CME/CE Management Solutions
Fractional Program & Activity Management
Optimize Your CME/CE Program
Fractional CME/CE management provides accredited organizations with experienced accreditation, compliance, and operational expertise without the cost or commitment of additional full-time staff. Twelve:01 provides fractional support at two levels: Program Management, delivering senior-level leadership and oversight of the accredited CME/CE program, including its compliance infrastructure, governance, and operations; and Activity Management, providing end-to-end management of individual accredited activities – from education planning, through implementation, documentation, evaluation, and file close-out.
Staff hours saved per partner, annually.
Reduction in operational costs.
Organizations supported, across provider types, with fractional management services.
Fractional CME/CE Management: Deliverables at the Program & Activity Level
Some organizations need senior-level leadership and compliance oversight of their entire accredited CME/CE program. Others need hands-on operational support to manage the planning, compliance, execution, and evaluation of individual accredited activities. Many need both.
Twelve:01’s fractional CME/CE management model is designed around that flexibility, allowing organizations to access experienced accreditation and operational expertise at the level and capacity needed, without the cost and commitment of additional full-time staff. Just as importantly, the processes, systems, and organizational knowledge we strengthen remain with your team after our engagement ends.
Fractional Program Management Deliverables
Fractional Program Management provides executive-level oversight of your accredited CME/CE program. We serve as an extension of your senior team — directing compliance, governance, reporting, and continuous improvement so the program stays compliant, sustainable, and positioned for reaccreditation.
| Deliverable | What It Includes | What You Get |
|---|---|---|
| Accreditation Oversight | Ongoing management against accreditation criteria, standards, and policies | Continuity and a program that remains audit-ready |
| Policy & Procedure Development/Updating | Development or updating of the policies and infrastructure that support compliance | Referenceable CME/CE policies & procedures manual and forms for compliance documentation |
| Accreditation Board Reporting (activities & learners) | Preparation and submission through PARS, JA-PARS, NARS, and/or CPE Monitor | Accurate, on-time reporting by accreditation board deadlines |
| Compliance Audits & Benchmarking | Periodic internal review of activities and processes against the accreditation requirements | Early identification of gaps, prior to accreditation audit |
| Staff Training | Education for your team on accreditation requirements implementation | Staff professional development and enhanced internal expertise |
| Regulatory Monitoring | Tracking of changes to accreditation requirements and guidance on required updates | Strategic guidance and a mapped plan for needed updates |
| Executive Advisement | Thought leadership and guidance on complex compliance questions, strategy and/or new opportunities | Senior expertise on call |
Fractional Activity Management Deliverables
Fractional Activity Management focuses on compliant execution of individual educational activities. We manage the operational detail – from planning and documentation through implementation, evaluation, and file close-out – so every activity is delivered consistently and in compliance with accreditation requirements.
| Deliverable | What It Includes | What You Get |
|---|---|---|
| Gap analysis & Needs Assessment | Documentation of the practice gap and educational need behind each activity | A defensible foundation for the activity's design and credit |
| Instructional Design & Documentation | Complete activity planning records aligned to format-specific requirements | An activity file that demonstrates compliance upon review |
| Planner & Faculty Management (and others in a position to control content) | Collection of financial relationship disclosure information from everyone in a position to control content | Compliant disclosure collection from all individuals by required deadlines |
| Financial Relationship Management | Identification and mitigation of relevant financial relationships | Independence documented in alignment with the Standards for Integrity and Independence |
| Commercial Support Management (if applicable) | Guidance and review of agreements for financial or in-kind support from ineligible companies | Support tracked, managed, and agreements reviewed for compliance |
| Accreditation Front-Matter | Compliance review for required learner-facing materials prior to activity launch | Assurance that all required information is made available to learners prior to their engagement in an activity |
| Activity Launch | Confirmation that all compliance requirements have been met prior to launch; on-site compliance monitoring (live activities) | Management that each activity is ready for launch and ongoing oversight of compliance |
| Outcomes Measurement & Analysis | Measurement of changes in competence (skills/strategy), performance, and/or patient outcomes | Data that meets accreditation board requirements, illustrates education impact, and informs your next activity |
| Credit Claiming & Issuance | Processing of learner credit and reporting to the appropriate accreditors (where applicable) | Accurate credit issuance by required deadlines |
| Activity File Close-out | Compilation of a complete activity file, consistently reconciled across activities | A closed, audit-ready file documenting performance-in-practice |
The Fractional Management Engagement Process
Define the Right Level of Support
We assess your CME/CE program’s needs, priorities, and internal capacity to determine the right level of fractional support – Program Management, Activity Management, or both. You gain the accreditation, compliance, and operational expertise you need.
