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American Board of Radiology Maintenance of Certification (MOC) Update

American Board of Radiology Maintenance of Certification (MOC) Update. David Laszakovits, M.B.A. Disclosures Co-Director, Certification Services American Board of Radiology. Topics. Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies 2. MOC At-A-Glance

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American Board of Radiology Maintenance of Certification (MOC) Update

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  1. American Board of Radiology Maintenance of Certification (MOC) Update David Laszakovits, M.B.A.

  2. DisclosuresCo-Director, Certification ServicesAmerican Board of Radiology

  3. Topics • Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification • Practice Quality Improvement 5. New ABR website (myABR)

  4. Topics • Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification • Practice Quality Improvement 5. New ABR website (myABR)

  5. Integration of the ABR within healthcare and healthcare regulatory bodies • Alignment of ABR processes with other aspects of our diplomates’ radiology practices • Federation of State Medical Boards (FSMB) Maintenance of Licensure (MOL) • Credentialing requirements • Affordable Care Act and payment reform Centers for Medicare and Medicaid (CMS) Physician Quality Reporting System (PQRS) MOC Incentive

  6. MOC:PQRS Incentive • The ABR has full qualification from CMS for Physician Quality Reporting System (PQRS) MOC incentive in 2013 • Physicians who meet specified requirements are eligible to have their applicable PQRS incentive for 2013 increased by 0.5%

  7. CMS Requirements to Earn MOC:PQRS Incentive Participant must: 1. enroll in MOC (if not already enrolled); AND 2.satisfactorily submit data on quality measures under PQRS, for a 12-month reporting period, either as an individual physician (i.e., claims-based, registries, or EHR) or as part of a group practice under one of the PQRS Group Practice Reporting Options (GPROs); AND 3. *participate in an MOC Program “more frequently” than is required to maintain certification, including completion of an MOC practice quality improvement (PQI) project; AND 4. complete a patient-experience-of-care survey * Differences in requirements exist based on type of certificate (Time-Limited vs. Lifetime)

  8. 1. MOC Enrollment • Those with lifetime certification need to enroll in MOC – enrollment form on ABR website Must complete enrollment by November 15, 2013 • Those with time-limited certificates are automatically enrolled in MOC – no action required • Time limited certification began in 2002 for Diagnostic Radiologist • All Subspecialty Certificates (CAQs) are time limited • REMEMBER: • Must complete MOC enrollment by • November 15, 2013

  9. 2. CMS Quality Measure Data Submission • Data must be submitted for a 12-month period • Quality data submitted: • as individual via claims, registry, Electronic Health Record (EHR); OR • as part of a group via Group Practice Reporting Options (GPROs)

  10. 3. “More Frequent” MOC Participation • 2013 requirements:* • Valid & unrestricted medical license(s) • 30 CME & 10 Self-Assessment CME (SA-CME) • Complete 1 PQI project * Differences in requirements exist based on type of certificate (Time-Limited vs. Lifetime)

  11. 4. Patient Experience of Care Survey • Completion of survey should correspond with completion of each PQI project • Radiologists may complete survey requirements through: • an individual survey; OR • a group practice or department survey • Group practice or department level Press Ganey survey or similar instrument are acceptable • The ABR has posted individual and group patient experience of care surveys on ABR website, which are based on the CAHPS Common Core Communications Survey

  12. What must be done in 2013 to earn 0.5% MOC:PQRS incentive • Enroll n MO (if not already enrolled) • Submit PQRS quality data to CMS • Enroll in MOC (if needed) • Maintain valid medical license • Complete 30 CME & 10 SA-CME • Attest to completion of 1 PQI project • Attest to completion of a patient experience of care survey

  13. Why Participate?

  14. Options for MOC:PQRS Participation • Option 1: Your myABR account https://www.myabr.theabr.org COMING SOON! • Option 2: ABMS Contractor https://mocmatters.abms.org

  15. Option 1: myABR account •  Submit quality measures data to CMS (i.e., claims, registry, EHR or GPRO) • Log in to myABR to: • “opt-in” to MOC:PQRS • attest to “more frequent” MOC participation • record 30 CME & 10 SA-CME • record PQI project completion • Attest to completion of a patient experience of care survey

  16. Option 2: ABMS Contractor Contact ABR MOC Help Desk for more information abrmocp@theabr.org or (520) 519-2152

  17. Topics • Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification • Practice Quality Improvement 5. New ABR website (myABR)

  18. “To improve is to change; to be perfect is to change often” - Sir Winston Churchill (1874-1965) “If you want to make enemies, try to change something” - Woodrow T. Wilson (1856-1924)

  19. MOC Components Part II: Lifelong Learning and Self-Assessment • Category 1 CME and Self-Assessment CME (SA-CME) • Part I: Professional Standing • State Medical Licensure • Part III: Cognitive Expertise • Proctored, secure exam • Part IV: Practice Performance • Practice Quality Improvement (PQI)

  20. Topics • Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification • Practice Quality Improvement 5. New ABR website (myABR)

  21. In order to: • simplify MOC participation rules • continue the evolution to a more continuous process, and • comply with the ABMS standard on public reporting of diplomate MOC status Continuous Certification and Public Reporting

  22. Public Reporting of MOC Status • Beginning March 2013: ABR has begun to report to ABMS the MOC status (by certificate) of every diplomate. Public reporting, an important driver in healthcare transformation, began for 7 other ABMS boards as early as August 2011 • Currently, 20 of 24 ABMS boards are publically reporting MOC status • Info is displayed on ABMS and ABR websites: • “Meeting the Requirements” of MOC • “Not Meeting the Requirements” of MOC • “Not Required to Participate” in MOC (Lifetime certificate holders)

  23. About Public Reporting • If not us, then who:

  24. Continuous Certification • Certificates issued in 2012 and after no longer have “valid through” dates – instead continuous certification will be contingent on meeting MOC requirements • Annual look-back used to determine MOC participation status. Part I  continuous Part II and Part IV  past 3 years Part III  past 10 years • MOC requirements and fees unchanged

  25. How does it work? 1 Status Check for “Meeting Requirements”

  26. Advantages of Continuous Certification • If you have two or more time-limited certificates, they are synchronized. • The number of CME and self-assessment CME credits counted per year is unlimited • You may take the MOC exam at any time, as long as the previous MOC exam was passed no more than 10 years ago • Built-in “catch-up” period of one year – still certified • Aligns reporting more closely with CMS, TJC, credentialing and state licensing boards

  27. Topics • Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification • Practice Quality Improvement 5. New ABR website (myABR)

  28. PQI Evolution • I don’t understand what it is. • Explain to me why I am doing this. • Tell me what you want me to do. • Show me how to do it.

  29. PQI Essential Elements • Select project, metric(s), and target • Collect baseline data • Analyze data • Create and implement improvement plan • Re-measure • Self-reflection

  30. The Quality Improvement Process • Identify area • needing • improvement • Devise a measure • Set a goal • Carry out the measurement plan • Collect data • Develop and implement improvement plan • Implement for cycle #2 • Analyze data • Compare to goal • Root cause analysis

  31. ABR Individual and Group PQI Templates**Templates include all essential elements needed to comply with ABR “meaningful participation” requirements

  32. Topics • Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification • Practice Quality Improvement 5. New ABR website (myABR)

  33. Topics • Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification • Practice Quality Improvement 5. New ABR website (myABR)

  34. Thank You! MOC Help Desk abrmocp@theabr.org or 520-519-2152

  35. ASRT CODE: VAD0053009 AAPC CODE: 30685MCW

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