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

Disclosures Co-Director, Certification Services American Board of Radiology

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

1.Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification 4.Practice Quality Improvement 5. 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); 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)

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 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

Why Participate? PQRSMOC:PQRSTotal Incentive %0.5 %1.5 % % 1.0 % % 1.0 % % 1.0 % percent (98.5% of CMS payment due) percent (98% of CMS payment due)

Options for MOC:PQRS Participation Option 1: Your myABR account COMING SOON! Option 2: ABMS Contractor

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 or (520)

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

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

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 Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification 4.Practice Quality Improvement 5. New ABR website (myABR) Topics

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

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 years Part III  past 10 years MOC requirements and fees unchanged

How does it work? Look-back dateElement(s) Checked 1 3/15/2014Licensure and Exam 3/15/2015Licensure and Exam 3/15/2016Licensure, CME, SA-CME, Exam, PQI and Fees 3/15/2017Licensure, CME, SA-CME, Exam, PQI and Fees 3/15/2018Licensure, CME, SA-CME, Exam, PQI and Fees 3/15/20XXLicensure, CME, SA-CME, Exam, PQI and Fees ElementCompliance Requirement LicensureAt least one valid state medical license CME & SA-CME At least 75 Category 1 CME in previous 3 years, of which at least 25 must be SA-CME ExamPassed any ABR Certifying or MOC exam in previous 10 years PQICompleted 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 Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification 4.Practice Quality Improvement 5. 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

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 Bodies 2. MOC At-A-Glance 3. Public Reporting and Continuous Certification 4.Practice Quality Improvement 5. New ABR website (myABR) Topics

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

ASRT CODE: VAD AAPC CODE: 30685MCW