4: Physician attestation of meaningful involvement in the project and reflections on his/her participation
physicians involved in the QI activity will complete the Physician Attestation Form. This form will include a description of
the QI effort detailing how it is directly related to the physician’s practice,
and a reflection statement describing the change that was performed in his/her
practice affecting the way care is delivered.
The purpose of the attestation is to show the physician has met the
criteria for “meaningful participation”.
MOC Program has defined the criteria for “meaningful participation” with the
below requirements. Physicians must meet at least 2 of the 4 following criteria
to receive credit for MOC Part IV participation:
physician is actively involved in the initial project design, including but not
limited to identifying the gap in quality, development of primary outcome measures
and target improvement, and development of plans for intervention.
physician is actively involved in the implementation of strategies and interventions.
physician is actively involved in the data collection and/or analysis to assess
the impact of the interventions, making appropriate course corrections in the
physician actively participates in meetings to continue the process for
improvement. There must be documentation
of meeting attendance.
At a minimum, the
activities must be of sufficient duration to allow for physician participation
in at least one full cycle of assessment, intervention, and re-assessment (e.g.,
PDSA cycle) for at least three months duration.