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Maintenance of Certification Portfolio Approval Program

Approved Projects


MOC Part IV Credit – Approved Projects

 
The projects listed below have been reviewed and approved by the CUSOM MOC Program.  The projects are organized by their status (Active or Completed), then by specialty board.  Projects noted as active may have attestations submitted for MOC Part IV credit, given the physician meets all requirements of the Meaningful Participation Criteria.  All attestations must be signed by the Project Lead(s) and include information regarding the physician’s individual involvement in the QI effort                          
 

 Active Projects

 

 American Board of Internal Medicine (ABIM)

Improving Timeliness of Discharge Communication at UCH Monitoring
Approval Date: 
November 18, 2013
Institution:
University of Colorado Hospital
Department:
Internal Medicine
Project Participant(s): 
M Douglas Jones, Jr, MD; Matthew Godleski, MD; Jonathan Pell, MD; E Chester Ridgway, III, MD; Darlene Tad-y, MD; Heidi Wald, MD, MPH
Participating Board(s):  
American Board of Internal Medicine (ABIM)
American Board of Pediatrics (ABP)
American Board of Physical Medicine and Rehabilitation (ABPM&R)
Project Status: 
Ongoing (Dec. 2011 – Current)
          
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 American Board of Pediatrics (ABP)

Improving Timeliness of Discharge Communication at UCH Monitoring
Approval Date: 
November 18, 2013
Institution:
University of Colorado Hospital
Department:
Internal Medicine
Project Participant(s): 
M Douglas Jones, Jr, MD; Matthew Godleski, MD; Jonathan Pell, MD; E Chester Ridgway, III, MD; Darlene Tad-y, MD; Heidi Wald, MD, MPH
Participating Board(s):  
American Board of Internal Medicine (ABIM)
American Board of Pediatrics (ABP)
American Board of Physical Medicine and Rehabilitation (ABPM&R)
Project Status: 
Ongoing (Dec. 2011 – Current)
 
 
Using Best Practice Alerts to Improve Flu Vaccination Documentation among Pulmonary Outpatients
Approval Date: 
November 22, 2013
Institution:
Children’s Hospital Colorado
Department:
Pediatric Pulmonology
Project Participant(s): 
Gwendolyn Kerby, MD; Frank Accurso, MD; Christopher Baker, MD; Vivek Balasubramaniam, MD; Emily DeBoer, MD; Robin Deterding, MD; Monica Federico, MD; Ann Halbower, MD; Paul Houin, MD; Talat Z Khan, MD; Oren Kupfer, MD; Deborah Rachel Liptzin, MD; Stacey Martiniano, MD; Scott Sagel, MD, PhD; Paul Stillwell, MD; Jeffrey Wagener, MD; Carl W White, MD; Edith Towler Zemanick, MD
Participating Board(s):  
American Board of Pediatrics (ABP)
Project Status: 
Ongoing (Aug. 2010 – Current)
 
 
Reducing Quantity Not Sufficient (QNS) Rates for Cystic Fibrosis Sweat Chloride Testing
Approval Date: 
March 4, 2014
Institution:
Children’s Hospital Colorado
Department:
Pediatric Pulmonology
Project Participant(s): 
Scott Sagel, MD, PhD; Frank Accurso, MD; Monica Federico, MD;
Stacey Martiniano, MD; Jeffrey Wagener, MD; Edith Towler Zemanick, MD
Participating Board(s):  
American Board of Pediatrics (ABP)
Project Status: 
Ongoing (Aug. 2010 – Current)
 
 
Improving Physician Communication about HPV Vaccines
Approval Date: 
April 29, 2014
Institution:
Children’s Hospital Colorado
Department:
Pediatric Primary Care
Project Participant(s): 
Participating Board(s):  
American Board of Pediatrics (ABP)
Project Status: 
Ongoing (Apr. 2014 – Current)
  
 
Improving Clinic On-Time Start
Approval Date: 
June 25, 2014
Institution:
Children’s Hospital Colorado
Department:
Digestive Health Institute
Project Participant(s): 
Participating Board(s): 
American Board of Pediatrics (ABP)
Project Status: 
Ongoing (Dec. 2011 – Current)
 
