In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, Optum Health Education (OHE) requires those in control of educational content to disclose their financial relationships with ineligible companies* within the prior 24 months. Individuals must disclose all financial relationships with ineligible companies*, regardless of the amount and regardless of their view of the relevance of the relationship to the education. 

* Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. For specific examples of ineligible companies, visit accme.org/standards.

 
1 Start 2 Complete
*
*
*
*
*
*
*

If you have more than two relationships to disclose please complete this fillable PDF form. Upon completion, it should be emailed to moreinfo@optumhealtheducation.com.

DECLARATION: I am aware that my presentation must be evidence based, and free from bias towards any commercial entity or manufacturer. I attest that my presentation will provide a balanced view of therapeutic options and be void of bias. If there are any changes in my financial relationship(s) between now and the time of the activity, I will inform the activity management and provide an updated disclosure form prior to the presentation. OHE reserves the right to review my educational materials prior to my presentation.

*
*

ACCME Defined Terms
Ineligible Company
Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients.

Financial Relationships
Examples of financial relationships include employee, researcher, consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and ownership interest. Individual stocks and stock options should be disclosed; diversified mutual funds do not need to be disclosed. Research funding from ineligible companies should be disclosed by the principal or named investigator even if that individual’s institution receives the research grant and manages the funds.

Relevant Financial Relationships
The ACCME focuses on financial relationships with ineligible companies in the 24-month period preceding the time that the individual is being asked to assume a role in the development of activity content. The ACCME has not set a minimal dollar amount for relationships to be significant. The ACCME defines "'relevant' financial relationships” as financial relationships in any amount occurring within the past 24 months that creates a conflict of interest. 

Conflict of interest circumstances create a conflict of interest when an individual has an opportunity to affect activity content about products or services of an ineligible company with which he/she has a financial relationship.

More information can be found on the ACCME’s website: 
accme.org/accreditation-rules/standard-3-identify-mitigate-and-disclose-relevant-financial-relationships

Provider
An organization accredited as a provider of continuing education.

Standards for Integrity and Independence in Accredited Continuing Education 
The ACCME’s Standards can be found here:  
accme.org/accreditation-rules/standards-for-integrity-independence-accredited-ce