ABMS Update February, 2008

2 Agenda ABMS Background –MOC history, update Business Updates –ABMS® Patient Safety Improvement Program –ABMS product update Organization Updates –New ABMS leadership

3 ABMS Background

4 Who is ABMS? Comprised of 24 medical specialty Member Boards, ABMS sets the standards for the certification process to enable the delivery of safe, quality patient care ABMS is the authoritative resource and voice for issues surrounding physician certification

5 ABMS 24 Member Boards The American Boards of: Allergy and Immunology Anesthesiology Colon and Rectal Surgery Dermatology Emergency Medicine Family Medicine Internal Medicine Medical Genetics Neurological Surgery Nuclear Medicine Obstetrics and Gynecology Ophthalmology Orthopaedic Surgery Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Preventive Medicine Psychiatry and Neurology Radiology Surgery Thoracic Surgery Urology

6 ABMS Associate Members Accreditation Council for Continuing Medical Education Accreditation Council for Graduate Medical Education American Hospital Association American Medical Association Association of American Medical Colleges Council of Medical Specialty Societies Educational Commission for Foreign Medical Graduates The Federation of State Medical Boards of the United States National Board of Medical Examiners

7 ABMS History 1917: First Member Board incorporated Ophthalmology 1933: First four Member Boards establish ABMS Dermatology Obstetrics and Gynecology Ophthalmology Otolaryngology 1991: 24th Member Board is approved Medical Genetics

8 Approved ABMS Member Board Certificates* 38 general certificates 108 subspecialty certificates (many are shared by two or more boards) < 85% of all practicing physicians are certified by one (or more) of the 24 ABMS Member Boards *As of July 2007

9 ABMS Vision and Mission Vision –ABMS will be a leader in improving the safety and quality of medical care through the policies of ABMS and the physician certification processes of Member Boards. Mission –ABMS is the organization that establishes standards for physician specialty certification and Maintenance of Certification, including performance assessment. ABMS communicates information about these standards to support the public’s quest for safe, high-quality healthcare.

10 ABMS MOC TM

11 What is ABMS MOC? A process designed to document that physician specialists, certified by one of the Member Boards of ABMS, maintain the necessary competencies to provide quality patient care ABMS MOC promotes continuous lifelong learning for better patient care

12 ABMS MOC Goal Develop competence to improve patient care

13 Components of MOC (Parts I-IV) I.Professional standing (licensure) –Hold a valid, unrestricted medical license II.Lifelong learning and self-assessment (CME) –Evidence of participation –Conform to general and specialty-specific standards III.Cognitive expertise (examination) –Covers the scope, range of the discipline –Clinically relevant IV.Practice performance assessment –Proven scientific, educational and assessment methodology –Reflects patient care –Should result in quality improvement

14 Why MOC? Accountability to patients –Transparent, credible –Improves patient satisfaction Gallup Poll (2003) –Choice between board certified physician vs. not certified… 75% opted for board certified –If you knew your doctor’s certification lapsed… 81% were somewhat or very likely to change doctors

15 MOC Update 100% Member Boards have approved MOC applications 100% Member Boards have implementation underway –Pre 2006  6 boards –2006  9 boards –2007  7 boards –2008  2 boards

16 MOC Milestone Survey Fielded in June, % response from 24 Member Boards –MOC Cycle Length Most are 10 years –Professional Standing (Licensure) Most assess annually / continuously –Lifelong Learning (CME) Most assess annually or 1x/2-3 years –Self-Assessment Most assess every 2-3 years –Practice Performance Assessment Most assess 3x per 10-year cycle

17 ABMS Business Updates

18 Business Updates ABMS Patient Safety Improvement Program launches (12/07) New ABMS leadership (12/07) ABMS transfers management of subscription business to TMP (2/08)

19 ABMS Patient Safety Improvement Program Web-based learning module for physicians to learn about patient safety Comprehensive curriculum and practice improvement tool

