2026 VUMC ANCC Provider Unit Request Form

Effective January 1, 2024, due to accreditation and administrative processes, VUMC will no longer be able to provide both CME credit and nursing continuing professional development (NCPD) contact hours for the same activity. Only one credit type can be provided. If your target audience is primarily nursing, we encourage you to submit the request form below.


This form is for 2026 offerings only; if your activity is taking place in the 2025 calendar year, please complete the 2025 request form.

(e.g., Jillian Russell, MSN, RN, NPD-BC)

Phone
Identify the entity that best aligns with the department requesting this need.*
Has a nursing operational or NEPD leader endorsed this activity?*

You must articulate the evidence that supports why this gap exists.

(e.g., clinical topics relate to patient care, non-clinical topics include topics like communication, project management)

Does your gap in practice/opportunity for improvement support VUMC Pillar or Strategic Goals?*

VUMC Pillar Goals: https://www.vumc.org/elevate/pillar-goals

Have you initiated planning for your activity?*

Select all that apply.

Insert the first occurrence of this activity for the given calendar year.

This date must be at least 45 days from the request form submission date. This date is not guaranteed--pending eligibility and documentation requirements being met.

Activity Recurrence
Would this activity be funded by a grant?
If yes, are ANCC nursing contact hours a condition of the grant?
I acknowledge that I will be required to meet with the nurse planner within 2 weeks of my activity being deemed eligible to complete documentation requirements in adherence with ANCC criteria.*

Depending on the date of your first offering, this meeting may occur greater than 2 weeks out from the request being deemed eligible.

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