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CDR CONNECTION SPRING 2020

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CDR Connection— Spring 2020

Commission on Dietetic Registration
Chair / Advanced Practitioner in Clinical Nutrition Representative
Beth Taylor, DCN, RDN-AP, LDN, CNSC, FCCM
Vice Chair
Kathryn Lawson, MS, RDN, CD
Public Member
Michael W Giles, BA, MA, PhD

Members
Elizabeth (Lisa) S Abbay, RDN, LDN, FAND
Nancy DiMarco, PhD, RDN, CSSD, FACSM
LeGreta Hudson, MS, RDN, LD, CDE
Kellene Isom, MS, RD, LDN
Young Hee Kim, MS, RD, LDN, CNSC, FAND
Valaree Williams, MS, RD, CSO, LDN, FAND
CDR DTR Representative
Amanda R Coufal, BS, NDTR
Newly Credentialed Practitioner Representative 
Samantha Reilly, MS,  RD
Board Certified Specialist Representative
D. Travis Thomas, PhD, RDN, CSSD, LD, FAND

The Commission on Dietetic Registration is pleased to share this Spring 2020 edition of its newsletter, CDR Connection: Power Your Future! In this issue we are highlighting:

  • CDR COVID 19 Update
  • Extension of PDP Deadline to July 15, 2020
  • New Incident Reporting Tool
  • New Ethics Modules
  • New Case Studies in Health and Wellness Coaching and Telehealth
  • New Critical Thinking Tool Self-study Requirement
  • Obtaining a National Practitioner Identification Number
  • And More!

We hope that you find this newsletter informative and helpful!

To view past issues go to cdrnet.org/connection

Beth Taylor, Chair
Commission on Dietetic Registration

 

CDR UPDATE - COVID 19

As the Academy and CDR continue to closely monitor the novel coronavirus (COVID-19) situation in coordination with guidance from the U.S. Centers for Disease Control and Prevention, the World Health Organization and state and local governments, the health and safety of our communities remain a top priority. We are taking every precautionary measure to prevent any additional spread of COVID-19, while ensuring the least amount of disruption to CDR operations. From a public health perspective, it is wise and socially responsible for CDR to do its part in reducing the pandemic's curve and easing the potential burden on the health care system. Toward the goal of safeguarding all employees, their families and members of the community.

CDR's physical office is closed until May 31st. CDR's robust telecommuting program ensures that our employees can perform essential job functions remotely. The vast majority of services to CDR's credentialed practitioners will remain uninterrupted.

We understand this is a challenging time and we are committed to ensuring as little disruption for our credentialed practitioners as possible. CDR staff members are available by phone at 800/877-1600, ext. 5500, by email at cdr@eatright.org or by live chat from 8:30 am until 5:00 pm central time. If you recently mailed physical items of timely importance, please contact CDR.


Increased CPE Credit Limit - Activity Type 175

CDR has approved an expansion of the Activity Type 175: Recorded Pre-Approved maximum CPEUs to 45 CPEUs for RDs and 30 CPEUs for DTRs for all cycles that are currently active. Starting with cycles beginning June 2, 2021, the maximum CPEUs will return to 30 CPEUs for RDs and 20 for DTRs. Please note that In order for a recording to be eligible for credit, the recorded presentation must have been either preapproved by CDR for credit when it was presented live or offered by one of CDR’s accredited CPE providers. In addition, the recording must be listened to/viewed within 3 years of the original date of the live presentation (e.g., a recording of a presentation given on September 15, 2016, could be viewed for credit through September 14, 2019.)


Professional Development Portfolio Deadline

CDR has approved an extension of the May 31,2020 PDP recertification deadline for completion of the CPE requirements (75/RDs and 50/DTRs) and submission of completed activity logs to July 15, 2020. This extension does not impact the length of the next PDP recertification cycle beginning June 1, 2020. An email notification was sent the week of March 23rd to all CDR credentialed practitioners scheduled to recertify as of May 31, 2020, who have not yet submitted an activity log.

