What You Need to Know Now
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1 The American Board of Family Medicine ABFM s MC-FP (MOC) Recent Changes: What You Need to Know Now Joseph W. Tollison, M.D. Senior Advisor to the ABFM President DISCLOSURE: Dr. Tollison has no financial conflicts related to his presentation American Board of Family Medicine 1
2 ABFM Maintenance of Certification for Family Physicians (MC-FP) Part I: Part II: Part III: Part IV: Evidence of professional standing Evidence of a commitment to lifelong learning and involvement in a periodic self-assessment process Evidence of cognitive expertise Evidence of evaluation of performance in practice Unchanged Since Our Inception in American Board of Family Medicine 2
3 The American Board of Family Medicine ABFM s OVERARCHING APPROACH ALIGNMENT REDUNDANCY 2016 American Board of Family Medicine 3
4 The American Board of Family Medicine 2016 American Board of Family Medicine 4
5 The Phoenix Summer & Winter Edition Each Year Mailed and ed to All Diplomates PDF Available on ABFM Website 2016 American Board of Family Medicine 5
6 The American Board of Family Medicine MODIFIED/ENHANCED (NEW) REQUIREMENTS (PER 3-YEAR STAGE) 2016 Unlinking of SAMs KSA (Knowledge Self-Assessment) CSA (Clinical Simulation/ClinSim) points 2016 Discount (50%) Age 70 and over 2017 CKSA (Continuous Knowledge Self-Assessment) (Part II) 2016 American Board of Family Medicine 6
7 ABFM MC-FP Part II SAM Divided into TWO Parts: KSA (Knowledge Assessment) Required 10 points Consists of 60 knowledge assessment questions in a particular domain Must achieve at least 80% or above level in each competency in order to complete the Knowledge Assessment component of the SAM. CSA (Clinical Simulation) Optional 5 points Patient Care Scenarios corresponding to the topic chosen in the Knowledge Assessment Simulated patients evolve in response to therapeutic interventions, investigations, and the passage of time, providing an opportunity for Diplomates to demonstrate proficiency in patient management skills American Board of Family Medicine 7
8 The American Board of Family Medicine SAM (UNLINKING) KNOWLEDGE SELF-ASSESSMENT (KSA) 10 points CLINICAL SELF-ASSESSMENT (CSA) 5 points (OPTIONAL) 2016 American Board of Family Medicine 8
9 The American Board of Family Medicine REQUIREMENTS PER 3-YEAR STAGE 1 KSA (Knowledge Self-Assessment) (10 points) plus 1 PART IV (PPM, PPM Alternative, MIMM) THEN, YOUR CHOICE (MIX & MATCH TO REACH A TOTAL OF 50 POINTS) 2016 American Board of Family Medicine 9
10 The American Board of Family Medicine Self-Assessment Modules (SAMs) to Become Two Separate Activities (10-year Pathway) *Option 1 reflects completing the 3-year Stage with two (2) SAMs and one (1) PPM. **Part II requirement also includes completing continuing medical education activities equaling 300 CME hours in the last six years prior to the examination year. Part II SAMs, KSAs and CSAs, as well as Part IV activities that have CME credits, can be applied toward the CME requirement American Board of Family Medicine 10
11 The American Board of Family Medicine Requirements for 7-year Pathway *Option 1 reflects completing the 7-year cycle as most have done to date with six (6) SAMs and one (1) PPM. **Part II requirement also includes completing continuing medical education activities equaling 300 CME hours in the last six years prior to the examination year. Part II SAMs, KSAs, and CSAs, as well as Part IV activities, include CME credits which can be applied toward the Part II CME requirement American Board of Family Medicine 11
12 Year MC-FP Cycle (Exam in Year 7) (7 Year Option) Minimum of 3 Part II Modules (KSAs); CSAs Optional Minimum of 1 Part IV Module (PPM or Approved Alternative) Additional Modules (KSAs, CSAs, Part IVs) to reach 110 points Year MC-FP Cycle in three 3-year MC-FP stages (Exam in Year 10) (10 Year Option) Minimum of 1 Part II Module (KSA) Per 3-Year MC-FP Stage Minimum of 1 Part IV Module (PPM or Approved Alternative) Per 3-year MC-FP Stage Additional Modules to reach 50 points per 3-Year MC-FP Stage 2011-Beyond (Continuous) Continuous Process in 3-Year MC-FP Stages Minimum of Part II Module (KSA) = 10 MC-FP Points Per 3-Year MC-FP Stage Minimum of 1 Part IV Module (PPM or Approved Part IV) = 20 MC-FP Points Per 3-Year MC-FP Stage Additional Modules (KSAs, CSAs, Part IVs) to reach 50 points Per 3-Year MC-FP Stage Minimum of 50 MC-FP points per 3-Year MC-FP Stage 2016 American Board of Family Medicine 12
