american board of radiology maintenance of certification (moc) update

American Board of Radiology Maintenance of Certification (MOC)

Update

David Laszakovits, M.B.A.

Disclosures

Co-Director, Certification ServicesAmerican Board of Radiology

1. Integration of ABR programs with Healthcare & Healthcare Regulatory Bodies2. MOC At-A-Glance3. Public Reporting and Continuous Certification4. Practice Quality Improvement5. 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); AND2. 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 CMSEnroll in MOC (if needed)Maintain valid medical licenseComplete 30 CME & 10 SA-CMEAttest to completion of 1 PQI projectAttest to completion of a patient experience of care

survey

Why Participate?PQRS MOC:PQRS Total Incentive

2011 1.0 % 0.5 % 1.5 %2012 0.5 % 0.5 % 1.0 %2013 0.5 % 0.5 % 1.0 %2014 0.5 % 0.5 % 1.0 %2015 -1.5 percent (98.5% of CMS payment due)2016 -2.0 percent (98% of CMS payment due)

Options for MOC:PQRS Participation

• Option 1: Your myABR account https://www.myabr.theabr.org COMING SOON!

• Option 2: ABMS Contractorhttps://mocmatters.abms.org

https://www.myabr.theabr.org/

https://mocmatters.abms.org/

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

[email protected] or (520) 519-2152

mailto:[email protected]


Topics

“If you want to make enemies, try to change something”

- Woodrow T. Wilson (1856-1924)

“To improve is to change; to be perfect is to change often”- Sir Winston Churchill (1874-1965)

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)


Topics

In order to:simplify MOC participation rulescontinue the evolution to a more continuous

process, andcomply 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 yearsPart III past 10 years

MOC requirements and fees unchanged

How does it work?Look-back date Element(s) Checked1

3/15/2014 Licensure and Exam

3/15/2015 Licensure and Exam

3/15/2016 Licensure, CME, SA-CME, Exam, PQI and Fees



3/15/20XX Licensure, CME, SA-CME, Exam, PQI and Fees

Element Compliance RequirementLicensure At least one valid state medical licenseCME & SA-CME At least 75 Category 1 CME in previous 3 years, of which at least 25 must be SA-CMEExam Passed any ABR Certifying or MOC exam in previous 10 yearsPQI Completed 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


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

• Analyze data• Compare to goal

• Root cause analysis

• Carry out the measurement plan

• Collect data

• Develop and implement improvement plan

• Implement for cycle #2

• Identify area needing improvement• Devise a measure• Set a goal

The Quality Improvement Process

DO

STUDYACT

PLAN

ABR Individual and Group

PQI Templates*

*Templates include all essential elements needed

to comply with ABR “meaningful participation”

requirements


Topics

MOC Help [email protected]

or 520-519-2152

Thank You!

mailto:[email protected]

ASRT CODE: VAD0053009

AAPC CODE: 30685MCW

american board of radiology maintenance of certification (moc) update

Documents

moc enrollmentthose

moc program

pqrs incentivethe abr

moc enrollment form

acceptablethe abr

survey requirements

cms requirements

public reporting