MOC Part IV at OHSU

 OHSU SoM offers an administrative structure that supports the alignment of CPD/QI/MOC/OPPE to address clinical and practice gaps and improve patient outcomes.  

The Vision: High caliber quality improvement projects completed at OHSU are efficiently approved for MOC Part IV using the ABMS Multi-Specialty Portfolio Program administered by The SoM Office of Continuing Professional Development (CPD).  Attaining MOC Part IV becomes a non-issue for OHSU providers (physicians/PAs)!

Portfolio Program Logo

Why should you use the Multi-Specialty Portfolio Program for your MOC Part IV credit requirements?

  1. Efficient – Gain recognition for the great work you are already doing
  2. Meaningful - Fulfill your MOC IV requirements via QI initiatives centered on the needs of your practice
  3. Free – There is no charge to submit through the OHSU Portfolio Program
  4. Administrative Framework – Utilize CPDs existing process and leverage our experienced resources

"Appreciate being able to obtain credit for projects that are directly relevant to my own clinical practice and that bring real improvement in quality of care for my patients."

"I will be more inclined to attempt to address problems from a systems approach, not an individual-provider approach."

"Thank you CPD! You have been so helpful in this process and flexible.  It’s much appreciated."

Thought bubbles

How It Works

Participation in the ABMS Portfolio Program recognizes activities designed to improve provider practices and the care of patients. Activities can be large in scale to address systemic and clinical issues or smaller activities to improve a specific area of practice.  Activities typically involve a team of individuals although individual efforts can qualify.

Approved OHSU MOC PART IV QI Projects that are accepting providers

  • Colorectal Cancer Screening 
  • Housestaff-Driven Improvements in Surrogate Decision Maker Documentation [Project Lead: Jacob Luty, MD]
  • Reduction of Active Patients with Poorly Controlled Diabetes
  • Reducing morbidity and mortality from non-POA sepsis in adult patients

Requirements for Individual Provider Engagement: 

  • Develop and/or apply QI tools to practice 
  • Review performance data not less than 3 times
  • Reflect on impact of QI (via online attestation)

Want to join an approved project?  Contact Laura Kleckner, MOC IV Specialist at kleckner@ohsu.edu 

      • Utilize OHSU’s A3 Problem solving format (include Problem, Current State, Root Causes, SMART Aim)  [Example completed A3]
      • Collect pre-intervention baseline data
      • Implement at least two tests of change (i.e., PDSA cycles) designed to impact the Aim
      • Collect post-intervention data to track and evaluate these tests of change
      • Plot baseline data and 2 follow-up data points on an annotated run chart
      • Complete a brief attestation form confirming meaningful engagement in the QI project 

      Have a project that might qualify?  Contact Laura Kleckner, MOC IV Specialist at kleckner@ohsu.edu 

      CPD wants to help our providers receive maintenance of certification (MOC) credit for the improvement work they are involved with!  Submitting an activity to the SoM ABMS Portfolio Program is free.

      Options and process

      Have a project to submit?  Contact Laura Kleckner, MOC IV Specialist at kleckner@ohsu.edu 

      We identified five areas within OHSU where high fidelity quality improvement work is taking place.  We used those areas to create a framework for the Portfolio Program.  We call these areas the five nodes of quality. Each of these nodes represent an area within the institution that is leading high-grade quality improvement efforts aligned with institutional priorities and conducting those efforts in a way that meet ABMS requirements.  

      To review and approve OHSU projects within these five nodes of quality, we created the OHSU MOC Part IV Committee (supported by CPD staff).  The committee membership was intentionally designed to ensure interdepartmental, interprofessional and multi-specialty representation.  

      Infrastructure

      The following ABMS member boards, along with the National Commission on Certification of Physician Assistants (NCCPA) are participating in this program:

      Anesthesiology (ABA)

      Dermatology (ABD)

      Emergency Medicine (ABEM)

      Family Medicine (ABFM)

      Internal Medicine (ABIM)

      Medical Genetics and Genomics (ABMGG)

      Obstetrics and Gynecology (ABO+G)

      Ophthalmology (ABO)

      Otolaryngology – Head and Neck Surgery (ABOHNS)

      Pathology (ABPATH)

      Pediatrics (ABP)

      Physical Medicine and Rehabilitation (ABPMR)

      Preventative Medicine (ABPM)

      Psychiatry and Neurology (ABPN)

      Radiology (ABR)

      Surgery (ABS)

      Thoracic Surgery (ABTS)

      Urology (ABU)

      Why should I use the Multi-Specialty Portfolio Program for my MOC Part IV credit requirements?

