OSTEOPATHIC CONTINUOUS CERTIFICATION … Component 3 Cognitive Assessment – At least one...
Transcript of OSTEOPATHIC CONTINUOUS CERTIFICATION … Component 3 Cognitive Assessment – At least one...
AOA Osteopathic Continuous AOA Osteopathic Continuous Certification UpdateCertification Update
CME Sponsors ConferenceCheryl Gross, MA, CAE
January 13, 2012
Learning Objectives
• Learn the process by which the Specialty Certifying Boards are developing their plans for OCC
• Review the current criteria for OCC• Learn the changes to the certification process that
OCC will cause• Review specialty CME and its relationship to OCC• Learn ways in which CME providers can plan for
OCC
Types of AOA Board Certifications
Primary (General) CertificationCertification of Special Qualifications (CSQ)– CSQ becomes primary or DO can maintain
both primary and CSQ certificationsCertification of Added Qualifications (CAQ)– Must maintain primary and CAQ
AOA Certifications
C S Q
PRIMARY CERTIFICATION
CAQ
CAQ
CAQ
CAQ
Standards Review Process
Through the process, the BOS provides:
“the public with a dependable mechanism for identifying practitioners who have met particular standards”*
*Standards for Educational and Psychological Testing, American Psychological Association, 1985
Influencing Factors on the Development of OCC
OCC
Allopathic
MOC
IOM Reports on Quality CareAOA CAP
Program
Perf. Improvement
InitiativesPatient
PerceptionFSMB and
MOL
CMSS Conjoint Committee
AOA Clinical Assessment Program (CAP)
• Improves patient outcomes by providing valid assessments of current clinical practices in osteopathic residency programs and physician practices
• CAP is a Web-based performance measurement program which analyzes data taken directly from patient medical records
AOA Clinical Assessment Program (CAP) cont’d
• CAP for Residency Programs - Used as an accreditation requirement by ACOFP and ACOI for all osteopathic residency training programs
• CAP for Physicians – Receive 20 AOA Category 1b CME credits per each measurement set completed
• CAP for Physician Quality Reporting System (PQRS) – CAP was chosen as a qualifying registry by CMS in 2008-2011 for participation in the PQRS registry for payment program
Continuous Certification Goals
Ensure high standards for patient care
Provide physicians with the means to continually assess and improve their abilities
Assure stakeholders that physicians are being assessed by reliable and valid measures
Transparent to public and communicate information about physicians’ competence
Source: Lipner, R., and Magallanes, T. (2010).
OCC and MOL
• A number of state boards are pilot-testing Maintenance of Licensure (MOL) programs now – more in the next few years
• FSMB has recommended that state legislation include that participation in OCC be deemed as having met the state’s MOL requirements
Osteopathic Continuous Certification (OCC)
Similar to ABMS Maintenance of Certification (MOC) program
Required for all diplomates with time-limited certifications
Five components - core competencies are to be implemented within the components
Unrestricted Licensure
– Valid unrestricted license to practice medicine in one of the 50 states or Canada
– Adhere to the AOA’s Code of Ethics
Lifelong Learning
– Minimum of 120 credits of CME during each three-year cycle (three boards require 150 credits)
– Minimum of 50 specialty credits must be in the specialty area of certification
AOA CME Requirements
120 CME Credits
For approval:
– Certificant presenter
– Relevant topic
Exceptions reviewed on individual basis
DescriptionMaximum Number of
Credits per Cycle
1 Annual OMED Conference and Exposition
Determined Annually by Each Specialty Board
2 AIDS Seminars (Osteopathic and Allopathic)
5
3 Risk Management / Patient Safety 54 Ethics 0
5 AOA Specialty College Conferences & Seminars
ALL
6 AOA State Society Seminars 257 Medical Journals / Home Study Courses 208 Scientific Exhibits 59 AMA/PRA Courses Specified by Board
DescriptionMaximum Number of
Credits per Cycle10 Formal Teaching in the Specialty Specified by Board11 Standardized Life Support Specified by Board
12 Specialty Certifying Board Test Construction
15
13 Publications 1514 Healthcare Facility Meetings 015 Hospital Inspections 016 Acute Care Hospital Programs 25
17 College of Osteopathic Medicine (COM) Seminars
25
18 Osteopathic Foundation Seminars 25
NEW SPECIALTY CME REQUIREMENT
A minimum of 25% of the 50 specialty credits per 3-year cycle must be obtained in the CAQ specialty area
Practice assessment components will also be developed at the CAQ level
OCC Component 3
Cognitive Assessment
– At least one psychometrically valid and proctored examination through the period of certification
– Must assess a physician’s specialty medical knowledge as well as core competencies in the provision of health care
OCC Component 4
Practice Performance Assessment and Improvement
– Diplomates must engage in continuous improvement through comparison of personal practice performance measured against national standards for his or her medical specialty
General Process for Component 4
Example of Component 4:AOBFP
Completion of the educational unit of four OCCAP modules during cert period– An OCCAP measure set will be completed (data from
20 charts is entered for the measure set) for one module.
