ABR Update: MOC & PQI. Lane F. Donnelly MD Nemours Children s Hospital Orlando, FL

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1 ABR Update: MOC & PQI Lane F. Donnelly MD Nemours Children s Hospital Orlando, FL

2 Expiration / Disclosure The following slides are true through May 2013

3 ABR - Pediatric Radiology Trustees Donald P. Frush MD Lane F. Donnelly MD

4 Outline Maintenance of Certification (Parts 1-4) Self Assessment Credits (changes 2013) PQI Projects Public Reporting of MOC Status Continuous Certification MOC 2015 Group MOC Administration myabr

5 Maintenance of Certification Part 1: Professional Standing Part 2: Life-long Learning & Self- Assessment Part 3: Cognitive Expertise Part 4: Practice Quality Improvement

6 Question: Which of the following is not part of ABR MOC? A. Professional Standing B. Life-long Learning & Self- Assessment C. Cognitive Expertise D. Dose Registry Participation E. Practice Quality Improvement

7 Maintenance of Certification Part 1: Professional Standing State Medical Licensure

8 Maintenance of Certification Part 2: Life-long Learning & Self- Assessment Category 1 CME SAMs

9 Self-Assessment Credits 1/1/2013 in effect 75 Category 1 CMEs / every 3 years 25 must be Self-Assessment Credits Traditional, prequalified SAMs Enduring Category 1 CME Online / journal based CME

10 Society Deemed Status for SAMs Societies qualifying for ABR Deemed Status for create and deploy their own SAMs Must have had 10 SAMs ABR-qualified in past 5 years, 90% of which attained clean qualification without interim deficiencies Must Follow ABR definitions and structure Must have a consistent responsible staff person Must report to ABR quarterly, and Must submit to an audit q 3-yr

11 Maintenance of Certification Part 3: Cognitive Expertise Proctored, secure exam At least 1 / 10 years

12 Maintenance of Certification Part 4: Practice Quality Improvement PQI Projects

13

14 PQI Projects Select project, metric(s), and goal Collect &/or evaluate baseline data Create / implement improvement plan Re-measure Self-reflection

15 The Quality Improvement Process Identify area needing improvement Devise a measure Set a goal PLAN DO data Carry out the measurement plan Collect Develop and improvement plan Implement for cycle #2 ACT STUDY Analyze the data Compare to goal Root Cause Analysis

16 ABR Group & Individual PQI Checklist & Summary Record Tools

17 PQI Projects Individual Group Institutional (in development)

18 Group PQI Criteria Group consists of 2 or more ABR diplomates Group Project Team Leader designated Team organization, meetings, record keeping Must document team participation Requires at least 3 team meetings: Project organization meeting Data and root cause analysis meeting Improvement plan development

19 PQI Projects Original (Group defined) Templated Society Sponsored / ABR pre-approved RSNA, ACR, ASNR / ASPNR,UCSF Registries

20 PQI ATTESTATION ON myabr

21 Public Reporting of MOC Status Mandated - all ABMS member boards March 15, 2013 Diplomat Status Meeting the Requirements of MOC Not Meeting the Requirements of MOC Not Required to Participate in MOC (Lifetime Certificates)

22 Continuous Certification Certificate will no longer have valid through date continuously meeting MOC requirements Annual look-back over past 3 years - used to determine MOC participation status No change in MOC requirements or fees

23 How does it work? MOC Year Look-back date Element(s) Checked /15/2014 Licensure /15/2015 Licensure /15/2016 Licensure, CME, SAMs, Exam, and PQI /15/2017 Licensure, CME, SAMs, Exam, and PQI /15/2018 Licensure, CME, SAMs, Exam, and PQI /15/2019 Licensure, CME, SAMs, Exam, and PQI 20XX 3/15/20XX Licensure, CME, SAMs, Exam, and PQI 1 Status Check for Meeting Requirements Element Licensure CME SAMs Exam PQI Compliance Requirement At least one valid state medical license At least 75 Category 1 CME in previous 3 years 25 self-assessment in previous 3 years Passed any ABR Certifying or MOC exam in previous 10 years Completed at least 1 PQI project in previous 3 years

24 MOC 2015 (ABMS) MOC basics will not change No change more than every 5 years Specialty-appropriate feedback from peers, patients, or other users about their professionalism and communication skills: Tools: peer assessments, 360s, surveys Public disclosure of COIs in the physicianpatient relationship

25 myabr Replacement for current PDB (myabr) New public website Public ability to search for ABR certified diplomates Public reporting display New PQI attestation functionality Customer service section Agreements & attestation history Ability to upload images (State licenses, certificates) Requirements and status for each MOC component

26 Outline Maintenance of Certification (Parts 1-4) Self Assessment Credits (changes 2013) PQI Projects Public Reporting of MOC Status Continuous Certification MOC 2015 Group MOC Administration myabr

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