CPE resources are noted below. They include a link to CDR’s CPE Database and Accredited Provider list. These resources will allow you to find many online self-study options, prior-approved recorded seminars and webinars, professional reading materials, and other online video and audio materials


Did You Know?

The following continuing professional education reporting policies are often overlooked by CDR credentialed practitioners. As you participate in continuing professional education activities please check to make sure that the activity is prior-approved by CDR or offered by a CDR Accredited CPE Provider:

  • All self-study activities [type 700-740], other than those offered by providers that are accredited by organizations that CDR recognizes,(Refer to the list on Page 20 of the Professional Development Portfolio Guide)
  • Recorded pre-approved activities [type 175], and
  • Certificate programs [type 120] are either CDR-prior-approved or offered by CDR or a CDR-accredited continuing professional education program provider.
  • Certificate programs [type 120] (not to be confused with self-studies) must be offered by CDR or a CDR-accredited provider.
  • Live activities (real-time online or in person) may be claimed for credit even if they do not have CDR-prior approval or are not offered by a CDR-accredited provider.

All activities must conform to a PDP activity type definition and adhere to PDP content criteria.

Send a message to QualityCPE@eatright.org if you have concerns regarding continuing professional education program quality


CDR Essential Practice Competencies Webinar

Friday, May 22nd, 2020
12:00 pm | Central Standard Time (Chicago, GMT-06:00) | 1 hr 30 mins

Please note this webinar:

  • Is the same webinar that was given on April 17th, 2020; Click here to access the recorded webinar;
  • Will be recorded and posted on CDR website;
  • This will be the last Your PDP and Practice Competencies: What’s Next and What’s In It for You? live webinar offered until December 2020.
  • Is targeted to practitioners beginning a new PDP recertification cycle on 6/1/2020;
  • Participation is limited, so please register early!

Register
 

After your request has been approved, you'll receive instructions for joining the meeting.

If you are experiencing technical issues while registering please contact cdr at cdr@eatright.org


Academy Releases New Tool to Ensure Consumer Protection

Available now, the Academy's Incident Reporting Tool was created to assist in its efforts to protect the public, enhance the quality of nutrition care and promote self-regulation of the profession. The information collected from the Incident Reporting Tool will be used to facilitate stakeholders and policymakers’ understanding of the value of qualified RDN care, including elected leaders, state agency officials, other health care providers and the public.

By enabling patients, members of the general public and health care practitioners to document examples of successful nutrition care showing the added value of qualified practitioners or report incidents of harm or unethical practice, the IRT fills a critical gap in the documentation of certain noteworthy incidents in the provision of nutrition care services across the country.

Registered dietitian nutritionists across the country are encouraged to note that the Academy/CDR Code of Ethics requires reporting of harm, and this tool provides a uniform and easy mechanism to do so and complements ethically-mandated reporting to state licensure boards.

Learn more about the Incident Reporting Tool here.


Self-study Ethics Modules

The Joint Academy/CDR Ethics Committee have developed four self-study activities to assist nutrition and dietetics practitioners in the comprehension of the Code of Ethics for the Nutrition and Dietetics Profession. Each module includes seven case studies, which are intended to demonstrate potential ethical dilemmas as they relate to nutrition and dietetics practice and the principles and standards of the 2018 Code of Ethics, along with points to consider and quiz questions to assess the reader’s knowledge.

Each module has been approved for 1.0 (Level 2) continuing professional education unit for registered dietitian nutritionists and nutrition and dietetic technicians, registered and meets the minimum 1 CPEU of Continuing Professional Education in Ethics (Learning Need Code 1050) that RDNs and NDTRs are required to complete during each 5-year recertification cycle. A Certificate of Attendance may be found at the end of the activity for practitioner’s records.


