ABIM’s MOC Changes How to Deliver the Message to ACC’s Members and Constituents Developed for members of ACC Boards, Committees, Councils and Other “Messengers”

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Presentation transcript:

ABIM’s MOC Changes How to Deliver the Message to ACC’s Members and Constituents Developed for members of ACC Boards, Committees, Councils and Other “Messengers” May 2014

Commercial Disclosures Eric R. Bates, MD, FACC Professor of Internal Medicine University of Michigan Commercial Interest : Nothing to Disclose Frederick Masoudi, MD, FACC Professor of Medicine, Division of Cardiology University of Colorado School of Medicine Commercial Interest : Nothing to Disclose John S. Rumsfeld, MD, PhD, FACC Professor of Medicine, Division of Cardiology University of Colorado School of Medicine National Director of Cardiology, U.S. Veterans Health Administration Chief Science Officer, ACC National Cardiovascular Data Registry (NCDR) Commercial Interest : Nothing to Disclose

Webinar Goals Our goal is to provide information about ABIM’s new MOC program so that you, ACC’s member leaders, can:  Communicate the changes to ABIM’s MOC program to your constituents and colleagues  Explain how the changes will impact different categories of ABIM diplomates  Know when to refer a cardiologist to ABIM for an explanation of how the new certification requirements apply to them  Understand the challenges of delivering this message and have answers to the questions that might be asked  Know where to locate tools and resources to help with your presentations

Challenges Many changes to the MOC program Complexity of the new approach ACC does not have all the answers because: –some elements of the new MOC program are still in development by ABIM –some information from ABIM seems to conflict and/or is not clear

Presentation Content 1.Evolution of Certification Process Changes to MOC 3.What the Changes Mean for Cardiologists 4.What Our Members Think 5.What ACC is Doing to Support its Members 6.Role of the Messengers 7.Tips for Messengers

Introduction Section 1

ABMS & ABIM All 24 of the medical boards that comprise the American Board of Medical Specialties (ABMS) are in the process of implementing a more continuous approach to Maintenance of Certification. To meet new requirements outlined by ABMS, the American Board of Internal Medicine (ABIM) is changing its MOC program. ABMS and ABIM believe that a more continuous MOC program helps you keep pace with the changes in the science of medicine and assessment.

ACC’s Role 1.Interpret ABIM’s materials that describe their new MOC program and communicate the key themes to our members. 2.Provide educational products and other support that help our members:  Study for ABIM’s Cardiovascular Disease MOC exam (“the Boards”)  Secure Self-Evaluation of Medical Knowledge credits (MOC Part II)  Undertake Self-Evaluation of Practice Assessment modules (MOC Part IV)

When it comes to ABIM’s MOC program… ACC does not: Review Edit Comment Vote …on certification or recertification requirements.

Evolution of Certification Processes Section 2

Certification Process Up to 2006 Secure exam after completing fellowship Lifetime certification with NO end date Secure exam after completing fellowship Time-limited certification WITH an end date Recertification exam every 10 years Pre Certification 1990 – 2006 Recertification

Certification Process Secure exam after completing fellowship Time-limited certification with an end date Maintenance of Certification exam every 10 years Completion of: –Self-Evaluation of Medical Knowledge Modules –Self-Evaluation of Practice Performance Modules 2006 – 2013 Maintenance of Certification (MOC)

Components of Maintenance of Certification 2006 – 2013 Licensure and Professional Standing (Part I) Proof of current and active state license Self-Evaluation of Medical Knowledge (Part II) Live or on-line educational activities Cognitive Expertise / Secure Examination (Part III) Pass Board Exam Self-Evaluation of Practice Performance (Part IV) Approved quality improvement module

Maintenance of Certification Points 2006 – Points Every 10 years Part II = Self-Evaluation of Medical Knowledge modules Part IV = Self-Evaluation of Practice Assessment modules

2014 Changes to MOC What We Know and Don’t Know Section 3

Certification Process 2014 and Beyond Two Separate Designations: 1.Board Certified 2.Meeting MOC Requirements  Certification represents passing initial exam  Meeting MOC Requirements is a new and separate obligation 2014 – Beyond Maintenance of Certification Changes

MOC now applies to all diplomates (including grandparents); 100 MOC points now have to be secured on a 5 year cycle with some activity required every 2 years Patient Safety & Patient Survey requirements 20 MOC points awarded for every first exam attempt within each specialty Summary of What Will be New in 2014

Maintenance of Certification 2014: Points and Cycle Changes Earn total of 100 points every 5 years 20 points Part II Patient Safety Module Patient Survey Module 20 points Part IV 20 points Either Part II, III or IV 20 points Either Part II, III or IV 20 points Either Part II, III or IV Complete an MOC activity every 2 years Part II = Self-Evaluation of Medical Knowledge modules Part III = MOC secure exam Part IV = Self-Evaluation of Practice Assessment modules

