CME JOINT PROVIDERSHIP AGREEMENTJoint Providership Agreement • July 15th, 2022
Contract Type FiledJuly 15th, 2022JOINT PROVIDERSHIP AGREEMENT The Practice Transformation Institute will joint provide with: Title: Date: Location: PTI will: Joint Providership will: 1. Be directly involved in the educational activity from initial planning throughimplementation and evaluation. 2. Administer the budget of the activity by participation in the following fiscal agreement:A. Equal sharing of costs and benefits/losses.B. PTI assumes all financial costs and benefits/losses.C. Joint-provider assumes all financial costs and benefits/losses.D. PTI will provide up to $1500 dollars for net actual, reasonable cost (after accounting for other revenues) attributable to modest honorarium(a), foodand venue cost 3. Determine objectives and content through joint planning. 4. Select presenter/content specialist through joint planning. 5. Design the evaluation form. (Sample will be provided with required fields.) 6. Insure that MSMS criteria for educational activities are met and provide certificates