CME That Counts for ABIM MOC “CME as a Bridge to Quality™” Accreditation Workshop April 14‐15, 2016 CME that Counts for ABIM MOC American Board of Internal Medicine® “By collaborating with ACCME, ABIM will open the door to even more options for physicians engaged in MOC and will allow them to get MOC credit for high-quality CME activities they are already doing.” -Richard J. Baron MD President and CEO, ABIM A Simpler, Unified Process “This collaboration will generate many more opportunities for accredited CME providers to serve as a strategic resource by delivering relevant, effective, independent, practice- based education that counts for MOC.” -Graham McMahon MD MMSc President and CEO, ACCME Milestones August 2015 ACCME & ABIM announce collaboration Sept. 30, 2015 PARS open for registering activities for ABIM MOC Dec. 15, 2015 PARS Participant Management Interface available Copyright 2016© –Accreditation Council for Continuing Medical Education –www.accme.org For non‐commercial educational use only. Page 1 CME That Counts for ABIM MOC “CME as a Bridge to Quality™” Accreditation Workshop April 14‐15, 2016 CME that Counts for MOC Our goals… Accredited providers can: Register CME activities for the ABIM MOC program in PARS For 2014 activities and later That meet the ABIM Medical Knowledge Assessment Recognition Program requirements Submit participant completion data to ABIM through PARS Pre and Post ACCME Partnership Comparison Number of Activities for Which Physicians Earned MOC Points 1200 1000 800 600 400 200 0 2013 2014 2015 Approved by ABIM Registerd via ACCME Pre and Post ACCME Partnership Comparison Number of MOC Points Earned 3.00 2.50 2.00 ns Millio1.50 1.00 0.50 0.00 2013* 2014 2015 Pre-ACCME Via ACCME Copyright 2016© –Accreditation Council for Continuing Medical Education –www.accme.org For non‐commercial educational use only. Page 2 CME That Counts for ABIM MOC “CME as a Bridge to Quality™” Accreditation Workshop April 14‐15, 2016 Pre and Post ACCME Partnership Comparison Number of Unique DiplomatesEarning MOC Points 30 25 20 nds15 Pre-ACCME usa Via ACCME ho10 T 5 0 2013 2014 2015 Medical Knowledge Assessment Recognition Program 9/30/15 -3/31/16 Accredited CME That Supports ABIM MOC Total Activities Registered 2,389 Total MOCPoints Earned 2.6 million Unique Diplomates 42,541 Earning Points A Closer Look at the Data… Number of Activities and Providers (by Provider Type) 1200 45 Activities1080000 23345050Providers Number of 246000000 5112050Number of 0 0 Activities Providers N=2,389 activities; 123 providers Copyright 2016© –Accreditation Council for Continuing Medical Education –www.accme.org For non‐commercial educational use only. Page 3 CME That Counts for ABIM MOC “CME as a Bridge to Quality™” Accreditation Workshop April 14‐15, 2016 Number of Activities by Activity Type (n=2,389) Journal- Regularly based CME, Enduring 245 Scheduled Series, Material, 41 639 Course, 230 Internet Live Course, 2 Internet Searching and Learning, 1 Internet Activity Enduring Test Item Material, 1230 Writing, 1 What Are the Current Requirements? In general, in addition to licensure and enrollment prerequisites, the MOC program requires: IImmppoorrttaanntt NNootteess aanndd EExxcceeppttiioonnss ‐‐ FFoorr DDiipplloommaatteesswwiitthh ttiimmee rreemmaaiinniinngg oonn tthheeiirr 1100‐‐yyeeaarr cceerrttiiffiiccaatteess,, ddiiffffeerreenntt ddeeaaddlliinneess mmaayy aappppllyy.. ‐‐ FFoorr HHoossppiittaalliissttss,, aaddddiittiioonnaall MMOOCC rreeqquuiirreemmeennttss aappppllyy.. ‐‐ FFoorr IInntteerrvveennttiioonnaall CCaarrddiioollooggiissttss,, aaddddiittiioonnaall MMOOCC rreeqquuiirreemmeennttss aappppllyy.. ‐‐ FFoorr DDuuaall‐‐BBooaarrddeedd DDiipplloommaatteess,, ssoommee MMOOCC rreeqquuiirreemmeennttss mmaayy bbee wwaaiivveedd.. ‐‐ FFoorr tthhoossee nneewwllyy cceerrttiiffiieedd iinn IInntteerrnnaall MMeeddiicciinnee,, yyoouu aarree eelliiggiibbllee ffoorr aann MMOOCC ffeeee ccrreeddiitt.. ‐‐ FFoorr ffeelllloowwssiinn aann aaccccrreeddiitteedd ttrraaiinniinngg pprrooggrraamm,, yyoouu mmaayy bbee eelliiggiibbllee ffoorr aann MMOOCC ffeeee ccrreeddiitt.. 