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CME Provider Services

CME Provider Services

Let the WSMA help your organization become an accredited provider and ensure your physicians are receiving CME that meets our high standards of excellence.

The WSMA is recognized by the Accreditation Council for Continuing Medical Education to provide a voluntary interstate accreditation program for organizations that provide Category 1 continuing medical education activities. CME is central to life-long learning and professional development to which physicians and the WSMA are committed. Through its accreditation program, the WSMA seeks to assure physicians and the public that CME activities presented by accredited providers meet the high standards adopted by the association and by the ACCME.

WSMA CME Accreditation Service

The WSMA offers CME accreditation services to numerous providers meeting our high standards of quality. Specifically our CME Accreditation Committee is charged with:

  • Monitoring the administration of the mandatory continuing medical education requirements of the Washington State Medical Quality Assurance Commission.
  • Evaluating and accrediting providers of intrastate Category 1 continuing medical education programs.
  • Representing the WSMA in its professional role to assure that appropriate needs assessment programs are carried out on behalf of its members; that its members are encouraged to participate in the full spectrum of continuing medical education activities; that they are assisted by the WSMA in becoming acquainted with the extent of those opportunities; and that the WSMA assists in evaluation of the same.
  • Advising the Washington State Medical Commission (formerly the Medical Quality Assurance Commission) on medical education, continuing medical education, licensure and other issues as directed by the WSMA Board of Trustees or Executive Committee.

Purpose of accreditation

Accreditation is the set standard to assure quality continuing medical education activities that are planned, implemented and evaluated in accordance with all WSMA policies, the ACCME accreditation requirements and policies and standards of commercial support.

If you have questions about WSMA's accreditation services, contact Kendra Peterson, associate director of education and accreditation, at kendra@wsma.org or 206.956.3638.

2020 WSMA Virtual CME Provider Conference

For WSMA's first all-virtual CME provider conference, we are happy to welcome back Kate Regnier, the Executive Vice President at ACCME. Kate provides executive leadership to the accreditation, recognition, education, monitoring, governance, and business functions of the ACCME. She oversees ACCME's relationships with government stakeholders, certifying boards, and other health professions' accreditors. Kate also serves as the primary staff liaison to Joint Accreditation for Interprofessional Continuing Education. Kate will be giving us updates about innovations in education delivery during this crisis, changes to the ACCME Standards for Commercial Support, and other current topics.

Other topics this year include discussion of the many challenges we have faced this year, from social unrest to the pivot to online learning, and where accredited CME can fit in to best serve our learning communities.

November 11, 2020

9:00 – 9:05 Opening remarks
9:05 – 10:35 Keynote Speaker: Kate Regnier, MA, MBA
10:35 – 10:45 Break
10:45 – 11:45 WSMA Updates: Kendra Peterson
11:45 – 11:50 Closing remarks
11:50 – 12:00 Break
12:00 – 1:00 Lunch Networking: Chat with your colleagues over lunch

November 12, 2020

9:00 – 9:05 Opening remarks
9:05 – 10:30 Health Equity and CME: Kendra Peterson, Jessica Martinson, MS; Washington State Medical Association
10:30 – 11:15 Vignettes
- Megan Bryant, Providence Alaska Medical Center (Anchorage, AK)
- Debbie Kesselring, CPCS; Bartlett Regional Hospital (Juneau, AK)
- Alan Hirayama, MS; Providence Health Care (Spokane, WA)
11:15 – 11:30 Break
11:30 – 12:30 Compliant or Noncompliant? Kendra Peterson
12:00 – 1:00 Lunch networking

Registration

The CME provider conference is open to all CME professionals in the Pacific Northwest who are involved in the planning and administration of CME activities, from administrators to physician planners to the executive leadership of accredited CME providers.

  • WSMA-accredited CME providers: 2 free registrants, $50 per subsequent registrant
  • CME providers from Oregon Medical Association: 1 free registrant, $50 per subsequent registrant
  • WSMA CME committee members (both accreditation committee and program committee): free
  • All other registrants: $75 per person.

Register

Initial Accreditation

Eligibility requirements, expectations of WSMA-accredited providers, and the first steps in becoming accredited.

