The Sunshine Act & CME: Archive Of The #CMEreg Chat

Something special happened on Twitter today. Amongst the Whitney Houston tributes, the Jeremy Lin-sanity, and the hoopla of a holiday created to sell more candy, cards, and flowers, a group of individuals concerned about the CME industry got together to learn and advocate for the profession they care for.

A special thanks to Chris Lamond and Andy Rosenberg from the CME Coalition for guiding us through the in’s and out’s of the Sunshine Act and its potential impact on the CME community. Below is the archive from this special edition #CMEreg chat.

theCMEguy

Welcome to #CMEreg. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

theCMEguy

Today’s #CMEreg chat is about the hot topic of the moment for CME providers: the Sunshine Act & CME

theCMEguy

We are fortunate to have Chris Lamond and Andy Rosenberg from the CME Coalition with us. They’ll be tweeting as @cmecoalition #cmereg

theCMEguy

The format for today’s #CMEreg chat will be a Q&A with @cmecoalition: I will start with a question for @cmecoalition and they will respond

theCMEguy

After @cmecoalition’s response, time is free for other related Q’s, comments, discussions from others. Please stay on topic #CMEreg

theCMEguy

After a period of time, I will bring up next Q for @cmecoalition. There will be 3 main Q’s that will be addressed (Q1, Q2, Q3) #CMEreg

BrianSMcGowan

@theCMEguy #cmereg …looking fwd to learning!

theCMEguy

We’ll start with Q1 in just a minute. For now, lets take a moment for everyone on the chat to introduce themselves. #CMEreg

theCMEguy

I’m Derek in northwest Philly, moderating #CMEreg

kenny_cox

Kenny from Springfield Mo – looking fwd to the session – #cmereg

SusanHYarbrough

@theCMEguy will there be an archive of this tweetchat? #CMEreg

beth333SP

Hello Andy & Chris! @theCMEguy: we have Chris Lamond and Andy Rosenberg from the CME Coalition. They’ll be tweeting as @cmecoalition #cmereg

theCMEguy

SusanHYarbrough: @theCMEguy will there be an archive of this tweetchat? #CMEreg>>  Yes!

greyelmy

Heather Guerrero with Gilead Sciences, Foster City, CA
#CMEreg

BrianSMcGowan

Brian here working out of my car before a series of meetings…real distance learning. #cmereg

beth333SP

Beth Brillinger, Director of Accreditation for CME Outfitters. Just outside of Philadelphia #CMEreg

theCMEguy

FYI : there will be an archive of this chat posted on my blog later on cmeconfession.wordpress.com #CMEreg

ChargeAheadMktg

Glenn, Milford, CT. lurking & watching while multitasking. #cmereg

spelletier

Sue Pelletier is here, trying to catch the whole chat but forced to multitask #cmereg

theCMEguy

Are you guys at @CMEcoalition ready? #CMEreg

BrianSMcGowan

assuming tweets are personal opinion and not that of past current or future employers? #cmereg

CMECoalition

#cmecoalition here and excited to answer any and all questions #cmereg
#cmereg

theCMEguy

@BrianSMcGowan You obviously missed my first tweet :-) #cmereg

reginamotarjeme

Regina Motarjeme, out of Denver, with Medikly #cmereg

theCMEguy

.@CMECoalition: #cmecoalition here and excited to answer any and all questions #cmereg >> Great let’s get started!

theCMEguy

Q1: Can you give us a brief overview of the Sunshine Act and how it relates to CME?  #CMEreg

BrianSMcGowan

@theCMEguy i disclose that i did… #cmereg

CMECoalition

Welcome everyone.  Thanks for joining us.  New rule expands Sunshine Act to cover indirect CME payments. #cmereg #cmereg

jjuch

John J out of New Jersey
#CMEreg

CMECoalition

CME will be responsible to report all payments : burdensome & large fines. Result :industry stops sponsoring CME : patient suffers. #cmereg

