Transcript ABMS NCF Update

ABMS Update
February, 2008
Agenda
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ABMS Background
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Business Updates
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ABMS® Patient Safety Improvement Program
ABMS product update
Organization Updates
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MOC history, update
New ABMS leadership
ABMS Background
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Who is ABMS?
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Comprised of 24 medical specialty Member Boards,
ABMS sets the standards for the certification process
to enable the delivery of safe, quality patient care
ABMS is the authoritative resource and voice for
issues surrounding physician certification
ABMS 24 Member Boards
The American Boards of:
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Allergy and Immunology
Anesthesiology
Colon and Rectal Surgery
Dermatology
Emergency Medicine
Family Medicine
Internal Medicine
Medical Genetics
Neurological Surgery
Nuclear Medicine
Obstetrics and Gynecology
Ophthalmology
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Orthopaedic Surgery
Otolaryngology
Pathology
Pediatrics
Physical Medicine and
Rehabilitation
Plastic Surgery
Preventive Medicine
Psychiatry and Neurology
Radiology
Surgery
Thoracic Surgery
Urology
ABMS Associate Members
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Accreditation Council for Continuing Medical Education
Accreditation Council for Graduate Medical Education
American Hospital Association
American Medical Association
Association of American Medical Colleges
Council of Medical Specialty Societies
Educational Commission for Foreign Medical Graduates
The Federation of State Medical Boards of the United States
National Board of Medical Examiners
ABMS History
1917:
First Member Board incorporated
Ophthalmology
1933:
First four Member Boards establish ABMS
Dermatology
Obstetrics and Gynecology
Ophthalmology
Otolaryngology
1991:
24th Member Board is approved
Medical Genetics
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Approved ABMS Member Board
Certificates*
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38 general certificates
108 subspecialty certificates (many are shared by two
or more boards)
< 85% of all practicing physicians are certified by one
(or more) of the 24 ABMS Member Boards
*As of July 2007
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ABMS Vision and Mission
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Vision
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Mission
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ABMS will be a leader in improving the safety and quality of
medical care through the policies of ABMS and the physician
certification processes of Member Boards.
ABMS is the organization that establishes standards for
physician specialty certification and Maintenance of
Certification, including performance assessment. ABMS
communicates information about these standards to support
the public’s quest for safe, high-quality healthcare.
ABMS MOCTM
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What is ABMS MOC?
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A process designed to document that physician
specialists, certified by one of the Member Boards of
ABMS, maintain the necessary competencies to
provide quality patient care
ABMS MOC promotes continuous lifelong learning for
better patient care
ABMS MOC Goal
Develop
competence to
improve
patient care
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Components of MOC (Parts I-IV)
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Professional standing (licensure)
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Lifelong learning and self-assessment (CME)
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Evidence of participation
Conform to general and specialty-specific standards
Cognitive expertise (examination)
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Covers the scope, range of the discipline
Clinically relevant
Practice performance assessment
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Hold a valid, unrestricted medical license
Proven scientific, educational and assessment methodology
Reflects patient care
Should result in quality improvement
Why MOC?
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Accountability to patients
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Gallup Poll (2003)
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Transparent, credible
Improves patient satisfaction
Choice between board certified physician vs. not certified…
• 75% opted for board certified
If you knew your doctor’s certification lapsed…
• 81% were somewhat or very likely to change doctors
MOC Update
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100% Member Boards have approved MOC
applications
100% Member Boards have implementation underway
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Pre 2006  6 boards
2006
 9 boards
2007
 7 boards
2008
 2 boards
MOC Milestone Survey
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Fielded in June, 2007
100% response from 24 Member Boards
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MOC Cycle Length
• Most are 10 years
Professional Standing (Licensure)
• Most assess annually / continuously
Lifelong Learning (CME)
• Most assess annually or 1x/2-3 years
Self-Assessment
• Most assess every 2-3 years
Practice Performance Assessment
• Most assess 3x per 10-year cycle
ABMS Business Updates
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Business Updates
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ABMS Patient Safety Improvement Program launches
(12/07)
New ABMS leadership (12/07)
ABMS transfers management of subscription business
