Transcript Headline - CommPartners

ABIM’s MOC Changes
How to Deliver the Message to ACC’s
Members and Constituents
Developed for members of ACC Boards,
Committees, Councils and Other “Messengers”
January 2014
Commercial Disclosures
James E. Tcheng, MD, FACC
Professor of Medicine, Cardiology
Professor of Community and Family Medicine
Duke University Health System
Duke Translational Medicine Institute
Commercial Interest : Philips Medical Systems
Relationship Category : Consultant Fees/Honoraria*
Relationship Level : Modest (< $10,000)
Henry H. Ting, MD, FACC, FAHA
Professor of Medicine, Cardiovascular Diseases
Mayo Clinic
Director, Mayo Clinic Quality Academy
Commercial Interest : Nothing to Disclose
Webinar Goals
Our goal is to provide information about ABIM’s new MOC
program so that you, ACC’s member leaders, can:
 Communicate the changes to ABIM’s MOC program to your
constituents and colleagues;
 Explain how the changes will impact different categories of ABIM
diplomates;
 Know when to refer a cardiologist to ABIM for an explanation of how
the new certification requirements apply to them;
 Understand the challenges of delivering this message and have
answers to the questions that might be asked;
 Know where to locate tools and resources to help with your
presentations
Challenges
• Many changes to the MOC program
• Complexity of new approach
• ACC does not have all the answers because:
– some elements of the new MOC program are
still in development by ABIM;
– some information from ABIM seems to conflict
and/or is not clear.
Presentation Content
1.
2.
3.
4.
5.
6.
7.
Evolution of Certification Process
2014 Changes to MOC
What the Changes Mean for Cardiologists
What Our Members Think
What ACC is Doing to Support its Members
Role of the Messengers
Tips for Messengers
Section 1
Introduction
ABMS & ABIM
• All 24 of the medical boards that comprise the American
Board of Medical Specialties (ABMS) are in the
process of implementing a more continuous approach to
Maintenance of Certification
• To meet new requirements outlined by ABMS, the
American Board of Internal Medicine (ABIM) is
changing its MOC program.
• ABMS and ABIM believe that a more continuous MOC
program helps you keep pace with the changes in the
science of medicine and assessment.
ACC’s Role
1. Interpret ABIM’s materials that describe their new
MOC program and communicate the key themes to
our members.
2. Provide educational products and other support
that help our members:
 Study for ABIM’s Cardiovascular Disease MOC exam (“the
Boards”)
 Secure Self-Evaluation of Medical Knowledge credits
(MOC Part II)
 Undertake Self-Evaluation of Practice Assessment
modules (MOC Part IV)
When it comes to ABIM’s MOC
program…
ACC does not:
• Review
• Edit
• Comment
• Vote
…on certification or recertification requirements.
Section 2
Evolution of Certification Processes
Certification Process Up to 2006
Pre-
• Certification
1990
• Secure exam after completing fellowship
• Lifetime certification with NO end date
1990-
• Recertification
2006
• Secure exam after completing fellowship
• Time-limited certification WITH an end date
• Recertification exam every 10 years
Certification Process 2006 - 2013
20062013
•
•
•
•
• Maintenance of Certification (MOC)
Secure exam after completing fellowship
Time-limited certification with an end date
Maintenance of Certification exam every 10 years
Completion of:
– Self-Evaluation of Medical Knowledge Modules
– Self-Evaluation of Practice Performance Modules
Components of Maintenance of
Certification 2006 - 2013
Licensure and Professional Standing (aka Part I)
Proof of current and active state license
Self-Evaluation of Medical Knowledge (aka Part II)
Live or on-line educational activities
Cognitive Expertise / Secure Examination (aka Part III)
Pass Board Exam
Self-Evaluation of Practice Performance (aka Part IV)
Approved quality improvement module
Maintenance of Certification Points
2006 - 2013
100 Points Every 10 years
Part II = Self-Evaluation of Medical Knowledge modules
Part IV = Self-Evaluation of Practice Assessment modules
Section 3
2014 Changes to MOC
What We Know and Don’t Know
Certification Process 2014 and Beyond
• Maintenance of Certification Changes
2014-
Two Separate Designations:
1. Board Certified
2. Meeting MOC Requirements
 Certification represents passing initial exam
 Meeting MOC Requirements is a new and
separate obligation
