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Component 4: Practice Performance Assessment & Improvement
Component 4 requires physicians to engage in continuous quality improvement through comparison of personal practice performance measured against national standards for their medical specialty. The AOBD requires completion of one module every five years.
Diplomates can fulfill this component by attesting to participation in a Quality Improvement Activity in their practice, such as activities from the CMS Quality Payment Program’s Merit-Based Incentive Payment System (MIPS) track. To learn more about accepted quality improvement activities and to submit a quality improvement attestation, please visit the AOA Physician Portal.
Diplomates are also able to fulfill this component by completing a Practice Performance Assessment module through the Osteopathic Continuous Assessment & Training program (O-CAT). Note there is a $295 fee per two-year cycle associated with this option.
PPA Module Requirements
The number of Practice Performance Assessment (PPA) modules you must complete depends on when your certification expires. Here’s the breakdown:
- If your certification expires in 2017, 2018, or 2019, you must complete 1 PPA module prior to certification renewal.
- If your certification expires in 2020 or after, you must complete 2 PPA modules prior to certification renewal. One module must be completed in years 1-5 of your certification, and the second module must be completed during years 6-10.
Non-Clinical OCC Pathways for OCC Component 4
Limited-scope family medicine
If you practice limited-scope family medicine rather than dermatology, you will need to develop and complete two Practice Performance Assessment and Improvement modules in topic areas relative to your current activities. Diplomates will have to identify or develop an assessment tool that provides performance data that demonstrates practice performance improvement in an area relative to the activity. These non-standard modules will have to be approved in advance by the AOBD.
Non-clinical practice dermatologists will have to complete two Practice Performance Assessment and Improvement modules in topic areas relative to their current activities. These non-standard modules will have to be approved in advance by the AOBD.