BrianSMcGowan

@CMECoalition – wow that makes a bunch of assumptions, no? how do you get from a to z? #cmereg

theCMEguy

@CMECoalition Have you spoken directly with people from industry about this? #CMEreg

BrianSMcGowan

@CMECoalition can we agree that industry does not ‘sponsor’ CME – they support it. word choice is critical here. #cmereg

CMECoalition

under the rules manufacuterers report if “aware” of ultimate recipient of support #cmereg

beth333SP

proposed Sunshine Act = change in perception of CME – equates independent med ed w promotional med ed #CMEreg http://t.co/odLgOkGv

spelletier

@CMECoalition report all payments to industry, right? #cmereg

CMECoalition

@beth333SP agreed.  100% #cmereg

jjuch

@cmecoalition  can you give examples of what types of payments would need to be reported? honoraria? faculty travel? meals?  #CMEreg

CMECoalition

@BrianSMcGowan yes, many, including our membership which is growing and are very concerned about this.   #cmereg

spelletier

@beth333SP That’s one of the problems all right #cmereg

beth333SP

TRUE! Vernacular is important @BrianSMcGowan: @CMECoalition Industry does not ‘sponsor’ CME, they support it word choice is critical #cmereg

CMECoalition

@BrianSMcGowan Yes. You are correct. #cmereg

theCMEguy

I think a lot of these questions will be answered in Q2. So let’s move on to that quickly and then we’ll do a few more questions #cmereg

CMECoalition

@spelletier Yes, that’s correct. Industry is responsible for reporting to feds but will require providers assistance. #burdensome #cmereg

spelletier

@cmecoalition what exemptions are there for reporting reqts? #cmereg

theCMEguy

Q2: If it is passed, how will the Sunshine Act impact CME providers? #CMEreg

CMECoalition

@jjuch  all of the above plus booths, grants to cme providers… #cmereg

beth333SP

Q2 Wondering how MD’s feel about grant supported CME honoraria being reported as direct payments by Pharma? #CMEreg #MDchat bit.ly/zQy8MK

BrianSMcGowan

what kind of booths? .@CMECoalition: @jjuch  all of the above plus booths, grants to cme providers… #cmereg”

CMECoalition

@spelletier exemptions are if covered entity is “unaware” of the ultimate beneficiaries of the payment, ed materials for patients #cmereg

CMECoalition

@spelletier also…incidental refreshments #cmereg

theCMEguy

@BrianSMcGowan @CMECoalition @jjuch I would assume this means exhibit booths, no? #cmereg

CMECoalition

@beth333SP great question: we fear a chilling effect on their participation.   #cmereg

BrianSMcGowan

t2 what guidance has there been on the accounting that will be required –> how do you divide multiple supporters/block grants? #cmereg

CMECoalition

@theCMEguy yes, exhibit booths. #cmereg

jjuch

@beth333SP Q2 …and how faculty will feel when their travel to speak at a CME-certified event appears as a “payment” #CMEreg

beth333SP

CME Outfitters has sent a survey to our physician faculty, interesting responses re Sunshine Act  #MDchat #CMEReg http://t.co/odLgOkGv

CMECoalition

@BrianSMcGowan great question.  unclear and potentially unworkable.  Needs to be a focus for comments to HHS. #cmereg

BrianSMcGowan

medical societies will be immediately paralyzed by their soft accounting practices…maybe this is a good thing? #cmereg

theCMEguy

@jjuch @beth333SP And not just a payment. My understanding is that it will link back to a specific product, too. Am I right? #CMEreg

CMECoalition

@jjuch that is our fear also.  And what about attendees?  #cmereg

BrianSMcGowan

@beth333SP do you have results to share? #cmereg

CMECoalition

@theCMEguy hard to imagine how they could do that but possible.   #cmereg

StMarysCME

What will this mean for hospital CME providers? #cmereg

BrianSMcGowan

linking grants to products may be easier for some than others…to be transparent…perhaps this is part of the confusion. #cmereg

theCMEguy

.@StMarysCME: What will this mean for hospital CME providers? #cmereg>>  Good question!