Summary of What Will be New in 2014
• MOC now applies to all diplomates (including
grandparents);
• 100 MOC points now have to be secured on a
5 year cycle with some activity required every
2 years
• Patient Safety & Patient Survey requirements
• 20 MOC points awarded for every first exam
attempt within each specialty
Maintenance of Certification 2014:
Points and Cycle Changes
Complete an MOC activity
every 2 years
Earn total of 100 points every 5 years
20 points
Part II
Patient
Safety
Module
20 points
Part IV
Patient
Survey
Module
20 points
Either Part II,
III or IV
20 points
Either Part II,
III or IV
20 points
Either Part II, III
or IV
Part II = Self-Evaluation of Medical Knowledge modules
Part III = MOC secure exam
Part IV = Self-Evaluation of Practice Assessment modules
New Patient Safety & Patient Survey
Requirements
• Patient Safety
– Some ABIM MOC modules currently meet this requirement
– ABIM will be adding more options in the future
– ABIM is developing a process so that diplomates can use patient
safety activities at their institution to meet this requirement
• Patient Survey
– Some of ABIM’s existing Performance Improvement Modules
(PIMs) [Part IV activities] include patient surveys
– ABIM will offer options to meet requirement without doing a full
PIM
– ABIM is developing a process so that diplomates can use patient
survey activities at their institution to meet this requirement
Section 4
What the Changes Mean for
Cardiologists
Those Who Certified Prior to 1990
(“Grandparents”)
1.
Starting January 2014 new MOC requirements apply to you.
2.
To be reported as “Meeting MOC Requirements”:
 Enroll in the MOC program by March 31, 2014
 Complete an MOC activity to earn MOC points every 2 years
 Earn 100 MOC points every 5 years
 Complete patient survey & patient safety modules every 5
years
 Pass ABIM’s Cardiovascular Disease MOC Examination (“the
Boards”) by December 31, 2023 (10 years)
3.
Your initial certification in Cardiovascular Disease does not expire.
You will remain certified whether or not you are “Meeting MOC
requirements.” However, if you choose not to undertake all
required MOC activity, you will be reported as “Certified. Not
Meeting MOC Requirements.”
Those in 10-year MOC cycles
1. Starting January 2014 new MOC requirements apply to you.
2. Finish out your individual 10-year MOC cycles for Parts II & IV, and
the MOC exam. Any points earned after January 2014 will apply
both to those you need to earn to maintain your existing
certification and to be “Meeting MOC Requirements”.
3. To be reported as “Meeting MOC Requirements”:
 Enroll in the MOC program (if not currently enrolled in MOC)
by March 31, 2014
 Complete an MOC activity to earn MOC points every 2 years
 Earn 100 MOC points every 5 years
 Complete patient survey & patient safety requirements every
5 years
Those Newly Certified after
January 2014
1. Starting January 1, 2014 the new MOC requirements apply to you.
2. To be reported as “Meeting MOC Requirements”:
 Activate your MOC program by March 31, 2014
 Complete an MOC activity to earn MOC points every 2 years
 Earn 100 MOC points every 5 years
 Complete patient survey & patient safety requirements every
5 years
 Pass the ABIM Cardiovascular Disease MOC Examination
(“The Boards”) every 10 years
Sub-Specialty Certification
As in previous years, diplomates must still hold a current, valid ABIM
certification in Cardiovascular Disease to be eligible for renewal of
certification in:
• Advanced Heart Failure and Transplant Cardiology
• Clinical Cardiac Electrophysiology
• Interventional Cardiology
If you have more than one ABIM certification, all MOC points earned
will apply to all certifications you are actively maintaining.
If you are maintaining certification in Interventional Cardiology, you will
need to continue to attest to meeting additional program-specific
requirements.
You will receive 20 MOC points for completion of one MOC exam per
certification area being maintained.
ABIM/ABMS Reciprocal Credit for
Dual-Boarded Diplomates
• ABIM-certified physicians who are maintaining
certification through another of the the ABMS’s 24
member boards (e.g. the American Board of Pediatrics)
may be eligible to receive points for Self-Evaluation of
Medical Knowledge and Self-Evaluation of Practice
Assessment.
• To receive credit, ABIM diplomates will need to attest
that they are current and participating in the other
Board’s MOC program.