Integrate as an Extension of Your Team
Our consultants work within your existing workflows, systems, and organizational structure, functioning as a true extension of your CME/CE team. The result is immediate expertise and added capacity without the disruption of traditional outsourcing.
Manage, Execute & Document
Our team assumes responsibility for the agreed-upon program- or activity-level deliverables while strengthening documentation, workflows, and repeatable processes. Our focus is not simply completing the work, but building consistent, efficient, and sustainable CME/CE operations.
Build & Transfer Organizational Knowledge
Every engagement is designed to leave your organization stronger. We document processes, share accreditation and compliance expertise, and transfer institutional knowledge so your team retains the systems, resources, and operational know-how developed throughout the engagement.
Who Fractional CME/CE Management is For
- Programs growing faster than their current staffing can absorb
- Organizations between hires, or covering a leave, who can't pause compliance
- Providers adopting new activity formats, technologies, or reporting systems
- Leadership that needs senior accreditation expertise without management demands
Fractional Management vs. Hiring Internally
A fractional engagement and a full-time hire solve the same problem differently. Here’s a comparison to help you decide what fits your situation:
| Consideration | Fractional Management (Twelve:01) | Full-Time Internal Hire |
|---|---|---|
| Time to productivity | Immediate – experienced staff who know the standards on day one | Weeks to months of recruiting, onboarding, and ramp-up |
| Cost structure | Scaled to need; no salary, benefits, or overhead | Full salary and benefits regardless of workload |
| Breadth of expertise | A team spanning compliance, instructional design, outcomes, and reporting | A single individual’s skill set |
| Scalability | Ability to adjust your program evolves | Fixed capacity |
| Knowledge Retention | Systems and documentation transferred to your team by design | Knowledge concentrated in one role – a potential risk if they leave and haven’t saved data to a central location |
| Scope | Specialized expertise delivered against a defined scope of contracted responsibilities | Focus can be redirected across functions and priorities as needs evolve |
The two options are not mutually exclusive — many organizations use a combination of fractional support and FTEs to stay compliant.
Frequently Asked Management Questions
What is fractional CME/CE management?
Fractional CME/CE management provides organizations with dedicated access to experienced accreditation, compliance, and operational professionals at the level and capacity their program requires. Twelve:01’s fractional services can provide senior-level oversight of the accredited program, hands-on management of individual activities, or both, giving organizations flexible access to specialized expertise while expanding internal capacity.
What is the difference between fractional program management and activity management?
Fractional Program Management provides senior oversight of your entire accredited program — compliance, governance, reporting, and strategy. Fractional Activity Management handles the compliance of individual activities, from planning and documentation through outcomes and file close-out. Many organizations use both.
How is fractional management different from hiring a full-time CME/CE staff member?
A fractional engagement gives you immediate access to a team spanning compliance, AI governance, strategy and operations – scaled to your needs and without benefits or overhead. An internal hire brings one skill set with salary + benefits + overhead. Fractional management delivers specialized expertise against a defined scope of contracted responsibilities, while a FTE provides broader organizational capacity that can be redirected across functions and priorities as needs evolve.
What accreditation reporting systems does Twelve:01 support?
Twelve:01 prepares and submits activity and learner reporting through PARS, JA-PARS, NARS, and CPE Monitor, and supports Maintenance of Certification (MOC/CC) reporting.
Do we keep our systems and processes after the engagement ends?
Yes. Every engagement is built to transfer knowledge rather than create dependency. You keep the systems, documentation, and internal processes we develop, so your team can run them independently once we step back. Fractional management delivers specialized expertise against a defined scope of contracted responsibilities, while a FTE provides broader organizational capacity that can be redirected across functions and priorities as needs evolve.