American Board of Quality Assurance and Utilization Review Physicians
 
EDUCATION
CORE BODY OF KNOWLEDGE COURSE - 14 CME/14 CEU


"CORE BODY OF KNOWLEDGE COURSE - 14 CME/14 CEU"
14 CME Credits
14 CEU Credits

!!!!!The Legal and Regulatory Environment Modules will undergo major modifications as a result of the hearings on the constitutionality of the Patient Protection and Affordable Care Act (PPACA).

The content included in these modules is accurate, but does not reflect the state of current mandates that have changed as a result of these hearings.

As these modules are being updated, it is STRONGLY recommended that any one considering this course, wait until we announce the new 2013 CBK course which will include the updated modules.

*** This course cannot be applied to Diplomate recertification requirements.***

Prepare to become a quality leader by completing the Core Body of Knowledge online course; a primer for the Health Care Quality and Management (HCQM) Board Certification Exam. Learn the basics of health care quality, risk management, accreditation, patient safety, and more.

In order to fulfill the education requirement for the certification examination, most examinees take advantage of the Core Body of Knowledge (CBK) Course. While the Board recommends this course as a valuable overview of Health Care Quality and Management (HCQM), it is not required and does not ensure successful completion of the examination.

This course is intended for Physicians of all specialties, Nurses, and Other Health Care Professionals with appropriate CME credit and nursing contact hours offered for each profession. This course has been produced online for your convenience. You can work from the comfort of your own home, at a time you choose. When you have successfully completed your course, you will be able to immediately print your CE certificate.

You are allotted 60 days to complete this online course. You will have the option of saving, exiting, and returning to the course as many times as you wish during the 60-day period, as long as the post-test is completed within 60 days of purchase. Please print the course modules and post-test questions prior to submitting the post-test to retain as a study guide. Once you successfully complete the post-test, you will no longer have access to the course.

Although you have 60 days to complete the online course, if you intend to sit for this year's HCQM Examination, it is imperative you complete the course prior to the annual application deadline. It is recommended you complete the course by August 31 to ensure application processing time.

In recognition of dedicated service to our country, ABQAURP offers a 10% discount on the Exam fee and Core Body of Knowledge online course to all active military personnel. Please call Barbara Chalmers at (800) 998-6030, extension 116 for details and ordering.

The key concepts of the Core Body of Knowledge (CBK) Online Course include:
  • Patient Safety
  • Transitions of Care
  • Accreditation Organizations
  • Insurance and Managed Care
  • Workers Compensation
  • Case Management
  • Clinical Resource Management
  • Credentialing and Privileging
  • Quality Improvement, Quality Management, and Quality Assurance
  • Risk Management
  • Regulatory Environment
 Accredited Learning
The American Board of Quality Assurance and Utilization Review Physicians, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

ABQAURP designates this enduring material for a maximum of 14 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. is an approved provider with the Florida Board of Nursing to provide continuing education for nurses. This activity has been approved for 14 contact hours by the Florida Board of Nursing, Provider # 50-94.

All participants must achieve a post-test score of at least seventy percent (70%) for continuing education credits. This activity is valid from April 1, 2012 through December 31, 2014.

As an accredited sponsor, ABQAURP must assure that its speakers comply with the ACCME Standards for Commercial Support of CME. These standards require, among other things, that faculty disclose the existence of any significant financial interest or other relationship with the manufacturer(s) of any commercial products discussed in their educational presentation; that the presentation be free of commercial bias; and that any information regarding commercial products or services be based on scientific methods generally accepted by the medical community. When therapeutic options are part of the presentation, generic names will contribute to a balanced view of the options. If it is necessary to use a trade name, the names of several companies should be used rather than that of a single company.

Please read the ABQAURP Privacy Policy and we suggest strongly that you read the System Requirements before continuing.

Module 1 "QUALITY IMPROVEMENT, QUALITY MANAGEMENT AND QUALITY ASSURANCE"

    Course Description & Objectives
  • Name the major theorists and explain how their theories have been applied to Quality Assurance, Quality Management, Quality Improvement, Continuous Quality Improvement and Total Quality Management
  • Describe the role of the PSRO (Professional Standards Review Organization), the PRO (Peer Review Organization) and the QIO (Quality Improvement Organization) in assuring quality health care
  • Explore the purpose and programs of Risk Management
Module 2 "PATIENT SAFETY"

    Course Description & Objectives
  • Review the history of the Patient Safety Movement
  • Discuss the evolution of the definition of error
  • Recognize patient safety cultures outside of health care
Module 3 "CLINICAL RESOURCE MANAGEMENT"

    Course Description & Objectives
  • Explain the various ways utilization is managed and costs are controlled
  • Explain the Centers for Medicare & Medicaid Services’ (CMS) efforts to identify misutilization with utilization profiles, protections for relaters and audits in both the public and private sectors
  • Discuss how CMS has restored the Medicare Trust Fund through the enforcement of local and national policy
Module 4 "CASE MANAGEMENT"

    Course Description & Objectives
  • Explore basic concepts and components of case management practice
  • Review legal considerations specific to case management practice
  • Explore quality considerations pertaining to case management practice
Module 5 "TRANSITIONS OF CARE"

    Course Description & Objectives
  • Explore the various transitions of care models
  • Discuss the seven elements for improving transitions of care
  • Examine performance measures supporting transitions of care
Module 6 "ACCREDITATION ORGANIZATIONS"

    Course Description & Objectives
  • Discuss the evolution and benefits of accreditation
  • Define “deeming” authority and identify the health care areas for which deemed status options are available
  • Discuss the differences between accrediting organizations and regulatory agencies
Module 7 "REGULATORY ENVIRONMENT"

