North Carolina Association Medical Staff Services

North Carolina Association Medical Staff Services

ABMS and MOC North Carolina Association Medical Staff Services May 13, 2016 Renee Aird Dengler, RN, MS, CPMSM, CPCS

Medical Specialty Boards ABMS Member Boards 24 Boards Certify physicians in their primary specialty and subspecialty and support professional development Specialty Boards since 1933 Most recent Board in 1991 (American Board of

Medical Genetics and Genomics) ABMS American Board of Medical Specialties June, 1993 Dermatology, Obstetrics and Gynecology, Otolaryngology, Ophthalmology

National system of standards for recognizing specialists and providing information to the public Formed the Advisory Board for Medical Specialties (todays ABMS) ABMS Associate Members

Accreditation Council for Continuing Medical Education (ACCME 2004) Accreditation Council for Graduate Medical Education (ACGME -2002) American Hospital Association (AHA 1970) American Medical Association (AMA 1989) Association of American Medical Colleges (AAMC

1970) ABMS Associate Members Council of Medical Specialty Societies (CMSS 1973) Educational Commission for Foreign Medical

Graduates (ECFMG 2002) Federal of State Medical Boards (FSMB 1970) National Board of Medical Examiners (NBME 1970) Maintenance of Certification (Continuous Certification)

Time limited or time unlimited certification depends on specialty and when initially certified Time unlimited certification has no requirements for recertification MOC initiated in 2007 Each Board develops its own program

Maintenance of Certification Potential Future Issues Listed as not participating in MOC Insurers tie to performance-based reimbursement strategies State licensing board looking at Maintenance of Licensure

Malpractice carriers giving discounts to participating physicians Full participation in Medicare/Medicaid billing/payments ABMC Program for MOC Ongoing measurement of six core competencies defined by ABMS and ACGME

Practice-based Learning and Improvement Patient Care and Procedural Skills Systems-based Practice Medical Knowledge Interpersonal and Communication Skills Professionalism

Maintenance of Certification Four-Part Framework Requirements grouped into four categories: Part I Licensure and Professional Standing Part II Lifelong Learning and Self-Assessment Part III Cognitive Expertise Part IV Practice Performance Assessment

Professionalism Standards In 2015 the ABMS standards were updated, placing greater emphasis on: - Professionalism - Patient Safety - Performance Improvement

- Incorporating Judgment Board Certification Not required by any accrediting body May be required by your organization Initial Only or Initial and Maintenance

Board Eligible January 2012 Policy Time lapse between training and initial certification Typically 5 7+ years Board Certification Policy

Which Board are Acceptable to your Organization Often decided on community standard and/or rigor Tracking Certification Tracking MOC Using Re-verification date Compliance with your policy


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