
HealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
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View All ProductsFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
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View All ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
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View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
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View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
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Learn MoreIn an article in the May 2014 issue of Compliance Today, Bill Sacks, Vice President and co-founder of HCCS, a HealthStream company, describes how new NIH regulations are forcing academic medical centers (AMCs) to examine and update their conflict-of-interest policies. He lists the 15 best practices for management of conflicts of interest that have been proposed by the Pew Charitable Trust and discusses how some of these recommendations are enjoying wide acceptance, as others are being met by serious objections. The Pew “Best Practice” recommendations are summarized below.
1. No gifts or meals should be accepted from industry sales representatives. Recognizing that even small gifts can influence the behavior of physicians and that accepting gifts looks bad, accepting no gifts is the best option for academic medical center staff.
2. Faculty must disclose all conflicts of interest. All academic medical centers must have a process in place to manage conflict of interest (COI) disclosures.
3. Industry-funded speaking should not be allowed. To avoid any appearance of impropriety, it is preferable to limit or prohibit industry funding of speaking engagements directed toward other faculty, students, patients or the public.
4. Industry-funding of continuing medical education (CME) should be severely limited or prohibited. Industry funding of CME tends to bias topic choices and content in favor of the sponsors’ products and therapeutic areas.
5. Faculty, students, and trainees should not attend industry-supported promotional or educational events. As another way to avoid any appearance or possibility of bias, clinical staff should be prohibited from attending events that are not primarily for education and are directly funded by industry.
6. Limit or prohibit pharmaceutical sales representative access in academic medical centers. Most academic medical centers restrict the presence of pharmaceutical reps. To avoid bias or the appearance of bias, this presence should be very limited or even prohibited.
7. Limit medical device representative presence in academic medical centers to what is necessary. Academic medical centers should restrict medical device manufacturer reps access to what is required for successful implementation and use of devices and equipment that have already been bought.
8. Conflict-of-interest education should be required for all clinical staff and students. Given its increased importance, conflict of interest training must be a mandatory and periodic requirement for everyone teaching, learning, and working at an academic medical center.
9. Conflict-of-interest policies should apply to everyone with a relationship to the academic medical center—paid, volunteering, affiliated, etc. To avoid any appearance of impropriety mandated conflict-of-interest policies should apply to everyone involved with the academic medical center.
10. Industry-supported clinical fellowships should be available for scientific training only. Industry-sponsored fellowships for clinical training should not be accepted by academic medical centers, but they may accept funding for scientific training under certain circumstances.
11. Ghostwriting and honorary authorship are strictly prohibited. Companies funding research should have no influence over the test of articles or determining which results get published in academic journals.
12. Faculty and trainees can engage in consulting relationships for research and scientific activities with pharmaceutical and device companies about research and scientific matters. Consulting arrangements must require written contracts with clear deliverables, to ensure that inappropriate payments are not involved. All research faculty must report any consulting payments on their annual Conflict of Interest Disclosure Forms.
13. Consulting relationships for marketing purposes are prohibited. Academic medical centers must establish policies that prohibit faculty involvement in developing promotional material or marketing strategies.
14. Pharmaceutical samples can be accepted and used only when they don’t become marketing tools. Academic medical centers must develop policies that guide clinicians’ ability to accept and distribute pharmaceutical samples in ways that do not constitute marketing of the product.
15. Members of pharmacy and therapeutics committee cannot vote on formulary or treatment changes involving a company or product in which they have a financial interest. The pharmacy and therapeutics committee of a healthcare organization must make decisions based on the best interests of the institution and not be unduly influenced by the financial relationships or other considerations of members.
Conclusion
Academic medical centers face multiple challenges and serious considerations in their efforts to address potential conflicts of interest. These recommendations by the Pew Charitable Trust provide a resource to AMC’s as they formulate policies and procedures to identify and manage real and potential conflicts of interest.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsLearn more about HealthStream's Provider Credentialing, privileging, & enrollment solutions.
View All CredentialingExperience standardized and centralized healthcare credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
View All Products