American Board of Radiology
Maintenance of Certification (MOC)
Update
David Laszakovits, M.B.A.
Disclosures
Co-Director, Certification Services
American Board of Radiology
Topics
1. Integration of ABR programs with Healthcare
& Healthcare Regulatory Bodies
2. MOC At-A-Glance
3. Public Reporting and Continuous Certification
4. Practice Quality Improvement
5. New ABR website (myABR)
Topics
1. Integration of ABR programs with Healthcare
& Healthcare Regulatory Bodies
2. MOC At-A-Glance
3. Public Reporting and Continuous Certification
4. Practice Quality Improvement
5. New ABR website (myABR)
Integration of the ABR within healthcare and
healthcare regulatory bodies
 Alignment of ABR processes with other aspects of our
diplomates’ radiology practices
•Federation of State Medical Boards (FSMB) Maintenance of
Licensure (MOL)
•Credentialing requirements
•Affordable Care Act and payment reform Centers for Medicare
and Medicaid (CMS) Physician Quality Reporting System (PQRS)
MOC Incentive
MOC:PQRS Incentive
 The ABR has full qualification from CMS for
Physician Quality Reporting System (PQRS) MOC
incentive in 2013
 Physicians who meet specified requirements are
eligible to have their applicable PQRS incentive
for 2013 increased by 0.5%
CMS Requirements to Earn MOC:PQRS Incentive
Participant must:
1. enroll in MOC (if not already enrolled); AND
2. satisfactorily submit data on quality measures under PQRS, for a
12-month reporting period, either as an individual physician (i.e.,
claims-based, registries, or EHR) or as part of a group practice
under one of the PQRS Group Practice Reporting Options (GPROs);
AND
3. *participate in an MOC Program “more frequently” than is
required to maintain certification, including completion of an
MOC practice quality improvement (PQI) project; AND
4. complete a patient-experience-of-care survey
* Differences in requirements exist based on type of certificate (Time-Limited vs. Lifetime)
1. MOC Enrollment
 Those with lifetime certification need to enroll in
MOC – enrollment form on ABR website
REMEMBER:
Must
complete
MOC
enrollment
by
Must
complete
enrollment
by November
15, 2013
November 15, 2013
 Those with time-limited certificates are
automatically enrolled in MOC – no action required
• Time limited certification began in 2002 for Diagnostic
Radiologist
• All Subspecialty Certificates (CAQs) are time limited
2. CMS Quality Measure Data Submission
 Data must be submitted for a 12-month period
 Quality data submitted:
• as individual via claims, registry, Electronic Health
Record (EHR); OR
• as part of a group via Group Practice Reporting
Options (GPROs)
3. “More Frequent” MOC Participation
 2013 requirements:*
• Valid & unrestricted medical license(s)
• 30 CME & 10 Self-Assessment CME (SA-CME)
• Complete 1 PQI project
* Differences in requirements exist based on type of certificate (Time-Limited vs. Lifetime)
4. Patient Experience of Care Survey
 Completion of survey should correspond with completion of each
PQI project
 Radiologists may complete survey requirements through:
• an individual survey; OR
• a group practice or department survey
 Group practice or department level Press Ganey survey or similar
instrument are acceptable
 The ABR has posted individual and group patient experience of
care surveys on ABR website, which are based on the CAHPS
Common Core Communications Survey
What must be done in 2013 to earn 0.5%
MOC:PQRS incentive
 Enroll n MO (if not already enrolled)
 Submit PQRS quality data to CMS
 Enroll in MOC (if needed)
 Maintain valid medical license
 Complete 30 CME & 10 SA-CME
 Attest to completion of 1 PQI project
 Attest to completion of a patient experience of
care survey
Why Participate?
