Dear Certified Registered Nurse Anesthetists:

We'd like to bring you up to date on the current status and continuing development of the proposed Continued Professional Certification Program (CPC). The public comment period ended on November 14. We received over two thousand comments through communication by email, phone, blog and facebook, and had over 4,200 responses to our survey. In addition, we made speakers available to discuss the CPC at state association meetings, and through that process interacted with and heard the thoughts and concerns of over four thousand members of the CRNA community. We also met with the AANA Board of Directors, who shared their advice and suggestions as well as the comments they had received from AANA members both in person and through the AANA survey. The feedback we received was enormously useful, and will be instrumental in shaping the final form of the CPC program. We thank everyone who contributed to the process.

Going forward, we will allow as much time as is needed to complete the review of the feedback and suggestions, analyze the data from the NBCRNA and AANA surveys, and evaluate ideas for strengthening and improving the CPC program. As part of this review period, NBCRNA will use the Delphi Process to identify those recommendations that deserve particular consideration by NBCRNA. The Delphi Process is a structured method that groups use to eliminate bias and build consensus when evaluating new ideas. The process is conducted in a way that ensures that none of the participants is able to identify who made any particular contribution. As a result, each person's input is considered with equal weight. Ideas are either endorsed or discarded over a series of evaluation rounds according to pre-determined percentages of participant support. The panel of participants in NBCRNA's process will be comprised of nurse anesthetist representatives from NBCRNA, AANA board, the AANA CE Committee Chair, and members at large. The names of all participants are posted on the NBCRNA and AANA websites.

Once the Delphi study has concluded, the CPC committee will write a report of the entire CPC proceeding and present the report together with its recommendations to the NBCRNA Board of Directors at the Board's meeting in January of 2012. The recommendations will be reviewed and discussed at the meeting, and undergo further careful consideration for successful implementation by the NBCRNA. We then will discuss our progress on the CPC program with the AANA Board of Directors during its meeting on February 22, 2012. When a final decision is made about the full details of the program, we will work diligently to prepare communication materials and methods to promote full understanding of the new program among certificate holders. The NBCRNA understands that this is a significant change, and we are committed to achieving confidence that careful consideration has been given to the program before we settle on it and roll out its details. We will be communicating with the CRNA community regularly as we move forward. The entire CPC report, which will include information about the research that was reviewed, the feedback received, and the results of the Delphi study, will be posted and available to all CRNAs and other interested parties.

We know the road all of us have traveled to get to this point has been bumpy. The AANA Board of Directors has been actively asserting the views of its members, and has discussed all of the issues involved with us in a forthright manner. Even where we do not entirely agree, we can say that the AANA BOD has effectively made its case. We appreciate the effort they have put into representing the members, and the work they do in so many areas to advocate for and advance the CRNA profession.

In closing we'd like to once again extend thanks to all of you who have contributed to the proposed CPC program. Together, we will ensure the CRNA credential continues to be recognized as the standard of excellence.


Mary Anne Krogh, CRNA, PhD, NBCRNA President