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MOC and Its Possible Relationship with MOL

MOC and Its Possible Relationship with MOL Kevin B. Weiss, MD President and CEO American Board of Medical Specialties 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

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MOC and Its Possible Relationship with MOL

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  1. MOCand Its Possible Relationship with MOL Kevin B. Weiss, MD President and CEO American Board of Medical Specialties

  2. 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 • The public can visit www.abms.org to determine if their doctor is board certified by an ABMS Member Board

  3. Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Preventive Medicine Psychiatry and Neurology Radiology Surgery Thoracic Surgery Urology 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

  4. 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

  5. ABMS MOC is Supported By • Accreditation Council for Graduate Medical Education (ACGME) • American Hospital Association (AHA) • American Medical Association (AMA) • Association of American Medical Colleges (AAMC) • Council of Medical Specialty Societies (CMSS) • Educational Commission for Foreign Medical Graduates (ECFMG) • Federation of State Medical Boards of the U.S. (FSMB) • National Board of Medical Examiners (NBME) • The Joint Commission (TJC) • National Committee on Quality Assurance (NCQA) • Commercial Health Plans • Malpractice plans and insurance carriers

  6. ABMS MOC History • 1998 – Task Force on Competence established • 1999 – General Competencies established • 2000 – Statement on Commitment to MOC issued • 2000 – Four Components of MOC adopted by all ABMS Member Boards • 2006 – All Member Boards received approval of their MOC programs

  7. Six General Competencies • Medical knowledge • Patient care • Interpersonal and communication skills • Professionalism • Practice-based learning and improvement • Systems-based practice

  8. Four Components • Professional standing (licensure) Hold a valid, unrestricted medical license • Lifelong learning and self-assessment Evidence of participation Diplomates are expected to conform to general and specialty-specific standards • Cognitive expertise (examination) Covers the scope and range of the discipline Is clinically relevant • Practice performance assessment Proven scientific, educational and assessment methodology Reflects patient care and should result in quality improvement Collaborative efforts with other organizations

  9. Why ABMS MOC? • Certification is necessary but not sufficient; acknowledges growth and complexity of medical science • Knowledge is necessary but not sufficient; acknowledges growth and complexity of clinical care • Professional response to transparency, accountability and quality clinical care

  10. Why ABMS MOC? Certification ABMS MOC • Snap shot Continuous • Knowledge Practice • Quality Assessment Quality Improvement • Boards Collaboration

  11. Why ABMS MOC? August 2003 Gallup Poll: When asked: If you knew your doctor’s board certification had expired, would you change doctors? 54% Very Likely 27% Somewhat Likely 9% Not Too Likely 8% Not at All Likely

  12. Why ABMS MOC? • Certification and MOC by an ABMS Member Board is the “gold standard” of credentialing for physicians • ABMS MOC extends this standard throughout one’s career

  13. Why ABMS MOC? “These changes in the self-regulated evaluation of physicians are aligned with the public’s expectations of physicians. They focus on improvement, rather than punishment, and should improve the quality of care.” David L. Nahrwold, MD, considered the architect of MOC

  14. Benefits for Physicians • Improve patient, staff and physician satisfaction • Improve effectiveness and efficiency of practice • Reduce duplicate assessments and applications • Improve learning opportunities based on practice needs • Minimize re-licensure difficulties • Reduction in malpractice premiums • Alignment with pay for participation/P4P initiatives

  15. MOC in the Context of MOL • What are the benefits of MOC if Licensing Boards move to MOL? • How can MOC assist in moving towards a MOL environment? • What are the issues that need to be addressed in advancing a relationship between MOC and MOL?

  16. MOCand Its Possible Relationship with MOL Kevin B. Weiss, MD President and CEO American Board of Medical Specialties

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