NCANA Chuck Vacchiano 2016 Annual Meeting

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Meeting the CPC Requirements:
How, When and Where?
Chuck Vacchiano, PhD, CRNA, FAAN
Call for Nominations:
Open NBCRNA Board Positions
• Information provided by:
– Blast email
– Posted on the website
• Questions:
– Email: nominations@nbcrna.com
What Are the General Program Requirements?
• First 4-Year Cycle
– 60 Class A Requirements: Assessed CE
– 40 Class B Requirements: Professional Activities
– RN Licensure and Active Practice
– Core Modules (Voluntary)
*Every Two‐year Check‐in
CPC
Class A
Core
Modules
CPC
Exam
Class B
• Second 4-Year Cycle
– 60 Class A Requirements
– 40 Class B Requirements
– RN Licensure and Active Practice
– 4 Core Modules
– CPC Exam
Two 4-year CPC Program cycles / 8 Year Period

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When Do I Enter the CPC Program?
• If you recertified by July 31st of 2016 (Even Year)
– You were entered in the Continued Professional
Certification Program on August 1st 2016
– Your recertification is good through July 31st of 2020
• If you recertify by July 31st of 2017 (Odd Year)
– You will be entered in the Continued Professional
Certification Program on August 1st 2017
– Your recertification will be good through July 31st of 2021
CLASS A AND CLASS B
REQUIREMENTS
What are Class A Requirements?
Assessed CE
• 60 Class A credits during each 4-year CPC cycle
Is it prior-approved?
Is it related to nurse anesthesia?
Is it assessed?
Examples: Journal CE, online webinars or
online courses, prior-approved live events
with assessments

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What are Class B Requirements?
Professional Activities
• 40 Class B credits during each 4-year CPC cycle
Does it support patient safety?
Does it enhance knowledge of nurse
anesthesia?
Does it relate to broader healthcare
environment?
Not assessed and not prior-approved
What Are the Options for Class B Credit?
 Can use Class A credits to meet Class B requirements
 Can use a combination of Class A and Class B credits
 Can use all Class B credit
Many, many options for Class B Credit
Examples of Activities That Would
Qualify for Class B Credit
 Class A: Assessed
Continuing Education (CE)
 Non-Prior Approved and/or
Non-Assessed CE
 Academic Credits
 Presentations
 Publications (book, chapter,
or peer reviewed article)
 Teaching in the clinical
setting
 Administrative clinical roles
 Subspecialty clinical
practice roles beyond those
routinely scheduled
 Integrating a new clinical
practice technique
 Service on committees or
elected roles
 Service in mission work
 Service in advocacy or
public relations
 Research or practice inquiry

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Where Do I Find Eligible Class B Activities?
Class B Table on NBCRNA website:
www.NBCRNA.com/ClassBtable
How Do I Document Class B Requirements?
• Yes.
• Class A if it meets assessed CE criteria…..
……or Class B if it does not
• Up to maximum of 20 credits total per 4-year cycle
• May use both initial and renewal life support
courses in the same 4 year CPC cycle
• Can include BLS, ACLS, PALS, NALS, NRP, ATLS
Can Life Support Courses Be Used as
Class A or Class B Credit?

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What is the Purpose of the 2 Year “Check-in?”
• Verification of licensure and active practice every 2 years is a
requirement of other regulatory bodies like State Boards of
Nursing, NBCRNA accreditors and local facilities.
• At the 2-Year Check-in you will:
– Validate your continued state licensure
– Confirm continuing active practice
– Update your contact information
– Pay the CPC Program fee
– Review your progress towards CPC Program compliance
CORE MODULES
WHAT ARE CORE MODULES?
Core Modules are continuing education activities that
provide a consistent structure and assessment standard
for nurse anesthetists to stay abreast of evolving
evidence-based knowledge in four important domains of
anesthesia care.

