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Small Group QI Project (1-10) Physicians - Completed Project

Instructions

DO NOT COMPLETE THIS APPLICATION, IF...
  • You are a member of Children's Primary Care Medical Group (CPCMG), please contact your Portfolio Manager to submit your project for MOC credit.
     
  • You presented this work at the InterProfessional Symposium (IPS) conference, and you received MOC credit. 

1. Reviewing this checklist will help you gather all the necessary information you will need to easily complete this application.

QI Project Requirements
  • Seeks to improve a KNOWN gap in quality care, does NOT acquire new knowledge.
  • Quantifiable goal within a specified time frame (e.g. To reduce clinic wait times to 1 hour within 3 months)
  • Identified measures used to track the project’s success (e.g. clinic wait time)
  • At least 3 points of de-identified aggregate data gathered over time
  • The physician(s) applying EACH participated in this project’s planning, execution, data review, implementation of changes, and team meetings.
 
2. Download the physician attestation form here. You will need to upload this completed form for each physician requesting credit as a combined PDF as part of your submission.

Note: Submission of this application alone does NOT guarantee MOC Part 4 credit. Projects will be reviewed for compliance with the ABP's and RCHSD standards.

Allow up to 10 business days for the initial review of your project's compliance with the ABP's and RCHSD's quality improvement standards for MOC credit approval. You may receive an email request for clarifications or additional project information from the reviewing team. Approved small group QI projects are awarded 25 MOC Part 4 points.
1. Status of the Quality Improvement Project? *This question is required.
Stop application here; ABP MOC credits are only awarded for completed QI projects.
We welcome you to submit when your project is completed.
Stop application here; ABP MOC credits are only awarded for completed QI projects.
While your overriding smart aim can be the same across projects, each project with its own run chart must have been completed for submission.
(This is the person requesting credit.)
(This is the person requesting credit.)
(This is the person requesting credit.) This question requires a valid date format of MM/DD/YYYY.
calendar
(This is the person requesting credit.)
Please enter an email here that you actually check DAILY. If we cannot reach you regarding your submission in a timely fashion, your application review may be delayed, and you may not receive credit in the calendar year you desire. This question requires a valid email address.
(Phone numbers should be provided in 111-111-1111 format.)
2. Are you a medical student, resident or fellow? *This question is required.
2. List the program and program director for your training: *This question is required.
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