Maintenance of Certification Portfolio Program

Maintenance of Certification Portfolio Program

The Children’s Health℠ Maintenance of Certification (MOC) Portfolio Program is an institutional resource to help Children’s Health-affiliated physicians maintain certification in their specialties.

Through lifelong learning and Quality Improvement (QI) projects, physicians can improve patient outcomes across Children’s Health.

As a portfolio sponsor, Children’s Health helps physicians receive recognition for QI projects in the form of MOC Part 4 credit. We submit physicians who participate in MOC projects within our program to the appropriate American Board of Medical Specialties (ABMS) member board.

Throughout the process, we strive to help physicians succeed by offering guidance regarding:

  • QI methodologies
  • Data collection strategies
  • Participant qualifications for MOC Part 4 credit
  • Documentation requirements for MOC Part 4 credit

As part of our commitment to deliver the highest quality care possible to our patients and families, Children’s Health MOC Portfolio Program maintains a listing of current QI projects for physicians to receive board certification.

These activities acknowledge a physician's dedication to lifelong learning and to exemplary clinical outcomes for patients in a rapidly changing and dynamic health care environment.

We are a member of the American Board of Medical Specialties' (ABMS) Multi-Specialty MOC Portfolio Approval Program (Portfolio Program). This allows us to work one-on-one with many of ABMS member boards to grant MOC Part 4 credit to physicians involved in QI projects.

Please contact the MOC project manager at 214-456-5630  or mocprogram@childrens.com for additional information.

  • What is MOC?

    Maintenance of Certification (MOC) is a four-part program that drives physicians to provide the absolute best possible care for their patients.  

    Developed by the American Board of Medical Specialties (ABMS) in conjunction with 24 certifying boards, MOC provides physicians the foundation to demonstrate lifelong learning and education.  

    The four-part system addresses: 

    • Part 1 – Physician Professional Standing
    • Part 2 – Lifelong Learning and Self-Assessment
    • Part 3 – Cognitive Expertise Through Examination
    • Part 4 – Improvements in Professional Practice

    Improving Professional Practice (Part 4) of Maintenance of Certification (MOC) requires physicians to demonstrate competence in systematic measurement and improvement in patient care. The Children’s Health℠ MOC Portfolio Program helps physicians receive Part 4 credit for leading or participating in quality improvement efforts within Children’s Health. 

    Visit the American Board of Pediatrics site for more information on MOC.  

  • MOC - Approved Projects

    The Children’s Health℠ Maintenance of Certification (MOC) Portfolio Program gives physicians MOC Part 4 credit for their contribution to Quality Improvement (QI) projects.  

    Physicians receive credit for leading a QI project or for participating in an ongoing project at Children’s Health. Approved projects with opportunities for participation will be listed here.  

  • Application Information

    If you are a physician that has identified a gap in care impacting quality, or if you are leading an ongoing Quality Improvement (QI) project, your initiative may qualify for the Children’s Health℠ Maintenance of Certification (MOC) Portfolio Program.  

    Please review the Project Criteria and Participation Criteria to ensure the QI project meets the standards for meaningful participation. The application review process may take up to 90 days to complete, but in many cases the project can begin immediately.  

    Children’s Health became a portfolio sponsor in November 2015. Ongoing projects that began prior to that date may not be eligible to be submitted by Children’s Health for MOC Part 4 credit.  

    Project Application Form

  • Project Criteria

    The Children’s Health℠ MOC Portfolio Program helps physicians receive recognition for their quality improvement efforts in the form of MOC part 4 credit. Physicians can receive credit for leading a quality improvement effort within the Children’s Health system or for participating in an ongoing quality improvement effort within the Children’s Health system.

    As a project lead, the physician is responsible for ensuring the project meets the following standards to be eligible for MOC Part 4 credit for all participants. The Children’s Health MOC Portfolio Program can provide assistance to physicians during the project development phase to help ensure the project will meet the criteria.

    Qualifying projects are those that:

    1. Have leadership and management at the initiative level that will ensure adherence to the participation criteria
    2. Address care the physician can influence in one or more of the six Institute of Medicine quality dimensions (safety, effectiveness, timeliness, equity, efficiency and/or patient-centeredness) and one or more of the ACGME/ABMS competencies (Practice-based Learning and Improvement; Patient Care and Procedural Skills; Systems-based Practice; Medical Knowledge; Interpersonal and Communication Skills; and Professionalism)
    3. Have specific, measurable, relevant and time-appropriate aims for improvement
    4. Use appropriate, relevant and evidence-based (when available) performance measures that include measurement at the appropriate unit of analysis (physician, clinic, care team, etc.); use national measures when available
    5. Use a recognized, valid, established quality or performance improvement methodology
    6. Include appropriate prospective and repetitive data collection and reporting of performance data so that diplomates access, reflect on and act upon the data at least three times (including at baseline and at the conclusion of the activity) during the course of their meaningful participation in a quality initiative designated for MOC Part 4
    7. Attempt or plan to translate or implement an improvement into routine care, or disseminate or spread and sustain an existing improvement into practice
    8. Possess sufficient and appropriate resources to develop, support and conclude the activity without real or perceived conflict of interest (industry funding)
  • Participation Criteria

    The Children’s Health℠ MOC Portfolio Program helps physicians receive recognition for their quality improvement efforts in the form of MOC part 4 credit. Physicians can receive credit for leading a quality improvement effort within the Children’s Health system or for participating in an ongoing quality improvement effort within the Children’s Health system.

    In order to be eligible for MOC Part 4 credit, the physician’s participation must be meaningful. Physician participation in an approved quality improvement effort is considered meaningful when:

    1. The activities within initiatives are directly related to the physician’s clinical practice or organizational/leadership role in improving care.
    2. The physician is actively involved throughout the entire specified activity in order to understand and experience basic QI/PI principles. Involvement MAY include at least one of the following:
      • Provision of direct patient care as an individual or a member of the care delivery team
      • Being involved from the conceptualization, design, oversight of implementation, overall assessment/evaluation and evolution of the QI/PI initiative
      • Supervised residents or fellows throughout the entire initiative as noted in the Standards and Guidelines for MOC Qualifying Initiatives
    3. The physician is able to verify and will attest that they have participated throughout the entire specified QI/PI initiative, met with others involved in the improvement activities, reviewed their performance data, helped develop and/or implement changes to the activities and personally reflected on the impact of the initiative on their practice or organizational role. Reflection on further improvements, barriers to improvement and sustaining achieved improvement is strongly encouraged. 
  • Forms

    The Children’s Health℠ Maintenance of Certification (MOC) Portfolio Program helps physicians receive recognition for their quality improvement (QI) projects in the form of MOC Part 4 credit.  

    Physicians can receive credit for leading a QI project within Children’s Health or for participating in an ongoing project within Children’s Health.  

    Please refer to the forms below for application to receive MOC Part 4 credit or to submit documentation of participation in an approved QI project. As part of the application process, MOC project leaders will be asked to generate baseline data to support the identified need for a QI project. 

    Project Application Form  

    Physician Attestation of Participation  

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