners Continuing Education Guidelines.

PAs may claim a maximum of 20.0 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

This activity is acceptable for a maximum of 20 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.

Purpose of the Course:

Prepare for discussions with patients and families that address goals of care for children with serious illness. This key clinical activity guides you through important considerations that precede successful discussions and involves both preparing yourself and preparing the family.
Provide a structured plan for talking to a parent or other family members about a child’s serious illness. Worksheets provided in this key clinical activity will guide you through essential topics in the discussion and will contain ways to address goals of care, techniques to enhance the dialogue, and suggestions about how to conclude with focused understanding and concrete next steps.
Document and share content and major points from a serious illness discussion. This activity provides you with several preformatted documents to streamline these final tasks.
Create plans for improvement to address gaps identified in serious illness discussions. (You will collect baseline and follow-up data as you work to improve care and processes through Plan, Do, Study, and Act [PDSA] cycles.)

Learning Objectives

By the end of this course, you will be able to:

Prepare to conduct discussions for patients with serious illness.
Conduct discussions with patients with serious illness and their families.

Document and disseminate results of the serious illness discussion to all pertinent stakeholders, including parents.

Quality Improvement

Measure and improve care delivery and processes for key clinical activities of care by doing the following:

Collect and analyze baseline date to establish a starting point for improvement.

Identify 1 or more performance gaps in key clinical activities of care.
Create an improvement plan for closing identified gap(s) by clarifying the improvement idea to be tested:

•AIM: What are we trying to improve or accomplish?

•MEASURES: How will we know that a change made is an improvement?

•CHANGES: What changes can we make that will result in improvement?

Test ideas quickly on a small scale to determine if changes lead to improvement.
Collect and analyze 2 follow-up cycles to measure the results of the test.
Determine how to sustain successful changes to systematically integrate them into the practice’s culture, processes, and workflow.

CME credit for this activity – Start Date: July 28, 2020; End Date: July 27, 2024; Date of most recent review: April 24, 2023.

Note: Original disclosure information for this activity can be found below and no additional individuals involved in the review of this extended activity had any financial relationships to disclose.

ORIGINAL Disclosure of Commercial Support for AAP CME Activities

No commercial support is associated with this CME activity.

Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities

The mission of the AAP is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults. To accomplish this, the AAP will make education and CPD of its members a priority by being the premier source of pediatric education and learning. The AAP expects that its learning activities will maintain and improve the competence and professional performance of pediatricians and pediatric health care professionals. (AAP CME/CPD Program Mission Statement, June 2017)

The AAP recognizes that there are a variety of financial relationships between individuals and commercial interests that require review to identify possible conflicts of interest in a CME activity. The “AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities” is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities by identifying and resolving all potential conflicts of interest prior to the confirmation of service of those in a position to influence and/or control CME content. The AAP has taken steps to resolve any potential conflicts of interest.

All AAP CME activities will strictly adhere to the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support: Standards to Ensure the Independence of CME Activities. In accordance with these Standards, the following decisions will be made free of the control of a commercial interest: identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content, selection of educational methods, and evaluation of the CME activity.

The purpose of this policy is to ensure all potential conflicts of interest are identified and mechanisms to resolve them prior to the CME activity are implemented in ways that are consistent with the public good. The AAP is committed to providing learners with commercially unbiased CME activities.

ORGINIAL DISCLOSURE OF FINANCIAL RELATIONSHIPS

All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that the individual either has no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. Listed below are the disclosures provided by individuals in a position to influence and/or control CME activity content.

* A commercial interest is defined as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

ORGINIAL Disclosure Information

Name	Role	Relevant Financial Relationship (Please indicate Yes or No)	Name of Commercial Interest(s)* Please list name(s) of entity AND Nature of Relevant Financial Relationship(s) (Please list: Research Grant, Speaker’s Bureau, Stock/Bonds excluding mutual funds, Consultant, Other - identify)	Disclosure of Off-Label (Unapproved)/Investigational Uses of Products AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or “off-label” use of an approved device or pharmaceutical. (Do intend to discuss or Do not intend to discuss)
Bogetz, Jori	Author/Planner	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Bowmann, Brynn	Online Course Reviewer	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Feudtner, Chris	Author/Planner	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Goldstein, Richard	Author/Planner	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Kobler, Kathie	Online Course Reviewer	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Kuznetsov, Alexandra	AAP Staff/Planner	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Morawski, Lori	Disclosure Reviewer/Resolver/Staff	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Mullin, Jon	Online Course Reviewer	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
O’Brill, Tamiko	AAP Staff	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Proulx, Robbie	Instructional Designer	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Remke, Stacy	Online Course Reviewer	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Stafford, Alice	Online Course Reviewer	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Arora, Gitanjli (Tanya)	Online Course Reviewer – Extension	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device
Trowbridge, Amy	Online Course Reviewer – Extension	NO	NONE	I do not intend to discuss an unapproved/investigative use of a commercial product/device

Product-Specific Advertising / Links to Product Websites

No product-specific advertising of any type appears in this activity. No links to product websites appear in this activity.