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All About the CPC Core Modules
• A way to deliver up-to-date evidence based information
• Voluntary for first 4-year cycle
• Can be applied to Class A credit requirements
• Can be computer-based or in person meeting
• Covers 4 core domains of nurse anesthesia practice:
o Airway management techniques
o Applied clinical pharmacology
o Human physiology and pathophysiology
o Anesthesia technology and equipment
Evidence
from
Literature
Clinical
Experience
Patient
Centered
Care
• CE vendors will offer some or all modules
• Must be recognized by the NBCRNA as
meeting the topic objectives
• Recognized Core Module providers will be
listed on the NBCRNA website as they
become available
Where Will I Find Core Modules?
CPC EXAMINATION

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The CPC Examination is Not the NCE
• Focus:
Clinical practice
• Content outline:
Was determined by a formal Practice Analysis
• The Exam Questions:
Will be written primarily by practitioners
What Information Will Be Available About the Exam
and Will There Be Practice Questions?
• CPC Examination content outline posted at the NBCRNA
Website
• References used to develop the CPC Examination items
will be posted on the NBCRNA website
• Sample examination questions are being developed:
– Presented in an electronic format to help familiarize nurse
anesthetists with computer-administered examinations
Domain: Airway Management (34%)
Domain: Applied Clinical and Pharmacology (24%)
Domain: Human Physiology and Pathophysiology (24%)
Domain: Anesthesia Equipment and Technology (18%)

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Airway Management
• Anatomy
• Physiological/pathophysiological concepts
• Pharmacology
• Airway equipment
• Management concepts
Applied Clinical and Pharmacology
• Pharmacokinetics/pharmacodynamics/pharmacogenetics
• Factors influencing medication selection
• Intraoperative monitoring techniques
• Infection prevention principles
• Adverse pharmacological reactions
Human Physiology and Pathophysiology
• Major organ systems
• Interpret lab and diagnostic studies
• Factors influencing anesthetic approach, technique and management
Anesthesia Equipment and Technology
• Proper function, malfunction and troubleshooting complications
• Safety and prevention protocols
• Anesthetic delivery and clinical monitoring devices
• Assess, analyze, interpret and use data
Example: Airway Management Exam Content
• Airway Management
• Anatomy
• Physiological / Pathophysiological concepts
• Pharmacology
• Airway equipment
• Management concepts
What is the Timeline for the CPC Examination?
First Examination (Evaluative)
Recertify in Even Years
2020 – 2024
Recertify in Odd Years
2021 – 2025
Second Examination (Pass/Fail)
Recertify in Even Years
2028 ‐ 2032
Recertify in Odd Years
2029 ‐ 2033
Exam is taken 1 time.
You will not lose your certification,
even if you do not meet the
performance standard.
You can take the exam up to
4 times during the 4-year cycle
12 - 17 Years Away
4 - 9 Years Away

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• Anytime
….with the caveat that the exam must be
completed six months prior to your
certification expiration date in that cycle
When Can I Take the CPC Exam in the
Second 4 Year Cycle?
• Will not affect certification
• Will indicate areas where additional study is
needed
– Take additional continuing education in these area(s)
i.e. Core Module
• NBCRNA and AANA are exploring additional
options beyond taking a CPC core module
What Happens if the Performance Standard
is Not Met for the First CPC Exam?
Review of the General Program Requirements?
• First 4-Year Cycle
– 60 Class A Requirements: Assessed CE
– 40 Class B Requirements: Professional Activities
– RN Licensure and Active Practice
– Core Modules (Voluntary)
*Every Two‐year Check‐in
CPC
Class A
Core
Modules
CPC
Exam
Class B
• Second 4-Year Cycle
– 60 Class A Requirements
– 40 Class B Requirements
– RN Licensure and Active Practice
– 4 Core Modules
– CPC Exam
8 Years Period / Comprising Two 4-year CPC Program cycles

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Where to Find
Additional Information
• CPC materials on NBCRNA website:
www.NBCRNA.com/CPC
• And the AANA CPC microsite:
cpc-facts.aana.com/
• NBCRNA and AANA communications
• Submit questions to:
cpc@NBCRNA.com