1. Osteopathic Continuous Certification (OCC) American Osteopathic Board of Family Practice
John R. Bowling DO, FACOFP dist.
AOBFP representative to BOS
TOMA/ACOFP Joint Annual Convention
June 2012

2. What is OCC?
The process through which all Osteopathic Physicians will maintain their specialty certification
An assessment tool to enhance the quality of health care
Will replace current recertification process

3. Why 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 standards
Will be accepted for Maintenance of Licensure (MOL)

4. Why OCC?
Some specialty colleges are requiring OCC compliance as a requirement for residency faculty and program directors
Some hospitals are requiring recertification to maintain privileges

5. Who is Driving the Train?
Federation of State Licensing Boards
will require MOL to maintain license
AOA – BOS has secured OCC as:
an acceptable route to MOL
ABMS (allopathic) already doing this:
Example: ABFM- MOC

6. When does the train leave?
The AOA through the BOS has mandated that each specialty certifying board will implement OCC by Jan. 1, 2013

7. OCC Components Unrestricted License Lifelong Learning (CME)
Cognitive Assessment
Written, practical, and oral exams
Practice Performance Assessment and Improvement (new)
Continuous AOA Membership

8. Component 4 Only new component of the recertification process
Each specialty board has specific requirements
All data must be physician specific

9. What Next?
If you have certification from a board other than AOBFP

10. I have a non time dated certificate
Participation is not required
If you hold a position of leadership in the AOA, your state association, or your specialty college, --BE A ROLE MODEL
Your credentialing agency may require

11. AOBFP Component 4
The candidate will demonstrate performance improvement in knowledge and skills;
Will be compared to national benchmarks and standards of care based on documented evidence.

12. OCC- 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 1-3
1 practice relevant clinical and 1 “professionalism”
2 in years 4-6

13. AOBFP Component 4 Three pathway options
Full Scope Family Medicine Clinical Practice
Limited Scope Family Medicine Practice
Non Clinical Practice

14. OCC- 4 Requirements for Diplomat
Modules available Jan 1, 2013
Clinical
Diabetes
Low Back Pain
Professionalism
Communication
Cultural Competence

15. Professionalism Modules
All 3 pathways will do:
1 in years 1-3
1 in years 4-6
Currently in development
Communication
Cultural competency

16. How Do I do this?
A link to these modules will be posted on AOBFP web site under OCC section
Go live Jan 1, 2013

17. Clinical Practice Modules

18. Full Scope Clinical Practice
Two (2) OCCAP modules each 8 year cycle

19. Osteopathic Continuous Certification Assessment Program (OCCAP),
A disease state management practice specific evaluation
based on data abstraction of specific disease state management parameters
such as is done in the AOA “Clinical Assessment Program” (CAP) submission.

20. AOA CAP program

21. OCCAP vs. CAP
the 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.

22. How DO I Complete a Module?
An OCCAP measure set will be completed
data from 20 charts is entered for the measure set for one module.
Candidate and AOBFP will receive performance analysis from AOA
Completion of one web-based AOBFP approved educational unit referable to this module
ACOFP verifies to AOBFP completion of educational unit
Completion of an AOBFP web-based exam based on the educational unit
Score recorded at AOBFP

23. How 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.

24. How the Board will Provide Feedback to Physician
Results of AOBFP web-based exam will be reported to candidate from AOBFP
Candidate will receive a comparison report of pre and post performance analysis data.

25. Module Now Complete

26. Summary of OCC Process Apply to AOBFP – www.aobfp.org
Upon approval – will be enrolled in OCC process
Abstract chart data and submit to AOA-OCCAP
Receive access code for educational modules
Will access through AOBFP web site
After verification of completion of educational unit, will receive access code for exam over educational unit content

27. Summary of Process (cont.)
Exam score returned to candidate
If passes-may proceed
Abstract 2nd data set (20 charts)
Submit data to AOA-OCCAP
Candidate will receive a comparison report from the AOA
Module complete

28. AOBFP OCC- 4
There are three (3) pathways in which a diplomat may meet this requirement based on their professional activity.
Full Scope Family Medicine Clinical Practice
Limited Scope Family Medicine Practice
must provide documentation to AOBFP verifying limited practice
Non Clinical Practice
must provide documentation to AOBFP verifying non clinical practice

29. Limited 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 pathway
2 practice relevant and 2 professionalism modules each 8 year certification cycle

30. Non 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 pathway
includes, 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.

31. Professionalism Modules
All 3 pathways will do:
1 in years 1-3
1 in years 4-6
Currently in development
Communication
Cultural competency

32. Non 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

33. Non Clinical Practice Pathway
Process for completion
Same as other pathways

34. ELECTRONIC 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.

35. Phase 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 2010
completion 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.

36. Phase in Requirements
As of Jan. 1, 2021, this phase in requirement will sunset.)

37. I want to do limited or non clinical pathway
Must apply in writing to the AOBFP during the first year of your recertification cycle
Clear 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.

38. What 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.

39. Lapsed Certificates In order to be reinstated in the OCC process,
You must complete two OCC modules in 1 year.
After completion of two modules
you will be eligible to apply to take the cognitive and performance examination.
This must be done within one year of completion of the modules.

40. Lapsed Certificates
Successful completion (including passage of both exams) will allow:
you to be reenrolled in the OCC cycle

41. ACCEPTANCE 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

42. DUPLICATION OF OCCAP
The candidate may duplicate the OCCAP information (chart abstractions) for submission to the AOA CAP (CAP for PQRS) to be used for pay for performance criteria
See AOBFP web site:

43. SUMMARY Satisfy State Licensing Board MOL requirements for physicians
Enhance physician reimbursement through compliance with pay for performance program and maintenance of
Provide improved care for our patients
All data must be physician specific

44. Anticipated Physician Cost for AOBFP OCC
$2600
Includes
Final summative cognitive exam
OMT practical exam
4 modules
Pathway ii and iii may incur addition costs

45. Questions / Concerns? John R. Bowling DO FACOFP dist.
AOBFP BOS Representative
Office of Rural Medical Education
UNTHSC-TCOM
3500 Camp Bowie Blvd.
Fort Worth, Texas 76107