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AOBOG OCC Osteopathic Continuous Certification Presented by Carolyn W. Quist, DO, FACOOG (dist.) Vice Chair, AOBOG.

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Presentation on theme: "AOBOG OCC Osteopathic Continuous Certification Presented by Carolyn W. Quist, DO, FACOOG (dist.) Vice Chair, AOBOG."— Presentation transcript:

1 AOBOG OCC Osteopathic Continuous Certification Presented by Carolyn W. Quist, DO, FACOOG (dist.) Vice Chair, AOBOG

2 Learning objectives To learn what Osteopathic Continuous Certification (OCC) means To review the 5 components of Osteopathic Continuous Certification To review the start date of OCC To review the newest component of OCC: Part 4-Practice Performance Assessment To review what loss of certification means

3 What is OCC? Osteopathic Continuous Certification A Process for Board certified DOs to demonstrate and maintain competency in knowledge and skills in their specialty area An assessment tool to enhance the quality of health care A way for the public to have a quality standard for their personal physician Mandated by the AOAs Bureau of Osteopathic Specialists (BOS) and in the works since 2009 The Board sets the standards and uses evidence- based medicine to back it up. Is a 6-year re-occurring certification process

4 5 Components of OCC Part 1Professional standing; Unrestricted license in 1:50 states; adhere to AOA Code of Ethics Part 2Std 120 hours CME requirements- every 3 years; 50 CME hrs. in specialty Part 3Cognitive assessment: psychometrically valid formal proctored exam (FPE) - once every 6 years (anytime in last 2 years of 6-year cycle) Part 4Practice Performance Assessment and Improvement modules, includes Communications Module (Pt surveys (CAHPS)) Part 5Continuous AOA membership – Part 4 is the only new requirement to maintenance of Certification

5 If you have a time-limited certificate (with an expiration date), then you are required to enter OCC. If you have a non time-limited certificate, you are highly encouraged to enter the OCC process.

6 Who is required to do OCC? Anyone with a Time-limited certificate, i.e., has an expiration or anniversary date on it! –Time-limited certificates started July 2002 for AOBOG. The anniversary date is established by the date of the initial certification. The formal written proctored exam (component 3 of OCC) may be taken no earlier than 2 years prior to the anniversary date of your certification.

7 When does OCC go into effect? January 1 st, 2013 –Anyone with a time-limited certificate must go to the website to create a user profile and then register for OCC. –You will be given instructions on how to complete the assignments once registered. –There will be an initial entry plan for those physicians whose time-limited certificates end prior to a full 6-year OCC cycle. OCC is Voluntary for physicians with non time-limited or non- expiring certificates at this time but strongly encouraged! Non time-limited certificate holders must maintain their certification by remaining a member of the AOA and keeping CME up-to- date, otherwise they will lose the original certification.

8 In The Affordable Care Act charged the Department of HHS with developing a National Quality Strategy SEC NATIONAL STRATEGY. PART SHEALTH CARE QUALITY PROGRAMS PART DHEALTH CARE QUALITY IMPROVEMENT Subpart IQuality Measure Development Maintenance of Certification Programs have been added pg. 247 of which Practice Assessment is Required

9 CMS Requirements for a Practice Assessment Initial assessment using evidence-based medicine Survey of patient experience with care Implementation of quality improvement intervention to address identified weakness Reassess performance improvement after intervention

10 AOA versus ABMS Whats the difference between OCC and MOC? 6 year cyclesAOBOGABOG Part 1Professional standing; unrestricted license; attestation forms Professional standing; unrestricted license; attestation forms; patient surveys Part 2120 hours CME requirements every 3 years (50 in specialty) Lifelong learning (LLL) articles: complete 120 questions/year Part 3Formal proctored written exam once every 6 years Cognitive expertise written exam once every 6 years Part 4PPA modules: 5 required per 6- year cycle (one of which is Communications Module (patient surveys)) PPSA modules: 1 every year x 5, must complete in 12 months Part 5AOA membershipNone

