Table Of ContentCME That Counts for ABIM MOC
“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
CME that Counts
for ABIM MOC
American Board
of Internal Medicine®
“By collaborating with ACCME, ABIM will open
the door to even more options for physicians engaged
in MOC and will allow them to get MOC credit for high-quality CME
activities they are already doing.”
-Richard J. Baron MD
President and CEO, ABIM
A Simpler, Unified Process
“This collaboration will generate many more opportunities for
accredited CME providers to serve as a strategic resource by delivering
relevant, effective, independent, practice-
based education that counts for MOC.”
-Graham McMahon MD MMSc
President and CEO, ACCME
Milestones
August 2015 ACCME & ABIM announce
collaboration
Sept. 30, 2015 PARS open for registering
activities for ABIM MOC
Dec. 15, 2015 PARS Participant Management
Interface available
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CME That Counts for ABIM MOC
“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
CME that Counts
for MOC
Our goals…
Accredited providers can:
Register CME activities for the ABIM MOC program
in PARS
For 2014 activities and later
That meet the ABIM Medical Knowledge
Assessment Recognition Program requirements
Submit participant completion data to ABIM
through PARS
Pre and Post ACCME
Partnership Comparison
Number of Activities for Which
Physicians Earned MOC Points
1200
1000
800
600
400
200
0
2013 2014 2015
Approved by ABIM Registerd via ACCME
Pre and Post ACCME
Partnership Comparison
Number of MOC Points Earned
3.00
2.50
2.00
ns
Millio1.50
1.00
0.50
0.00
2013* 2014 2015
Pre-ACCME Via ACCME
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CME That Counts for ABIM MOC
“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
Pre and Post ACCME
Partnership Comparison
Number of Unique DiplomatesEarning MOC Points
30
25
20
nds15 Pre-ACCME
usa Via ACCME
ho10
T
5
0
2013 2014 2015
Medical Knowledge Assessment
Recognition Program
9/30/15 -3/31/16
Accredited CME That Supports
ABIM MOC
Total Activities Registered 2,389
Total MOCPoints Earned 2.6 million
Unique Diplomates
42,541
Earning Points
A Closer Look at the Data…
Number of Activities and Providers (by Provider Type)
1200 45
Activities1080000 23345050Providers
Number of 246000000 5112050Number of
0 0
Activities Providers
N=2,389 activities; 123
providers
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CME That Counts for ABIM MOC
“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
Number of Activities
by Activity Type (n=2,389)
Journal-
Regularly
based CME,
Enduring 245 Scheduled Series,
Material, 41
639 Course, 230
Internet Live
Course, 2
Internet Searching
and Learning, 1
Internet Activity
Enduring Test Item
Material, 1230 Writing, 1
What Are the Current
Requirements?
In general, in addition to licensure and
enrollment prerequisites, the MOC program
requires: IImmppoorrttaanntt NNootteess aanndd EExxcceeppttiioonnss
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12
ABIM Medical Knowledge Assessment
Recognition Program Requirements
Activities must be:
•Directly or jointly provided by provider in good standing in the ACCME system
•Certified for AMA PRA Category 1 CreditTMin one of the following activity types: 1)
Live activities –includes Courses, Internet Live Courses, Regularly Scheduled
Series, Committee Learning; 2) Enduring materials; 3) Journal Based CME; 4)
Internet Enduring Materials; 5) Internet Searching & Learning; and 6) Test Item
Writing
•Relevant to physicians certified by ABIM
•Meets ABIM format-specific criteria
Enduring materials, journal-based & live activities = peer-reviewed by two reviewers
Test item writing = committee process with at least three members
Live activities include comprehensive evaluation to measure learner change with
feedback
http://www.abim.org/pdf/cme-providers/abim-medical-knowledge-assessment-recognition-program.pdf
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CME That Counts for ABIM MOC
“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
Optional Patient Safety Requirements
Activities must address at least one of the following:
• Foundational knowledge (must includeallof the
following):
Epidemiology of error
Fundamentals of patient safety improvement
Culture of safety
• Prevention of an adverse event, for example:
Medication safety
Prevention of healthcare acquired infections
Falls prevention
Teamwork and care coordination
http://www.abim.org/pdf/cme-providers/abim-medical-knowledge-assessment-recognition-program.pdf
MOC Points
• MOC points should be equivalent to the
maximum allowable AMA PRA Category 1
CreditsTM
(Might be less if part of a larger CME activity.)
