ABR UPDATE: Core

outcomes debated outcomes debated Systems integration is lacking Systems integration is lacking Lack of outcomes data related to reimbursement (pay for Lack of outcomes data related to reimbursement (pay for performance) performance) Phase I Phase II Phase III Phase IV 7/2001 6/2002 7/2002 7/2011 6/2006 7/2006 6/2011 Beyond " Improve the evaluation processes for all six of the Competencies. " Provide aggregated resident performance data for Internal Review Process. " Use resident performance data as the basis for improvement.<br><br> " Begin to use external quality measures to verify resident and program performance levels. " Identify benchmark programs. " Involve community in building knowledge about good GME.<br><br> " Define objectives for residents to demonstrate learning the competencies. " Integrate the teaching and learning of competencies into residents 9 didactic and clinical experiences. Goals of the Outcome Project Goals of the Outcome Project Developing com petence as a physician Patient Care I nterpersonal & Com m unication Skills Professional- ism Practice-based Learning & I m provem ent System s- based Practice Medical Know ledge Developing competence as a physician Derstine, 2006 What does the ACGME expect ?<br><br> What does the ACGME expect ? Programs should document and Programs should document and demonstrate: demonstrate: Learning opportunities in each competency Learning opportunities in each competency domain domain Evidence of multiple assessment methods Evidence of multiple assessment methods Outcomes of programs and individuals; use Outcomes of programs and individuals; use of aggregate data to improve the of aggregate data to improve the educational program/patient care educational program/patient care Common Program Requirements Common Program Requirements RRC Meeting RRC Meeting Added requirements for measurement of Added requirements for measurement of competencies and outcomes data competencies and outcomes data Created a list with ideas for measurement Created a list with ideas for measurement with each competency with each competency http://www.acgme.org/acWebsite/navPages/nav_PDcoord.asp http://www.acgme.org/acWebsite/navPages/nav_PDcoord.asp American Board of Radiology American Board of Radiology Mission/ Vision Mission/ Vision for MOC for MOC & & ..is to promote the quality of patient care ..is to promote the quality of patient care delivered delivered & & . .<br><br> to provide a process of lifelong education, to provide a process of lifelong education, self self - - assessment, practice improvement, and assessment, practice improvement, and continuous evaluation and learning. continuous evaluation and learning. Paradigm Shift Paradigm Shift Old Old Training Training Certification: Lifetime Certification: Lifetime CME CME Reputation Reputation New New Training Training Certification: Time limited Certification: Time limited Maintenance of certification Maintenance of certification Life long learning and Life long learning and assessment assessment Diversity of Practice: DR, RO, RP Diversity of Practice: DR, RO, RP ABR ABR 9 9 s Components s Components Maintenance Maintenance of of Certification Certification (MOC) (MOC) Part I: Professional Standing Part I: Professional Standing Part II: Lifelong Learning and Periodic Part II: Lifelong Learning and Periodic Self Self - - assessment assessment Part III: Cognitive exam Part III: Cognitive exam Part IV: Practice Quality Improvement Part IV: Practice Quality Improvement Part II: Lifelong Learning Part II: Lifelong Learning 250 250 hours, Category 1 CME credit in 10 years hours, Category 1 CME credit in 10 years Twenty Twenty - - five five per year per year 20 Self Assessment Modules (2 per year) 20 Self Assessment Modules (2 per year) Practice domains Practice domains General content ..<br><br> At least four General content .. At least four CME will be automatically reported to ABR through CME will be automatically reported to ABR through the CME Gateway for all who the CME Gateway for all who c c opt in opt in d d ( ( www.cmegateway.org www.cmegateway.org ) ) ABR ABR 9 9 s Components s Components Maintenance Maintenance of of Certification Certification (MOC) (MOC) Part I: Professional Standing Part I: Professional Standing Part II: Lifelong Learning and Periodic Part II: Lifelong Learning and Periodic Self Self - - assessment assessment Part III: Cognitive exam Part III: Cognitive exam Part IV: Practice Quality Improvement Part IV: Practice Quality Improvement Practice Practice - - profiled Cognitive Exam: profiled Cognitive Exam: Diagnostic Radiology Certificate Diagnostic Radiology Certificate EXAM CONTENT Chest Breast Pediatric Pediatric General Content Practice Practice - - profiled Cognitive Exam profiled Cognitive Exam DR and Pediatric Subspecialty(CAQ) DR and Pediatric Subspecialty(CAQ) EXAM CONTENT Pediatric Pediatrics Pediatric Subspecialty Pediatric Subspecialty General Content Maintenance of Certification Maintenance of Certification - - Part IV Part IV Highlights competencies in Highlights competencies in medical practice, delivery of medical practice, delivery of care care Practice Quality Improvement Practice Quality Improvement (PQI) (PQI) Practice Practice - - based focus based focus Measurement/metrics Measurement/metrics Includes action plan for quality Includes action plan for quality improvement improvement Why do we need metric/database? Why do we need metric/database?<br><br> Need to know our baseline at a Need to know our baseline at a national level national level Public disclosure of quality Public disclosure of quality measurement data lead to measurement data lead to improvements in quality of care improvements in quality of care ABR MOC: Components & the 6 Competencies ABR MOC: Components & the 6 Competencies " Patient Safety " Double Reading " Turnaround Time " Practice Guidelines " Referring Physician Survey General questions about CQI content. Specific CME and SAMs developed for systems-based practice. Systems-based Practice " Patient Safety " Double Reading " Turnaround Time " Practice Guidelines " Referring Physician Survey General questions about essential core knowledge and practice improvement principles.<br><br> Specific CME and SAMs developed for practice-based learning and improvement. Practice-based Learning & Improvement " Practice Guidelines " Referring Physician Survey General questions about ethics and charter on professionalism SAMs content on professionalism. State board license requirements and actions Professionalism " Patient Safety " Double Reading " Turnaround Time " Practice Guidelines " Referring Physician Survey SAMs with emphasis on communications.<br><br> Interpersonal & Communication Skills " Patient Safety " Double Reading " Turnaround Time " Practice Guidelines " Referring Physician Survey Achieve a passing score on the ABR cognitive exam, which includes patient care content. Documentation: CME with review of new techniques and protocols. State board license requirements and actions Patient Care " Patient Safety " Double Reading " Practice Guidelines Achieve a passing score on the ABR cognitive exam.<br><br> Documentation and completion of 250 CME credits. State board license requirements and actions Medical Knowledge Part IV Practice Performance Part III Cognitive Expertise Part II Lifelong Learning and Self-assessment Part I Professional Standing IMPROVING QUALITY/SAFETY IMPROVING QUALITY/SAFETY ERROR REDUCTION ERROR REDUCTION c c If you know where you are going, If you know where you are going, it is easier to get there it is easier to get there d d

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