Maintenance of Certification Part IV

Initiate a New Project

1. The physician or PA seeking to initiate a QI project must be affiliated with Advocate Health. Only one project approval needs to be submitted regardless of the number of physicians or PAs seeking credit.
2. The QI project submitted must reflect the priorities of Advocate Health or address facets of health care continuum, including but not limited to:
• Processes (i.e.: transition of care, discharge planning, advanced directives)
• Clinical Care (i.e.: sepsis, depression, opioid treatment)
• Administrative/Systems (i.e.: patient communication, EMR use, resource allocation)
• Population Health (i.e.: diabetes, food safety, health disparities)
3. The QI project must utilize an improvement methodology (i.e.: PDSA, IHI Collaborative Model, CQI).
4. The QI project must include an oversight process that ensures meaningful participation.
5. The physician or PA seeking credit must adhere to all criteria of meaningful participation.

1. The QI project lead for a quality improvement project must submit the QI Project Application by October 17th to receive credit in the same calendar year. This can be done before the project starts, during the project, or after the project is complete.
2. Advocate Health Interprofessional Continuing Education (IPCE) team will review the application and may request additional information. Once the application review is complete, the IPCE team will submit the project to ABMS and the certifying board(s).
3. ABMS and certifying board(s) will review the project application. The IPCE team will notify the physician or PA who submitted the application once approved.
4. Each physician or PA seeking credit must complete the QI Project Completion Attestation by November 14th.
5. IPCE team will review and submit the attestations to the certifying board(s).

Join and Active Project

Advocate Condell Quality Improvement Initiative - Reducing Readmissions

1. The physician or PA seeking credit must be affiliated with Advocate Health.
2. The QI Project must be pre-approved by the board the physician or PA is seeking credit from.
3. The physician or PA seeking credit with an already approved QI project must adhere to all criteria of meaningful participation.

1. The interested physician or PA will review and select one of the approved efforts relevant to their practice.
2. The physician or PA should contact the QI project lead for further information.
3. Each physician or PA seeking credit must complete the QI Project Completion Attestation by November 14th.
4. Advocate Health Interprofessional Continuing Education (IPCE) team will review and submit the attestation to the certifying board(s).

Submit a QI Project Poster

1. Poster must include an adequate and appropriate Aim Statement/SMART Goal (Specific, Measurable, Achievable, Relevant, and Time-bound).
2. Poster must include adequate and appropriate measures that are aligned to determine if change occurs and relate directly to AIM Statement/SMART Goal.
3. Poster must include adequate and appropriate interventions that have been aligned to impact the measures and were implemented into practice.
4. The poster cannot reflect work that was already submitted for MOC Part IV credit.
5. The poster must have been presented, shared, or published at a quality week, conference, small group session, or other organizational event.
6. Attestations are required for both listed poster authors and those who participated in the improvement work but are not listed as authors.
7. The physician or PA seeking credit for a QI project poster must adhere to all criteria of meaningful participation.

1. Ensure that your poster meets the above requirements.
2. Complete the QI Poster Attestation by November 14th to receive credit for this calendar year.
3. Advocate Health Interprofessional Continuing Education (IPCE) team will review and submit the attestations to ABMS and the certifying board(s).

Show Your Leadership

Leaders eligible for continuing certification credit through the Portfolio Program meet meaningful participation requirements through the following types of organizational roles:

• Organizational Quality Improvement or Patient Safety Officer
• Quality Improvement or Patient Safety Coach/Trainer
• Department/Section/Unit Chair for Quality Improvement or Patient Safety
• Resident/Student Quality Improvement or Patient Safety Advisor
• Quality Improvement or Patient Safety Committee Chair or Vice Chair (members eligible dependent on the work of the committee)
• Additional roles may be eligible

1. Ensure you are in one of the QI/PS roles listed above.
2. Complete the QI Leader Attestation by November 14th to receive credit for this calendar year.
3. Advocate Health Interprofessional Continuing Education (IPCE) team will review and submit the attestations to ABMS and the certifying board(s).