New Patient Safety & Patient Survey Requirements Patient Safety –Some ABIM MOC modules currently meet this requirement –ABIM will be adding more options in the future –ABIM is developing a process so that diplomates can use patient safety activities at their institution to meet this requirement Patient Survey –Some of ABIM’s existing Performance Improvement Modules (PIMs) [Part IV activities] include patient surveys –ABIM will offer options to meet requirement without doing a full PIM –ABIM is developing a process so that diplomates can use patient survey activities at their institution to meet this requirement

What the Changes Mean for Cardiologists Section 4

1.As of January 2014 new MOC requirements apply to you. 2.To be reported as “Meeting MOC Requirements”:  Enroll in the MOC program  Complete an MOC activity to earn MOC points every 2 years  Earn 100 MOC points every 5 years  Complete patient survey & patient safety modules every 5 years  Pass ABIM’s Cardiovascular Disease MOC Examination (“the Boards”) by December 31, 2023 (10 years) 3.Your initial certification in Cardiovascular Disease does not expire. You will remain certified whether or not you are “Meeting MOC Requirements.” However, if you choose not to undertake all required MOC activity, you will be reported as “Certified. Not Meeting MOC Requirements.” Those Who Certified Prior to 1990 (“Grandparents”)

1.As of January 2014 new MOC requirements apply to you. 2.Finish your current individual 10-year MOC cycles for Parts II & IV, and the MOC exam. Any points earned after January 2014 will apply both to those you need to earn to maintain your existing certification and to be “Meeting MOC Requirements”. 3.To be reported as “Meeting MOC Requirements”:  Enroll in the MOC program (if not currently enrolled in MOC)  Complete an MOC activity to earn MOC points every 2 years  Earn 100 MOC points every 5 years  Complete patient survey & patient safety requirements every 5 years Those in 10-year MOC cycles

1.As of January 2014 the new MOC requirements apply to you. 2.To be reported as “Meeting MOC Requirements”:  Activate your MOC program  Complete an MOC activity to earn MOC points every 2 years  Earn 100 MOC points every 5 years  Complete patient survey & patient safety requirements every 5 years  Pass the ABIM Cardiovascular Disease MOC Examination (“The Boards”) every 10 years Those Newly Certified after January 2014

Sub-Specialty Certification As in previous years, diplomates must still hold a current, valid ABIM certification in Cardiovascular Disease to be eligible for renewal of certification in: Advanced Heart Failure and Transplant Cardiology Clinical Cardiac Electrophysiology Interventional Cardiology If you have more than one ABIM certification, all MOC points earned will apply to all certifications you are actively maintaining. If you are maintaining certification in Interventional Cardiology, you will need to continue to attest to meeting additional program-specific requirements. You will receive 20 MOC points for completion of one MOC exam per certification area being maintained.

ABIM/ABMS Reciprocal Credit for Dual-Boarded Diplomates ABIM-certified physicians who are maintaining certification through another of the the ABMS’s 24 member boards (e.g. the American Board of Pediatrics) may be eligible to receive points for Self-Evaluation of Medical Knowledge and Self-Evaluation of Practice Assessment. To receive credit, ABIM diplomates will need to attest that they are current and participating in the other Board’s MOC program. For more information, please call ABIM at ABIM.

Doctors of Osteopathy (DO’s) DO’s must certify with the American Osteopathic Board of Internal Medicine (AOBIM) which introduced new Osteopathic Continuous Certification (OCC) January 1, 2013.

What We Don’t Know What the Patient Survey and Patient Safety modules requirements will be when they are finalized Precisely how dual-boarded MOC attestation must be done by diplomates.

What Our Members Think Section 5

ACC Member Surveys: Main Themes Over half are not aware of the 2014 changes to MOC. Although most are enrolled, cardiologists do not find value in MOC. Cardiologists are divided on the impact of the MOC changes with many believing it will affect their practice negatively. Although half say that the MOC changes will not affect future plans to continue practicing, two-fifths are either unsure or say that their plans have been affected.

Awareness of ABIM MOC Changes Reference: Survey conducted with 137 CardioSurve ACC members October 9 – November 1, 2013

MOC is 5 th Highest Challenge to Practicing Medicine 1.Reimbursement /payment cuts/Medicare issues (69%) 2.Work-life balance/extensive workload/work hours (35%) 3.Costs/rising costs (31%) 4.Government regulations (28%) 5.MOC/certification/training (23%)

What ACC is Doing to Support its Members Section 6

Communications Plan In order to address member concerns, an initiative has been launched by ACC to communicate a consistent message about the MOC changes to members. This initiative is designed to:  Inform membership about ABIM’s MOC changes and explain that they were not initiated by ACC.  Highlight the variety of educational and quality improvement opportunities that ACC makes available to its members to assist with securing MOC points (Parts II, III and IV).  Establish a forum to gather member feedback on the ABIM’s MOC changes and advocate to ABIM on members’ behalf.

