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© 2015 Federation of State Medical Boards
J. Daniel Gifford, M.D., FACP
FSMB Chair
IAMRA Revalidation Symposium
Montreal, Canada
October 29, 2015
2 © 2015 Federation of State Medical Boards
Multiple Licensing Jurisdictions with
Varied Requirements
FL-M
GA
AL
MS
SC
NC
TN-M TN-O
KY
IN
IL
LA
AR
TX
OH
MI-MWI
VA
PA-M
PA-O
NY*
VT-M
ME-M
RI
MA
NJ
DEMD
OK-M
KS MO
IA
MN
ND
SD
NE
WY
CO
NM-M
HI
AK
AZ-M
UT-M
UT-O
NV-M
OR
ID
MT
WA-M
WA-O
NH
US Virgin Islands
CA-O
As of March 2014
OK-O
CA-M
VT-O
AZ-O
FL-O
ME-O
MI-O
NV-O
NM-O
Guam
N. Mariana Islands
Puerto Rico
Practice-relevant
CME Requirement:
AR
CT
KS
NV-M
MA
NC
NH
NM-M
OR
PR
SC
WV-M
WV-O
VA
VT-M
WV-M
WV-O
CT
3 © 2015 Federation of State Medical Boards
Resource and Administrative Constraints
• Financial
– Implementation costs (communication, IT
infrastructure, tracking, verification)
– Budget constraints
• Turnover in membership & staff
– Challenges related to maintaining continuity in
implementation efforts
• Legislative concerns
– Revisions to statutes required?
4 © 2015 Federation of State Medical Boards
Competing Priorities
• Increasing physician mobility
– Telemedicine
– Interstate Medical Licensure Compact
• Opioid Prescribing
• Medical Marijuana
• End of Life Care
5 © 2015 Federation of State Medical Boards
Opposition from Sectors of the Profession
• Large physician population (916,000+)
– Ability to mobilize quickly around issues, whether
based in myth or fact
– Significant communication resources spent correcting
misinformation
http://rachelezra.com
6 © 2015 Federation of State Medical Boards
Changing System, New Requirements
• Some physicians feel overburdened by other
requirements already in place:
– Affordable Care Act (ACA)
– Centers for Medicare and Medicaid (CMS)
– Hospital Privileging and Credentialing
– Changing Certification Requirements
– Meaningful Use for EHRs
– Patient Safety Initiatives
– Quality Reporting Requirements
© 2015 Federation of State Medical Boards© 2012 Federation of State Medical Boards
Mark Staz, MA
Director, Continuing
Professional Development
mstaz@fsmb.org
+1 613 986-6275
Frances Cain, MPA
Assistant Vice President,
Assessment Services
fcain@fsmb.org
+1 817 868-4022
THANK YOU!
http://www.fsmb.org/mol.html
MOL Contacts:

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MOL challenges - Dr. Gifford

  • 1. © 2015 Federation of State Medical Boards J. Daniel Gifford, M.D., FACP FSMB Chair IAMRA Revalidation Symposium Montreal, Canada October 29, 2015
  • 2. 2 © 2015 Federation of State Medical Boards Multiple Licensing Jurisdictions with Varied Requirements FL-M GA AL MS SC NC TN-M TN-O KY IN IL LA AR TX OH MI-MWI VA PA-M PA-O NY* VT-M ME-M RI MA NJ DEMD OK-M KS MO IA MN ND SD NE WY CO NM-M HI AK AZ-M UT-M UT-O NV-M OR ID MT WA-M WA-O NH US Virgin Islands CA-O As of March 2014 OK-O CA-M VT-O AZ-O FL-O ME-O MI-O NV-O NM-O Guam N. Mariana Islands Puerto Rico Practice-relevant CME Requirement: AR CT KS NV-M MA NC NH NM-M OR PR SC WV-M WV-O VA VT-M WV-M WV-O CT
  • 3. 3 © 2015 Federation of State Medical Boards Resource and Administrative Constraints • Financial – Implementation costs (communication, IT infrastructure, tracking, verification) – Budget constraints • Turnover in membership & staff – Challenges related to maintaining continuity in implementation efforts • Legislative concerns – Revisions to statutes required?
  • 4. 4 © 2015 Federation of State Medical Boards Competing Priorities • Increasing physician mobility – Telemedicine – Interstate Medical Licensure Compact • Opioid Prescribing • Medical Marijuana • End of Life Care
  • 5. 5 © 2015 Federation of State Medical Boards Opposition from Sectors of the Profession • Large physician population (916,000+) – Ability to mobilize quickly around issues, whether based in myth or fact – Significant communication resources spent correcting misinformation http://rachelezra.com
  • 6. 6 © 2015 Federation of State Medical Boards Changing System, New Requirements • Some physicians feel overburdened by other requirements already in place: – Affordable Care Act (ACA) – Centers for Medicare and Medicaid (CMS) – Hospital Privileging and Credentialing – Changing Certification Requirements – Meaningful Use for EHRs – Patient Safety Initiatives – Quality Reporting Requirements
  • 7. © 2015 Federation of State Medical Boards© 2012 Federation of State Medical Boards Mark Staz, MA Director, Continuing Professional Development mstaz@fsmb.org +1 613 986-6275 Frances Cain, MPA Assistant Vice President, Assessment Services fcain@fsmb.org +1 817 868-4022 THANK YOU! http://www.fsmb.org/mol.html MOL Contacts: