Transcript OSTEOPATHIC CONTINUOUS CERTIFICATION PROCESS

AOBOG
OCC
Osteopathic Continuous Certification
Presented by
Carolyn W. Quist, DO, FACOOG (dist.)
Vice Chair, AOBOG
Learning objectives
• To learn what Osteopathic Continuous
Certification (OCC) means
• To review the 5 components of
Osteopathic Continuous Certification
• To review the start date of OCC
• To review the newest component of OCC:
Part 4-Practice Performance Assessment
• To review what loss of certification means
What is OCC?
Osteopathic Continuous Certification
• A Process for Board certified DOs to demonstrate and
maintain competency in knowledge and skills in
their specialty area
• An assessment tool to enhance the quality of health
care
• A way for the public to have a “quality standard” for
their personal physician
• Mandated by the AOA’s Bureau of Osteopathic
Specialists (BOS) and in the works since 2009
• The Board sets the standards and uses evidencebased medicine to back it up.
• Is a 6-year re-occurring certification process
5 Components of OCC
• Part 1
• Part 2
• Part 3
• Part 4
• Part 5
Professional standing; Unrestricted license in
1:50 states; adhere to AOA Code of Ethics
Std 120 hours CME requirements- every 3
years; 50 CME hrs. in specialty
Cognitive assessment: psychometrically
valid formal proctored exam (FPE) - once every
6 years (anytime in last 2 years of 6-year cycle)
Practice Performance Assessment and
Improvement modules, includes Communications
Module (Pt surveys (CAHPS))
Continuous AOA membership
– Part 4 is the only new requirement to maintenance of Certification
WE WANT YOU!
TO LOOK AT YOUR CERTIFICATE EXPIRATION DATE!
If you have a time-limited certificate (with an expiration date), then
you are required to enter OCC. If you have a non time-limited
certificate, you are highly encouraged to enter the OCC process.
Who is required to do OCC?
• Anyone with a Time-limited certificate, i.e.,
has an expiration or anniversary date on it!
– Time-limited certificates started July 2002 for
AOBOG.
• The anniversary date is established by the
date of the initial certification.
• The formal written proctored exam
(component 3 of OCC) may be taken no
earlier than 2 years prior to the anniversary
date of your certification.
When does OCC go into effect?
• January 1st, 2013
– Anyone with a time-limited certificate must go to the AOBOG.org
website to create a user profile and then register for OCC.
– You will be given instructions on how to complete the
assignments once registered.
– There will be an initial entry plan for those physicians whose
time-limited certificates end prior to a full 6-year OCC cycle.
• OCC is Voluntary for physicians with non time-limited or “nonexpiring” certificates at this time but strongly encouraged! Non
time-limited certificate holders must maintain their certification
by remaining a member of the AOA and keeping CME up-todate, otherwise they will lose the original certification.
Patient Protection and Affordable
Care Act
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In 2010- The Affordable Care
Act charged the Department of
HHS with developing a National
Quality Strategy
SEC. 3011. NATIONAL
STRATEGY.
‘‘PART S—HEALTH CARE
QUALITY PROGRAMS
‘PART D—HEALTH CARE
QUALITY IMPROVEMENT
‘‘Subpart I—Quality Measure
Development
Maintenance of Certification
Programs have been added pg.
247 of which Practice
Assessment is Required
CMS
Requirements for a Practice Assessment
• Initial assessment using evidence-based
medicine
• Survey of patient experience with care
• Implementation of quality improvement
intervention to address identified weakness
• Reassess performance improvement after
intervention
AOA versus ABMS
What’s the difference between OCC and MOC?
6 year cycles
AOBOG
ABOG
Part 1
Professional standing;
unrestricted license; attestation
forms
Professional standing;
unrestricted license; attestation
forms; patient surveys
Part 2
120 hours CME requirements
every 3 years (50 in specialty)
Lifelong learning (LLL) articles:
complete 120 questions/year
Part 3
Formal proctored written exam
once every 6 years
Cognitive expertise written exam
once every 6 years
Part 4
PPA modules: 5 required per 6year cycle (one of which is
Communications Module
(patient surveys))
PPSA modules: 1 every year x
5, must complete in 12 months
Part 5
AOA membership
None
7 core competencies
incorporated into OCC Components
• Osteopathic Philosophy/Osteopathic
Manipulative Medicine
• Medical Knowledge
• Patient Care
• Interpersonal and Communication Skills
• Professionalism
• Practice-Based Learning and Improvement
• Systems-Based Practice
– See AOA website for more information
(www.osteopathic.org/occ)
Why should I participate?
• Benefits of participating in OCC include
demonstrating:
– adherence to the AOA Code of Ethics and
specialty standards
– a commitment to lifelong learning
– continuous quality improvement of practice
– membership in the osteopathic professional
community
– quality assurance to the public
Part 4-Practice Performance Assessment and
Improvement
“Measures are the only way we can really know if care is safe, efficient,
effective and patient-centered. While measures come from many
sources, performance measures give us a way to assess healthcare
against recognized standards.”
The Difference a Good Measure Can
Make
• Why measure?
– Drives improvement
– Inform consumers
– Influence payment
• What to measure?
– Biggest return in a better quality of life
– Initially: patient and family engagement, care
coordination, safety, population health, overuse,
and palliative and end-of-life care. Now we are
looking at evidence-based initiatives
AHRQ # 208
• Public Reporting of quality
– Reviewed 198 articles
– Individual clinicians and organizations, responded to
public reports by making positive changes in their
behavior. Studies found that hospitals were more
likely to offer new services, policies were changed,
surgeons with worse outcomes left surgical practice,
and quality improvement activities increased.
– Almost all identified studies found no evidence or only weak
evidence that public reporting affects the selection of health
care providers by patients or their representatives.
•
AHRQ Publication No. 12-E011-EF. Rockville, MD. Agency for Healthcare Research and Quality. July 2012.
www.effectivehealthcare.ahrq.gov/reports/final.cfm.
Descriptions of the OCC
Components
We will break down the requirements of
each of the 5 components of the OCC
process in more detail!
OCC Part 1
• Professional standing
• Individual must register online
• Must attest to having an unrestricted license in at least
1:50 states or Canada - if restricted, must submit letter
with explanation and cases will be reviewed individually
• Adhere to AOA Code of Ethics - if problem exists and not
reported, could lose certification. (See RES. NO. B-64 A/2011)
• Participate in a CAHPS-C&G-like survey: Consumer
Assessment of Healthcare Providers and Systems-this
will be one of the required PPA modules under Part 4
Osteopathic Pledge of Commitment
As members of the osteopathic medical profession, in an effort to instill loyalty and
strengthen the profession, we recall the tenets on which this profession is founded –
the dynamic interaction of mind, body and spirit; the body’s ability to heal itself; the
primary role of the musculoskeletal system; and preventive medicine as the key to
maintain health.
•
I pledge to:
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Provide compassionate, quality care to my patients;
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Partner with them to promote health;
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Display integrity and professionalism throughout my career;
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Advance the philosophy, practice and science of osteopathic medicine;
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Continue life-long learning;
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Support my profession with loyalty in action, word and deed; and
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Live each day as an example of what an osteopathic physician should be.
CAHPS-C&G Surveys
OCC Part 2: Continuous Medical Education
Usual AOA CME Requirements
30 1-A credits=
face-to-face
CME
conference
50 Specialty
CME
Credits-any
category
CAQ
Specialty
CME credits
(as
applicable)
120 CME Credit hours total due every 3 years
A minimum of 50 specialty credits must be Ob-Gyn related
Description
Maximum # of
Credits/cycle
Annual OMED Conference and Exposition
Determined annually by
each specialty board
AIDS Seminars (any osteopathic or allopathic)
5
Risk Management/Patient Safety
5
Ethics
0
AOA Specialty College Conferences & Seminars
ALL
AOA State Society Seminars
25
Medical Journals/Home Study Courses
20
Scientific Exhibits
5
AMA/PRA courses
Specified by Board
Specialty CME
Description
Maximum # of
Credits/cycle
Formal Teaching in the Specialty
Specified by Board
Standardized Life Support
Specified by Board
Specialty Certifying Board Test Construction
15
Publications
15
Healthcare Facility Meetings
0
Hospital inspections
0
Acute Care Hospital Programs
25
College of Osteopathic Medicine Seminars
25
Osteopathic Foundation Seminars
25
Practice Performance Assessment and Improvement
Modules
To be Determined
Component 3: Secure written exam once
every six years
Part 3 Cognitive Assessment:
Formal Proctored Exam (FPE)
• Take and Pass the psychometrically valid formal
proctored examination once every 6-year
cycle
• Separate fee
• Given once a year and can be taken in either of the
last 2 years of the 6-year OCC cycle
• Must pass prior to the expiration of your certificate
• See AOBOG.org website for specifics
• Receive category 1-B credits for passing: 15 hours
The Right Tools for the Job
• Component 4 is the
Practice Performance
Assessment and
Improvement
• Diplomates must engage
in continuous improvement
through comparison of
their personal practice
performance measured
against national standards
for his or her medical
specialty
Part 4: PPAs or PIMs
Practice Performance Assessment modules or Practice Improvement Modulesmany names for the same thing!
