MAKING SENSE OF CME CREDIT ACEHP 2014
FACULTY Carly Harrington, M.Ed. Manager, CME Credit Systems and Compliance American Academy of Family Physicians 913-906-6000
[email protected] Mary Kelly Program Administrator, AMA PRA Standards and Policy American Medical Association 312-464-5196
[email protected]
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OBJECTIVES Distinguish between a credit system and an
accrediting body Describe the similarities, differences, and connections between options for CME credit Design an educational program that aligns with AMA PRA Category 1 Credit™ and/or AAFP Prescribed credit requirements Locate important resources for additional inquiry
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ALPHABET SOUP AND OTHER ANNOYANCES CME, AMA, AAFP, AOA, ACCME, ABMS, FSMB,
MOC, MOL, PCMH, PI, QI… OMG! Accreditation or Certification? Accrediting Body or Credit System? Program Level or Activity Level? Are they TRYING to make this hard? Enough already!
Let’s break it down…
CREDIT SYSTEM VS. ACCREDITING BODY Credit System Provides and/or defines the
CME credit as markers of educational achievement that learners can use for MOC, MOL, membership, etc. Focus on the quality of the specific CME activities produced
Accrediting Body Provides the organization
with a distinction/quality mark Focus on overall organizational framework for quality CME
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AMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP) CREDIT SYSTEM American Academy of Family Physicians Credit system established in 1947 First CME body in the United States Independent entity, sets its own rules Recognized by all state licensing boards Recognized as equivalent to AMA PRA Category 1 CreditTM Recognized by CMS as one of the five bodies whose CME is eligible for
exemption under the Physician Payment Transparency Program (Sunshine Act)
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AMERICAN MEDICAL ASSOCIATION (AMA) CREDIT SYSTEM AMA Physician’s Recognition Award (PRA) established in 1968 The AMA PRA Credit System – metric for the PRA Independent entity, defines the standards and policies for the credit system As the previous accreditation systems failed to achieve the desired result,
the AMA joined with the ABMS, AHA, AAMC, AHME, CMSS and FSMB to form the ACCME in 1981, and offers deemed status to accredited organizations to award AMA PRA Category 1 Credit™ as long as AMA rules are followed Recognized by CMS as one of the five bodies whose accreditation or certification requirements and standards make the activity eligible for exemption under the Open Payments Program (also known as National Physicians Payment Transparency Program or Sunshine Act)
THE ACCME Founded in 1981 Voluntary, self-regulatory system Accredits organizations directly and recognizes state
medical societies which in turn accredit organizations within their state or region Once accredited, these organizations are granted the privilege of certifying activities for AMA PRA Category 1 Credit™
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ACCREDITATION: WHAT’S THE POINT? What you’re getting: A DESIGNATION Accreditation: Recognition of meeting ACCME
requirements by your organization
ACCME Accreditation is used by the AMA to grant the privilege to
certify activities for AMA PRA Category 1 Credit™ as long as all the requirements of the AMA credit system are met The AMA reserves the right to withdraw an accredited CME provider’s privilege to certify activities for AMA PRA Category 1 Credit™ should the accredited CME provider fail to bring the program and activities into compliance with AMA PRA policies, regardless of accreditation status Funders want evidence of reputability; accreditation helps
CME CREDIT: WHAT’S THE POINT? What you’re getting: CREDIT CME Credit is Currency for physicians Required for MOC, MOL, membership
organizations 63 of 68 Licensing boards require CME CME Credit: Sign of meeting educational
requirements for your CME Activity
THE THREE MAJOR PHYSICIAN CREDIT SYSTEMS American Academy of Family Physicians American Medical Association American Osteopathic Association
CREDIT SYSTEMS: SIMILARITIES Promote and validate quality, evidence-based medicine for
the betterment of patient health outcomes Activities must demonstrate how the educational needs and gaps in knowledge were determined Governed by elected physicians committed to life-long professional development Compliance with Standards for Commercial Support
CREDIT SYSTEMS: DIFFERENCES Primary Audience AAFP - Family physician relevant AMA – Physicians (MDs, DOs) AOA - Osteopathic physicians (DOs)who are members of the AOA
Who Can Claim Credit AAFP – All physicians, Nurse Practitioners, Physician Assistants AMA – Physicians only (other health care providers can receive certificates
of participation)
AOA – DOs. Physicians (MDs) and other health care professionals may
earn credit if their society recognizes Category 1-A or 1-B CME.
RELATIONSHIPS/ EQUIVALENCIES AAFP AAFP
AMA
AOA
AMA
AOA
AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician's Recognition Award.
Formal CME activities approved for AAFP Credit are recognized by the AOA as equivalent to AOA Category 2-A credit. Informal CME activities approved for AAFP Credit are recognized by the AOA as Category 2-B credit.
The AAFP CME Credit System requires providers to comply with the ACCME Standards for Commercial Support.
D.O. members in specialties with <300 board certified members may use up to 15 AMA credits to satisfy the 30 credit 1-A requirement.
ACCME/SMS accredited CME providers may certify CME activities for AMA PRA Category 1 Credit™, according to AMA guidelines, and subject to the review of the AMA.
AMA PRA Category 1 Credit™ and AMA PRA Category 2 Credit™ are recognized by the AAFP as Elective Credit.
Formal CME activities approved for AAFP Credit are recognized by the AOA as equivalent to AOA Category 2A credit. Informal CME activities approved for AAFP Credit are are recognized by the AOA as Category 2-B credit.
AOA credit may be self-claimed and self-documented by physicians as AMA PRA Category 2 Credit™ if the physicians individually determine that it meets the requirements outlined on page 10 of the AMA PRA booklet.
ACCME
AOA Standards for Commercial Support: adapted from the ACCME Standards for Commercial Support.
HOW TO GET IT: AAFP CME CREDIT Directly apply to the AAFP Complete easy 9-step online application Relate educational content to patient care and delivery, or selected non-
clinical topics
FP-Relevant: AAFP Member involvement AAFP Credit is awarded per activity and reviewed by AAFP Staff and
physician committee
HOW TO GET IT: AMA PRA CREDIT Within the US, only organizations accredited by either the
ACCME or a recognized state medical society may certify activities for AMA PRA Category 1 CreditTM AMA PRA Category 2 CreditTM is self-claimed and self-documented by physicians There are some activities for which physicians can receive AMA PRA Category 1 Credit™ directly from the AMA as the owner of the credit system, not as an accredited CME provider: Teaching at a live activity
Publishing articles
Poster presentations
Medically related advanced degrees ABMS member board certification and MOC ACGME accredited education
HOW TO GET IT: AOA CME CREDIT Category 1-A is offered by Category 1-A CME sponsors Each Category 1-A sponsor is evaluated every three years Category 1-B credit must have a tie into Osteopathic CME
RESOURCES AAFP CME Credit System Website: www.aafp.org/cmea AAFP CME Credit System Guide:
http://www.aafp.org/dam/AAFP/documents/cme/accreditation/cme-creditguide.pdf Questions about the AAFP CME Credit System:
[email protected] , or Stop by the AAFP Exhibit Booth during your break! AMA PRA Booklet: www.ama-assn.org/go/prabooklet AMA information for accredited CME providers: www.ama-
assn.org/go/cmeprovider Questions about the AMA PRA Credit System:
[email protected]