NEW! CDR Critical Thinking Tool Self-Study Requirement

Since the inception of CDR’s continuing professional education registration maintenance program in the early 1970’s the approval criteria for continuing professional education has included a requirement that continuing professional education be beyond entry-level for the profession. This has been interpreted to exclude activities targeted to the lay public. CDR recognized that although professionals may learn new information from a variety of resources including those originally designed for a lay audience, they must employ critical thinking skills in order to evaluate and apply new learning to enhance their practice competency.

After communications with providers regarding appeals related to the beyond entry-level requirement, the Commission on Dietetic Registration Competency Assurance Panel (CAP) made the motion to remove the language that all CPE activities be “beyond entry-level” from the current CPE approval criteria and replace it with “relevant to knowledge, skills, behavior and attitudes of professional dietetics practice.” In order to assess that CPE activities are meeting the new standards, CAP motioned to modify the current Self-Study criteria to include a requirement for a separate critical thinking tool for all self-study products.  The critical thinking tool includes that practitioners record how they will apply what they learned to improve knowledge, skills, behavior and attitudes.

Providers must include CDR's Critical Thinking Tool as a required component of all prior approved self-study products and self-study products offered by CDR Accredited Providers, effective for programs approved or re-approved on or after January 1, 2020. Practitioners will be required to include the Critical Thinking Tool in their audit materials for recertification cycles that start on or after June 2, 2020.


Obtaining a National Practitioner Identification Number (NPI)

The NPI is a unique, 10-digit, identification number for health care providers, practitioners, and suppliers of health care services. The NPI is an important means of demonstrating a viable workforce of qualified providers and practitioners to payors and other external stakeholders.

All credentialed nutrition and dietetics practitioners (RDNs and NDTRs) should have an individual NPI regardless of work environment, employment status, or whether claims are submitted to payers.

The NPI can be used everywhere, so if an individual works at more than one practice location or setting, that individual does not need to get two NPIs. An NPI does not expire or deactivate, unless the individual deactivates it.

For more information go to the following link: Obtaining an National Practitioner Identification Number


RDN Opportunity to Report Malnutrition Quality Measures to CMS 

The Centers for Medicare & Medicaid Services has approved inclusion of new Malnutrition Quality Measures into two Qualified Clinical Data Registries (QCDRs) for RDNs to participate in the 2020 Merit-based Incentive Payment System (MIPS). The new Malnutrition Quality Measures included in the Premier Clinician Performance Registry and the U.S. Wound Registry promote health care team collaboration with measures for physician and RDN reporting. These measures are for MIPS reporting via QCDRs and do not replace the previous four (4) malnutrition eCQMs and the Global Malnutrition Composite Score measure (composite measure).

New tools and resources are available to support RDNs in reporting the malnutrition quality measures to CMS for MIPS participation. As the steward to the four Malnutrition Quality Measures included in two Qualified Clinical Data Registries (QCDRs), the Academy has developed tools and resources to support RDNs use of the measures. The Academy’s Qualified Clinical Data Registry webpage contains robust FAQ sections, complete measure specifications, and a link to a four part microlearning series. The Qualified Clinical Data Registry Microlearning Series: What RDNs Need to Know about Qualified Clinical Data Registries explains the benefits of MIPS reporting via QCDRs, explains the Academy and QCDR collaborations, and describes the significance of Malnutrition Quality Measures for RDN Reporting.