12 ABIM Medical Knowledge Assessment Recognition Program Requirements Activities must be: •Directly or jointly provided by provider in good standing in the ACCME system •Certified for AMA PRA Category 1 CreditTMin one of the following activity types: 1) Live activities –includes Courses, Internet Live Courses, Regularly Scheduled Series, Committee Learning; 2) Enduring materials; 3) Journal Based CME; 4) Internet Enduring Materials; 5) Internet Searching & Learning; and 6) Test Item Writing •Relevant to physicians certified by ABIM •Meets ABIM format-specific criteria Enduring materials, journal-based & live activities = peer-reviewed by two reviewers Test item writing = committee process with at least three members Live activities include comprehensive evaluation to measure learner change with feedback http://www.abim.org/pdf/cme-providers/abim-medical-knowledge-assessment-recognition-program.pdf Copyright 2016© –Accreditation Council for Continuing Medical Education –www.accme.org For non‐commercial educational use only. Page 4 CME That Counts for ABIM MOC “CME as a Bridge to Quality™” Accreditation Workshop April 14‐15, 2016 Optional Patient Safety Requirements Activities must address at least one of the following: • Foundational knowledge (must includeallof the following): Epidemiology of error Fundamentals of patient safety improvement Culture of safety • Prevention of an adverse event, for example: Medication safety Prevention of healthcare acquired infections Falls prevention Teamwork and care coordination http://www.abim.org/pdf/cme-providers/abim-medical-knowledge-assessment-recognition-program.pdf MOC Points • MOC points should be equivalent to the maximum allowable AMA PRA Category 1 CreditsTM (Might be less if part of a larger CME activity.) • Diplomates will earn MOC points equivalent to the amount of CME claimed for the activity http://www.abim.org/pdf/cme-providers/abim-medical-knowledge-assessment-recognition- programpdf FAQ… MOC Points Can it be less than # of credits? Activity Registration Need to register enduring material for each year the activity is available? Peer Review Before activity? What about journal articles? Two ABIM diplomates? Have to be physicians? Evaluation Has to include pre-and post-tests? Has to be MCQs? # of MCQs? Format of MCQs? Has to be every session of activity? What other evaluation models would work? >> New tool… Copyright 2016© –Accreditation Council for Continuing Medical Education –www.accme.org For non‐commercial educational use only. Page 5 CME That Counts for ABIM MOC “CME as a Bridge to Quality™” Accreditation Workshop April 14‐15, 2016 Discussion Questions about the Medical Knowledge Assessment Recognition Program? 17 PARS Register your activities Your Organization NEW MOC Section Copyright 2016© –Accreditation Council for Continuing Medical Education –www.accme.org For non‐commercial educational use only. Page 6 CME That Counts for ABIM MOC “CME as a Bridge to Quality™” Accreditation Workshop April 14‐15, 2016 Pilot Audit Population: 10 accredited providers • 6 societies • 3 publishing/education companies • 1 hospital Activity Types: 10 activities 1 –regularly scheduled series 1 –enduring material 1 –test-item writing activity 1 –journal-based activity 1 –internet live activity 2 –live courses 3 –internet enduring materials Pilot Audit Process: • Activities selected from PARS; • Structured abstract submitted by provider; • Additional materials requested (in two audits); • Reviewed by ACCME staff; • Results communicated back to provider