• Requirement: 5 online modules completed per 6-year
OCC cycle - Diagnosis specific chart review
• AOBOG PPA Committee reviews the data against
national benchmarks or creates
the benchmarks based on
collated data received
• Physician receives a report
– with recommendations for Improvement if necessary
• Implement the practice improvement program and
then reassess practice in a specified amount of time
• Charts must be from an individual physician and not a
group practice
O-CAT is a PIM
developed by Meaningful Measurements
AOBOG will be using O-CAT (Osteopathic
Continuous Assessment & Training) from
Meaningful Measurements as our platform for
the PPAs.
O-CAT is a tool for physicians to track the pulse
of their practice.
• Benchmark
• Engage in methods of improvement
• Benchmark again
Part 4-Collecting data
•
Register to start one on the AOBOG website and then will be linked to
O-CAT.
•
Stage A: Each module involves a short introduction with 3-4 key points, 2-4
key references, and yes/no questions per chart.
•
A certain # of charts will be pulled per module depending on the topic.
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Same questions for each chart. (You do not mail charts in but you are subject to
potential audit, so keep a list.)
•
Answer attestation information.
•
Data is submitted back to AOBOG for review, and/or compared to predetermined national benchmarks.
Part 4- Board will Evaluate Physician Data
• Stage B: Receive email discussing results and giving a
completed status or suggesting improvements if
necessary.
• Incomplete status: Diplomate will review the literature
and engage in practice improvement.
• Select from educational interventions and practice
improvements designed for sustained improvement in
patient care.
– Identify an improvement goal and build an Action Plan using the
interventions and systems tools within the PPA module.
– Complete one educational activity and apply what you have
learned in practice.
Component 4 - Required PPA
• Osteopathic Continuous Assessment & Training (OCAT) Communications Module
• Focuses on Core Competencies of:
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–
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Interpersonal & Communication Skills
Patient Care
Professionalism
Osteopathic Philosophy
• This must be one of the 5 modules you do in
your 6-year OCC cycle.
Part 4 - Stage C
• Stage C: 1 to 6 months later, an email is sent for follow
up instructing the physician to review the module, and
submit an attestation on changes that were made in your
practice as a result of the module.
• You will have to pull and document a second series of
charts if you did not receive a satisfactory score the first
time through.
• Compare your Stage A and Stage C survey and
performance results
• Receive CME credits of AOA category1-B per module
PPA Modules
• All 5 modules must be completed by
September 15th of the 6th year of your
OCC cycle.
Part 5: Continuous Membership
Loss of Certification
• If a Time-limited diplomate doesn’t complete all
OCC components in a 6-year cycle before
September 15th of the 6th year…
– they will no longer be certified.
– Re-entry into the process varies depending on
timing. See FAQs page on AOBOG.org.
• Non time-limited certificate holders: if you lose
your certification for any reason, you must take
the formal proctored exam at the next
administration and then enter the OCC process.
Dual Certifications – AOA/ABMS
• The AOA BOS is currently discussing what, if
any, aspects of ABMS’ Maintenance of
Certification (MOC) program may be
applicable to OCC.
• The AOBOG will post all developments to our
website – www.aobog.org.
• Right now, please make sure you are
registered for OCC through the AOBOG
website.
Clinically Inactive Physicians
• A diplomate will have to provide an attestation
through petition that they are not involved in any
clinical activity and submit documentation.
• Will participate in all Parts of the OCC process-but
will have to be individualized for this group.
– Communication survey module required
• If desire to re-enter clinical practice will be
required to take and pass the written proctored
exam first if they have been out of practice for two
years or more
AOA OCC dashboard
AOBOG.org Keeping Informed
Questions / Concerns?
Carolyn W. Quist, DO
Vice Chair
American Osteopathic Board of Obstetrics and Gynecology
142 E. Ontario St., 4th Floor
Chicago, IL 60611
800-621-1773, ext. 8271 or 312-202-8271
www.aobog.org
AOA Division of Certification
(800) 621-1773, ext. 8266
[email protected]