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Allergy ABAI MOC Update-2011
 

Allergy ABAI MOC Update-2011

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Presented by Dr. Mark Corbett

Presented by Dr. Mark Corbett
Kentucky Society of Allergy, Asthma & Clinical Immunology Annual Meeting-September 2011

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  • *Pediatricians must complete the referring physicians module at this time as only patients 18 years and older can complete the patient surveys.

Allergy ABAI MOC Update-2011 Allergy ABAI MOC Update-2011 Presentation Transcript

  • ABAI Maintenance of Certification Program Mark L Corbett M.D. Past chair ABAI BOD ABMS MOC Committee
  • ABAI History
    • The ABAI was established in 1971
    • One of the 24 member boards of the ABMS
    • The ABAI is a conjoint board of its two parent boards
      • The American Board of Internal Medicine
      • The American Board of Pediatrics
    • Beginning in 1989, new ABAI Diplomates received certificates valid for 10 years
    • Prior to October, 1989, certificates were time unlimited
  • Why Maintenance of Certification (MOC)?
    • Regulatory agencies, HMOs and the public require documentation of continual professional development and education by physicians
    • MOC is a professional response to the need for public accountability and transparency
  • What is MOC ?
    • The ABMS MOC program addresses the needs of both physicians and patients
    • The program offers physicians a process to keep skills and knowledge current and it responds to consumers
    • MOC offers evidence of highly qualified physicians who follow best practices and evidenced-based care
    • An assessment of six core competencies as defined by the ABMS
  • Six Core Competencies Patient Care Medical Knowledge Evidenced-based Learning Communication Systems-based Practice Professionalism
  • ABAI MOC Components
    • Part I: Professional Standing
    • Part II: Self-Assessment
    • Part III: Cognitive Expertise
    • Part IV: Practice Improvement
  • ABAI MOC Components   Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Part I: Professional Standing · Maintain unrestricted medical license throughout cycle · Remit annual MOC fee of $150 · Update demographic and contact information annually Part II: Self-Assessment · Average of 25 allergy/immunology CME credits required annually · Complete 1 Patient Safety Foundation Module Complete 1 Recent Advances module examination during year 1-5 Complete 1 Recent Advances module examination during year 6-10 Part III: Cognitive Expertise   Secure examination may be taken in year 8, 9, or 10 Part IV: Practice Improvement · Complete 1 communication PIM during cycle Complete 1 Quality Improvement Module during year 1-5 Complete 1 Quality Improvement Module during year 6-10
  • Four Components of MOC
    • Professional Standing (Licensure)
    • Lifelong Learning and Self-Assessment
    • Cognitive Expertise (Examination)
    • Practice Performance Assessment
  • Four Components of MOC
    • Professional Standing (Licensure)
    • Current, valid unrestricted medical license in U.S. or Canada
    • Remit annual MOC fee of $150
    • Update demographic information
  • Four Components of MOC
    • Professional Standing (Licensure)
    • Lifelong Learning and Self-Assessment
    • Cognitive Expertise (Examination)
    • Practice Performance Assessment
  • Four Components of MOC
    • Lifelong Learning and Self-Assessment
      • CME: Minimum of 25 hrs/yr (averaged over two years) of Allergy or Immunology specific CME- Category 1-AMA Physicians Recognition Award ( examples: http://www.abai.org/CME.asp)
      • ABAI ABMS Patient Safety Module (foundation component)
      • Recent Advances Module (every 5 yrs)
  • Part II Requirement: Patient Safety Module
    • Patient Safety Module (foundation component)
        • Part II MOC requirement
        • Can choose ABAI IT module or ABMS module
    • 30 questions covering recent advances in field of Allergy and Immunology
    • Open book exam with 6 weeks given to complete; key references provided
    • Need to score 80% to pass (multiple attempts are permitted)
    • Encourage diplomates to know the cutting edge research and how to search information
    • One exam every five years - separated by three year time period
    • Six hours CME
    Part II Requirement: Knowledge Self-Assessment Recent Advances Module (every 5 years)
  • Recent Advances Module First Offer Second Offer Registration January 1 - March 31 July 1 - September 30 Deadline to Start March 31 September 30 Deadline to Submit May 12 November 11 Results June 1 December 1 Retest Start June 1 December 1 Retest Deadline June 30 December 31 Retest Results upon completion upon completion