CHCO Antimicrobial Stewardship
Approval Date: 
June 25, 2014
Institution:
Children’s Hospital Colorado
Department:
Infectious Diseases
Project Participant(s): 
Participating Board(s): 
American Board of Pediatrics (ABP)
Project Status: 
Ongoing (Jun. 2013 – Current)
 
BMT Ready for Discharge Project
Approval Date: 
June 25, 2014
Institution:
Children’s Hospital Colorado
Department:
Cancer and Blood Disorders Center
Project Participant(s): 
Participating Board(s): 
American Board of Pediatrics (ABP)
Project Status: 
Ongoing (Apr. 2013 – Current)
 
Reducing Codes Outside the ICU
Approval Date: 
June 25, 2014
Institution:
Children’s Hospital Colorado
Department:
Pediatric ICU
Project Participant(s): 
Participating Board(s): 
American Board of Pediatrics (ABP)
Project Status: 
Ongoing (Jan. 2010 – Current)
 
 
3

 American Board of Physical Medicine and Rehabilitation (ABPM&R)

Improving Timeliness of Discharge Communication at UCH Monitoring
Approval Date: 
November 18, 2013
Institution:
University of Colorado Hospital
Department:
Internal Medicine
Project Participant(s): 
M Douglas Jones, Jr, MD; Matthew Godleski, MD; Jonathan Pell, MD; E Chester Ridgway, III, MD; Darlene Tad-y, MD; Heidi Wald, MD, MPH
Participating Board(s):  
American Board of Internal Medicine (ABIM)
American Board of Pediatrics (ABP)
American Board of Physical Medicine and Rehabilitation (ABPM&R)
Project Status: 
Ongoing (Dec. 2011 – Current)
 
 
4

 American Board of Psychiatry & Neurology (ABPN)

 
Target Stroke
Approval Date: 
October 17, 2013
Institution:
University of Colorado Hospital
Department:
Vascular Neurology
Project Participant(s): 
William Jones, MD; Sharon Poisson, MD; Jennifer Simpson, MD;
Matthew West, MD         
Participating Board(s):  
American Board of Psychiatry & Neurology (ABPN)
Project Status: 
Ongoing (Jul. 2011 – Current)
 
 
Ensuring Depression Screening amongst Neuro-Oncology Patients
Approval Date: 
November 18, 2013
Institution:
University of Colorado Hospital
Department:
Neurology
Project Participant(s): 
Participating Board(s):  
American Board of Psychiatry & Neurology (ABPN)
Project Status: 
Ongoing (Mar. 2013 – Current)
 
 
Incidence and Risk Factors for Electrode-Related Skin Irritation during Video-EEG Monitoring
Approval Date: 
November 18, 2013
Institution:
University of Colorado Hospital
Department:
Neurology/Epilepsy
Project Participant(s): 
Lauren Frey, MD; Cornelia Drees, MD          
Participating Board(s):  
American Board of Psychiatry & Neurology (ABPN)
Project Status: 
Ongoing (Jul. 2012 – Current)
 
 
Performance Improvement: Time to Endovascular Therapy for Acute Ischemic Stroke
Approval Date: 
November 18, 2013
Institution:
University of Colorado Hospital
Department:
Neurology
Project Participant(s): 
Jennifer Simpson, MD; Richard Hughes, MD; Sharon Poisson, MD; Matthew West, MD
Participating Board(s):  
American Board of Psychiatry & Neurology (ABPN)
Project Status: 
Ongoing (Nov. 2012 – Current)
 
 
Violence Prevention Program for the UCH Outpatient Psychiatry Department
Approval Date: 
January 30, 2014
Institution:
University of Colorado Hospital
Department:
Neurology
Project Participant(s): 
Participating Board(s):  
American Board of Psychiatry & Neurology (ABPN)
Project Status: 
Ongoing (Jan. 2011 – Current)
 