Eligibility to apply for WSMA accreditation

Organizations planning on applying for “initial accreditation” must meet the following requirements:

  • Be located in Washington state or Alaska.
  • Have an organizational structure with a significant level of physician governance.
  • Have a separate planning and approval process.
  • Have a target audience with no more than 30 percent out of Washington (or Alaska) or bordering states (Alaska and Hawaii are included in bordering states). Should more than 30 percent be from out of state the provider will need to seek accreditation directly from the ACCME.
  • Plan, implement and evaluate at least two CME activities within the 24-month period prior to the submission of materials for initial accreditation.
  • Demonstrate an overall organizational commitment to the CME program, including physician support, budget support, staffing, staff continued education and record-keeping resources.
  • Not be a commercial interest. A “commercial interest” is defined by the ACCME as any entity producing, marketing, re-selling or distributing health care goods or services consumed by, or used on, patients.

Expectations of WSMA-accredited providers

Pre-applicant and accredited providers are expected to:

  • Demonstrate compliance with all WSMA and ACCME accreditation requirements.
  • Evaluate overall CME program on a regular basis for compliance with the accreditation requirements and make changes as necessary.
  • Submit on-time ACCME annual reporting data.
  • Submit on-time WSMA annual or interim reporting data (dependent on level of accreditation).
  • Inform WSMA of any changes to program size, content, structure, staff support or administration.
  • Submit on-time any Progress Report or Plan required by the CME Accreditation Committee.
  • Payment of certain fees to obtain and retain accreditation.

Type of organizations and institutions eligible for accreditation

The WSMA accredits the following organizations and institutions:

  • Community hospitals which provide continuing medical education activities for hospital medical staffs and physicians in the local community;
  • Medical organizations which do not have national administrative scope: e.g., regional, statewide, county, or other local societies;
  • Local units of voluntary health organizations not under national administration for their continuing medical education;
  • Any other organizations and institutions, which sponsor or produce continuing medical education program for physicians, which are essentially local in nature. An applicant might also be a major unit of an institution; i.e., the department of radiology of a major medical center.

Instructions for initial applicants

The first steps in becoming a WSMA-accredited CME provider are to complete the pre-application form for initial CME accreditation and submit the pre-application fee (see Fees section on this page). Please fill out the form and email to Kendra Peterson, manager of education and accreditation. Mail the pre-application fee to: 

WSMA
c/o Kendra Peterson
Associate Director, Education and Accreditation
2001 6th Ave., Ste. 2700
Seattle, WA 98121

The purpose of the pre-application is for WSMA to determine if your organization is eligible for WSMA CME accreditation by explaining the mechanisms in place to meet the WSMA policies and guidelines.

Once approved, you will be mailed the WSMA accreditation manual and application, which includes the application for accreditation. The WSMA accredits providers on a “cohort” system. Providers are divided into one of three cohorts. Your due date will be based on the next available cohort. Once accredited, all future re-applications, annual reporting and accreditation fees will be based on that cohort’s expiration dates. In order to find out which cohort your organization can apply for, please contact Kendra Peterson, manager of education and accreditation, at kendra@wsma.org or 206.956.3638.

Accreditation Materials

Information on re-accreditation for WSMA-accredited providers.

If your organization is currently accredited by WSMA and you are seeking re-accreditation, you will receive a notice of re-accreditation approximately 12 months from your current term expiration date.

Cohort   Notification date*   Expiration date   Survey
1   March   March   November–January
2   July   July   February–May
3   November   November   June–October

* The notification date is one year prior to the expiration date.

WSMA staff will send the most current version of WSMA accreditation manual & application, including all application documents.

Please contact Kendra Peterson, manager of education and accreditation, at kendra@wsma.org or 206.956.3638 for more information.

Application materials for March 2021 and Onward Re-accreditation Cohort

Application materials for July 2020 Re-accreditation Cohort

Accreditation Process

On-site survey and criteria compliance.

Once the WSMA has received your self-study application and related documents it will be reviewed by WSMA staff. Staff will notify you should any items be missing from the application.

The next step in the accreditation process is an on-site survey. You will be required to submit at least five dates in the range dictated by your cohort. WSMA staff will work to find surveyors from the WSMA CME Accreditation Committee to volunteer to review your CME program. You will be notified when a date has been chosen.

On-site survey

The on-site survey consists of three parts: a review of Performance in Practice (activity) files, a review, or clarification, of the self-study application, and an interview. Surveyors will use the three elements to gain a comprehensive view of the program in its entirety. Surveyors are only fact-gatherers, they do not give an accreditation decision at the time of the survey. After the site survey, surveyors will report their findings to the WSMA CME Accreditation Committee, which meets three times a year. The committee will make an accreditation decision and you will then be notified of your new accreditation status.