11 Osteopathic Philosophy/Osteopathic Manipulative Medicine Medical Knowledge Patient Care Interpersonal and Communication Skills Professionalism Practice-Based Learning and Improvement Systems-Based Practice –See AOA website for more information ( 7 core competencies incorporated into OCC Components

12 Why should I participate? Benefits of participating in OCC include demonstrating: –adherence to the AOA Code of Ethics and specialty standards –a commitment to lifelong learning –continuous quality improvement of practice –membership in the osteopathic professional community –quality assurance to the public

13 Measures are the only way we can really know if care is safe, efficient, effective and patient-centered. While measures come from many sources, performance measures give us a way to assess healthcare against recognized standards.

14 The Difference a Good Measure Can Make Why measure? –Drives improvement –Inform consumers –Influence payment What to measure? –Biggest return in a better quality of life –Initially: patient and family engagement, care coordination, safety, population health, overuse, and palliative and end-of-life care. Now we are looking at evidence-based initiatives

15 AHRQ # 208 Public Reporting of quality –Reviewed 198 articles –Individual clinicians and organizations, responded to public reports by making positive changes in their behavior. Studies found that hospitals were more likely to offer new services, policies were changed, surgeons with worse outcomes left surgical practice, and quality improvement activities increased. –Almost all identified studies found no evidence or only weak evidence that public reporting affects the selection of health care providers by patients or their representatives. AHRQ Publication No. 12-E011-EF. Rockville, MD. Agency for Healthcare Research and Quality. July


17 Descriptions of the OCC Components We will break down the requirements of each of the 5 components of the OCC process in more detail!

18 OCC Part 1 Professional standing Individual must register online Must attest to having an unrestricted license in at least 1:50 states or Canada - if restricted, must submit letter with explanation and cases will be reviewed individually Adhere to AOA Code of Ethics - if problem exists and not reported, could lose certification. (See RES. NO. B-64 - A/2011) Participate in a CAHPS-C&G-like survey: Consumer Assessment of Healthcare Providers and Systems-this will be one of the required PPA modules under Part 4

19 Osteopathic Pledge of Commitment As members of the osteopathic medical profession, in an effort to instill loyalty and strengthen the profession, we recall the tenets on which this profession is founded – the dynamic interaction of mind, body and spirit; the bodys ability to heal itself; the primary role of the musculoskeletal system; and preventive medicine as the key to maintain health. I pledge to: Provide compassionate, quality care to my patients; Partner with them to promote health; Display integrity and professionalism throughout my career; Advance the philosophy, practice and science of osteopathic medicine; Continue life-long learning; Support my profession with loyalty in action, word and deed; and Live each day as an example of what an osteopathic physician should be.

20 CAHPS-C&G Surveys

21 OCC Part 2: Continuous Medical Education

22 30 1-A credits= face-to-face CME conference CAQ Specialty CME credits (as applicable) 50 Specialty CME Credits-any category 120 CME Credit hours total due every 3 years A minimum of 50 specialty credits must be Ob-Gyn related

23 DescriptionMaximum # of Credits/cycle Annual OMED Conference and ExpositionDetermined annually by each specialty board AIDS Seminars (any osteopathic or allopathic)5 Risk Management/Patient Safety5 Ethics0 AOA Specialty College Conferences & SeminarsALL AOA State Society Seminars25 Medical Journals/Home Study Courses20 Scientific Exhibits5 AMA/PRA coursesSpecified by Board

24 Specialty CME DescriptionMaximum # of Credits/cycle Formal Teaching in the SpecialtySpecified by Board Standardized Life SupportSpecified by Board Specialty Certifying Board Test Construction15 Publications15 Healthcare Facility Meetings0 Hospital inspections0 Acute Care Hospital Programs25 College of Osteopathic Medicine Seminars25 Osteopathic Foundation Seminars25 Practice Performance Assessment and Improvement Modules To be Determined

25 Component 3: Secure written exam once every six years

26 Part 3 Cognitive Assessment: Formal Proctored Exam (FPE) Take and Pass the psychometrically valid formal proctored examination once every 6-year cycle Separate fee Given once a year and can be taken in either of the last 2 years of the 6-year OCC cycle Must pass prior to the expiration of your certificate See website for specifics Receive category 1-B credits for passing: 15 hours