20 Program Background Leading edge content –Based on current research and best practices –Guided by a blue ribbon panel –Content developed by subject matter experts –Uses evidence-based clinical performance measures –Aligns with TJC’s National Safety Goals, IHI’s 5 Million Lives and WHO’s Patient Safety Solutions Course credits for CME and/or MOC –Course approved for AMA PRA Category 1 credits –Addresses all six ABMS/ACGME competencies

21 Program Development Advisory Committee of Patient Safety subject matter experts Peter B. Angood, MD Kerm Henriksen, PhD James P. Bagian, MD, PE John Hickner, MD, MSc Paul Barach, MD, MPHLucian Leape, MD David W. Bates, MD, MSCEric Marks, MD Eric Coleman, MD, MPHMarlene Miller, MD, MSc David M. Gaba, MDNiraj Sehgal, MD, MPH Paula Griswold, MSAjit K. Sachdeva, MD Content development teams led by curriculum and QI subject matter experts Carole M. Lannon, MD, MPHJulie K. Johnson, MSPH, PhD

22 Program Objectives and Goals The ABMS Patient Safety Improvement Program developed for healthcare professionals to: 1.Learn essential knowledge, skills and attitudes about patient safety 2.Apply the principles to improve care in their own clinical environments 3.Measure individual progress on changes made and provide feedback 4.Integrate acquired QI skills into local and national patient safety activities

23 Program Highlights Engages the learner using dynamic, Web-based technologies Adapts to different learning styles Broad applicability across healthcare continuum (clinicians, staff, leadership and administration) All physician profiles addressed –Primary Care –Surgery / Proceduralist –Consultative –Non-Practicing

24 Patient Safety Improvement Activities 1.Hand Hygiene 2.Medication Reconciliation 3.Allergy List 4.Critical Test Results Communication 5.Correct Site / Patient / Procedure 6.Safer Prescription and Order Writing 7.Discharge Planning

25 Course Map Patient Safety Curriculum Four sections (complete all 4) 1.Epidemiology 2.Systems 3.Communication 4.Patient Safety Culture Pre- and post- knowledge assessments 2 Best practices for improvement (complete section) Apply methods and techniques to improve practice performance All planning and assessment tools provided Quality Improvement Fundamentals 3 Patient Safety Improvement Activities Design and implement changes (complete one) 1.Hand Hygiene 2.Medication Lists 3.Allergy Lists 4.Critical Test Results 5.Correct Person/ Site 6.Safer Prescriptions 7.Discharge Communication 4 Patient Safety Scenarios Four scenarios (choose one) 1 Illustrate a variety of common patient safety errors Delayed diagnosis Medication overdose Wrong patient/ site Communication failures System failures Technology failures Trained personnel shortage Testing without informed consent

26 ABMS Patient Safety Update Approximately half of ABMS Member Boards have endorsed the Program, representing 2/3 of all physician diplomates: Allergy and Immunology Anesthesiology Family Medicine Internal Medicine Neurological Surgery Ophthalmology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Preventive Medicine Radiology

27 Patient Safety Improvement Program Update Additional interest from: –Insurance Providers (P4P) BCBS/IL implemented pilot test 1/08 CareFirst pilot Blue Cross Blue Shield Association rollout likely 2009 –Hospital Systems –Malpractice Insurers –Residency Programs Sales and distribution partner: HealthStream (Nashville TN)

28 ABMS Updates

29 ABMS Organization New leadership effective 12/17/07 –Retired: Dr. Stephen H. Miller, MD, MPH –Joins as President and CEO: Dr. Kevin B. Weiss, MD, MPH Institute for Healthcare Studies at Northwestern University's Feinberg School of Medicine: Professor of Medicine, Division of General Medicine Former Director of the Center for Management of Complex Chronic Care; Hines and Chicago Veterans Administration Medical Centers Institute of Medicine (IOM) Committees: “Crossing the Quality Chasm,” and “Identifying Priority Areas for Quality Improvement” Founder, first chairperson: Chicago Patient Safety Forum

30 ABMS Transfers Subscription Management ABMS entered into an agreement with TMP Medical Listings to manage direct subscription business –ABMS Certification Profile Service –ABMS Medical Specialists Online Provides superior service for customers Permits ABMS focus on mission

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