• For more information, please call ABIM at 1-800-441ABIM.
Doctors of Osteopathy (D.O.s)
• D.O.s must certify with the American
Osteopathic Board of Internal Medicine (AOBIM)
which introduced new Osteopathic Continuous
Certification (OCC) January 1, 2013.
What We Don’t Know
• When a diplomate could be reported as “Not Certified”
– ABIM staff has suggested that certain categories of diplomates
might lose their certification if they do not secure the required
MOC points within the required timeline.
• The ways in which an ABIM diplomate can be reported
as “Not Meeting MOC Requirements” by ABIM
– This seems to depend on each diplomate’s specific certification
situation (year certified, multiple specialty certification, dualboarded)
• What the Patient Survey and Patient Safety modules
requirements will be when they are finalized
• Precisely how dual-boarded MOC attestation must be
done by diplomates.
Section 5
What Our Members Think
ACC Member Surveys: Main Themes
• Over half are not aware of the 2014 changes to MOC.
• Although most are enrolled, cardiologists do not find
value in MOC.
• Cardiologists are divided on the impact of the MOC
changes with many believing it will affect their practice
negatively.
• Although half say that the MOC changes will not affect
future plans to continue practicing, two-fifths are either
unsure or say that their plans have been affected.
Awareness of ABIM MOC Changes
Total aware
27%
Total not aware
51%
Extremely aware
15%
4
12%
3
16%
2
17%
Not at all aware
Not sure
0%
34%
7%
10%
20%
30%
40%
50%
60%
70%
MOC is 5th Highest Challenge to
Practicing Medicine
1. Reimbursement /payment cuts/Medicare issues
(69%)
2. Work-life balance/extensive workload/work hours
(35%)
3. Costs/rising costs (31%)
4. Government regulations (28%)
5. MOC/certification/training (23%)
Section 6
What ACC is Doing to Support its
Members
Communications Plan
In order to address member concerns, an initiative has
been launched by ACC to communicate a consistent
message about the MOC changes to members. This
initiative is designed to:
 Inform membership about ABIM’s MOC changes and explain that
they were not initiated by ACC.
 Highlight the variety of educational and quality improvement
opportunities that ACC makes available to its members to assist with
securing MOC points (Parts II, III and IV).
 Establish a forum to gather member feedback on the ABIM’s MOC
changes and advocate to ABIM on members’ behalf.
Three Complementary Communication
Strategies
Easy
Button
One
Voice
We Hear
You
ACC
Member
Support
“One Voice”
ACC will build awareness among its domestic members
about the new requirements, with a special focus on
“Grandparents”. This will include:
 Informing members clearly and concisely about the new ABIM
requirements and the fact that these are not ACC requirements
 Providing presentations, webinars, web pages, articles, mail, emails,
editorials, exhibits, events, and social media resources which
address ABIM’s MOC changes.
 ACC will become a comprehensive and credible source of
information on the changes
“Easy Button”
ACC will highlight its educational and performance
improvement opportunities that are available to assist
members with the new MOC requirements.
 Dedicated ACC web pages addressing the ABIM’s changes to MOC and the
impact on diplomates’ MOC point requirements
(www.cardiosource.org/MOC)
 An ACC MOC Changes Resource Kit including a Glossary, FAQs and
Talking Points (in production)
 List of ACC’s MOC Part II (Self-Evaluation of Medical Knowledge)
educational modules (www.cardiosource.org/MOCEducation)
 List of ACC’s MOC Part IV (Self-Evaluation of Practice Assessment)
performance improvement modules (www.cardiosource.org/MOCEducation)
 Step-by-step instructions for ABIM’s MOC Part IV Self-Directed PIM and
use of NCDR data (www.cardiosource.org/SelfDirectedPIM)
“We Hear You”
ACC will work to establish an online forum for gathering
member feedback on issues critical to the MOC change
initiative that will serve as a foundation for ACC’s
advocating to ABIM on its members’ behalf.
 ACC will provide mechanisms to systematically gather information
from members – “Listening tour”
 ACC will advocate to ABIM on members’ behalf making
recommendations for process improvements
Section 7
Role of the Messengers
“One Voice” - Getting the Message Out
Messengers
Master
Trainers
• ACC Leaders: BOT,
BOG, NCDR Mngmnt Bd,
CQC, Advocacy Steering
Cmte, LLL Cmtes,
Section Leadership
Councils and Steering
Cmtes
Membership
• Practicing
cardiologists
Messengers Inform the Members
Objectives For Messengers
Communicate details of ABIM’s MOC changes
to domestic physician members in your
constituencies.
