Transcript Changes to ABIM’s Maintenance of Certification Program David B. Hellmann, M.D., M.A.C.P. September 17, 2013

Changes to ABIM’s Maintenance of
Certification Program
David B. Hellmann, M.D., M.A.C.P.
September 17, 2013
Reducing Redundancy
 ABIM is committed to continuously evaluating the
program and ensuring that our assessments are:
• as unburdensome as possible;
• as authentic as can be; and
• as harmonized with other requirements as possible.
 ABIM knows most physicians are already engaged in
professional self-assessment and improvement.
Why is ABIM Changing MOC?
 The American Board of Medical Specialties (of which ABIM is a
member) is requiring more frequent engagement of diplomates in
MOC activities: all Boards are required to develop a continuous
MOC program.
American
Board of
Medical
Specialties
•
Allergy & Immunology
•
•
Otolaryngology
Anesthesiology
•
•
Pathology
Colon/Rectal Surgery
•
•
Pediatrics
Dermatology
•
•
Emergency Medicine
Physical Medicine
& Rehabilitation
•
Family Medicine
•
Plastic Surgery
•
Internal Medicine
•
Preventive Medicine
•
Medical Genetics
•
Psychiatry & Neurology
•
Neurological Surgery
•
Radiology
•
Nuclear Medicine
•
Surgery
•
Obstetrics & Gynecology
•
Thoracic Surgery
•
Ophthalmology
•
Urology
•
Orthopedic Surgery
Why is ABIM Changing MOC?
Every 10 Years is not enough
“The growing knowledge base requires
that training and ongoing licensure and
certification reflect the need for lifelong
learning and evaluation of
competencies.”
National Research Council. Crossing the Quality Chasm: A New Health System for the
21st Century. Washington, DC: The National Academies Press, 2001.
What Are the New Requirements?
 By December 31, 2015, complete an MOC activity, either
offered by ABIM or another organization, to earn ABIM
MOC points.
 By December 31, 2018, earn a total of 100 MOC points
in a mix of Self-Evaluation of Medical Knowledge and
Self-Evaluation of Practice Assessment modules (as well
as complete the new patient safety and patient survey
requirements).
Patient Safety & Patient Survey Requirements
 Currently one option to
meet patient safety
requirement: the ABPlead Joint Primary Care
Board product.
 Developing process to
meet requirement with
patient safety related
activities at institutions.
 Will be adding many
more patient safety
options.
 PIMs with a patient survey
will count toward patient
survey requirement.
 Will offer options to meet
requirement without doing
a full PIM.
 Developing process to
approve surveys already in
use.
• Diplomates have until December 31, 2018 to meet
the Patient Survey and Patient Safety requirements
How will this impact Grandfathers?
 ABIM will honor certifications that are valid
indefinitely (assuming you hold a current and
valid license).
 Grandfathers will need to pass an MOC exam by
12/31/23 in order to be reported as "Meeting
MOC Requirements."
 Grandfathers who miss any of the MOC program
requirements will be reported as "Certified, Not
Meeting MOC Requirements." They will NOT be
reported as Not Certified for failing to meet MOC
requirements.
What Else Will be Different About MOC?
 Earn MOC points for taking an exam
 Flexible fee structure – annual payment option
 Grace periods for newly certified and physicians in
fellowship
How Much Will it Cost After the Program Launches?
MOC in Internal Medicine
around $200 per year
Subspecialty MOC
around $250 per year

If you are enrolled in MOC most diplomates will not owe anything until their
current enrollment expires.

Cost to maintain more than one certification will be the fee of the most expensive
certification plus half for each of the others.

Options to pay annually or pre-pay 10 years.

Newly certified diplomates in internal medicine will receive a 1-year fee waiver.

Diplomates in fellowship will receive an MOC program fee credit after every successful
fellowship year completed.

Fee includes one MOC exam for each certification you are maintaining. (Exam re-takes
are $775.)

All ABIM modules are included in the fees. Diplomates can complete as many as
they would like and earn CME without additional costs.
Listening to Diplomates
What we learned from focus groups conducted with
diplomates:
 Diplomates would like a great deal of personalized guidance and
reminders to stay on track.
 Diplomates want to succeed in MOC, whatever the requirements.
Changes to MOC:
 ABIM will develop messages that strongly encourage physicians to
visit a new ABIM Physician Portal launching in 2014, early and often.
 Clear communication to everyone who helps physicians manage
their MOC requirements.
The message from diplomates is loud and clear:
“Just tell me what to do!”
I Want to Know About My Particular Situation:
 Visit moc2014.abim.org to help answer any
questions about the new MOC requirements.
What’s Not Changing?
 You will still have the ability to earn points by
working in groups, participating in Learning
Sessions and receiving credit for approved society
products; however, the patient safety and patient
survey requirements are new.
 How you meet the Self-Evaluation of Medical
Knowledge and Self-Evaluation of Practice
Assessment requirements isn’t changing.
 You must still take an MOC exam every 10 years.
Components of MOC
 Secure Exam
 Self-Evaluation of Medical Knowledge
 Self-Evaluation of Practice Assessment
 Patient Survey Module
 Patient Safety Module
Self-Evaluation of Medical Knowledge
 ABIM Self-Evaluation products
• Annual Update in Internal Medicine [3 available every year]
• Clinical Skills
• Care for the Underserved
• Point of Care
• Patient Safety Modules
• Other approved products offered by medical societies and other
organizations
• Visit www.abim.org/mk for a complete list.
Additional Options for ACP Members
 ACP Annals Ethics Module
 ACP Annals Patient Safety Module
 MKSAP 15 Updates 1-4
 MKSAP 16 Parts A & B
 MKSAP 16 Update 1
Practice Improvement Module
Chart
review
Patient
survey
Practice
review
Performance
Report
Improvement
plan
Impact
act
do
study
Ways to Complete PIMs
 By yourself or in a group.
Your entire practice can
complete as a team.
• Full point credit for the
module for each diplomate
participating in MOC.
 With residents or fellows as a PIM in Residency.
 By using data/measurements from medical societies/other
sources.
 By using data from your own practice.
Approved Quality Improvement (AQI) Options
from ACP
 ACP Closing the Gap: Cardiovascular Risk
 ACP Closing the Gap: Diabetes Risk
 ACP: Medical Home Builder: Manage Diabetes Mellitus
and Immunize Adults Modules
Get more information at www.abim.org/tool
ABIM’s Aim: To Harmonize MOC with RealLife Practice and Other Imperatives
 Today
• Help in staying current.
• Opportunity to earn CME credit.
• An aid in meeting some hospitals’ and
medical groups’ privileging requirements.
• Recognition in certain health plan
physician directories and inclusion in
quality-tiered networks.
• A marker of professionalism.
 A likely future
• Counts for Maintenance of Licensure
(MOL).
• Included in increasingly robust public and
private physician ranking/assessment
systems.
Need Help?
 Looking for more information about the new MOC program requirements?
Visit the official site at moc2014.abim.org
 Not enrolled in MOC? Log in to www.abim.org and complete the online
enrollment.
 Checking your MOC status? Log in to www.abim.org to view your MOC
Status Report.
 Have questions?
• Call ABIM’s Diplomate Services Department, 800-441-ABIM (2246).
• E-mail us at: [email protected]
• Go online to: http://www.abim.org/moc/