Criteria compliance

Accreditation status decisions are based on compliance with all applicable accreditation criteria. These criteria have been established as a model for CME programs. The accreditation criteria are divided into three levels. Compliance with a set minimum of criteria is required to pursue each level of accreditation.

Accreditation status decisions

Status   Term
Level 1: Provisional accreditation (for initial accreditation only)   Up to two years; must be in compliance with all Level 1 criteria
Level 1: Extended provisional accreditation   Up to two years; must be in compliance with all Level 1 criteria
Level 2: Full accreditation   Up to four years; must be in compliance with Level 2 criteria. Non-compliance in any Level 2 criteria will necessitate a progress report and/or re-survey. Failure to demonstrate compliance in the progress report and/or re-survey may result in probation.
Level 3: Accreditation with commendation   Six years; must be in compliance with all Level 3 criteria.
Level 1: Probation   Up to two years maximum (with full accreditation status resumed when progress report on correction of deficiencies received, validated and accepted by the WSMA). Probation cannot be extended. Providers that fail to demonstrate compliance with all Level 2 criteria within 2 years will receive non-accreditation
Non-accreditation   Accreditation withdrawn or withheld for non-compliance

Provider Education

Resources from the WSMA, ACCME and others.

Policies and Requirements

Information on WSMA and AMA’s accreditation policies and requirements.

Download and review the WSMA CME policies and accreditation requirements.

Additionally, WSMA accredited providers are responsible for abiding by AMA requirements to award AMA PRA Category 1 Credit(s) .

The Washington State Medical Association Accreditation Statement is as follows:

Directly Provided:

The [name of accredited provider] is accredited by the Washington State Medical Association to provide continuing medical education for physicians.

Jointly Provided:

This activity has been planned and implemented in accordance with the accreditation requirements of the Washington State Medical Association through the joint providership of [insert name of accredited provider] and [name of non-accredited provider]. The [name of accredited provider] is accredited by the WSMA to provide continuing medical education for physicians.

AMA Credit Designation Statement

The phrase AMA PRA Category 1 Credit™ is a trademark of the American Medical Association. Accredited CME providers must always use the complete italicized trademarked phrase. The AMA Credit Designation Statement must be written without paraphrasing and must be listed separately from other statements. The following must be included in relevant announcements and activity materials:

The [name of accredited provider] designates this [type of educational activity*] activity for a maximum of ____ AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

*Types of educational activities:
The types of educational activities are designated by the AMA, and include:

  • Live
  • Enduring material
  • Journal-based CME
  • Test item writing
  • Manuscript review
  • Performance improvement (or PI) CME
  • Internet point-of-care
  • Other (provide short description)

Washington State Medical Quality Assurance Commission

Washington State providers must include this additional statement for the Washington Medical Quality Assurance Commission:

This activity meets the criteria for up to ___ hours of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

Non-physician Statement:

The [name of accredited provider] certifies that [name of non-physician participant] has participated in the [learning format] titled [title of activity] [at location, when applicable] on [date]. This activity was designated for [number of credits] AMA PRA Category 1 Credit(s)™.

For policy or accreditation requirement questions, please contact Kendra Peterson, associate director of education and accreditation, at kendra@wsma.org or 206.956.3638.

CME Accreditation Fees

Accreditation fees for Washington and Alaska providers, as well as Washington county medical and specialty societies.

2017-20 WSMA CME accreditation fees

  Annual fee* Pre-application Initial accreditation** CME training Extension fee Progress report Follow-up report Late fee
WA providers $3,800 $250 $4,600 $500  $760 $1,275 $380 $300
AK providers $4,250 $300 $5,600 $500 $850 $1,400 $420 $400
WA county medical and specialty societies $2,500 $200 $3,250 $500  $500 $825 $250 $200

*Includes registration fee for one attendee at the WSMA annual CME provider conference.
**CME training required for initial applicants. Training fee not included.

NOTICE OF CME ACCREDITATION FEE STRUCTURE CHANGE FOR 2021

ACCME Tiered Fee Structure

Starting in 2020, the ACCME implemented a four-tier fee structure. It ranges from Tier 1, comprising the smallest CME programs, to Tier 4, comprising the largest CME programs (see table below). Program size is based on the average number of activities or learner interactions, whichever is greater, over the past three years. The ACCME used data that CME providers entered into the Program and Activity Reporting System (PARS) for the 2016–2018 reporting years to assign tiers for the 2020–2021 annual accreditation fees.