 
MD Connect
Approval Date: 
April 29, 2014
Institution:
University of Colorado Hospital
Department:
Neurology
Project Participant(s): 
Laura Strom, MD; Enrique Alvarez, MD, PhD; Jeffrey Bennet, MD; Brian Berman, MD, MS; Laur Marius Birlea, MD; Denise Damek, MD; Cornelia Drees, MD; Lauren Frey, MD; Benzi Kluger, MD; Teerin Liewluck, MD; Eryn Lonnquist, MD; Augusto Miravalle, MD; Douglas Ney, MD; Victoria Pelak, MD; Sharon Poisson, MD; Dianna Quan, MD; Jennifer Simpson, MD; Jean Tsai, MD;
Johnathan Woodstock, MD
Participating Board(s):  
American Board of Psychiatry & Neurology (ABPN)
Project Status: 
Ongoing (Sept. 2012 – Current)
 
 
Improving Depression Screening in Patients with Neuromuscular Diseases
Approval Date: 
May 9, 2014
Institution:
University of Colorado Hospital
Department:
Neurology
Project Participant(s): 
Steven Ringel, MD; Sailaja Enduri, MD; Teerin Liewluck, MD; Dianna Quan, MD
Participating Board(s):  
American Board of Psychiatry & Neurology (ABPN)
Project Status: 
Ongoing (Feb. 2013 – Current)
 
 
 
 
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 Completed Projects

 

 American Board of Anesthesiology (ABA)

 
Adverse Event and Error Reporting via the Epic EMR System
Approval Date: 
November 18, 2013
Institution:
University of Colorado Hospital
Department:
Anesthesiology
Project Participant(s): 
Participating Board(s):  
American Board of Anesthesiology (ABA)
Project Status: 
Completed (May 2013 – Nov. 2013)
 
 
1

 American Board of Family Medicine (ABFM)

Improving Pneumococcal Immunization Rates in Adults > 65 Years Old
Approval Date: 
November 4, 2013
Institution:
University of Colorado Hospital
Department:
Family Medicine
Project Participant(s): 
Corey Lyon, DO; Michael Bross, MD; Jeffrey Cain, MD; Colleen Conry, MD; Brandy Deffenbacher, MD; Morteza Khodaee, MD; Wendy Madigosky, MD; Linda Montgomery, MD; David Nowels, MD
Participating Board(s):  
American Board of Family Medicine (ABFM)
Project Status: 
Completed (May 2013 – Sept. 2013)
 
4

 American Board of Pediatrics (ABP)

 
Improving Communication with our Patients through After Visit Summaries
Approval Date: 
November 12, 2013
Institution:
Children’s Hospital Colorado
Department:
Pediatric Rehabilitation
Project Participant(s): 
Susan Biffl, MD; Michael Dichiaro, MD; Dennis Mathews, MD; Joyce Oleszek, MD; Anne Stratton, MD; Pamela Wilson, MD
Participating Board(s):  
American Board of Physical Medicine and Rehabilitation (ABPM&R)
American Board of Pediatrics (ABP)
Project Status: 
Completed (Jan. 2012 – Mar. 2013)
 
 
Quality Improvement Project in Handling of Laboratory Results for MRSA Nasal Swabs
Approval Date: 
November 25, 2013
Institution:
Children’s Hospital Colorado
Department:
Pediatrics  
Project Participant(s): 
Participating Board(s):  
American Board of Psychiatry Pediatrics (ABP)
Project Status: 
Completed (Mar. 2013 – Aug. 2013)
 
3

 American Board of Physical Medicine and Rehabilitation (ABPM&R)

Improving Communication with our Patients through After Visit Summaries
Approval Date: 
November 12, 2013
Institution:
Children’s Hospital Colorado
Department:
Pediatric Rehabilitation
Project Participant(s): 
Susan Biffl, MD; Michael Dichiaro, MD; Dennis Mathews, MD; Joyce Oleszek, MD; Anne Stratton, MD; Pamela Wilson, MD
Participating Board(s):  
American Board of Physical Medicine and Rehabilitation (ABPM&R)
American Board of Pediatrics (ABP)
Project Status: 
Completed (Jan. 2012 – Mar. 2013)
 
2

 American Board of Psychiatry & Neurology (ABPN)

Improving Access to Care for Neurology Clinic Patients
Approval Date: 
November 21, 2013
Institution:
University of Colorado Hospital
Department:
Neurology
Project Participant(s): 
Participating Board(s):  
American Board of Psychiatry & Neurology (ABPN)
Project Status: 
Completed (Jan. 2012 – Jul. 2012)
 
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