beth333SP

Why yes, I do, a few written comments 4 now, small sample size so far @BrianSMcGowan: @beth333SP do u have results to share? #cmereg

Shea_McCarthy

Did Congress intend for these restrictions on CME when the passed the Sunshine Act? #CMEreg #MDchat

CMECoalition

@StMarysCME Hospital CME providers will also be impacted.  potentially massive tracking and reporting burden…e.g., grand rounds #cmereg

jjuch

Given how different systems are for putting in grants, can you imagine all the systems for putting this info in? Ugh!!! #CMEreg

beth333SP

#CMEreg #MDChat CMEO Physician survey resp to Sunshine Act: .Slap in the face to legitimate, ethical CME providers”

BrianSMcGowan

the accounting ‘should’ be the easy part to ‘do’…but the message it sends is misguided and the effort would be overwhelming. #cmereg

beth333SP

#CMEreg #MDChat CMEO Phys resp to Sunshine Act: .Rule would potentially contribute to bias by ensuring faculty were aware of support source”

CMECoalition

@Shea_McCarthy We were told at the time that Congress intended to capture ONLY direct payments to docs, exempting CME #cmereg

spelletier

@beth333SP I’d be curious to see the responses to yr physician survey #cmereg

CMECoalition

@Shea_McCarthy We are currently talking with Members and hill staff to weigh in – CME Coalition members are on hill this week #cmereg

BrianSMcGowan

so what are the benefits of the Sunshine Act for the CME community? #cmereg

StMarysCME

I’m afraid this would be the end of many hospital CME programs.  The straw that breaks the overburdened CME coordinator’s back #cmereg

theCMEguy

@spelletier @beth333SP I believe she’s tweeting out some of the responses now… #cmereg

ChargeAheadMktg

@beth333sp on the survey, and also IYO, are the faculty responses so far concerned or “oh ok whatever”? #cmereg

jjuch

@beth333SP “contribute to bias…” interesting? not exactly what the people pushing this reporting were going for
#CMEreg

beth333SP

#CMEreg CMEO Phys resp to Sunshine Act: .Wht better way 2 elim bias than cut the link, and wht better way 2 intro bias than to re-est link?”

CMECoalition

@BrianSMcGowan right on…huge burden leading to uncertain future #cmereg

spelletier

@theCMEguy yup, see them now–got behind :( #cmereg

theCMEguy

@StMarysCME I believe there are many who share this exact same concern. That’s why we’re doing this! #cmereg

beth333SP

yup @theCMEguy: @spelletier @beth333SP I believe she’s tweeting out some of the responses now… #cmereg

CMECoalition

@BrianSMcGowan We think there is NO upside as written/drafted.   #cmereg

BrianSMcGowan

@beth333SP that is a bizarre comment…so not knowing who the supporter is better? –> points to ignorance of many faculty #cmereg

CMECoalition

@theCMEguy This is one of the reasons CMECoalition was founded.   #cmereg

theCMEguy

Great questions and discussion everyone! I’m going to introduce the last topic to keep things moving along #cmereg

beth333SP

#CMEreg and the next comment from physicians is a long one, sorry about that. But it is also funny (sorry in advance to attorneys)

CMECoalition

@theCMEguy Many who are concerned have joined us in this fight…we need many more to keep the heat on regulators #joincmecoalition #cmereg

theCMEguy

I’ll wait til @beth333SP is done first… ;-) #CMEreg

BrianSMcGowan

@CMECoalition so either the authors see a benefit that u disagree w/ OR  the authors are blind to the facts? which is it? #cmereg

Shea_McCarthy

@CMECoalition What’s the best way to contact lawmakers regarding the #CMEreg? Does HHS accept public comments?

beth333SP

#CMEreg #MDChat Physician survey resp to Sunshine Act: .If phys and CME prov’s must report than so too must ambulance chasing attorneys”…

beth333SP

#CMEreg #MDChat Physician survey resp to Sunshine Act: .(contd) who are the saviors of humanity against the evil empire of medicine!”

theCMEguy

@BrianSMcGowan @CMECoalition So Maybe your question is, what benefit do the authors see in this for CME? #cmereg

CMECoalition

@BrianSMcGowan more likely the latter and so do congressional folks we have been meeting with. bipartisan support on hill #cmereg

theCMEguy

Q3: What can CME providers do now? #CMEreg

beth333SP

#CMEreg #MDChat CMEO Physician survey resp to Sunshine Act: .Is trying to help busy colleagues keep up w new advances really that bad?”