27 Component 4 is the Practice Performance Assessment and Improvement Diplomates must engage in continuous improvement through comparison of their personal practice performance measured against national standards for his or her medical specialty

28 Requirement: 5 online modules completed per 6-year OCC cycle - Diagnosis specific chart review AOBOG PPA Committee reviews the data against national benchmarks or creates the benchmarks based on collated data received Physician receives a report – with recommendations for Improvement if necessary Implement the practice improvement program and then reassess practice in a specified amount of time Charts must be from an individual physician and not a group practice Part 4: PPAs or PIMs Practice Performance Assessment modules or Practice Improvement Modules- many names for the same thing!

29 O-CAT is a PIM developed by Meaningful Measurements AOBOG will be using O-CAT (Osteopathic Continuous Assessment & Training) from Meaningful Measurements as our platform for the PPAs. O-CAT is a tool for physicians to track the pulse of their practice. Benchmark Engage in methods of improvement Benchmark again

30 Part 4-Collecting data Register to start one on the AOBOG website and then will be linked to O-CAT. Stage A: Each module involves a short introduction with 3-4 key points, 2-4 key references, and yes/no questions per chart. A certain # of charts will be pulled per module depending on the topic. Same questions for each chart. ( You do not mail charts in but you are subject to potential audit, so keep a list.) Answer attestation information. Data is submitted back to AOBOG for review, and/or compared to pre- determined national benchmarks.

31 Part 4- Board will Evaluate Physician Data Stage B: Receive discussing results and giving a completed status or suggesting improvements if necessary. Incomplete status: Diplomate will review the literature and engage in practice improvement. Select from educational interventions and practice improvements designed for sustained improvement in patient care. –Identify an improvement goal and build an Action Plan using the interventions and systems tools within the PPA module. –Complete one educational activity and apply what you have learned in practice.

32 Component 4 - Required PPA Osteopathic Continuous Assessment & Training (O- CAT) Communications Module Focuses on Core Competencies of: –Interpersonal & Communication Skills –Patient Care –Professionalism –Osteopathic Philosophy This must be one of the 5 modules you do in your 6-year OCC cycle.

33 Part 4 - Stage C Stage C: 1 to 6 months later, an is sent for follow up instructing the physician to review the module, and submit an attestation on changes that were made in your practice as a result of the module. You will have to pull and document a second series of charts if you did not receive a satisfactory score the first time through. Compare your Stage A and Stage C survey and performance results Receive CME credits of AOA category1-B per module

34 PPA Modules All 5 modules must be completed by September 15 th of the 6 th year of your OCC cycle.

35 Part 5: Continuous Membership

36 Loss of Certification If a Time-limited diplomate doesnt complete all OCC components in a 6-year cycle before September 15 th of the 6 th year… – they will no longer be certified. –Re-entry into the process varies depending on timing. See FAQs page on Non time-limited certificate holders: if you lose your certification for any reason, you must take the formal proctored exam at the next administration and then enter the OCC process.

37 Dual Certifications – AOA/ABMS The AOA BOS is currently discussing what, if any, aspects of ABMS Maintenance of Certification (MOC) program may be applicable to OCC. The AOBOG will post all developments to our website – Right now, please make sure you are registered for OCC through the AOBOG website.

38 Clinically Inactive Physicians A diplomate will have to provide an attestation through petition that they are not involved in any clinical activity and submit documentation. Will participate in all Parts of the OCC process-but will have to be individualized for this group. –Communication survey module required If desire to re-enter clinical practice will be required to take and pass the written proctored exam first if they have been out of practice for two years or more

39 AOA OCC dashboard

40 Keeping Informed

41 Questions / Concerns? Carolyn W. Quist, DO Vice Chair American Osteopathic Board of Obstetrics and Gynecology 142 E. Ontario St., 4 th Floor Chicago, IL , ext or AOA Division of Certification (800) , ext

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