Maintenance of Certification, part IV Practice Assessment ...
Maintenance of Certification, part IV Practice Assessment Getting credit for local practice improvement Nathan Spell, MD Chief Quality Officer, EUH Vice Chair for Quality and Clinical Effectiveness, Dept. of Medicine MOC Requirements* Requirement Pass a secure exam (worth 20 points) Do some activity to earn points Accumulate 100 points, which must include Practice assessment (at least 20 points) Medical knowledge (at least 20 points) Patient safety (may be included in one of above) Practice survey (voice of patient) (may be included in one
of above) And pay a lot of money for the pleasure of doing MOC * Under re-evaluation by ABIM and subject to modification Frequency Every 10 years, after year 6 of cycle Every 2 years Every 5 years ongoing MOC Practice Assessment Needed Have local data sources
Don't have local data ABIM PIM Order through abim.org AQI Pathway ABIM-approved materials from other professional societies or registries * Requires processing time Self-directed or
Completed project ABIM PIM (predefined measures) On-line application and submit data at abim.org. May propose own measure for ABIM approval.* Emory Medicine as Portfolio Sponsor (EHC, TEC, Grady, VA measures) Local approval by sponsoring institution
(not yet at Emory) Self-directed or Completed Project Self-directed Project Prospective Baseline data <12 mos. old Completed Project Retrospective Project completed w/in last 24 months Data on at least 25 patients Data for at least 3 measures from ABIM Measures Library Can propose your own metric for improvement if one of these is not appropriate for your situation Can be done as a group
Instructions 1. 2. Enroll in MOC and pay fees, if not yet done Select Practice Assessment Self-directed or Completed project PIM 3. Order for yourself or a group If Group, one person initiates Will need to name participants, with ABIM #s Each participant must be enrolled in MOC Instructions, continued
4. 5. 6. Enter info to initiate the module Select 3 quality measures from the Measures Library on which you have local data or are able to gather by review of patient charts. Choose a measure to improve and reassess after improvement (option to propose your
own measure, too) Instructions, continued 7. If doing as a group, each member will have to log in, enter data, describe the process, and describe/attest to his or her personal involvement in the work. In the end . . . Earn 20 points toward MOC and satisfy the Practice Assessment requirement Earn 20 credits of CME
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