PSB_CME

#cmereg I think that it’s not as time consuming as people fear…just that it’s scary

theCMEguy

@Shea_McCarthy @CMECoalition An answer to this is coming shortly… #cmereg

beth333SP

#CMEreg #MDChat CMEO Physician survey resp to Sunshine Act: .Time for some well designed outcomes studies to address this disturbing issue”

jjuch

@BrianSMcGowan “…blind to the facts” and knowing what certified CME is and what we do as providers gets my vote #CMEreg

beth333SP

#CMEreg that’s all I have for now – re comments from our faculty…

CMECoalition

@theCMEguy We don’t think HHS knows enough about benefits of CME.  They beleive more transparency alwasy = better. #cmereg

CMECoalition

@jjuch certified is key and needs to be reinforced in public comments.  #cmereg

spelletier

@theCMEguy benefit is transparency, right? Tis better 2 know who gets paid by whom, thinking goes. Prob is the why is omitted? #cmereg

CMECoalition

Is everyone here planning on sending in public comments to HHS?  We hope so. For help go to http://t.co/dVvzEt14 for resources #cmereg

BrianSMcGowan

not sure who is more naive, the authors of the Sunshine act or the faculty who have their head in the sand to risk and bias. #cmereg

CMECoalition

@spelletier exactly right. they believe transparency always equals better policy.  #cmereg

theCMEguy

@CMECoalition And the due date for sending in comments is…? #cmereg

BrianSMcGowan

#TOTD #needRealExamples .@PSB_CME: #cmereg I think that it’s not as time consuming as people fear…just that it’s scary”

SusanHYarbrough

@CMECoalition submitting our response today! #cmereg

CMECoalition

@theCMEguy deadline is 2/17. Our resource center on website has all the details. #cmereg

spelletier

Assumes all financial rels are inherently bias-inducing, even with regs in place. Need to separate certified from promo #cmereg

beth333SP

YES , we are involved in multiple waves @CMECoalition: planning on sending public comments to HHS? http://t.co/w2YWmmTX #cmereg

BrianSMcGowan

@CMECoalition …but you don’t agree that more transparency is always better? #cmereg

CMECoalition

@SusanHYarbrough Great!  Thanks.   #cmereg

ChargeAheadMktg

#TOTD RT @briansmcgowan not sure who is more naive, authors of the Sunshine act or faculty who have head in the sand to risk & bias. #cmereg

theCMEguy

@CMECoalition Do public comments make a difference? #CMEreg

jjuch

Will be submitting comments tomorrow
#CMEreg

CMECoalition

@BrianSMcGowan Not when there is so much burdensome redundancy with already established CME conflict protections/rules #cmereg

beth333SP

Be transparent about who selects content & faculty 2 @BrianSMcGowan: @CMECoalition …but u don’t agree that more transp is better? #cmereg

BrianSMcGowan

seems that the right step is to create polished case studies of what this Act would mean “in a day in the life…” #needstories #cmereg

CMECoalition

@theCMEguy Yes! Process is set up to avoid unintended consequences. HHS must hear from a lot of impacted parties. #cmereg

theCMEguy

@BrianSMcGowan That’s a good idea #cmereg

CMECoalition

@BrianSMcGowan Agreed: that is what we are doing in our comments and on the Hill.   #cmereg

beth333SP

BSM, Wanna spearhead that? @BrianSMcGowan: seems that the right step is to create polished case studies #needstories #cmereg

theCMEguy

What happens after the window for public comments closes? #CMEreg

beth333SP

I hear u are a good writer… BSM, Wanna spearhead that? @BrianSMcGowan: create polished case studies #needstories #cmereg

