ABIM Maintenance of Certification: Rules Regulations and Resources How ACP Can Help

2 Agenda Fundamental Concepts for Understanding MOC Cohort 2018 and Beyond Cohort Time Unlimited Certificate Cohort Public Reporting of MOC Status Graduating Residents and Fellows Focused Practice in Hospital Medicine ACP and ABIM Resources

3 Fundamental Concepts Critical to Understanding MOC It is useful to think of MOC as two distinct processes Earning points toward certification Earning points toward “Meeting MOC Requirements” These two process have their own time lines For most diplomates these time lines are not synchronized The two processes and asynchronous time lines causes confusion

4 Certification Expires in Maintaining the Certificate Must earn a total of 100 MOC points at end of current certificate date (10 years) At least 20 in Medical Knowledge At least 20 in Practice Assessment 60 in either area Pass exam every 10 years

Cohort Meeting MOC Requirements Starting January 1, 2014 Earn some MOC points every 2 years (first milestone by December 31, 2015) Earn 100 MOC points every 5 years (first milestone by end of December 31, 2018) Complete a “patient voice activity” every 5 years Complete an approved patient safety module every 5 years 100 Points count for all certificates and do not have to be specialty specific Pass exam every 10 years

Cohort Important Notes Points earned before 1/1/14 will count toward maintaining an existing certificate(s) Points earned before 1/1/14 will not count toward “Meeting MOC Requirements” Points earned after 1/1/14 will count for both maintaining an existing certificate(s) and “Meeting MOC Requirements”

and Beyond Cohort Meeting MOC Requirements Earn some MOC points every 2 years Earn 100 MOC points every 5 years At least 20 in Medical Knowledge At least 20 in Practice Assessment 60 in either area Complete a “patient voice activity” every 5 years Complete an approved patient safety module every 5 years Pass exam every 10 years

and Beyond Cohort Important Note MOC points earned before 2014 will not count toward certification or toward “Meeting MOC Requirements”

9 Patient Safety Requirement Certain Medical Knowledge and Practice Assessment activities also qualify for Patient Safety Only need 1 “activity” in this category every 5 years

10 Patient Voice Requirement There will be at least 4 different pathways to meet this requirement to be rolled out before the 2018 deadline. These pathways will support retroactive credit An approved activity completed between will meet the requirement. ABIM to discuss Modifying or eliminating patient related requirements clinically inactive physicians

11 Time Unlimited Certificate Cohort ABIM will honor all certifications already issued To be listed as “Meeting MOC Requirements” enroll in MOC program Status can be changed at any time Meet 2 and 5 year MOC point milestones Complete patient safety and patient voice requirement by milestone dates Pass the exam in 10 years

12 Time Unlimited Cohort and the Exam Pass the MOC exam by end of 2023 Not passing the MOC exam has no bearing on certification status, only “Meeting MOC Requirements” status Not completing every component of the MOC program requirements results in "Certified, Not Meeting MOC Requirements” listing on ABIM web site

15 Graduating Internal Medicine Residents 2014 graduating residents must enroll in MOC by March Newly certified physicians will receive a fee waiver for 1 year Will be subject to the rules in place for the 2018 and beyond cohort

16 Fellowship Trainees Fellows starting in 2014 must enroll in MOC following IM residency by March Newly certified in IM will receive a fee waiver for 1 year Fellows earn 20 MOC points for each eligible year of fellowship training including research (10 in medical knowledge and 10 in practice assessment)

17 Focused Practice in Hospital Medicine (FPHM) While the FPHM MOC program is not a subspecialty, it is a variation of Internal Medicine certification Diplomates cannot participate in both the FPHM and Internal Medicine MOC programs simultaneously If diplomates withdraw from FPHM, MOC points will be transferred to IM certificate

18 Keeping Track of Points and Deadlines ABIM Personal Website Every 2 year deadlines 5 Year deadlines Exam deadline MOC medical knowledge points Practice assessment points Patient safety Patient voice

22 How to Earn MOC Points through ACP Medical Knowledge Points MKSAP Internal Medicine Meeting Modules Clinical Shorts ACP High Value Care Cases Ethics & Professionalism Learning Module Patient Safety Learning Module Annals Virtual Patients Managing Conflicts of Interest Module Practice Assessment Points ACP QI Program: Quality Connect - Cardiovascular Risk ACP QI Program: Quality Connect - Diabetes Care ACP QI Program: Quality Connect - Diabetes and PQRS ACP QI Program: Quality Connect - Adult Immunization ACP Practice Assessment Tools - Dementia, Low Back Pain, and Obesity

23 ACP MOC Resources

24 MKSAP 16 Digital Subscription required

MKSAP 16 Print Only Fee based program

26 ACP Internal Medicine Meeting MOC Modules for the Scientific Program Pay Registration for the meeting: No charge for MOC points

27 ACP Internal Medicine Meeting MOC at the Waxman Clinical Skills Center Pay Registration for the meeting: No charge for MOC points

28 ACP Clinical (Video) Shorts Fee required

29 Online High Value Care Cases Free to all Physicians

30 Ethics and Professionalism Module from Annals of Internal Medicine Free to members and Annals subscribers

31 Annals of Internal Medicine: Patient Safety Learning Module Free to members and Annals subscribers

32 Annals Virtual Cases 1 free case, remainder by subscription

ACP Knowledge Resources for ABIM Modules Free to members

34 ACP Knowledge Resources for ABIM Modules Free to members

38 MOC Practice Assessment – The Basics Baseline data: 25 patient records Review data and select measure to improve on Implement QI plan in practice (minimum of 3 months) Follow up data: 25 patient records (no more than 12 months before baseline and follow up data) Report completion of module to ABIM

39 ABIM Products

40 Practice Assessment: How Can ACP Help You? ACP Quality Connect Adult Immunization Diabetes Cardiovascular Risk ACP Practice Assessment Tools Dementia Low Back Pain Obesity All quality improvement programs are free

41 Diabetes National QI initiative aimed at improving care of diabetic patients Link to tools to improve Monthly QI faculty coaching Patient referral & care coordination tools Earn 20 MOC points For more info contact

42 Adult Immunization A national QI initiative aimed at increasing AI rates Link to tools to improve Monthly QI faculty coaching Medication adherence ACP Immunization Advisor App Free access to Practice Advisor Earn 20 MOC points For more info contact

43 Cardiovascular Risk Team-based QI Address gaps in CV knowledge Smoking cessation Blood pressure measurement Lipid profiles Adult Immunizations Earn 20 MOC Practice Assessment points

44 Diabetes Care Team-based QI Address gaps in knowledge and care of diabetic patients Smoking cessation Blood pressure measurement Lipid profile screening Foot and eye exams Adult immunizations Earn 20 MOC Practice Assessment points

45 ACP Practice Assessment Tools Earn 20 MOC points Enables you to complete a Practice Assessment activity at your own pace. Enter baseline data, view custom data charts, create an action plan and report your follow-up data. Easy data entry tool for those new to QI and those with no access to aggregated patient data To get started, access these free tools at acponline.org/MOC

46 Low Back Pain Tool

47 Questions? For more information: Contact information ACP Quality Connect: ACP Practice Assessment Tools:

48 Other ACP Courses To Help Prepare for Recertification Examination  Maintenance of Certification Preparation Course from ACP  ACP MOC Exam Prep Course on DVD, CD, iPod Audio, and iPad Video (playbackacp.com)  Internal Medicine Board Review Courses from ACP Fee based

49 Exam Preparation With MKSAP 16