  • Four Components of MOC
    • Professional Standing (Licensure)
    • Lifelong Learning and Self-Assessment
    • Cognitive Expertise (Examination)
    • Practice Performance Assessment
  • Four Components of MOC
    • III. Cognitive Expertise / Secure Examination
    • Proctored exam at Pearson Centers across U.S.
    • Criterion Referenced testing
      • Ensures those who should pass can pass
    • Computer administered
      • Practice computer exam available on web
    • Content – ABAI blueprint
      • All questions from clinical area of blueprint
  • Historical Pass Rates on Recertification Exams 2009 2010 # Recertifying 203 96 % Pass Rate 94% 96% Voluntary 2 2 Mandatory 201 94
  • Four Components of MOC
    • Professional Standing (Licensure)
    • Lifelong Learning and Self-Assessment
    • Cognitive Expertise (Examination)
    • Practice Performance Assessment
  • What is Practice Improvement?
    • Evaluation of clinical practice according to specialty-specific standards for patient care
    • Assessment of quality of care as compared to peers and national benchmarks
    • Application of best evidence or consensus recommendations to improve care
    • Documentation of improvement in care by re-measurement
  • Part IV: Practice Improvement Deliver Care Measure Care Reflect on Feedback Make a Change
  • Part IV Requirement: Communication Module
    • ABIM Communications PIM for Specialists or Referring Physicians
      • Once during ten year cycle
      • Assess physician communication skills with patients or referring physicians
      • Patients or physician peers fill out survey
      • Presently require either patient or referring physician but this will probably change
  • Part IV Requirement: Practice Improvement Module
    • Practice Improvement Modules - One every 5 years
      • Asthma IQ
      • ABIM Asthma PIM
      • AAP Equipp Asthma
      • ACR Rheumatology PIM
      • ABMS Patient Safety Module (QI component)
      • ABAI ABMS IT module (QI component)
      • ABIM HIV PIM
  • ABAI ABMS Safety Module QI Component
    • Not forced to pass-learning module
    • Goals set based on initial data entered
      • If <50 %, need to show 50% improvement
      • If >50% but <100%, need to show 25% improvement
  • ABAI Practice Improvement Modules (future)
    • Working on approval process for outside quality improvement programs
    • Developing measures to incorporate into PIM’s or registry
  • ABAI MOC Components   Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Part I: Professional Standing · Maintain unrestricted medical license throughout cycle · Remit annual MOC fee of $150 · Update demographic and contact information annually Part II: Self-Assessment · Average of 25 allergy/immunology CME credits required annually · Complete 1 Patient Safety Foundation Module Complete 1 Recent Advances module examination during year 1-5 Complete 1 Recent Advances module examination during year 6-10 Part III: Cognitive Expertise   Secure examination may be taken in year 8, 9, or 10 Part IV: Practice Improvement · Complete 1 communication PIM during cycle Complete 1 Quality Improvement Module during year 1-5 Complete 1 Quality Improvement Module during year 6-10
  • MOC Participation Total Participating All Diplomates 5318 2841 53% Time-Unlimited Certificates 2429 (46%) 618 25% Time-Limited Certificates 2889 (54%) 2223 77%
  • 2011 Fees Certification Secure Examination $2700 Late Application $500 Maintenance of Certification Secure Examination $2850 Late Application $500 Annual Fee $150 Recent Advances Module free
  • ABAI MOC
    • The reporting of participation in ABAI MOC changed in 2011
    • Participation in MOC (and soon “meeting requirements”) will be reported in addition to “board certified” for:
      • Time-limited (20XX) diplomates
      • *Time-unlimited diplomates
      • * It will be noted that this is a voluntary process for Time-unlimited diplomates
  • ABAI MOC
    • Why participate?
    • Professionalism
    • Aligns with MOL
    • May fulfill requirements for PQRS
    • May help with carriers and malpractice rates
  • ABAI Communications to Help
    • Newsletter e-mailed to all diplomates
    • Reminder emails for MOC deadlines
      • Can opt out if desired by contacting ABAI
    • www.abai.org web site
    • Twitter and Facebook
    • ABAI booth at exhibition halls of AAAAI and ACAAI annual meetings
    • Presentations to Regional, State and Local Allergy Societies
    • ABMS MOC
    • American Board of Allergy and Immunology
    • Certification Matters