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Maintenance of Certification Portfolio Approval Program

Meaningful Participation Criteria

MOC Part IV Credit – Physician Attestation to Meaningful Participation  

MOC Part IV QI projects can be done by individuals, a group of individuals, or department. There is no limit to the number of physicians that may participate in the QI effort.  All physicians seeking MOC Part IV credit must complete the Physician Attestation Form.  The purpose of the attestation is to show the physician has met the criteria for “meaningful participation”.  Attestations may be submitted at the time of project review, or anytime after project approval if the QI effort is ongoing.
The CUSOM 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: 
1.       The 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.   
2.       The physician is actively involved in the implementation of strategies
and interventions. 
3.       The physician is actively involved in the data collection and/or analysis
to assess the impact of the interventions, making appropriate course corrections in the improvement effort. 
4.       The physician actively participates in meetings to continue the process
for improvement. There must be documentation of meeting attendance; meeting minutes are encouraged, but not required. 
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
The timely submission of attestation forms is essential for physicians whose certification period will end in the year that the project ends.  Attestation forms must be submitted to the CUSOM MOC Program by November 30th in order for us to report credit to your ABMS specialty board and have your credit count for that year.  
For any questions/comments, please contact the CUSOM MOC Program manager at