Presentation on theme: "John R. Bowling DO, FACOFP dist. AOBFP representative to BOS"— Presentation transcript:
1Osteopathic Continuous Certification (OCC) American Osteopathic Board of Family Practice John R. Bowling DO, FACOFP dist.AOBFP representative to BOSTOMA/ACOFP Joint Annual ConventionJune 2012
2What is OCC?The process through which all Osteopathic Physicians will maintain their specialty certificationAn assessment tool to enhance the quality of health careWill replace current recertification process
3Why OCC?Single examination model for certification is no longer the standard demanded by the public.Will help Osteopathic Physicians meet and exceed industry and regulatory standardsWill be accepted for Maintenance of Licensure (MOL)
4Why OCC?Some specialty colleges are requiring OCC compliance as a requirement for residency faculty and program directorsSome hospitals are requiring recertification to maintain privileges
5Who is Driving the Train? Federation of State Licensing Boardswill require MOL to maintain licenseAOA – BOS has secured OCC as:an acceptable route to MOLABMS (allopathic) already doing this:Example: ABFM- MOC
6When does the train leave? The AOA through the BOS has mandated that each specialty certifying board will implement OCC by Jan. 1, 2013
7OCC Components Unrestricted License Lifelong Learning (CME) Cognitive AssessmentWritten, practical, and oral examsPractice Performance Assessment and Improvement (new)Continuous AOA Membership
8Component 4 Only new component of the recertification process Each specialty board has specific requirementsAll data must be physician specific
9What Next?If you have certification from a board other than AOBFP
10I have a non time dated certificate Participation is not requiredIf you hold a position of leadership in the AOA, your state association, or your specialty college, --BE A ROLE MODELYour credentialing agency may require
11AOBFP Component 4The candidate will demonstrate performance improvement in knowledge and skills;Will be compared to national benchmarks and standards of care based on documented evidence.
12OCC- 4 Requirements for Diplomat Each Certification Cycle (Years 1 thru 6 of 8-year certificate term)Each diplomat must complete a total of four (4) OCC modules.2 in years 1-31 practice relevant clinical and 1 “professionalism”2 in years 4-6
13AOBFP Component 4 Three pathway options Full Scope Family Medicine Clinical PracticeLimited Scope Family Medicine PracticeNon Clinical Practice
14OCC- 4 Requirements for Diplomat Modules available Jan 1, 2013ClinicalDiabetesLow Back PainProfessionalismCommunicationCultural Competence
15Professionalism Modules All 3 pathways will do:1 in years 1-31 in years 4-6Currently in developmentCommunicationCultural competency
16How Do I do this?A link to these modules will be posted on AOBFP web site under OCC sectionGo live Jan 1, 2013
18Full Scope Clinical Practice Two (2) OCCAP modules each 8 year cycle
19Osteopathic Continuous Certification Assessment Program (OCCAP), A disease state management practice specific evaluationbased on data abstraction of specific disease state management parameterssuch as is done in the AOA “Clinical Assessment Program” (CAP) submission.
21OCCAP vs. CAPthe OCCAP data will be the sole property of the AOBFP and will not be used for reporting to other agencies.Physicians may extract the same patient data for NCQA but it will be the sole responsibility of the physician to interface with other agencies.
22How DO I Complete a Module? An OCCAP measure set will be completeddata from 20 charts is entered for the measure set for one module.Candidate and AOBFP will receive performance analysis from AOACompletion of one web-based AOBFP approved educational unit referable to this moduleACOFP verifies to AOBFP completion of educational unitCompletion of an AOBFP web-based exam based on the educational unitScore recorded at AOBFP
23How Do I Complete the Module? If candidate passes online module exam, he/she will be notified they can proceed with post module chart extraction.Second chart extraction from additional 20 charts is done and data entered as before.Candidate and AOBFP will receive performance analysis report of 2nd chart extraction data from the AOA .AOBFP will trend the results of the performance analysis data.
24How the Board will Provide Feedback to Physician Results of AOBFP web-based exam will be reported to candidate from AOBFPCandidate will receive a comparison report of pre and post performance analysis data.