List of Principal Faculty and Credentials

Richard D. Goldstein, MD, FAAP, FAAHPM

Chris Feudtner, MD, MD, PhD, MPH

Jori F. Bogetz, MD

Reviewers for Course Extension

Gitanjli (Tanya) Arora, MD, DTMH, FAAP

Amy Trowbridge, MD, FAAP

AAP Staff

Lori Morawski, MPH

Tamiko O’Brill, MBA, MS

Alex Kuznetsov

Name of Medium or Combination of Media Used

Internet course

Method of Physician Participation in the Learning Process

This educational content contains full-color images and informational charts, case studies, assessments, an invitation to create and/or add to My Learning Plan, and a course evaluation.

Estimated Time to Complete the Educational Activity

You should be able to complete this course in 2-4 months.

Instructions for Claiming Credit

You may claim 7.0 credits after completing this course. In order to complete the course, you must pass the assessment with a score of 70% or greater. Then click on the Claim Credit link in the course and follow the instructions.

PI CME

After completing the PI CME cycle for activity EQIPP: Talking About Serious Illness you may claim 20 AMA PRA Category 1 Credit(s)™. Then click on the Claim Credit link in the course and follow the instructions.

Dates of Original Release and Most Recent Review or Revision

This course was launched on July 28, 2020. Date of most recent review: April 24, 2023.This course will remain online until July 27, 2024. It will no longer be certified for credit after July 27, 2024.

Termination Date

This course will remain online until July 27, 2024. It will no longer be certified for credit after July 27, 2024.

Name of Medium or Combination of Media Used

Web-based course

List of hardware/software requirements

Our Technical Support team would like to ensure that you have a great experience with our streaming media services. Due to variations in PC and network security configurations, we recommend that you test the ability to receive streaming media before the day of this event on the computer you will be using to view the event. To do this, click the "Test Your Computer Now" button below. You will hear a short announcement and see slide information.

If you are unable to open and play the presentation, the test has failed. In this case, you may either need to try another computer or consult with your network administrator to obtain privileges required to view streaming media. This process could take some time, so please conduct this test as soon as possible.

System requirements

The system requirements for viewing a streaming media event are:

Windows

Windows XP, Windows 2003 or Windows Vista
Display resolution of 800x600 pixels or greater

Microsoft Internet Explorer 6.0 SP1 or later, Firefox 2.0 or later, or Google Chrome 1.0
For Firefox and Chrome, Silverlight 1.0 or later
Windows Media Player 9.0 or later
Broadband Internet connection (256 Kbps & above)
No network blocks or filters that disable streaming media

Mac

Mac OS X 10.4.8 or later
Safari 2.0.4 or later (or Firefox 2.0 or later)
Silverlight 1.0
Broadband Internet connection (256 Kbps & above)

No network blocks or filters that disable streaming media

Need more help?

If you need further assistance, please call AAP Member and Customer Care Monday–Friday at 866.843.2271 or 630.626.6000 between 7:30 am and 5:00 pm CT, or email us at [email protected] .

Provider Contact Information

If you have questions about this course or encounter technical problems, please contact [email protected]

Privacy and Confidentiality Statement

At the American Academy of Pediatrics (AAP), we take the issue of privacy very seriously. We do not sell, distribute, barter, or transfer personally identifiable information obtained from a user to a third party without your consent. Any information collected on the Web site is only used for the purpose stated. The AAP list is only for important communications, and your e-mail address will not be sold or provided to third parties. You will not receive advertising or promotional materials on this list. Individual learners must provide consent in order to share contact information with ineligible companies.

The AAP may use “cookie” technology to obtain non-personal information from its online visitors. We do not extract personal information in this process nor do we provide this information to third parties. We also do not contact you based on the information in your cookie file. The AAP has taken steps to make all information received from our online visitors as secure as possible against unauthorized access and use. All information is protected by our security measures, which are periodically reviewed.

CLAIMING YOUR CREDITS AND PRINTING CERTIFICATES

The online AAP Transcript System is the official way to claim credit and print certificates for all AAP CME Activities and access transcripts. Credits must be claimed within one (1) year of the CME activity’s end-date.

All participants must claim their credit online by completing the easy to follow steps below.  You also have the option to print a copy of your certificate.  Individual or paper certificates will not be distributed to you post-activity.  Please Note: If you need additional assistance a detailed instructional document can be found on the transcript homepage.

Claim Credit:

Log on to http://transcript.aap.org with your Email and Password.

Note: If you are already logged into PediaLink (www.pedialink.org), click on the Continuing Education tab then the CME Transcript button to access the transcript site and continue to step 2.

Next to the activity, click the Claim CME or Claim AAP Credit Only link and enter the total number of credits you are claiming, commensurate with the extent of your participation in the activity .

Click the Confirm Claiming box to complete claiming process – after you have claimed your credit, you can click the print certificate link or go back to your list of activities.

Non-AAP Members: Please follow the above steps to claim your credits and print a certificate.  If you do not have a PediaLink account, you may create one by going to www.pedialink.org, click the link Don’t Know Your Login?, click the link Create an Account, and follow the instructions to setup an account.