UPDATED Quality Improvement Practice Tips and Infographic 

The Quality Strategies Infographic brochure provides an overview of six Quality Strategies resources as well as key information about the National Quality Strategy and its aims and opportunities for RDN and NDTR involvement. The Practice Tips: Getting Started with Quality Improvement is a comprehensive step-by-step guide for RDNs and NDTRs to implement quality improvement in practice settings. The 7 steps review quality improvement basics, tools, case studies and Quickinars. Quickinars or QI Virtual Huddles are presented by our Academy Quality Leader Alliance (QLA) members who utilize Virtual Huddles for networking on quality initiatives. A “Quickinar” was designed to present QLA members’ QI projects in a 30-minute timeframe. The following ten (10) Quickinars on various topics are available detailing the application to RDNs and NDTRs and their roles in various practice areas. Learn more

  1. A Multidisciplinary Quality Improvement Project Nutritional Status in Adults with Cystic Fibrosis
  2. Improving Nutritional Screening in an Acute Care Hospital
  3. Establishing RD Baseline and Continued Competence
  4. Implementation of an RD Job Ladder
  5. Implementation of Malnutrition Documentation in an Academic Medical Center
  6. Enculturing Bedside Shift Report Using PDSA Methodology
  7. Malnutrition Diagnosis and Documentation by MDs
  8. International Dysphagia Diet Standardization Initiative (IDDSI) Journey from Plan to Implementation
  9. Increasing Percentage of Pediatric Patients with Diabetes Who See an Outpatient Dietitian Annually
  10. Optimizing Use of a Patient Safety Event Reporting System to Include Data from Root Cause Analyses

New Case Studies 

CDR has collaborated with the Academy Quality Management Committee to provide funding in support of five case studies. Case Studies are tools for credentialed nutrition and dietetics practitioners to use for reference in applying the scope of practice to promote quality nutrition and dietetics practice. Case studies provide the necessary guidance, resources, and options that can be used to evaluate whether the RDN or NDTR can safely and effectively provide care and services. The five (5) new open access case studies in health and wellness coaching and telehealth are:

  • RDNs and Health and Wellness Coaching- explores whether health and wellness coaching is within a Private Practice RDN’s scope of practice as well as incorporating coaching techniques into MNT counseling is within his or her scope of practice. 
  • NDTRs and Health and Wellness Coaching- outlines an Outpatient NDTR’s discovery on whether health and wellness coaching is within his or her scope of practice. Overviews items such as RDN supervision, and NDTR autonomy.
  • RDNs Delivering Telehealth Nutrition-Related Services in Hospital Outpatient Setting- follows a Hospital Outpatient RDN unearthing whether providing MNT via telehealth is within his or her scope of practice. This Case Study also provides Role Examples of RDNs practicing telehealth such as Private Practice RDN, Veteran Affairs RDN, and International RDN.
  • RDNs Delivering Telehealth Diabetes Care and Education-Related Services- investigates whether a Hospital System RDN, CDE’s ability to see patients through telehealth is within his or her scope of practice.
  • NDTRs Delivering Telehealth Nutrition-Related Services- walks through if providing nutrition education via telehealth is within an Outpatient NDTR’s scope of practice. Reviews topics such as RDN supervision, and NDTR autonomy.

Find the Case Studies here.


Scope of Practice Decision Algorithm

The Scope of Practice Decision Algorithm is an open access self-evaluation resource that provides a series of questions for RDNs and NDTRs to answer to determine if a desired activity is within his or her individual scope of practice. Resources with links are included to help inform decision-making. The Algorithm replaces the Scope of Practice Decision Tool. Find at www.eatrighpro.org/scope.  


Update to CDR’s Approved Certifications Claimed for Continuing Education

CDR awards CPE credit for professional certifications (not RD or DTR) offered by CDR or other recognized certification providers.

CDR has revised criteria for determining the number of CPE credits awarded for the completion of an approved certification. CPE credits are now assigned based on the minimum degree and/or credential required for eligibility to obtain the certification. The full listing of certifications can be found here.

Minimum Credential and/or Education Requirements for Other Certifications Other Certification Maintenance Requirement – (by re-examination or CPE) CPEUs Awarded for CDR Recognized Professional Credentials
RD and/or MS  Re-examination
every five years
75 CPEUs
RD and/or MS CPE 50 CPEUs
BS or BA CPE  40 CPEUs
HS or AS CPE 25 CPEUs

This change will be phased in over five years beginning with the CDR recertification cycle starting June 2, 2019. CDR credentialed practitioners will be able to log the assigned CPE credits for the approved certifications towards consecutive CDR recertification cycles. Please note that all CDR credentialed practitioners must also complete one CPE credit addressing ethics in addition to the certification.

