ABMS Update

February, 2008

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Agenda

• ABMS Background– MOC history, update

• Business Updates– ABMS® Patient Safety Improvement Program– ABMS product update

• Organization Updates– New ABMS leadership

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ABMS Background

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Who is ABMS?

• Comprised of 24 medical specialty Member Boards, ABMS sets the standards for the certification process to enable the delivery of safe, quality patient care

• ABMS is the authoritative resource and voice for issues surrounding physician certification

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ABMS 24 Member Boards

The American Boards of:

• Allergy and Immunology• Anesthesiology• Colon and Rectal Surgery• Dermatology• Emergency Medicine• Family Medicine• Internal Medicine• Medical Genetics• Neurological Surgery• Nuclear Medicine• Obstetrics and Gynecology• Ophthalmology

• Orthopaedic Surgery• Otolaryngology• Pathology• Pediatrics• Physical Medicine and

Rehabilitation• Plastic Surgery• Preventive Medicine• Psychiatry and Neurology• Radiology• Surgery• Thoracic Surgery• Urology

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ABMS Associate Members

• Accreditation Council for Continuing Medical Education• Accreditation Council for Graduate Medical Education• American Hospital Association• American Medical Association• Association of American Medical Colleges• Council of Medical Specialty Societies• Educational Commission for Foreign Medical Graduates• The Federation of State Medical Boards of the United States• National Board of Medical Examiners

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ABMS History

1917: First Member Board incorporatedOphthalmology

1933: First four Member Boards establish ABMSDermatology

Obstetrics and Gynecology

Ophthalmology

Otolaryngology

1991: 24th Member Board is approved Medical Genetics

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Approved ABMS Member Board Certificates*

• 38 general certificates• 108 subspecialty certificates (many are shared by two

or more boards)• < 85% of all practicing physicians are certified by one

(or more) of the 24 ABMS Member Boards

*As of July 2007

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ABMS Vision and Mission

• Vision– ABMS will be a leader in improving the safety and quality of

medical care through the policies of ABMS and the physician certification processes of Member Boards.

• Mission– ABMS is the organization that establishes standards for

physician specialty certification and Maintenance of Certification, including performance assessment. ABMS communicates information about these standards to support the public’s quest for safe, high-quality healthcare.

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ABMS MOCTM

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What is ABMS MOC?

• A process designed to document that physician specialists, certified by one of the Member Boards of ABMS, maintain the necessary competencies to provide quality patient care

• ABMS MOC promotes continuous lifelong learning for better patient care

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ABMS MOC Goal

Develop competence to

improve patient care

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Components of MOC (Parts I-IV)

I. Professional standing (licensure) – Hold a valid, unrestricted medical license

II. Lifelong learning and self-assessment (CME)– Evidence of participation – Conform to general and specialty-specific standards

III. Cognitive expertise (examination)– Covers the scope, range of the discipline– Clinically relevant

IV. Practice performance assessment– Proven scientific, educational and assessment methodology– Reflects patient care– Should result in quality improvement

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Why MOC?

• Accountability to patients– Transparent, credible– Improves patient satisfaction

• Gallup Poll (2003)– Choice between board certified physician vs. not certified…

• 75% opted for board certified– If you knew your doctor’s certification lapsed…

• 81% were somewhat or very likely to change doctors

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MOC Update

• 100% Member Boards have approved MOC applications

• 100% Member Boards have implementation underway – Pre 2006 6 boards– 2006 9 boards– 2007 7 boards– 2008 2 boards

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MOC Milestone Survey

• Fielded in June, 2007• 100% response from 24 Member Boards

– MOC Cycle Length• Most are 10 years

– Professional Standing (Licensure)• Most assess annually / continuously

– Lifelong Learning (CME)• Most assess annually or 1x/2-3 years

– Self-Assessment• Most assess every 2-3 years

– Practice Performance Assessment• Most assess 3x per 10-year cycle

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ABMS Business Updates

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Business Updates

• ABMS Patient Safety Improvement Program launches (12/07)

• New ABMS leadership (12/07)• ABMS transfers management of subscription business

to TMP (2/08)

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ABMS Patient Safety Improvement Program

• Web-based learning module for physicians to learn about patient safety

• Comprehensive curriculum and practice improvement tool

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Program Background

• Leading edge content– Based on current research and best practices– Guided by a blue ribbon panel– Content developed by subject matter experts– Uses evidence-based clinical performance measures – Aligns with TJC’s National Safety Goals, IHI’s 5 Million Lives and