13 It s Not Too Late! 2013 Diplomates must complete the Continuous MC-FP Stage Requirements. The deadline for 2013 Diplomates to complete MC-FP Stage components in MC-FP Stage is December 31, 2016! 2010 Diplomates who have completed Stage I, may still qualify for the 3-year extension to their certificate. The deadline for 2010 Diplomates to complete 3 MC-FP components in Stage II is December 31, 2016! 2007 Diplomates who received extension to 10-year certificate. Need to complete Stage III this year. Prerequisite to be approved for examination. MC-FP Examination Application Opens December American Board of Family Medicine 13
14 Contact the ABFM Support Center Phone: Live Chat Website ABFM Phone: Fax: American Board of Family Medicine 14
15 Part IV Alternatives Support Nichole Lainhart, Program Manager MC-FP Alternatives Activities Phone: , ext 1230 Support Center Phone: Live Chat 2016 American Board of Family Medicine 15
16 Support Center Assistance Extended Hours Available! 8:00 am - 9:00 pm (eastern) Monday - Friday & 9:00 am - 5:00 pm (eastern) Saturday 2016 American Board of Family Medicine 16
17 Live chat available from ABFM Home page 2 Minute Rule Have a Question after 2 minutes? Contact our Support Center!! 2016 American Board of Family Medicine 17
18 ABFM MC-FP Part III ABFM MC-FP Part III: Cognitive Examination 2016 American Board of Family Medicine 18
19 ABFM MC-FP Part III Cognitive Exam All candidates (Certification & Recertification) take the same examination All candidates will choose 2 modules of 45 questions each over which to be tested during the morning exam session Ambulatory Family Medicine Child & Adolescent Care Geriatrics Women s Health Maternity Care Emergent/Urgent Care Hospital Medicine Sports Medicine 2016 American Board of Family Medicine 19
20 Avoid Late Fees BEGIN the formal application prior to the deadline to avoid late filing fees --- to be able to access the application, all required modules must be paid for/and or started (completion of the modules is not required to start the application but all modules must be complete by the deadline for clearing deficiencies) --- IMPORTANT!!! Advance beyond the payment page of the application --- go back to the application to choose a test date and test center as soon as all deficiencies are cleared (including completion of all modules) 2016 American Board of Family Medicine 20
21 Spring 2016 Exam Deadline Exam Deadlines 2016 Spring Exam Deadlines Date Registration Begins December 4, 2015 *1 st Deadline to submit application (no late fee) January 8, nd Deadline to submit application ($100 late fee) February 8, 2016 Final Deadline to submit application ($200 late fee) February 25, 2016 Exam Dates April 4,5,6,7,8,9,11,12, 13,14,15,16,18, American Board of Family Medicine 21
22 Fall 2016 Exam Deadline Exam Deadlines Date Registration Begins July 22, 2016 *Deadline to submit application without a late fee August 22, 2016 Final Deadline to submit application with a $100 late fee September 15, 2016 Exam Dates Exam Results 2016 Fall Exam Deadlines November 14,15,16,17,18,19 To Be Announced 2016 American Board of Family Medicine 22
23 ABFM Mobile Site 2016 American Board of Family Medicine 23
24 ABFM Exam Prep App 2016 American Board of Family Medicine 24
25 Exam Preparation Assistance Exam Preparation Tools Available on ABFM Website: Videos Outlining Study Plans Study Tips 2-Week Checklist Exam Tutorial Access these tools on the ABFM website American Board of Family Medicine 25
26 ABFM MC-FP Part IV 2016 American Board of Family Medicine 26
27 ABFM MC-FP Part IV Approved Part IV Alternatives (Examples of Approved Part IV Alternatives) American Academy of Family Physicians (METRIC) Multi-Specialty Portfolio Approval Program (MSPP) Sponsor organization activities New Jersey Academy of Family Physicians (NJAFP) module Performance in Practice Colorectal Cancer Screening National Committee for Quality Assurance (NCQA) Physician Recognition Programs (PRPs) Approved PRPs include: Diabetes, Heart Disease/Stroke, and Patient Centered Medical Home (PCMH) Individual-level certificates of recognition in Diabetes, Heart Disease/Stroke, or PCMH can be submitted for Part IV credit Organization-level certificates of recognition require additional physician attestation to be considered for Part IV credit 2016 American Board of Family Medicine 27