This new policy will affect RDs and DTRs beginning with recertification cycles listed below:

New RDs and DTRs

  1. Beginning June 2, 2019–Ending May 31, 2025

Recertifying RDs and DTRs

  1. Beginning June 1, 2020–Ending May 31, 2025
  2. Beginning June 1, 2021–Ending May 31, 2026
  3. Beginning June 1, 2022–Ending May 31, 2027
  4. Beginning June 1, 2023–Ending May 31, 2028
  5. Beginning June 1, 2024–Ending May 31, 2029

Continuing Professional Education Approval Criteria

CDR has revised the current continuing professional education approval criteria to require that all continuing professional education activity types (excluding academic coursework) addressing diet and nutrition topics, include an RD or DTR in program planning*. This policy change is effective for continuing professional activities offered on or after June 1, 2018 and for CDR credentialed practitioners recertifying beginning a new recertification cycle on or after June 2, 2018.

*Academic Coursework, and CPE activities offered by American Board of Medical Specialties (ABMS), American Academy of Family Physicians (AAFP), American Academy of Nurse Practitioners (AANP), American Academy of Physician Assistants (AAPA), Organizations accredited by the Accreditation Council for Continuing Medical Education (ACCME), Organizations accredited by the Accreditation Council for Pharmacy Education (ACPE), American Nurses Credentialing Center (ANCC), American Psychiatric Association (APA), American Psychological Association (APA), American Public Health Association (APHA), pharmacy, dentistry, and speech language pathology societies and associations are excluded from this requirement.


Advanced Practitioner in Clinical Nutrition Certification- because clinical nutrition is who you are and not just what you do

The perfect opportunity to advance your credential is right around the corner with the November 2020 exam administration. Online eligibility applications are due September 28, 2020.

Last year, CDR made several changes to the Advanced Practitioner in Clinical Nutrition certification program:


Assess and Learn Modules

CDR's online Assess and Learn modules offer a different approach to continuing education, focusing first and foremost on assessing your knowledge and skills in a particular topic area. Modules award between 5-7 CPEUs each and cost between $45.00 - $64.99.

  • Celiac Disease.
  • Managing Type 2 Diabetes
  • Sports Dietetics: Nutrition for Athletic Performance
  • The Role of Nutrition in Health Promotion and Disease Prevention

For more information, please visit www.cdrcampus.com

Questions? Please email cdrcampus@eatright.org


CDR Board Certified Specialist

The Commission on Dietetic Registration (CDR) offers seven different board certified specialist credentials:

  • Gerontological Nutrition (CSG)
  • Obesity and Weight Management (CSOWM)
  • Oncology Nutrition (CSO)
  • Pediatric Nutrition (CSP)
  • Pediatric Critical Care Nutrition (CSPCC)
  • Renal Nutrition (CSR)
  • Sports Dietetics (CSSD)

Obtaining one of the CDR specialist certifications is the perfect way to demonstrate your dedication and expertise to clients while making yourself more marketable to employers. Earning a certification is the perfect way to highlight your skills and spotlight your resume. Passing the CDR specialist examinations is approved for 75 CPEUs. Examination testing is now being offered year-round for all certifications.

For more information, please visit: https://www.cdrnet.org/certifications/board-certified-specialist.

