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National Credentialing Forum March 2, 2017 Bahia Resort Hotel Bahia Resort Hotel San Diego, CA

Certifying Board Services Kathy Kelly Associate Vice President, Certifying Board Services

Certifying Board Services who we are Our team manages: 18 Certifying Boards 9 Conjoint Committees Which includes: 29 Primary Specialties 77 Subspecialties or Certificates of Added Qualifications

Certifying Board Services what we do Initial Certification Osteopathic Continuous Certification Component 1: Active licensure Component 2: Lifelong learning Component 3: Cognitive assessment Component 4: Practice performance assessment and improvement Component 5: Continuous AOA membership

Purpose of CBS 2016 Task Force To bring some common direction to all 18 Boards regarding the Osteopathic Continuous Certification process To make AOA Board Certification and OCC more attractive Maintain high standards/quality Focus on improved patient care/ outcomes To provide the best possible customer service, keeping physicians well-being the priority.

OCC Component 1 Active Licensure Current Requires that physicians who are board-certified by the AOA hold a valid, active license to practice medicine in one of the 50 states. Recommended Requires that physicians who are board-certified by the AOA hold a valid, active license to practice medicine in one of the 50 states. Primary source verification will be conducted by the AOA at regular intervals.

OCC Component 2 Life-Long Learning Current Requires that all recertifying physicians fulfill a minimum of 120 hours of CME credit during each three-year CME cycle. A minimum of 50 credit hours must be in the specialty area of certification. Recommended All Diplomates must fulfill a minimum 60 hours of specialty CME credits per 3-year cycle, monitored through the AOA s TraCME system. The task force recommends broad acceptance of activities.

OCC Component 3 Cognitive Assessment Current Requires one (or more) psychometrically valid and proctored examinations that assess a physician s specialty medical knowledge, as well as core competencies in the provision of health care. Recommended Requires a psychometrically valid at-home or in-office remote-proctored, timed examination every 3 years. The task force recommends an approximate 50-item examination credited with 10 hours of specialty CME.

OCC Component 4 Practice Performance Assessment & Improvement Current Requires engagement in continuous quality improvement through comparison of personal practice performance measured against national standards for each medical specialty. Recommended Required participation in a quality improvement program completed through a practice, or a nationally recognized quality organization each 3 year cycle. Physicians would provide evidence of participation OR attest to participation with approximately 10% audited.

OCC Component 5 Continuous AOA Membership Current Membership in good standing through the AOA serves to establish the foundation of commitment to lifelong learning through basic CME requirements. Recommended The Task Force recommends that board certification should be decoupled from membership. AOA membership could be made more attractive by offering a board certification discount to members or offering a membership discount to Diplomates.

CBS 2016 Task Force Next Steps Recommendations presented to Bureau of Osteopathic Specialists in Nov. 2016 Minor modifications made by BOS, resolutions drafted Resolutions presented to AOA Board of Trustees (March 2017) Expect implementation January 2019

AOA initiatives Internal tool enhancements for multiple teams Focus on internal process improvements Improvements to customer-facing tools and processes Acontinued focus on the candidate and diplomate experience.