PQRS
2011
2012
2013
2014
2015
2016
MOC:PQRS
Total
Incentive
1.0 %
0.5 %
1.5 %
0.5 %
0.5 %
1.0 %
0.5 %
0.5 %
1.0 %
0.5 %
0.5 %
1.0 %
-1.5 percent (98.5% of CMS payment due)
-2.0 percent (98% of CMS payment due)
Options for MOC:PQRS Participation
• Option 1: Your myABR account
https://www.myabr.theabr.org
• Option 2: ABMS Contractor
https://mocmatters.abms.org
Option 1: myABR account
• Submit quality measures data to CMS (i.e., claims,
registry, EHR or GPRO)
 Log in to myABR to:
•
•
•
•
“opt-in” to MOC:PQRS
attest to “more frequent” MOC participation
record 30 CME & 10 SA-CME
record PQI project completion
 Attest to completion of a patient experience of care
survey
Option 2: ABMS Contractor
Contact ABR MOC Help Desk for more information
abrmocp@theabr.org or (520) 519-2152
Topics
1. Integration of ABR programs with Healthcare
& Healthcare Regulatory Bodies
2. MOC At-A-Glance
3. Public Reporting and Continuous Certification
4. Practice Quality Improvement
5. New ABR website (myABR)
“To improve is to change;
to be perfect is to change often”
- Sir Winston Churchill (1874-1965)
“If you want to make enemies,
try to change something”
- Woodrow T. Wilson (1856-1924)
MOC Components
Part I: Professional Standing
 State Medical Licensure
Part II: Lifelong Learning and Self-Assessment
 Category 1 CME and Self-Assessment CME (SA-CME)
Part III: Cognitive Expertise
 Proctored, secure exam
Part IV: Practice Performance
 Practice Quality Improvement (PQI)
Topics
1. Integration of ABR programs with Healthcare
& Healthcare Regulatory Bodies
2. MOC At-A-Glance
3. Public Reporting and Continuous Certification
4. Practice Quality Improvement
5. New ABR website (myABR)
In order to:
simplify MOC participation rules
continue the evolution to a more continuous
process, and
comply with the ABMS standard on public
reporting of diplomate MOC status
Continuous Certification
and
Public Reporting
Public Reporting of MOC Status
 Beginning March 2013: ABR has begun to report to
ABMS the MOC status (by certificate) of every
diplomate. Public reporting, an important driver in
healthcare transformation, began for 7 other ABMS
boards as early as August 2011
 Currently, 20 of 24 ABMS boards are publically reporting
MOC status
 Info is displayed on ABMS and ABR websites:
-
“Meeting the Requirements” of MOC
“Not Meeting the Requirements” of MOC
“Not Required to Participate” in MOC (Lifetime certificate holders)
About Public Reporting
 If not us, then who:
Continuous Certification
 Certificates issued in 2012 and after no longer
have “valid through” dates – instead continuous
certification will be contingent on meeting MOC
requirements
 Annual look-back used to determine MOC
participation status.
Part I  continuous
Part II and Part IV  past 3 years
Part III  past 10 years
 MOC requirements and fees unchanged
How does it work?
Look-back date
Element(s) Checked1
3/15/2014
Licensure and Exam
3/15/2015
Licensure and Exam
3/15/2016
Licensure, CME, SA-CME, Exam, PQI and Fees
3/15/2017
Licensure, CME, SA-CME, Exam, PQI and Fees
3/15/2018
Licensure, CME, SA-CME, Exam, PQI and Fees
3/15/20XX
Licensure, CME, SA-CME, Exam, PQI and Fees
1
Element
Licensure
CME & SA-CME
Exam
PQI
Status Check for “Meeting Requirements”
Compliance Requirement
At least one valid state medical license
At least 75 Category 1 CME in previous 3 years, of which at least 25 must be SA-CME
Passed any ABR Certifying or MOC exam in previous 10 years
Completed at least 1 PQI project in previous 3 years
Advantages of Continuous Certification
 If you have two or more time-limited certificates,
they are synchronized.
 The number of CME and self-assessment CME
credits counted per year is unlimited
 You may take the MOC exam at any time, as long as
the previous MOC exam was passed no more than
10 years ago
 Built-in “catch-up” period of one year – still certified
 Aligns reporting more closely with CMS, TJC,
credentialing and state licensing boards
Topics
1. Integration of ABR programs with Healthcare
& Healthcare Regulatory Bodies
2. MOC At-A-Glance
3. Public Reporting and Continuous Certification
4. Practice Quality Improvement
5. New ABR website (myABR)
PQI Evolution
 I don’t understand what it is.
 Explain to me why I am doing this.
 Tell me what you want me to do.
 Show me how to do it.
PQI Essential Elements
 Select project, metric(s), and target
 Collect baseline data
 Analyze data
 Create and implement improvement plan
 Re-measure
 Self-reflection
PLAN
DO
ACT
STUDY
ABR
Individual and Group
PQI Templates*
*Templates include all
essential elements needed
to comply with ABR
“meaningful participation”
requirements
Topics
1. Integration of ABR programs with Healthcare
& Healthcare Regulatory Bodies
2. MOC At-A-Glance
3. Public Reporting and Continuous Certification
4. Practice Quality Improvement
5. New ABR website (myABR)
Topics
1. Integration of ABR programs with Healthcare
& Healthcare Regulatory Bodies
2. MOC At-A-Glance
3. Public Reporting and Continuous Certification
4. Practice Quality Improvement
5. New ABR website (myABR)
ASRT CODE: VAD0053009
AAPC CODE: 30685MCW