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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 - PowerPoint PPT Presentation
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American Board of Radiology Maintenance of Certification (MOC)
Update
David Laszakovits, M.B.A.
Disclosures
Co-Director, Certification ServicesAmerican Board of Radiology
1. Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies2. MOC At-A-Glance3. Public Reporting and Continuous Certification4. Practice Quality Improvement5. New ABR website (myABR)
Topics
1. Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies2. MOC At-A-Glance3. Public Reporting and Continuous Certification4. Practice Quality Improvement5. New ABR website (myABR)
Topics
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)
• Affordable Care Act and payment reform Centers for Medicare and Medicaid (CMS) Physician Quality Reporting System (PQRS) MOC Incentive
• Credentialing requirements
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%
CMS Requirements to Earn MOC:PQRS Incentive
Participant must:1. enroll in MOC (if not already enrolled); AND2. 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)
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
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)
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)
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
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 CMSEnroll in MOC (if needed)Maintain valid medical licenseComplete 30 CME & 10 SA-CMEAttest to completion of 1 PQI projectAttest to completion of a patient experience of care
survey
Why Participate?PQRS MOC:PQRS Total Incentive
2011 1.0 % 0.5 % 1.5 %2012 0.5 % 0.5 % 1.0 %2013 0.5 % 0.5 % 1.0 %2014 0.5 % 0.5 % 1.0 %2015 -1.5 percent (98.5% of CMS payment due)2016 -2.0 percent (98% of CMS payment due)
Options for MOC:PQRS Participation
• Option 1: Your myABR account https://www.myabr.theabr.org COMING SOON!
• Option 2: ABMS Contractorhttps://mocmatters.abms.org
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
Option 2: ABMS Contractor
Contact ABR MOC Help Desk for more information
[email protected] or (520) 519-2152
1. Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies2. MOC At-A-Glance3. Public Reporting and Continuous Certification4. Practice Quality Improvement5. New ABR website (myABR)
Topics
“If you want to make enemies, try to change something”
- Woodrow T. Wilson (1856-1924)
“To improve is to change; to be perfect is to change often”- Sir Winston Churchill (1874-1965)
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)
1. Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies2. MOC At-A-Glance3. Public Reporting and Continuous Certification4. Practice Quality Improvement5. New ABR website (myABR)
Topics
In order to:simplify MOC participation rulescontinue the evolution to a more continuous
process, andcomply with the ABMS standard on public
reporting of diplomate MOC status
Continuous Certification and
Public Reporting
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)
If not us, then who:
About Public Reporting
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 yearsPart III past 10 years
MOC requirements and fees unchanged
How does it work?Look-back date Element(s) Checked1
3/15/2014 Licensure and Exam
3/15/2015 Licensure and Exam
3/15/2016 Licensure, CME, SA-CME, Exam, PQI and Fees
3/15/2017 Licensure, CME, SA-CME, Exam, PQI and Fees
3/15/2018 Licensure, CME, SA-CME, Exam, PQI and Fees
3/15/20XX Licensure, CME, SA-CME, Exam, PQI and Fees
Element Compliance RequirementLicensure At least one valid state medical licenseCME & SA-CME At least 75 Category 1 CME in previous 3 years, of which at least 25 must be SA-CMEExam Passed any ABR Certifying or MOC exam in previous 10 yearsPQI Completed at least 1 PQI project in previous 3 years
1 Status Check for “Meeting Requirements”
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
1. Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies2. MOC At-A-Glance3. Public Reporting and Continuous Certification4. Practice Quality Improvement5. New ABR website (myABR)
Topics
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.
PQI Essential Elements
Select project, metric(s), and target Collect baseline data Analyze data Create and implement improvement plan Re-measure Self-reflection
• Analyze data• Compare to goal
• Root cause analysis
• Carry out the measurement plan
• Collect data
• Develop and implement improvement plan
• Implement for cycle #2
• Identify area needing improvement• Devise a measure• Set a goal
The Quality Improvement Process
DO
STUDYACT
PLAN
ABR Individual and Group
PQI Templates*
*Templates include all essential elements needed
to comply with ABR “meaningful participation”
requirements
1. Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies2. MOC At-A-Glance3. Public Reporting and Continuous Certification4. Practice Quality Improvement5. New ABR website (myABR)
Topics
1. Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies2. MOC At-A-Glance3. Public Reporting and Continuous Certification4. Practice Quality Improvement5. New ABR website (myABR)
Topics
ASRT CODE: VAD0053009
AAPC CODE: 30685MCW