 Inform members clearly and concisely about the details of the new
requirements and share “Important Dates” and “Calls to Action”
(following two slides)
 Reinforce the fact that these are not ACC requirements
 Describe ACC resources that help members obtain MOC credit
 Provide answers to general questions where possible, or direct
those with specific questions to ABIM (www.abim.org)
Important Dates
• March 31, 2014: If ACC members are not already enrolled in MOC,
they should enroll on the ABIM website by March 31, 2014 to
become an ABIM diplomate and be “Meeting MOC Requirements”
• December 31, 2015: By December 31, 2015, ABIM diplomates
should complete an MOC activity to earn ABIM MOC points to
continue to be reported as “Meeting MOC Requirements”
• December 31, 2018:
– By December 31, 2018, ABIM diplomates should earn a total of
100 MOC points in a mix of Self- Evaluation of Medical
Knowledge & Self-Evaluation of Practice Assessment
– By December 31, 2018, complete the new patient safety and
patient survey requirements
Calls to Action
Find educational activities that provide MOC points, as well
as CME credits, at:
ACC
• http://cardiosource.org/MOCEducation
 Table and web links to ACC’s Part II and Part IV activities
ABIM
• http://www.abim.org/maintenance-of-certification/medicalknowledge.aspx
 Links to ABIM’s Part II activities
• http://www.abim.org/moc/earning-points.aspx
 Links to ABIM’s Part IV activities
Section 8
Tips for “Messengers”
Messenger Action
Familiarize yourself with these resources:
– JACC article and companion piece
– http://moc2014.abim.org/
– http://www.cardiosource.org/MOC
– http://www.cardiosource.org/MOCEducation
– ACC’s MOC FAQs, Talking Points & Glossary (in
production for publication in January 2014)
Delivering the Message
• Direct participants to supplementary
materials and other resources
– MOC Resource Kit content (consider bringing hand
outs for the audience)
– ACC and ABIM websites, emails and phone numbers
• Tailor content to the audience
– Not every audience will require the same level of
detail.
– Adapt your pace and content as appropriate
Responding to Audience Questions
Redirect questions about “Why?”
• All questions about “Why” should be made by
the audience member directly to ABIM.
• Focus on what we know so far:
– What is staying the same
– What is changing
– How and When cardiologists need to act
Responding to Audience Questions
(cont.)
Don’t try to explain how the rules apply in specific
cases (e.g. sub-specialty certification, dual boarded,
multiple expiration dates)
• It is ACC’s role to communicate the upcoming changes but not to
interpret them for individual cardiologists
• Refer all questions about specific application of the new rules to
ABIM at
 510 Walnut Street, Suite 1700
Philadelphia, PA 19106
 Phone: 1-800-441-ABIM
Mon - Fri 8:30 a.m. - 8 p.m. ET
Sat 9 a.m. - 12 p.m. ET
 E-mail: [email protected]
Responding to Audience Questions
(cont.)
Know the portfolio of education products that ACC
and ABIM provide for diplomates to pass the
Boards, and secure Medical Knowledge and
Practice Assessment (Part II, III and Part IV) MOC
points.
• ABIM website (See “Resources” slide)
• ACC website (See “Resources” slide)
• ACC PIM Support Line (1-800-253-4636 x.5404)
Questions?
Contact:
• The Master Trainers
• Ellen Cohen, Director of Certification and
Accreditation, ACC
– [email protected]; (202) 375-6526
• Melanie Stephens-Lyman, Associate Director of
MOC Part IV Products, ACC
– [email protected]; (202) 375-6427
Resources
Changes to Maintenance of Certification
– ABIM: http://moc2014.abim.org/
– ACC: http://www.cardiosource.org/MOC
MOC Part II Modules
– ABIM: http://www.abim.org/maintenance-of-certification/medicalknowledge.aspx
– ACC: http://www.cardiosource.org/MOCEducation
MOC Part IV Modules
– ABIM: http://www.abim.org/moc/earning-points.aspx
– ACC: http://www.cardiosource.org/MOCEducation
Thank you for your interest and attention
Good Luck!