2016 04 CME that Counts for ABIM MOC FINAL that...Author: mmartin Created Date: 4/15/2016 9:19:11 AM
Transcript of 2016 04 CME that Counts for ABIM MOC FINAL that...Author: mmartin Created Date: 4/15/2016 9:19:11 AM
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
Copyright 2016© – Accreditation Council for Continuing Medical Education – www.accme.org For non‐commercial educational use only. Page 1
CME that Counts for ABIM MOC
American Boardof Internal Medicine®
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
Copyright 2016© – Accreditation Council for Continuing Medical Education – www.accme.org For non‐commercial educational use only. Page 2
A Simpler, Unified Process
“By collaborating with ACCME, ABIM will open the door to even more options for physicians engaged in MOC and will allow them to get MOC credit for high-quality CME activities they are already doing.”
- Richard J. Baron MD President and CEO, ABIM
“This collaboration will generate many more opportunities for accredited CME providers to serve as a strategic resource by delivering relevant, effective, independent, practice-based education that counts for MOC.”
- Graham McMahon MD MMScPresident and CEO, ACCME
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Milestones
August 2015 ACCME & ABIM announce collaboration
Sept. 30, 2015 PARS open for registering activities for ABIM MOC
Dec. 15, 2015 PARS Participant Management Interface available
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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CME that Counts for MOC
Our goals…Accredited providers can: Register CME activities for the ABIM MOC program
in PARS For 2014 activities and later That meet the ABIM Medical Knowledge
Assessment Recognition Program requirements Submit participant completion data to ABIM
through PARS
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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2013 2014 2015
Number of Activities for WhichPhysicians Earned MOC Points
Approved by ABIM Registerd via ACCME
Pre and Post ACCME Partnership Comparison
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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2013* 2014 2015
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Number of MOC Points Earned
Pre-ACCME Via ACCME
Pre and Post ACCME Partnership Comparison
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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2013 2014 2015
Thou
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Number of Unique Diplomates Earning MOC Points
Pre-ACCMEVia ACCME
Pre and Post ACCME Partnership Comparison
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Medical Knowledge Assessment Recognition Program
Accredited CME That Supports ABIM MOC
Total Activities Registered 2,389
Total MOC Points Earned 2.6 millionUnique DiplomatesEarning Points 42,541
9/30/15 - 3/31/16
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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A Closer Look at the Data…
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Num
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Number of Activities and Providers (by Provider Type)
Activities Providers
N=2,389 activities; 123 providers
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Internet Activity Enduring
Material, 1230
Enduring Material,
639
Journal-based CME,
245
Course, 230
Regularly Scheduled Series,
41
Internet Live Course, 2
Internet Searching and Learning, 1
Test Item Writing, 1
Number of Activitiesby Activity Type (n=2,389)
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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What Are the Current Requirements?
In general, in addition to licensure and enrollment prerequisites, the MOC programrequires:
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Important Notes and Exceptions
‐ For Diplomateswith time remaining on their 10‐year certificates, different deadlines may apply.
‐ For Hospitalists, additional MOC requirements apply.
‐ For Interventional Cardiologists, additional MOC requirements apply.
‐ For Dual‐Boarded Diplomates, some MOC requirements may be waived.
‐ For those newly certified in Internal Medicine, you are eligible for an MOC fee credit.
‐ For fellows in an accredited training program, you may be eligible for an MOC fee credit.
Important Notes and Exceptions
‐ For Diplomateswith time remaining on their 10‐year certificates, different deadlines may apply.
‐ For Hospitalists, additional MOC requirements apply.
‐ For Interventional Cardiologists, additional MOC requirements apply.
‐ For Dual‐Boarded Diplomates, some MOC requirements may be waived.
‐ For those newly certified in Internal Medicine, you are eligible for an MOC fee credit.
‐ For fellows in an accredited training program, you may be eligible for an MOC fee credit.
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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ABIM Medical Knowledge Assessment Recognition Program Requirements
Activities must be:• Directly or jointly provided by provider in good standing in the ACCME system
• Certified for AMA PRA Category 1 CreditTM in one of the following activity types: 1) Live activities – includes Courses, Internet Live Courses, Regularly Scheduled Series, Committee Learning; 2) Enduring materials; 3) Journal Based CME; 4) Internet Enduring Materials; 5) Internet Searching & Learning; and 6) Test Item Writing
• Relevant to physicians certified by ABIM
• Meets ABIM format-specific criteria Enduring materials, journal-based & live activities = peer-reviewed by two reviewers Test item writing = committee process with at least three members Live activities include comprehensive evaluation to measure learner change with
feedback
http://www.abim.org/pdf/cme-providers/abim-medical-knowledge-assessment-recognition-program.pdf
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Optional Patient Safety RequirementsActivities must address at least one of the following:• Foundational knowledge (must include all of the
following): Epidemiology of error Fundamentals of patient safety improvement Culture of safety
• Prevention of an adverse event, for example: Medication safety Prevention of healthcare acquired infections Falls prevention Teamwork and care coordination
http://www.abim.org/pdf/cme-providers/abim-medical-knowledge-assessment-recognition-program.pdf
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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MOC Points• MOC points should be equivalent to the
maximum allowable AMA PRA Category 1 CreditsTM
(Might be less if part of a larger CME activity.)• Diplomates will earn MOC points
equivalent to the amount of CME claimed for the activity
http://www.abim.org/pdf/cme-providers/abim-medical-knowledge-assessment-recognition-program pdf
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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FAQ…MOC Points
Can it be less than # of credits?
