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ABIM

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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 – PowerPoint PPT presentation

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Title: ABIM


1
ABIMs MOC Changes How to Deliver the Message to
ACCs Members and Constituents
  • Developed for members of ACC Boards, Committees,
    Councils and Other Messengers
  • January 2014

2
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 (lt 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

3
Webinar Goals
  • Our goal is to provide information about ABIMs
    new MOC program so that you, ACCs member
    leaders, can
  • Communicate the changes to ABIMs 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

4
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.

5
Presentation Content
  1. Evolution of Certification Process
  2. 2014 Changes to MOC
  3. What the Changes Mean for Cardiologists
  4. What Our Members Think
  5. What ACC is Doing to Support its Members
  6. Role of the Messengers
  7. Tips for Messengers

6
Introduction
  • Section 1

7
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.

8
ACCs Role
  • Interpret ABIMs materials that describe their
    new MOC program and communicate the key themes to
    our members.
  • Provide educational products and other support
    that help our members
  • Study for ABIMs 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)

9
When it comes to ABIMs MOC program
  • ACC does not
  • Review
  • Edit
  • Comment
  • Vote
  • on certification or recertification requirements.

10
Evolution of Certification Processes
  • Section 2

11
Certification Process Up to 2006
  • Secure exam after completing fellowship
  • Lifetime certification with NO end date
  • Secure exam after completing fellowship
  • Time-limited certification WITH an end date
  • Recertification exam every 10 years

12
Certification Process 2006 - 2013
  • 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

13
Components of Maintenance of Certification 2006 -
2013
14
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
15
2014 Changes to MOC What We Know and Dont Know
  • Section 3

16
Certification Process 2014 and Beyond
  • Two Separate Designations
  • Board Certified
  • Meeting MOC Requirements
  • Certification represents passing initial exam
  • Meeting MOC Requirements is a new and separate
    obligation

17
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

18
Maintenance of Certification 2014 Points and
Cycle Changes
Complete an MOC activity every 2 years
Part II Self-Evaluation of Medical Knowledge
modules Part III MOC secure exam Part IV
Self-Evaluation of Practice Assessment modules
19
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 ABIMs 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

20
What the Changes Mean for Cardiologists
  • Section 4

21
Those Who Certified Prior to 1990 (Grandparents)
  • Starting January 2014 new MOC requirements apply
    to you.
  • 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 ABIMs Cardiovascular Disease MOC
    Examination (the Boards) by December 31, 2023
    (10 years)
  • 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.

22
Those in 10-year MOC cycles
  • Starting January 2014 new MOC requirements apply
    to you.
  • 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.
  • 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

23
Those Newly Certified after January 2014
  • Starting January 1, 2014 the new MOC requirements
    apply to you.
  • 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

24
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.

25
ABIM/ABMS Reciprocal Credit for Dual-Boarded
Diplomates
  • ABIM-certified physicians who are maintaining
    certification through another of the the ABMSs
    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 Boards MOC program.
  • For more information, please call ABIM at
    1-800-441-ABIM.

26
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.

27
What We Dont 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 diplomates specific
    certification situation (year certified, multiple
    specialty certification, dual-boarded)
  • 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.

28
What Our Members Think
  • Section 5

29
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.

30
Awareness of ABIM MOC Changes
31
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)     

32
What ACC is Doing to Support its Members
  • Section 6

33
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 ABIMs 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 ABIMs MOC changes and advocate to ABIM on
    members behalf.

34
Three Complementary Communication Strategies
35
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
    ABIMs MOC changes.
  • ACC will become a comprehensive and credible
    source of information on the changes

36
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 ABIMs
    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 ACCs MOC Part II (Self-Evaluation of
    Medical Knowledge) educational modules
    (www.cardiosource.org/MOCEducation)
  • List of ACCs MOC Part IV (Self-Evaluation of
    Practice Assessment) performance improvement
    modules (www.cardiosource.org/MOCEducation)
  • Step-by-step instructions for ABIMs MOC Part IV
    Self-Directed PIM and use of NCDR data
    (www.cardiosource.org/SelfDirectedPIM)

37
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 ACCs 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

38
Role of the Messengers
  • Section 7

39
One Voice - Getting the Message Out
40
Messengers Inform the Members
41
Objectives For Messengers
  • Communicate details of ABIMs 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)

42
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

43
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 ACCs Part II and Part IV
    activities
  • ABIM
  • http//www.abim.org/maintenance-of-certification/m
    edical-knowledge.aspx
  • Links to ABIMs Part II activities
  • http//www.abim.org/moc/earning-points.aspx
  • Links to ABIMs Part IV activities

44
Tips for Messengers
  • Section 8

45
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
  • ACCs MOC FAQs, Talking Points Glossary (in
    production for publication in January 2014)

46
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

47
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

48
Responding to Audience Questions (cont.)
  • Dont try to explain how the rules apply in
    specific cases (e.g. sub-specialty certification,
    dual boarded, multiple expiration dates)
  • It is ACCs 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 830 a.m. - 8
    p.m. ET Sat 9 a.m. - 12 p.m. ET
  • E-mail MOC2014_at_abim.org

49
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)

50
Questions?
  • Contact
  • The Master Trainers
  • Ellen Cohen, Director of Certification and
    Accreditation, ACC
  • ecohen_at_acc.org (202) 375-6526
  • Melanie Stephens-Lyman, Associate Director of MOC
    Part IV Products, ACC
  • mstephenslyman_at_acc.org (202) 375-6427

51
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-certific
    ation/medical-knowledge.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

52
Good Luck!
  • Thank you for your interest and attention
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