WHO’s Patient Safety Solutions

• Course credits for CME and/or MOC– Course approved for AMA PRA Category 1 credits– Addresses all six ABMS/ACGME competencies

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Program Development

• Advisory Committee of Patient Safety subject matter experts Peter B. Angood, MD Kerm Henriksen, PhD

James P. Bagian, MD, PE John Hickner, MD, MScPaul Barach, MD, MPH Lucian Leape, MDDavid W. Bates, MD, MSC Eric Marks, MDEric Coleman, MD, MPH Marlene Miller, MD, MScDavid M. Gaba, MD Niraj Sehgal, MD, MPHPaula Griswold, MS Ajit K. Sachdeva, MD

• Content development teams led by curriculum and QI subject matter experts

Carole M. Lannon, MD, MPH Julie K. Johnson, MSPH, PhD

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Program Objectives and Goals

• The ABMS Patient Safety Improvement Program developed for healthcare professionals to:

1. Learn essential knowledge, skills and attitudes about patient safety

2. Apply the principles to improve care in their own clinical environments

3. Measure individual progress on changes made and provide feedback

4. Integrate acquired QI skills into local and national patient safety activities

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Program Highlights

• Engages the learner using dynamic, Web-based technologies• Adapts to different learning styles• Broad applicability across healthcare continuum (clinicians, staff,

leadership and administration)• All physician profiles addressed

– Primary Care

– Surgery / Proceduralist

– Consultative

– Non-Practicing

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Patient Safety Improvement Activities

1. Hand Hygiene2. Medication Reconciliation3. Allergy List4. Critical Test Results Communication5. Correct Site / Patient / Procedure6. Safer Prescription and Order Writing7. Discharge Planning

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Course Map

Patient Safety Curriculum

Four sections (complete all 4)

1. Epidemiology2. Systems3. Communicatio

n4. Patient Safety

Culture

• Pre- and post- knowledge assessments

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Best practices for improvement

(complete section)

• Apply methods and techniques to improve practice performance

• All planning and assessment tools provided

Quality Improvement Fundamentals

3 Patient Safety Improvement

Activities

Design and implement changes

(complete one)

1. Hand Hygiene2. Medication Lists3. Allergy Lists4. Critical Test

Results5. Correct Person/

Site6. Safer

Prescriptions7. Discharge

Communication

4Patient Safety

Scenarios

Four scenarios(choose one)

1

• Illustrate a variety of common patient safety errors

• Delayed diagnosis• Medication overdose• Wrong patient/ site• Communication

failures• System failures• Technology failures• Trained personnel

shortage• Testing without

informed consent

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ABMS Patient Safety Update

• Approximately half of ABMS Member Boards have endorsed the Program, representing 2/3 of all physician diplomates:

• Allergy and Immunology

• Anesthesiology

• Family Medicine

• Internal Medicine

• Neurological Surgery

• Ophthalmology

• Pediatrics

• Physical Medicine and Rehabilitation

• Plastic Surgery

• Preventive Medicine

• Radiology

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Patient Safety Improvement Program Update

• Additional interest from:– Insurance Providers (P4P)

• BCBS/IL implemented pilot test 1/08• CareFirst pilot• Blue Cross Blue Shield Association rollout likely 2009

– Hospital Systems– Malpractice Insurers– Residency Programs

• Sales and distribution partner: HealthStream (Nashville TN)

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ABMS Updates

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ABMS Organization

• New leadership effective 12/17/07– Retired: Dr. Stephen H. Miller, MD, MPH– Joins as President and CEO: Dr. Kevin B. Weiss, MD, MPH

• Institute for Healthcare Studies at Northwestern University's Feinberg School of Medicine: Professor of Medicine, Division of General Medicine

• Former Director of the Center for Management of Complex Chronic Care; Hines and Chicago Veterans Administration Medical Centers

• Institute of Medicine (IOM) Committees: “Crossing the Quality Chasm,” and “Identifying Priority Areas for Quality Improvement”

• Founder, first chairperson: Chicago Patient Safety Forum

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ABMS Transfers Subscription Management

• ABMS entered into an agreement with TMP Medical Listings to manage direct subscription business

– ABMS Certification Profile Service– ABMS Medical Specialists Online

• Provides superior service for customers• Permits ABMS focus on mission

Questions?