Assessment of IAA Eligibility

  • Assessment of Individual Activity Applicant Eligibility Verification

  • Section 1: Demographic Data

    Applicants interested in submitting an individual educational activity for approval must meet all eligibility requirements. Verification forms received from applicants that do not meet eligibility requirements will be rejected without substantive review.

  • Nurse Planner

  • A currently unrestricted licensed registered nurse (or international equivalent) with a baccalaureate degree (or international equivalent) or higher in nursing is actively involved in the planning, implementing, and evaluation process of this continuing education activity and accountable for adherence to all ANCC Accreditation Program criteria.*
  • Format: (000) 000-0000.
  • Is there a person other than the Nurse Planner who should be included as a primary point of contact?*
  • Format: (000) 000-0000.

  • Your responses indiciate that the appliant is not eligible to continue the application process. 

    If you think this is incorrect, please email VNA Accredited Approver Program Director, Kate Hildreth, to discuss further.

  • Section 2: Ineligibility Company

    The following section is intended to collect information about the applicant organization’s corporate structure. NOTE: Companies that are ineligible to be approved (ineligible companies) are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Certain organizational types are automatically eligible and exempt from the definition of an ineligible company, as per the Standards for Integrity and Independence in Accredited Continuing Education (https://accme.org/rules/standards/).
  • Is your organization one of the following? Check the box applicable.*

  • You have completed this questionnaire and may proceed to Section 4.

  • Section 3: Only complete this section if application organization is not exempt

  • The applicant organization is NOT EXEMPT from the Standards for Integrity and Independence in Accredited Continuing Education definition of an ineligible company. The following questions must be answered, so the Virginia Nurses Association can assess the applicant organization's eligibility.

    NOTE: Ineligible companies are those whose primary business is producing, marketing, re-selling, or distributing healthcare products used by or on patients.

  • 1. Does your organization, or a part of your organization, produce, market, re-sell, or distribute healthcare products used by or on patients?*
  • 2. Does your organization advocate for an ineligible company?*
  • 3. Does your organization have a non-primary business function that includes producing, marketing, reselling, or distributing of healthcare products used by or on patients and/or advocating for, or on behalf of an ineligible company?*
  • 3A. If you answered YES to Q3, is the nonprimary business function, which led to the answer yes, conducted by a separate legal entity with separate management and staff from the entity applying for accreditation?*
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  • 6. If you answered YES to Q5, does your organization share management, employees, or governance structure with the SISTER company?*
  • 7. If you answered YES to Q5, are any owners, employees, or agents of the SISTER company involved in the planning, development, or implementation of educational content?*
  • 8. If you answered YES to Q5, does the SISTER company control or influence, in whole or in part, the operations of your organization?*

  • Your responses indicate that your organization is likely defined by the ACCME Standards for Integrity and Independence in Accredited Continuing Education as an INELIGIBLE COMPANY.

    Ineligible companies are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

    If you think this is incorrect, please email VNA Accredited Approver Program Director, Kate Hildreth, to discuss further.

  • Section 4: Statement of Understanding

  • I attest, by my signature below, that I am duly authorized by {nameOf} to submit this application as an approved provider offered by the American Nurses Credentialing Center (ANCC) through Accredited Approvers and to make the statements herein. On behalf of {nameOf}, I have read the approved provider eligibility requirements and criteria. I understand that {nameOf} is subject to all eligibility requirements and criteria as an approved provider. I understand that becoming an approved provider depends on successfully meeting eligibility requirements and criteria and maintaining approved provider standing depends upon continued compliance.

    On behalf of {nameOf}, I expressly acknowledge and agree that information accumulated through the approval process may be used for statistical, research, and evaluation purposes and that anonymous and aggregate data may be released to third parties. Otherwise, all information will be kept confidential and shall not be used for any other purposes without {nameOf}’s permission.

    On behalf of {nameOf}, I hereby certify that the information provided on and with this application is true, complete, and correct. I further attest, by my signature on behalf of {nameOf}, that {nameOf} will comply with all eligibility requirements and approval criteria throughout the entire approval period, including all reapplication periods for maintaining approval, and that {nameOf} will notify the Virginia Nurses Association promptly if, for any reason while this application is pending or during any approval period, {nameOf} does not maintain compliance. I understand that any misstatement of material fact submitted on, with or in furtherance of this application for approved provider status shall be sufficient cause for the Virginia Nurses Association to deny, suspend or terminate {nameOf}’s approved provider status and to take other appropriate action against {nameOf}.

    (Applications received without a signature incur a delay in processing which will cause a delay in the review of the approval application.)

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