26Summary of OCC Process Apply to AOBFP – www.aobfp.org Upon approval – will be enrolled in OCC processAbstract chart data and submit to AOA-OCCAPReceive access code for educational modulesWill access through AOBFP web siteAfter verification of completion of educational unit, will receive access code for exam over educational unit content
27Summary of Process (cont.) Exam score returned to candidateIf passes-may proceedAbstract 2nd data set (20 charts)Submit data to AOA-OCCAPCandidate will receive a comparison report from the AOAModule complete
28AOBFP OCC- 4There are three (3) pathways in which a diplomat may meet this requirement based on their professional activity.Full Scope Family Medicine Clinical PracticeLimited Scope Family Medicine Practicemust provide documentation to AOBFP verifying limited practiceNon Clinical Practicemust provide documentation to AOBFP verifying non clinical practice
29Limited Scope Family Medicine Practice Family Physicians devoting 90% or greater of time in clinical practice to non OCCAP areas (i.e. Occupational Medicine, Sports Medicine, Wound Care, etc), will be allowed to submit practice performance data specific to their area of clinical practice.The area of practice and the format of the data for the module relative to clinical practice must be submitted for AOBFP approval at the time of application.Completion process will be the same as full clinical pathway2 practice relevant and 2 professionalism modules each 8 year certification cycle
30Non Clinical Practice Pathway If you do not have access to a sufficient quantity of patient data relating to topics covered by OCCAP modules, you may qualify for this pathwayincludes, but are not limited to:Directors of Medical Education, Academic Deans, Associate Deans and Assistant Deans;Health Care Executives or Medical Directors;Federal employees (ie: Physicians employed by the Veterans Administration) and may be restricted by law from abstracting practice data;MBA or other administrative educational programs.
31Professionalism Modules All 3 pathways will do:1 in years 1-31 in years 4-6Currently in developmentCommunicationCultural competency
32Non Clinical Practice Pathway At the time of application, the candidate will complete and forward to the AOBFP for approval, a module that includes an assessment tool that provides performance data that can demonstrate practice performance improvement in the specific content area of the module
33Non Clinical Practice Pathway Process for completionSame as other pathways
34ELECTRONIC DATA SUBMISSION Currently completed using the DO-Online web based entry tool and office based abstraction of medical records.This OCCAP will be a separate portal with information owned and controlled by AOBFP. Data would only be shared at the request of the candidate.
35Phase in Requirements If your certificate is dated in 2011 or 2012 completion of four OCC modules will be required prior to your next recertification;If your certificate is dated in 2008, 2009,or 2010completion of two OCC modules will be required prior to your next recertification;If your certificate is dated in 2006 or 2007 no modules will be required until next recertification cycle.
36Phase in RequirementsAs of Jan. 1, 2021, this phase in requirement will sunset.)
37I want to do limited or non clinical pathway Must apply in writing to the AOBFP during the first year of your recertification cycleClear documentation of the inability to extract practice data is the responsibility of the candidate and must accompany the written application.Additional charges may apply for non-OCCAP modules.
38What if I fall behind with OCC? If you fail to meet the first 3 year cycle requirement:Your certificate will lapse after the 4th year of your OCC process.If you fail to meet the second 3 year cycle requirement:your certificate will lapse after the 7th year of your OCC process.
39Lapsed Certificates In order to be reinstated in the OCC process, You must complete two OCC modules in 1 year.After completion of two modulesyou will be eligible to apply to take the cognitive and performance examination.This must be done within one year of completion of the modules.
40Lapsed CertificatesSuccessful completion (including passage of both exams) will allow:you to be reenrolled in the OCC cycle
41ACCEPTANCE OF NON-OCCAP ASSESSMENT Other activities including NCQA, Patient 360o, and similar programs offered by the AAFP or the ABIM will be vetted by the board relative to content deemed appropriate for inclusion in the continuous osteopathic certification process
42DUPLICATION OF OCCAPThe candidate may duplicate the OCCAP information (chart abstractions) for submission to the AOA CAP (CAP for PQRS) to be used for pay for performance criteriaSee AOBFP web site:
43SUMMARY Satisfy State Licensing Board MOL requirements for physicians Enhance physician reimbursement through compliance with pay for performance program and maintenance ofProvide improved care for our patientsAll data must be physician specific
44Anticipated Physician Cost for AOBFP OCC $2600IncludesFinal summative cognitive examOMT practical exam4 modulesPathway ii and iii may incur addition costs
45Questions / Concerns? John R. Bowling DO FACOFP dist. AOBFP BOS RepresentativeOffice of Rural Medical EducationUNTHSC-TCOM3500 Camp Bowie Blvd.Fort Worth, Texas 76107