Three Complementary Communication Strategies ACC Member Support One Voice Easy Button We Hear You

“One Voice” ACC will build awareness among its domestic members about the new requirements, with a special focus on “Grandparents”. This will include:  Informing members clearly and concisely about the new ABIM requirements and the fact that these are not ACC requirements  Providing presentations, webinars, web pages, articles, mail, s, editorials, exhibits, events, and social media resources which address ABIM’s MOC changes.  ACC will become a comprehensive and credible source of information on the changes

“Easy Button” ACC will highlight its educational and performance improvement opportunities that are available to assist members with the new MOC requirements.  Dedicated ACC web pages addressing the ABIM’s changes to MOC and the impact on diplomates’ MOC point requirements (CardioSource.org/MOC)CardioSource.org/MOC  An ACC MOC Changes Resource Kit including a Glossary, FAQs and Talking Points (in production)  List of ACC’s MOC Part II (Self-Evaluation of Medical Knowledge) educational modules (CardioSource.org/MOCEducation)CardioSource.org/MOCEducation  List of ACC’s MOC Part IV (Self-Evaluation of Practice Assessment) performance improvement modules (CardioSource.org/MOCEducation)CardioSource.org/MOCEducation  Step-by-step instructions for ABIM’s MOC Part IV Self-Directed PIM and use of NCDR data (CardioSource.org/SelfDirectedPIM)CardioSource.org/SelfDirectedPIM

“We Hear You” ACC will collect member feedback on issues critical to the MOC changes that will serve as a foundation for ACC advocating to ABIM on its members’ behalf. Comments and concerns can be sent to

Role of the Messengers Section 7

“One Voice” — Getting the Message Out Master Trainers Messengers ACC Leaders: BOT, BOG, NCDR Mgmt Board, CQC, Advocacy Steering Cmte, LLL Cmtes, Section Leadership Councils and Steering Cmtes Membership Practicing cardiologists

Messengers Inform the Members

Objectives For Messengers Communicate details of ABIM’s MOC changes to domestic physician members in your constituencies.  Inform members clearly and concisely about the details of the new requirements and share “Important Dates” and “Calls to Action” (following two slides)  Reinforce the fact that these are not ACC requirements  Describe ACC resources that help members obtain MOC credit  Provide answers to general questions where possible, or direct those with specific questions to ABIM (

Important Dates May 2014: ABIM’s website began reporting whether physicians are “Meeting MOC Requirements” December 31, 2015: ABIM diplomates should complete an MOC activity to earn ABIM MOC points to continue to be reported as “Meeting MOC Requirements” December 31, 2018: –ABIM diplomates should earn a total of 100 MOC points in a mix of Self- Evaluation of Medical Knowledge & Self-Evaluation of Practice Assessment –Complete the new patient safety and patient survey requirements

Calls to Action Find educational activities that provide MOC points, as well as CME credits, at: ACC CardioSource.org/MOCEducation  Table and web links to ACC’s Part II and Part IV activities ABIM  Links to ABIM’s Part II activities  Links to ABIM’s Part IV activities

Tips for “Messengers” Section 8

Messenger Action Familiarize yourself with these resources: –JACC article and companion piece –moc2014.abim.orgmoc2014.abim.org –CardioSource.org/MOCCardioSource.org/MOC –CardioSource.org/MOCEducationCardioSource.org/MOCEducation –ACC’s MOC FAQs, Talking Points & Glossary (in production for publication in January 2014)

Delivering the Message Direct participants to supplementary materials and other resources –MOC Resource Kit content (consider bringing hand outs for the audience) –ACC and ABIM websites, s and phone numbers Tailor content to the audience –Not every audience will require the same level of detail –Adapt your pace and content as appropriate

Responding to Audience Questions Redirect questions about “Why?” All questions about “Why” should be made by the audience member directly to ABIM. Focus on what we know so far: –What is staying the same –What is changing –How and When cardiologists need to act

Responding to Audience Questions (cont.) Don’t try to explain how the rules apply in specific cases (e.g. sub-specialty certification, dual boarded, multiple expiration dates) It is ACC’s role to communicate the upcoming changes but not to interpret them for individual cardiologists Refer all questions about specific application of the new rules to ABIM at  510 Walnut Street, Suite 1700 Philadelphia, PA  Phone: ABIM Mon – Fri 8:30 a.m. - 8 p.m. ET Sat 9 a.m. – 12 p.m. ET 

Responding to Audience Questions (cont.) Know the portfolio of education products that ACC and ABIM provide for diplomates to pass the Boards, and secure Medical Knowledge and Practice Assessment (Part II, III and Part IV) MOC points. ABIM website (See “Resources” slide) ACC website (See “Resources” slide) ACC PIM Support Line ( x.5404)

Questions? Contact: The Master Trainers Ellen Cohen, Director of Certification and Accreditation, ACC Melanie Stephens-Lyman, Associate Director of MOC Part IV Products, ACC

Resources Changes to Maintenance of Certification –ABIM: moc2014.abim.org –ACC: CardioSource.org/MOC MOC Part II Modules –ABIM: knowledge.aspx –ACC: CardioSource.org/MOCEducation MOC Part IV Modules –ABIM: –ACC: CardioSource.org/MOCEducation

Good Luck! Thank you for your interest and attention