Questions? Please email specialists@eatright.org


Examination Study Resources

Do you know any recent graduates preparing to take the registration examinations this spring? You may wish to remind them that the current editions of the Commission on Dietetic Registration’s (CDR) Study Guides for the Registration Examination for Dietitians and Dietetic Technicians can be purchased from the Academy of Nutrition and Dietetics Eatright Store. The study guides include a comprehensive study outline, suggested study references, study tips, and a practice exam with two online access vouchers. The cost of each study guide is $60. Learn More


Obesity Intervention Online Course and Self-Study Modules

If you are looking for obesity interventions self-study modules that you can complete in the comfort of your home, please consider the following options.

The Obesity Intervention online course and self-study modules address the fundamentals of adult weight management as well as other related topics. The online course awards 30 CPEUs and the self-study modules award between 2-4 CPEUs each. Learn more

  • Practice Management and Payment
  • Dietary Supplements in Overweight and Obesity
  • Technology and mHealth in Lifestyle
  • Highlights of the Medical Aspects of Obesity and Its Treatment:  A Physician's Aspect

Credential Opportunity for Employees - Dietetic Technician, Registered (DTR)

Are you interested in expanding your current staff or helping your employees advance themselves professionally? Incorporating DTRs into your clinical nutrition or food service management teams is a benefit to your existing professional staff as well as to your clients/customers.

Individuals who have successfully completed both a bachelor’s degree and an Accreditation Council for Education in Nutrition and Dietetics (ACEND) accredited Didactic Program in Dietetics (DPD) are eligible to take the registration examination for dietetic technicians without meeting additional academic or supervised practice requirements. Once credentialed, these individuals are required to comply with the Commission on Dietetic Registration’s (CDR) professional development/recertification requirements, the Code of Ethics for the Profession of Dietetics and the Standards of Practice.

Employers who want to better utilize and/or integrate DTRs into their workplace can also access eight sample position descriptions written with consideration of the DT education and training curriculum, the Academy of Nutrition and Dietetics Standards of Practice (SOP) and Standards of Professional Performance (SOPP). These position descriptions as well as informational DTR brochures, videos and a printable poster can be accessed on the CDR website.


How To Take The Registration Examination For Dietetic Technicians

If you have an employee who has met these eligibility requirements, but has not yet established eligibility with CDR, they should contact the current program director from their ACEND accredited DPD program to initiate the eligibility application process. Candidates who are already eligible for the examination for dietetic technicians would have previously received an Authorization to Test email from CDR’s testing vendor Pearson VUE. This email contains information on how to schedule their examination.  Additional information about this pathway, is located here.


Don't forget to check out the "Resources" tab on our website for free information for all credentialed practitioners!

Activities listed in CDR’s CPE Online Database are all prior-approved by CDR.


Commission on Dietetic Registration
Staff Contact Information - 1/800-877-1600

Christine Reidy, RD - Executive Director, ext. 4857

Pearlie Johnson-Freeman, MBA - Director, Credentialing Services, ext. 4849

Kay Manger-Hague, RD - Director - Credentialing Operations, ext. 4777

Rebecca Beavers – Sr. Manager, Registration Eligibility Services, ext. 4781

Elaine Butler - Sr.  Manager, Credentialing Services, ext. 4718

Chris Kralik - Sr. Manager, Monitoring and Compliance, ext. 1742

Jessica Rapey, RD - Sr. Manager of Professional Assessment, ext. 4816

Samantha Sullivan, RD - Sr. Manager of Professional Development, ext. 4715

Kim White, RD - Sr. Manager of Professional Assessment, ext. 4758

Sean Asberry - Manager, Communications Technology & Applications, ext. 4706

Hallee Brennan, RD - Manager, Professional Development, ext. 1739

Alyssa De La Pena, RD - Manager, Professional Development, ext. 4741

Tracy Strong - Manager, Examination & Licensure, ext. 4859

Kelly Kim - Manager, Professional Development, ext. 4830

Julie Gyondla-Wood, RD - Manager, Professional Assessment, ext. 4724

Roxanne Way Carter - Manager, Credentialing Operations, ext. 4749

Tiffany Welch - Manager, Registration Eligibility Services, ext. 4764