    Course Description & Objectives
  • Explain the significance of ERISA, OBRA, COBRA, TEFRA, CLIA, HIPAA, and the BBA
  • Address Title XIX of the Social Security Act and the inception of Medicare along with major changes and present challenges.
  • Identify the significance of the Health Care Quality Improvement Act (HCQIA) and its amendments, the National Practitioner Data Bank, and the Healthcare Integrity and Protection Data Bank
Module 8 "CREDENTIALING AND PRIVILEGING"

    Course Description & Objectives
  • Outline concepts essential for proper credentialing of health care providers authorized by organizations to care for patients, e.g., hospitals, ambulatory care centers, health plans, workers’ compensation provider panels
  • Name the different resources that should be consulted to assure an applicant’s provision of safe care and ethical billing practices
  • Explain the components necessary for periodically re-credentialing and re-privileging individuals already authorized by the organization to provide patient services
Module 9 "INSURANCE AND MANAGED CARE"

    Course Description & Objectives
  • Identify the distinguishing characteristics of various forms of private and public health insurance and health insurance products
  • Examine the impact of Managed Care on quality and utilization
  • Define role and function of an Accountable Care Organization
Module 10 "WORKERS' COMPENSATION AND ERISA EDUCATION"

    Course Description & Objectives
  • Discuss the impact of the Americans With Disabilities Act (ADA) on the injured worker
  • Identify what Permanent Partial Impairment (PPI), Permanent Impairment (PI), Permanent Partial Disability (PPD), Permanent Disability (PD) and Temporary Total Disability (TTD) mean to the injured worker
  • Discuss the Workers’ Compensation Federal Employees’ Compensation Act, Railroad and Maritime Workers covered under the Federal Employers’ Liability Act (FELA) and the Jones Act, and the obligations of ADA
Module 11 "LEGAL AND ETHICAL ISSUES IN RISK MANAGEMENT: PRACTICE PROTECTION"

    Course Description & Objectives
  • Define risk management as it relates to practitioners, managed care organizations and health care facilities
  • Discuss the parameters of Informed Consent and the Patient Bill of Rights
  • Define the implications of Stark, Anti-Kickback Statute, and State Anti-Referral Restrictions
  • To understand the purpose and impact of HIPAA legislation

CME 14 CEU 14
Author(s)
Richard F. Kaine, MD, CHCQM (Click this link for author bio)
Dr. Richard F. Kaine, MD, CHCQM has disclosed he is a member of the Quality Management Resource consulting firm. Dr. Kaine serves as a Director on the ABQAURP Board of Directors.


Susan Carr (Click this link for author bio)
Susan Carr has indicated no relevant financial relationships to disclose in regard to the content of this presentation.


Joel V. Brill, MD, AGAF, CHCQM (Click this link for author bio)
Joel V. Brill, MD, AGAF, CHCQM has indicated that he serves as a Director on ABQAURP’s Board of Directors. He has indicated no relevant financial relationships to disclose in regard to the content of this presentation.


Mary Beth Newman, MSN, RN-BC, CMAC, CCP, CCM (Click this link for author bio)
Mary Beth Newman, MSN, RN-BC, CMAC, CCP, CCM has indicated no commercial support in this publication. Mrs. Newman serves as President (2011-12) on the Case Management Society of America’s National Board of Directors.


Teri Treiger, RN-BC, MA, CCM, CHCQM-CM, CCP (Click this link for author bio)
Teresa M. Treiger, RN-BC, MA, CHCQM-CM, CCM, CCP has indicated no commercial support in this publication. Mrs. Treiger serves as Immediate Past President (2011-12) on the Case Management Society of America’s National Board of Directors.


Cheri Lattimer, RN, BSN (Click this link for author bio)
Cheri Lattimer, RN, BSN has indicated no commercial support in this presentation. Mrs. Lattimer serves as Coalition Director for the National Transitions of Care Coalition and as Executive Director for the Case Management Society of America.


Nancy Skinner, RN-BC, CCM (Click this link for author bio)
Nancy Skinner, RN-BC, CCM has indicated no commercial support in this presentation. Mrs. Skinner serves as President-Elect (2011-12) on the Case Management Society of America’s National Board of Directors and as an Advisory Council Member to the National Transitions of Care Coalition.


ABQAURP (Click this link for author bio)
ABQAURP has indicated no relevant financial relationships to disclose in regard to the content of this presentation.


Marie Cleary-Fishman, RN, MS, MBA (Click this link for author bio)
Marie Cleary-Fishman, RN, MS, MBA, CHCQM has indicated no relevant financial relationships to disclose in regard to the content of this presentation.


David L. Fishman, MD, FACC, CHCQM (Click this link for author bio)
David L. Fishman, MD, FACC, CHCQM has indicated that he serves as a Director on ABQAURP’s Board of Directors. He has indicated no relevant financial relationships to disclose in regard to the content of this presentation.


Ann N. James, JD (Click this link for author bio)
Ann N. James, JD has indicated that she serves as a Director on ABQAURP’s Board of Directors. See has indicated no relevant financial relationships to disclose in regard to the content of this presentation.


Arthur I. Broder, MD, CHCQM (Click this link for author bio)
Arthur I. Broder, MD, CHCQM has indicated that he is Chairman of the Board of the American Board of Quality Assurance and Utilization Review Physicians, Inc. He has indicated no relevant financial relationships to disclose in regard to the content of this presentation.



Course Fees:
DIPLOMATE $250.00      MEMBER $275.00      NON-MEMBER $375.00

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American Board of Quality Assurance and Utilization Review Physicians
6640 Congress St. - New Port Richey, FL, 34653
Toll Free - 800.998.6030 - Telephone - 727.569.0190
Fax - 727.569.0195
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