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Maintenance of Certification Portfolio Approval Program

Forms & Links


2017 Deadlines:
 
MOC Part IV Credit Applications must be submitted to the CUSOM MOC Program by November 1st, and Physician Attestation Forms submitted by December 1st, in order for us to report credit to your ABMS specialty board and have your credit count for this year.
  
CUSOM MOC Program Forms: 
PDF Version Document¥*
Word Version Document
Purpose
Submit this form to have the QPRB review your project for MOC Part IV credit.  They will formally review/approve the project, then report the awarding of credit to the national Multi-Specialty MOC Program and the participating specialty boards.  Only submit one form per project.  This form may also be used for the pre-approval of new QI efforts, or the progress update of approved and ongoing projects.
Submit this form to have the QPRB review each physician’s level of participation in the QI project.  They will review/approve each physician’s participation, then report the participation to the national Multi-Specialty MOC Program and the participating specialty boards.  Participants must be part of an approved project and may submit an attestation at any time as long as the QI effort is ongoing.  See our Approved Projects page for a listing of ongoing projects.
Submit this form to have the QPRB review your sub-project, part of a previously approved umbrella project, for MOC Part IV credit.  Typically the main project leader will complete this form, though there may be specific sub-project leaders that may submit this form for credit review.
(V4.1.23.15)
This document notes the required criteria that must be met in order for the QI project to receive MOC Part IV credit. 

Meaningful Participation Criteria  (V4.1.23.15)  

This document notes the required criteria that must be met by each physician in order to receive credit for participation in an approved QI project.   
(FY12-13 thru FY15-16)
These charts and tables represent the CUSOM MOCPAP program activity from FY12-13 to FY15-16.  Updated data will be posted when available. 
We will be sending this survey to each participant that has earned MOC Part IV credit through this program.  Your feedback is very important to us.  We welcome any comments/suggestions you have so we may improve this program for our physicians. 
* Please download PDF forms and SAVE TO YOUR COMPUTER BEFORE ENTERING TEXT!
¥ PDF’s work best with the latest Adobe version (XI 11.0.10) available for download at
Word version documents can only be accessed by users logged-in via the UCDenver system.  CHCO or   
   other users outside the system will not be able to access this form unless they log-in with their UCDenver
   log-in/password. 
 
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