• Diplomates will earn MOC points
equivalent to the amount of CME claimed
for the activity
http://www.abim.org/pdf/cme-providers/abim-medical-knowledge-assessment-recognition-
programpdf
FAQ…
MOC Points
Can it be less than # of credits?
Activity Registration
Need to register enduring material for each
year the activity is available?
Peer Review
Before activity?
What about journal articles?
Two ABIM diplomates?
Have to be physicians?
Evaluation
Has to include pre-and post-tests?
Has to be MCQs? # of MCQs? Format of MCQs?
Has to be every session of activity?
What other evaluation models would work? >> New tool…
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CME That Counts for ABIM MOC
“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
Discussion
Questions about the Medical Knowledge
Assessment Recognition Program?
17
PARS
Register your activities
Your Organization
NEW MOC
Section
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CME That Counts for ABIM MOC
“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
Pilot Audit
Population: 10 accredited providers
• 6 societies
• 3 publishing/education companies
• 1 hospital
Activity Types: 10 activities
1 –regularly scheduled series 1 –enduring material
1 –test-item writing activity 1 –journal-based activity
1 –internet live activity 2 –live courses
3 –internet enduring materials
Pilot Audit
Process:
• Activities selected from PARS;
• Structured abstract submitted by provider;
• Additional materials requested (in two audits);
• Reviewed by ACCME staff;
• Results communicated back to provider and
in summary to ABIM; and
• Lessons learned communicated to providers.
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CME That Counts for ABIM MOC
“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
Pilot Audit
Goals:
• Provide feedback to ABIM about compliance with the
MKARP requirements;
• Inform ABIM and the CME community about the
different ways providers are meeting the requirements;
• Identify questions or the need for clarification about
the requirements;
• Collect feedback on the audit process and structured
abstract; and
• Help ABIM determine the frequency and selection
process for audits going forward.
Pilot Audit Results
Keyto MKARP Requirements
Relevantto ABIM diplomates
ABIM4 (enduring, Two peer reviewers,not
journal, live) authors
ABIM4 (test-item writing) Committee of three members
ABIM4 (live) Comprehensiveevaluation,
passing standard, feedback
ABIM Policy 1 (all) Learners informed that data
willbe shared
ABIM Policy 2 (all) MOCstatement
Lessons learned…
Challenges
• Expanding to new formats and different methods
of evaluation;
• Buy-in from faculty and learners;
• Questions about requirements;
• IT infrastructure; connections to existing systems.
Opportunities
• Flexibility in meeting requirements;
• Integration with CME processes;
• Greater engagement with learners;
• Practice relevant education in a range of activity
types.
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CME That Counts for ABIM MOC
“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
Discussion
Share your experience… barriers,
challenges, successes, opportunities.
Emerging Opportunities
Expanding MOC Options through
ABIM-ACCMECollaboration
Medical Blended Practice
Knowledge Activities Assessment
Part 2 Parts 2 & 4 Part 4
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CME That Counts for ABIM MOC
“CME as a Bridge to Quality™” Accreditation Workshop
April 14‐15, 2016
Expanding MOC Options through
ABIM-ACCMECollaboration
Providers register CME activities for Medical Knowledge
MOC points in PARS
PI CME providers can use PARS to register activities for
Practice Assessment MOC points.
Providers can use PARS to register other quality improvement
activities that meet ABIM’s Approved Quality Improvement
Program guidelines for Practice Assessment MOC points.
CME providers can use PARS to register CME activities for
both Practice Assessment and Medical Knowledge
MOC points.
29
AQI Program Guidelines
Activities should:
1. address quality or safety gap supported needs assessment OR
support completion of needs assessment
2. address care, care processes, or systems of care in one or
more of the National Academy of Medicine’s quality dimensions
or one or more of the three Aims or six Priorities articulated in
the National Quality Strategy
3. have specific, measurable aim(s) for improvement
4. use measuresappropriate to the aim(s) for improvement
5. include interventions intended to result in improvement;
6. include appropriate data collection and analysisof
performance data to assess the impact of the interventions
30
Timeline for Practice
Assessment Expansion
• April 2016–August 2016: Engagement with
provider community to help inform
implementation
• August 2016: Engagement with providers
at CME as a Bridge to Quality Workshop
• Early 2017: Implementation to recognize
CME activities for Practice Assessment
MOC points
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Description:in MOC and will allow them to get MOC credit for high-quality CME . /cme-providers/abim-medical-knowledge-assessment-recognition-program.pdf