to TMP (2/08)
ABMS Patient Safety
Improvement Program
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Web-based learning module for physicians to learn
about patient safety
Comprehensive curriculum and practice improvement
tool
Program Background
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Leading edge content
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Course credits for CME and/or MOC
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Based on current research and best practices
Guided by a blue ribbon panel
Content developed by subject matter experts
Uses evidence-based clinical performance measures
Aligns with TJC’s National Safety Goals, IHI’s 5 Million Lives and
WHO’s Patient Safety Solutions
Course approved for AMA PRA Category 1 credits
Addresses all six ABMS/ACGME competencies
Program Development
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Advisory Committee of Patient Safety subject matter experts
Peter B. Angood, MD
James P. Bagian, MD, PE
Paul Barach, MD, MPH
David W. Bates, MD, MSC
Eric Coleman, MD, MPH
David M. Gaba, MD
Paula Griswold, MS
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Content development teams led by curriculum and QI subject
matter experts
Carole M. Lannon, MD, MPH
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Kerm Henriksen, PhD
John Hickner, MD, MSc
Lucian Leape, MD
Eric Marks, MD
Marlene Miller, MD, MSc
Niraj Sehgal, MD, MPH
Ajit K. Sachdeva, MD
Julie K. Johnson, MSPH, PhD
Program Objectives and Goals
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The ABMS Patient Safety Improvement Program
developed for healthcare professionals to:
1. Learn essential knowledge, skills and attitudes about patient
safety
2. Apply the principles to improve care in their own clinical
environments
3. Measure individual progress on changes made and provide
feedback
4. Integrate acquired QI skills into local and national patient safety
activities
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Program Highlights
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Engages the learner using dynamic, Web-based technologies
Adapts to different learning styles
Broad applicability across healthcare continuum (clinicians, staff,
leadership and administration)
All physician profiles addressed
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Primary Care
Surgery / Proceduralist
Consultative
Non-Practicing
Patient Safety Improvement
Activities
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Hand Hygiene
Medication Reconciliation
Allergy List
Critical Test Results Communication
Correct Site / Patient / Procedure
Safer Prescription and Order Writing
Discharge Planning
Course Map
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Patient Safety
Curriculum
Patient Safety
Scenarios
Four scenarios
(choose one)
• Illustrate a variety
of common
patient safety
errors
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Delayed diagnosis
Medication overdose
Wrong patient/ site
Communication failures
System failures
Technology failures
Trained personnel
shortage
Testing without informed
consent
Four sections
(complete all 4)
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Epidemiology
Systems
Communication
Patient Safety
Culture
Pre- and postknowledge
assessments
Quality
Improvement
Fundamentals
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Patient Safety
Improvement
Activities
Design and implement
changes
(complete one)
Best practices for
improvement
(complete section)
• Apply methods
and techniques to
improve practice
performance
• All planning and
assessment tools
provided
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Hand Hygiene
Medication Lists
Allergy Lists
Critical Test Results
Correct Person/ Site
Safer Prescriptions
Discharge
Communication
ABMS Patient Safety Update
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Approximately half of ABMS Member Boards have endorsed the
Program, representing 2/3 of all physician diplomates:
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Allergy and Immunology
Anesthesiology
Family Medicine
Internal Medicine
Neurological Surgery
Ophthalmology
Pediatrics
Physical Medicine and Rehabilitation
Plastic Surgery
Preventive Medicine
Radiology
Patient Safety Improvement
Program Update
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Additional interest from:
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Insurance Providers (P4P)
• BCBS/IL implemented pilot test 1/08
• CareFirst pilot
• Blue Cross Blue Shield Association rollout likely 2009
Hospital Systems
Malpractice Insurers
Residency Programs
Sales and distribution partner: HealthStream (Nashville
TN)
ABMS Updates
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ABMS Organization
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New leadership effective 12/17/07
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Retired: Dr. Stephen H. Miller, MD, MPH
Joins as President and CEO: Dr. Kevin B. Weiss, MD, MPH
• Institute for Healthcare Studies at Northwestern
University's Feinberg School of Medicine: Professor of
Medicine, Division of General Medicine
• Former Director of the Center for Management of Complex
Chronic Care; Hines and Chicago Veterans Administration
Medical Centers
• Institute of Medicine (IOM) Committees: “Crossing the
Quality Chasm,” and “Identifying Priority Areas for Quality
Improvement”
• Founder, first chairperson: Chicago Patient Safety Forum
ABMS Transfers Subscription
Management
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ABMS entered into an agreement with TMP Medical
Listings to manage direct subscription business
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ABMS Certification Profile Service
ABMS Medical Specialists Online
Provides superior service for customers
Permits ABMS focus on mission
Questions?