Activity Registration Need to register enduring material for each
year the activity is available?
Peer Review Before activity? What about journal articles? Two ABIM diplomates? Have to be physicians?
Evaluation Has to include pre- and post-tests? Has to be MCQs? # of MCQs? Format of MCQs? Has to be every session of activity? What other evaluation models would work? >> New tool…
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Discussion
Questions about the Medical Knowledge Assessment Recognition Program?
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CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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PARS Register your activities
NEW MOC Section
Your Organization
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Pilot Audit
Population: 10 accredited providers• 6 societies• 3 publishing/education companies• 1 hospital
Activity Types: 10 activities1 – regularly scheduled series 1 – enduring material1 – test-item writing activity 1 – journal-based activity1 – internet live activity 2 – live courses3 – internet enduring materials
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
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Process: • Activities selected from PARS; • Structured abstract submitted by provider; • Additional materials requested (in two audits);• Reviewed by ACCME staff; • Results communicated back to provider and
in summary to ABIM; and• Lessons learned communicated to providers.
Pilot Audit
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Goals:• Provide feedback to ABIM about compliance with the
MKARP requirements;• Inform ABIM and the CME community about the
different ways providers are meeting the requirements;• Identify questions or the need for clarification about
the requirements;• Collect feedback on the audit process and structured
abstract; and• Help ABIM determine the frequency and selection
process for audits going forward.
Pilot Audit
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Pilot Audit Results
Key to MKARP Requirements
Relevant to ABIM diplomates
ABIM 4 (enduring, journal, live)
Two peer reviewers, not authors
ABIM 4 (test-item writing) Committee of three members
ABIM 4 (live) Comprehensive evaluation, passing standard, feedback
ABIM Policy 1 (all) Learners informed that data will be shared
ABIM Policy 2 (all) MOC statement
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Lessons learned…
Challenges• Expanding to new formats and different methods
of evaluation;• Buy-in from faculty and learners; • Questions about requirements;• IT infrastructure; connections to existing systems.
Opportunities• Flexibility in meeting requirements;• Integration with CME processes;• Greater engagement with learners;• Practice relevant education in a range of activity
types.
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Discussion
Share your experience… barriers, challenges, successes, opportunities.
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Emerging Opportunities
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Expanding MOC Options through ABIM-ACCME Collaboration
Medical Knowledge
Part 2
Blended ActivitiesParts 2 & 4
Practice Assessment
Part 4
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Expanding MOC Options through ABIM-ACCME Collaboration
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Providers register CME activities for Medical Knowledge MOC points in PARS
PI CME providers can use PARS to register activities for Practice Assessment MOC points.
Providers can use PARS to register other quality improvement activities that meet ABIM’s Approved Quality Improvement Program guidelines for Practice Assessment MOC points.
CME providers can use PARS to register CME activities for both Practice Assessment and Medical Knowledge MOC points.
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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AQI Program GuidelinesActivities should:1. address quality or safety gap supported needs assessment OR
support completion of needs assessment2. address care, care processes, or systems of care in one or
more of the National Academy of Medicine’s quality dimensions or one or more of the three Aims or six Priorities articulated in the National Quality Strategy
3. have specific, measurable aim(s) for improvement4. use measures appropriate to the aim(s) for improvement5. include interventions intended to result in improvement;6. include appropriate data collection and analysis of
performance data to assess the impact of the interventions30
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Timeline for PracticeAssessment Expansion
• April 2016– August 2016: Engagement with provider community to help inform implementation
• August 2016: Engagement with providers at CME as a Bridge to Quality Workshop
• Early 2017: Implementation to recognize CME activities for Practice Assessment MOC points
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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0%10%20%30%40%50%60%70%80%90%
100%
Competence Performance Patient Outcomes
Designed to Change
Analyzed for Change
CME Presented by Providers(ACCME System, 2014)
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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THINK-PAIR-SHARE Exercise
• Are there activities that you are doing or could do that would be designed/evaluated for changes in both medical knowledge and performance?
• What do those activities “look like” and how are they evaluated/measured?
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CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Educational Resources
At www.accme.orgFor CME Providers tab CME in Support of MOC webpages with
information about the collaboration
Ask ACCME tab CME in Support of MOC FAQ
Education tab > Tutorial Registering CME Activities for ABIM’S MOC
Program tutorial page Submitting Participant Data in PARS for
ABIM’s MOC Program tutorial page
CME That Counts for ABIM MOC“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
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Thank you!!
We welcome your questions and feedback
Accredited CME providers: Please contact the ACCME at [email protected]
ABIM-certified physicians: Please contact ABIM at [email protected]