– Completion of one attended or web-based AOBFP approved educational unit referable to this module
– Completion of an AOBFP web-based exam for each module based on the educational unit
– Candidate enters final chart data from an additional 20 charts for measure set
Example of Component 4:AOBEM (Draft)
Future Practice Performance Component– Identify a self-assessed target area for improvement
– Review care from patient charts represented in that target area
– Compare data to national benchmarks
– Identify areas for improvement
– Implement practice improvement program
Example of Component 4:AOBPM (Draft)
Self-appraisal of practiceDiplomates will complete modules and submit chart reviews– College develops modules – These reports will be submitted to the AOBPM once
in every three year OCC cycle– Close alliance with specialty college
Example of Component 4:AOBS (Draft)
• Chart Evaluation and Self Evaluation– Submit Charts for review – 360 Evaluation (performance and behavior)
• Hospital Based/Surgery Center Based (QA/QI)– Will accept verified participation as
component 4• Surgical Clinical Assessment Program
OCC Component 5
Continuous AOA Membership
– Membership in the professional osteopathic community provides physicians with online technology, practice management assistance, national advocacy for DOs and the profession, professional publications and CME activity reports and programs
Core CompetenciesIncorporated into each Board’s OCC Process
– Osteopathic Philosophy/Osteopathic Manipulative Medicine
– Medical Knowledge – Patient Care– Interpersonal and Communication Skills – Professionalism– Practice-Based Learning and Improvement – Systems-Based Practice
Osteopathic Philosophy and OMM
Physicians are expected to: – Demonstrate and apply knowledge of accepted
standards in osteopathic manipulative treatment appropriate to their specialty
– Remain dedicated to life-long learning and to practice habits in osteopathic philosophy and OMM
Medical Knowledge
Physicians are expected to:
– Demonstrate and apply knowledge of accepted standards of clinical medicine in their respective area
– Remain current with new developments in medicine
– Participate in life-long activities
Patient CarePhysicians must:
– Demonstrate the ability to effectively treat patients
– Provide medical care that incorporates the osteopathic philosophy, patient empathy, awareness of behavioral issues, the incorporation of preventive medicine and health promotion
Interpersonal & Communication Skills
Physicians are expected to:
– Demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams
Professionalism
Physicians are expected to:
– Uphold the Osteopathic Oath in the conduct of their professional activities that promotes advocacy of patient welfare, adherence to ethical principles, collaboration with health professionals, life�long learning, and sensitivity to a diverse patient population
– Be cognizant of their own physical and mental health in order to effectively care for patients
Practice-Based Learning & Improvement
Physicians must:– Demonstrate the ability to critically evaluate
their methods of clinical practice, integrate evidence�based medicine into patient care
– Show an understanding of research methods
– Improve patient care practices
Systems-Based Practice
Physicians are expected to:
– Demonstrate an understanding of health care delivery systems
– Provide effective and qualitative patient care within the system
– Practice cost�effective medicine
Non-Expiring Certifications
Voluntary participation
– Maintenance of Licensure
– CMS PQRS reimbursement
– Public demonstration of commitment to ongoing quality and assessment
CAQs and OCCComponent 2 - Minimum of 25% of 50 specialty credits/3-year cycle must be obtained in the CAQ specialty area
Component 3 – Exams at the CAQ level
Component 4 - Practice assessment components at the CAQ level
MUST complete primary OCC and CAQ OCC
Dual Certifications – AOA/ABMSBoards will make a pathway available to utilize work forward ABMS MOC to meet the criteria for OCC
Additional osteopathic components may be required
Still under discussion
Dual Boards / AOA BoardsMust participate in full OCC process for both Boards
Example: Internal Medicine and Emergency Medicine
Non-Clinical PhysiciansBoards will offer a way to declare non-clinical status
Will need to participate in all OCC components
Practice performance assessment in Core Competencies will be developed
Re-entry process will be developed
Loss of CertificationBoards will develop reentry pathways for those with time-limited certificationsFor non time-limited certifications:– Re-entry pathway– Granted re-instatement, with a time-limited
certification
AOA OCC PlatformAll Certificants
Dashboard Program– At-a-Glance– All 5 Components– Physicians Can Upload Info– Boards Easily Create Compliance Reports
• Approved - Under Development
OCC – CME Sponsors
• Need significantly more quality osteopathic CME available at the subspecialty level
• Need practice performance assessment modules for core competencies– Ex. Professionalism, Osteopathic Philosophy
• Possible remedial CME for demonstrated areas of concern
Questions / Concerns?
AOA Division of Certification(800) 621-1773, ext. 8266