ABIM Maintenance of Certification: Rules Regulations and Resources

How ACP Can Help

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Agenda

Fundamental Concepts for Understanding MOC2014-2017 Cohort2018 and Beyond CohortTime Unlimited Certificate CohortPublic Reporting of MOC StatusGraduating Residents and FellowsFocused Practice in Hospital MedicineACP and ABIM Resources

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Fundamental Concepts Critical to Understanding MOC

It is useful to think of MOC as two distinct processes• Earning points toward certification• Earning points toward “Meeting MOC Requirements”

These two process have their own time lines• For most diplomates these time lines are not

synchronized

The two processes and asynchronous time lines causes confusion

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Certification Expires in 2014-2017Maintaining the Certificate

Must earn a total of 100 MOC points at end of current certificate date (10 years)At least 20 in Medical Knowledge At least 20 in Practice Assessment 60 in either area Pass exam every 10 years

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2014-2017 CohortMeeting MOC Requirements

Starting January 1, 2014• Earn some MOC points every 2 years (first milestone by

December 31, 2015)• Earn 100 MOC points every 5 years (first milestone by end

of December 31, 2018)• Complete a “patient voice activity” every 5 years• Complete an approved patient safety module every 5

years

100 Points count for all certificates and do not have to be specialty specificPass exam every 10 years

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2014-2017 CohortImportant Notes

• Points earned before 1/1/14 will count toward maintaining an existing certificate(s)

• Points earned before 1/1/14 will not count toward “Meeting MOC Requirements”

• Points earned after 1/1/14 will count for both maintaining an existing certificate(s) and “Meeting MOC Requirements”

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2018 and Beyond CohortMeeting MOC Requirements

Earn some MOC points every 2 yearsEarn 100 MOC points every 5 years

• At least 20 in Medical Knowledge • At least 20 in Practice Assessment • 60 in either area

Complete a “patient voice activity” every 5 yearsComplete an approved patient safety module every 5 years Pass exam every 10 years

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2018 and Beyond CohortImportant Note

MOC points earned before 2014 will not count toward certification or toward “Meeting MOC Requirements”

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Patient Safety Requirement

• Certain Medical Knowledge and Practice Assessment activities also qualify for Patient Safety

• Only need 1 “activity” in this category every 5 years

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Patient Voice Requirement

• There will be at least 4 different pathways to meet this requirement to be rolled out before the 2018 deadline.

• These pathways will support retroactive credit• An approved activity completed between 2014-2018

will meet the requirement. • ABIM to discuss

• Modifying or eliminating patient related requirements clinically inactive physicians

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Time Unlimited Certificate Cohort

• ABIM will honor all certifications already issued • To be listed as “Meeting MOC Requirements”

enroll in MOC program • Status can be changed at any time • Meet 2 and 5 year MOC point milestones• Complete patient safety and patient voice

requirement by milestone dates• Pass the exam in 10 years

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Time Unlimited Cohort and the Exam

Pass the MOC exam by end of 2023 Not passing the MOC exam has no bearing on certification status, only “Meeting MOC Requirements” statusNot completing every component of the MOC program requirements results in "Certified, Not Meeting MOC Requirements” listing on ABIM web site

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Graduating Internal Medicine Residents

2014 graduating residents must enroll in MOC by March 31 2015 Newly certified physicians will receive a fee waiver for 1 year Will be subject to the rules in place for the 2018 and beyond cohort

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Fellowship Trainees

Fellows starting in 2014 must enroll in MOC following IM residency by March 31 2015Newly certified in IM will receive a fee waiver for 1 yearFellows earn 20 MOC points for each eligible year of fellowship training including research (10 in medical knowledge and 10 in practice assessment)

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Focused Practice in Hospital Medicine (FPHM)

While the FPHM MOC program is not a subspecialty, it is a variation of Internal Medicine certificationDiplomates cannot participate in both the FPHM and Internal Medicine MOC programs simultaneouslyIf diplomates withdraw from FPHM, MOC points will be transferred to IM certificate

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Keeping Track of Points and Deadlines

• ABIM Personal Website• Every 2 year deadlines• 5 Year deadlines• Exam deadline• MOC medical knowledge points• Practice assessment points• Patient safety• Patient voice

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How to Earn MOC Points through ACP

Medical Knowledge PointsMKSAPInternal Medicine Meeting ModulesClinical ShortsACP High Value Care CasesEthics & Professionalism Learning ModulePatient Safety Learning ModuleAnnals Virtual PatientsManaging Conflicts of Interest Module

Practice Assessment PointsACP QI Program: Quality Connect - Cardiovascular RiskACP QI Program: Quality Connect - Diabetes CareACP QI Program: Quality Connect - Diabetes and PQRSACP QI Program: Quality Connect - Adult ImmunizationACP Practice Assessment Tools - Dementia, Low Back Pain, and Obesity

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ACP MOC Resourceshttp://www.acponline.org/education_recertification/recertification/earn_moc_points/

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MKSAP 16 Digital

Subscription required

MKSAP 16 Print Only

Fee based program

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ACP Internal Medicine Meeting MOC Modules for the Scientific Program

Pay Registration for the meeting: No charge for MOC points

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ACP Internal Medicine MeetingMOC at the Waxman Clinical Skills Center

Pay Registration for the meeting: No charge for MOC points

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ACP Clinical (Video) Shorts

Fee required

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Online High Value Care Cases

Free to all Physicians

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Ethics and Professionalism Module from Annals of Internal Medicine

Free to members and Annals subscribers

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Annals of Internal Medicine: Patient Safety Learning Module

Free to members and Annals subscribers

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Annals Virtual Cases

1 free case, remainder by subscription

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ACP Knowledge Resources for ABIM Modules

Free to members

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ABIM Products

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Practice Assessment: How Can ACP Help You?

ACP Quality Connect• Adult Immunization• Diabetes• Cardiovascular Risk

ACP Practice Assessment Tools• Dementia• Low Back Pain• ObesityAll quality improvement programs are free

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Diabetes

National QI initiative aimed at improving care of diabetic patientsLink to tools to improve• Monthly QI faculty coaching• Patient referral & care coordination

tools

Earn 20 MOC pointsFor more info contact ACPQI@acponline.org

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ACP Practice Assessment Tools

Earn 20 MOC pointsEnables you to complete a Practice Assessment activity at your own pace. Enter baseline data, view custom data charts, create an action plan and report your follow-up data.Easy data entry tool for those new to QI and those with no access to aggregated patient dataTo get started, access these free tools at acponline.org/MOC

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Low Back Pain Tool

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Other ACP Courses To Help Prepare for Recertification Examination

Maintenance of Certification Preparation Course from ACP ACP MOC Exam Prep Course on DVD, CD, iPod Audio, and iPad Video

(playbackacp.com) Internal Medicine Board Review Courses from ACP

Fee based

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Exam Preparation With MKSAP 16