28 ABFM MC-FP Part IV Visit the ABFM website for the complete current list of Approved Outside Vendor Activities (listed under the Maintenance of Certification Section click the Part IV Performance in Practice) 2016 American Board of Family Medicine 28
29 Part IV Alternatives Support Nichole Lainhart, Program Manager MC-FP Alternatives Activities Phone: , ext 1230 Support Center Phone: Live Chat 2016 American Board of Family Medicine 29
30 All activities must: ABFM MC-FP Part IV Self-Directed PPM Be developed using evidence-based criteria and national standards Ensure the physician is meaningfully involved Incorporate pre- and post-intervention evaluation of the physician s performance using evidence-based quality indicators Include the development and implementation of an individualized plan for improvement 2016 American Board of Family Medicine 30
31 The required application can be accessed through the physician portfolio Submission of an application does not guarantee Part IV credit Approval occurs on a case-by-case basis ABFM MC-FP Part IV Self-Directed PPM Allow up to 8 weeks for the review process Specific Information about the Self-Directed activity can be found in your Physician Portfolio 2016 American Board of Family Medicine 31
32 PRIME SAN PRIME Support and Alignment Network The American Board of Family Medicine (ABFM) has created the PRIME Support and Alignment Network Community to partner with state level organizations through the federal Transforming Clinical Practice Initiative (TCPI) ( Practice Transformation Networks (PTN) provide free practice level management and quality improvement assistance to help practices maximize reimbursements, improve quality, and streamline reporting demands under MACRA, MIPS, and Alternative Payment Models. Diplomates of the ABFM have a unique opportunity to get free practice transformation assistance through a state level Practice Transformation Network (PTN) and the added benefit of ABFM Maintenance of Certification Part IV credit. The first 6,000 board-certified family physicians who sign up will also get free access to the PRIME Registry for three years (all primary care colleagues, including NPs and PAs, may enroll for a reduced subscription rate of $33/month/provider, with no additional upfront cost) American Board of Family Medicine 32
33 Step 1: with your name, practice location, ABFM ID & NPI, and the same for any practice colleagues you would like to register (please add ABMS specialty for non-family medicine providers). Step 2: Join a Practice Transformation Network (PTN) in your state. You will receive an from us with statespecific PTN enrollment information and confirmation you are in the queue as one of the first 6,000 ABFM board-certified family physicians to get the PRIME Registry for free. Note: your practice is not eligible to enroll in a PTN if you currently participate in any of the following: Medicare Shared Savings Program (MSSP), Pioneer Accountable Care Organizations (ACOs) including the Next Generation ACO model, the CMS Comprehensive Primary Care Initiative (CPCI), or the CMS Multi- Payer Advanced Primary Care Practice (MAPCP) ACOs. You may, however, join a PTN if you are part of a Medicaid or private payer ACO program. Step 3: Join the PRIME Registry 2016 American Board of Family Medicine 33
34 Outreach Resources SUPPORT CENTER LIVE CHAT ( LIVE HELP ) THE PHOENIX WEBSITE S (PERIODIC) APP (EXAM PREP) RESOURCES INCLUDE: KSA STUDY GROUP SUPPORT PQRS SUPPORT AAFP FMX PUBLICATIONS (eg: Daily Experience@ AAFP FMX) YOUTUBE CHANNEL PRESENTATIONS - Latest MC-FP Info - On-site Discussion - Invitations Welcome - State Chapter & Review Courses 2016 American Board of Family Medicine 34
35 Continuous MC-FP Timetable (not required but helpful) Set a Goal of Points Per Year! Year 1: Points Year 2: Points Year 3: Points 50 Points Total 2016 American Board of Family Medicine 35
36 2016 American Board of Family Medicine 36
37 2016 American Board of Family Medicine 37
38 2016 American Board of Family Medicine 38
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