The fees will be in place for two years (2020–2021). The ACCME may change the fees after that time. If your organization was newly accredited, the ACCME used data from the most current year to determine your tier; the ACCME may change the 2021 fee for those organizations based on 2019 data reported in PARS.

WSMA Implementation

The WSMA will not pass along the ACCME’s fee increase in 2020, per our previous commitment. Instead the WSMA’s new fees will go into effect in 2021. The total fee will be a combination of the WSMA’s flat fee plus the ACCME’s tiered fee.

2021 Fee Formula:

WSMA Flat Fee + ACCME Tiered Fee = Total Fee Charged to Accredited Providers

The WSMA will continue to charge a flat annual fee to providers. The new flat fee reflects a 3% inflation rate since the last time we increased fees. Looking ahead, we anticipate that the WSMA’s flat fee will increase by a rate of 3% each year starting in 2022.

The WSMA will notify you of an increase to its flat fee at least one year in advance. The ACCME typically releases their updated fees for state-accredited providers about 6 months in advance. We will notify you as soon as we receive their new fees each year. For example, the WSMA will notify you of the WSMA 2022 fees in the fall of 2020. The ACCME will notify the WSMA of their 2022 fees in the summer of 2021, which we’ll share with you right away. Your total fee for 2022 will be the ACCME fee plus the WSMA fee

No other fees, such as the progress report, training, and late fees, will be raised in 2021. All fees will be displayed on our website at https://wsma.org/CME.

Please contact Kendra Peterson at kendra@wsma.org or call 206.956.3638 if you have any questions.



Washington Providers Fee Structure for 2021

 Tier  Approx.
Centile
Average
Activities
Per Year*
Average
Learner
Interactions
Per Year*
ACCME Fee
for State-Accredited
Providers
2020 - 2021**
WSMA
Flat
Fee***:
WA Providers
Total Fee
for WSMA-
Accredited
Providers**
ACCME-
Accredited
Providers
2020-2021
Fee****
Tier 1 50% <29  <2,685  $750 +$3,700  =$4,450  $5,900
Tier 2  51-75% 29-79 2,685-
8,519
$1,000 +$3,700 =$4,700 $6,500
Tier 3  76-95% 80-260 8,520-
43,687
$1,500 +$3,700 =$5,200 $7,500
Tier 4  96% 260 >43,687 $3,000 +$3,700 =$6,700 $10,000


Alaska Providers Fee Structure for 2021

 Tier  Approx.
Centile
Average
Activities
Per Year*
Average
Learner
Interactions
Per Year*
ACCME Fee
for State-Accredited
Providers
2020 - 2021**
WSMA
Flat
Fee***:
  AK Providers
Total Fee
for WSMA-
Accredited
Providers**
ACCME-
Accredited
Providers
2020-2021
Fee****
Tier 1 50% <29  <2,685  $750 +$4,200  =$4,950  $5,900
Tier 2  51-75% 29-79 2,685-
8,519
$1,000 +$4,200 =$5,200 $6,500
Tier 3  76-95% 80-260 8,520-
43,687
$1,500 +$4,200 =$5,700 $7,500
Tier 4  96% 260 >43,687 $3,000 +$4,200 =$7,200 $10,000


County/Medical Society Fee Structure for 2021

 Tier  Approx.
Centile
Average
Activities
Per Year*
Average
Learner
Interactions
Per Year*
ACCME Fee
for State-Accredited
Providers
2020 - 2021**
WSMA Flat
Fee***:
  County/Medical
Society
Providers
Total Fee
for WSMA-
Accredited
Providers**
ACCME-
Accredited
Providers
2020-2021
Fee****
Tier 1 50% <29  <2,685  $750 +$2,100  =$2,850  $5,900
Tier 2  51-75% 29-79 2,685-
8,519
$1,000 +$2,100 =$3,100 $6,500
Tier 3  76-95% 80-260 8,520-
43,687
$1,500 +$2,100 =$3,600 $7,500
Tier 4  96% 260 >43,687 $3,000 +$2,100 =$5,100 $10,000

* ACCME tier determination (whichever is higher)
** The ACCME may adjust newly accredited organizations’ fees for 2021 based on 2019 PARS data. The ACCME may change their fees for all providers after 2021.
*** Based on 3% inflation per year since 2015, when the WSMA’s fees were last revised.
**** For comparison purposes only. Demonstrates that the WSMA makes CME accreditation as affordable as possible by consistently charging lower fees than the ACCME.

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