CMECoalition

@theCMEguy HHS will review all comments and post final rule. After comment period we can meet with HHS (can’t now) #cmereg

StMarysCME

When would these new regs go in to effect? #cmereg

CMECoalition

@theCMEguy We will also get Congress more engaged via letters, etc… #cmereg

CMECoalition

@StMarysCME 2013, as its drafted now. #cmereg

theCMEguy

@CMECoalition What is Congress’s role in this process? #CMEreg

jjuch

what are the chances that the final rule will be changed from current form? #CMEreg

CMECoalition

@theCMEguy Congress can also pass a law (or limit funding for) overturning the final rule..lots congress can do. #cmereg

theCMEguy

.@CMECoalition: @StMarysCME 2013, as its drafted now. #cmereg>>  Is it in effect as soon as they make a final ruling?

CMECoalition

@jjuch if we get quality arguments submitted and hill pressure to HHS we have a reasonable chance to impact the rule. #cmereg

CMECoalition

@theCMEguy No, final rule will dictate the implementation date.  Right now 2013. they could delay it but not likely at this point. #cmereg

spelletier

@cmeCoalition do you have template of main points ppl can use to draft responses? #cmereg

BrianSMcGowan

@beth333SP not sure I know enough to lead the effort but I will help…#cmereg

CMECoalition

Strength in numbers.  Please consider helping in the effort to overturn this rule and join the coalition for the prolonged fight.  #cmereg

jjuch

@CMECoalition “quality arguments and hill pressure to HHS we have a reasonable chance” so submitting comments is really important! #CMEreg

theCMEguy

Any final questions for @CMECoalition before we wrap-up #cmereg chat for today?

spelletier

@BrianSMcGowan @beth33SP likewise, would be glad to help #cmereg

CMECoalition

@spelletier Yes, our model comments are on our webiste’s Sunshine Act Resource Center.   #cmereg

theCMEguy

.@spelletier: @BrianSMcGowan @beth33SP likewise, would be glad to help #cmereg>>  I sense a G+ hangout brewing…

theCMEguy

.@CMECoalition: @spelletier Yes, our model comments are on our webiste’s Sunshine Act Resource Center.   #cmereg>>  http://t.co/y0AEa3ke

beth333SP

#CMEReg There are some great resources for info and action http://t.co/odLgOkGv & CME Coalition site http://t.co/rkuMdLg9

theCMEguy

Thank you all for participating in today’s #cmereg chat! A special thanks to @CMECoalition for joining us!

CMECoalition

Submitting public comments will be important to this effort.  Please take the time to get involved. #cmereg

beth333SP

#CMEreg Thank you CME Coalition for your involvement. Everyone needs to get involved by responding to CMS and writing our own local govt

theCMEguy

I’ll monitor the #CMEreg hashtag if anyone else has questions and pass them on to @CMECoalition

spelletier

Final question: Any way to get out ahead of the next wave before it gets to this point? #cmereg

theCMEguy

I’ll also be posting an archive of the chat at cmeconfessions.wordpress.com later today or tomorrow #cmereg

theCMEguy

@spelletier What do you mean by “next wave”? #cmereg

CMECoalition

@spelletier Yes, educating policy makers about the value of CME.  That is why we started the Coalition. Lots of catch up to do.  #cmereg
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5 responses to “The Sunshine Act & CME: Archive Of The #CMEreg Chat

  1. Thanks for sharing. Hopefully an impact can be made. MMS is avaailable to help. If a survey of physicians about this issue would be useful just send me the questions and I can get you results within a few days.

  2. Pingback: Sunshine Act’s reporting requirements: Act now or forever hold your peace | Capsules

  3. Thank you for posting the archive. I’m fowrarding to my bosses to see if they want to comment on the Coallition’s page.

  4. Pingback: What physicians think about the Sunshine Act | Capsules

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