and in summary to ABIM; and • Lessons learned communicated to providers. Copyright 2016© –Accreditation Council for Continuing Medical Education –www.accme.org For non‐commercial educational use only. Page 7 CME That Counts for ABIM MOC “CME as a Bridge to Quality™” Accreditation Workshop April 14‐15, 2016 Pilot Audit Goals: • Provide feedback to ABIM about compliance with the MKARP requirements; • Inform ABIM and the CME community about the different ways providers are meeting the requirements; • Identify questions or the need for clarification about the requirements; • Collect feedback on the audit process and structured abstract; and • Help ABIM determine the frequency and selection process for audits going forward. Pilot Audit Results Keyto MKARP Requirements Relevantto ABIM diplomates ABIM4 (enduring, Two peer reviewers,not journal, live) authors ABIM4 (test-item writing) Committee of three members ABIM4 (live) Comprehensiveevaluation, passing standard, feedback ABIM Policy 1 (all) Learners informed that data willbe shared ABIM Policy 2 (all) MOCstatement Lessons learned… Challenges • Expanding to new formats and different methods of evaluation; • Buy-in from faculty and learners; • Questions about requirements; • IT infrastructure; connections to existing systems. Opportunities • Flexibility in meeting requirements; • Integration with CME processes; • Greater engagement with learners; • Practice relevant education in a range of activity types. Copyright 2016© –Accreditation Council for Continuing Medical Education –www.accme.org For non‐commercial educational use only. Page 8 CME That Counts for ABIM MOC “CME as a Bridge to Quality™” Accreditation Workshop April 14‐15, 2016 Discussion Share your experience… barriers, challenges, successes, opportunities. Emerging Opportunities Expanding MOC Options through ABIM-ACCMECollaboration Medical Blended Practice Knowledge Activities Assessment Part 2 Parts 2 & 4 Part 4 Copyright 2016© –Accreditation Council for Continuing Medical Education –www.accme.org For non‐commercial educational use only. Page 9 CME That Counts for ABIM MOC “CME as a Bridge to Quality™” Accreditation Workshop April 14‐15, 2016 Expanding MOC Options through ABIM-ACCMECollaboration Providers register CME activities for Medical Knowledge MOC points in PARS PI CME providers can use PARS to register activities for Practice Assessment MOC points. Providers can use PARS to register other quality improvement activities that meet ABIM’s Approved Quality Improvement Program guidelines for Practice Assessment MOC points. CME providers can use PARS to register CME activities for both Practice Assessment and Medical Knowledge MOC points. 29 AQI Program Guidelines Activities should: 1. address quality or safety gap supported needs assessment OR support completion of needs assessment 2. address care, care processes, or systems of care in one or more of the National Academy of Medicine’s quality dimensions or one or more of the three Aims or six Priorities articulated in the National Quality Strategy 3. have specific, measurable aim(s) for improvement 4. use measuresappropriate to the aim(s) for improvement 5. include interventions intended to result in improvement; 6. include appropriate data collection and analysisof performance data to assess the impact of the interventions 30 Timeline for Practice Assessment Expansion • April 2016–August 2016: Engagement with provider community to help inform implementation • August 2016: Engagement with providers at CME as a Bridge to Quality Workshop • Early 2017: Implementation to recognize CME activities for Practice Assessment MOC points Copyright 2016© –Accreditation Council for Continuing Medical Education –www.accme.org For non‐commercial educational use only. 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