      1. Efficient – Gain recognition for the great work you are already doing
      2. Meaningful - Fulfill your MOC IV requirements via QI initiatives centered on the needs of your practice
      3. Free – There is no charge to submit through the OHSU Portfolio Program
      4. Administrative Framework – Utilize CPDs existing process and leverage our experienced resources

      How do I submit a project?

      Projects are submitted to Continuing Professional Development.  Click on the Submission tab above to learn more!

      How do I determine if a QI project is eligible for MOC Part IV credit?

      Eligible projects should meet the following core project requirements:

      • Utilize OHSU’s A3 Problem solving format (include Problem, Current State, Root Causes, SMART Aim)
      • Collect pre-intervention baseline data
      • Implement at least two tests of change (i.e., PDSA cycles) designed to impact the Aim
      • Collect post-intervention data to track and evaluate these tests of change
      • Plot baseline data and 2 follow-up data points on an annotated run chart

      Which boards are participating?

      All ABMS member boards with the exception of the six listed below.  Click on the Participating Boards tab above to confirm your board is participating.

      • Allergy and Immunology (ABAI)
      • Colon and Rectal Surgery (ABCRS)
      • Neurological Surgery (ABNS)
      • Nuclear Medicine (ABNM)
      • Orthopaedic Surgery (ABOS)
      • Plastic Surgery (ABPS)

      How long does it take to get a project approved?

      The Review Committee meets quarterly to review all submitted projects.  Interim project reviews can occur and are evaluated on a case by case basis.

      Who is eligible to participate?

      All providers at OHSU or an OHSU affiliate partner who are certified by a participating ABMS member board.

      Can PAs and NPs get credit through this program?

      PAs CAN attain credit through the Portfolio Program.  At this time NPs CANNOT attain credit through the Portfolio Program.

      Is there a fee?

      No!  Project submission is free! And who doesn't like free??

      Does a particular QI process have to be used, i.e. Lean, Six Sigma, etc?

      Not necessarily.  Ideally, project leads will utilize OHSUs A3 Problem Solving format but alternate QI processes are acceptable.

      How is successful completion reported to the certifying boards?

      The Continuing Professional Development team uploads project information to the appropriate ABMS member boards via the ABMS portal.   CPD issues an online attestation link to all participating providers and  your board will issue credit (typically 2-3 weeks after attestation completion). 

      Board notification processes vary.  Some boards send an email notification to you directly when credit is issued and others do not.  You can always check your MOC progress on your board portal. 

      What if the MOC Part IV Committee does not award MOC Part IV credit to me for failing to meet the criteria for Project Approval or Meaningful Participation?

      The Review Committee will review a given project up to two times.  Continuing Professional Development staff will provide project leads with information as to why the Review Committee did not approve the project upon initial submission and offer guidance regarding project adjustments for resubmission and successful Review Committee approval.

      In 2019, the American Board of Medical Specialties Portfolio Program™ (ABMS Portfolio Program) granted an expansion of OHSU’s portfolio sponsorship status beyond the Department of Pediatrics.  This allows OHSU School of Medicine to review and approve quality and safety activities for MOC credit from participating ABMS Member Boards or the National Commission on Certification of Physician Assistants (NCCPA).  With this expansion, SoM strives to create opportunities to share QI initiatives (and lessons learned from those efforts) more broadly across the institution.  

      The SoM’s Continuing Professional Development (CPD) unit oversees and administers the OHSU Portfolio Program.  As a designated ABMS Portfolio Program Sponsor, CPD takes care of the essential administrative tasks related to credit confirmation. 

      • Submitting activities to the ABMS Portfolio Program for approval.
      • Reviewing and approving individual or group attestations of activity participation.
      • Sending confirmation of activity completion to the ABMS Portfolio Program for transmission to the particular ABMS Member Board(s) or the NCCPA to receive credit approval. 

      Current Review Committee members: 

      Windy Stevenson, M.D. – Committee Chair

      Nels Carlson, M.D.

      David Coultas, M.D., FACP

      Deborah Eldredge, Ph.D., RN

      Jacob Luty, M.D.

      George Mejicano, M.D., M.S. 

      Alexander Nydahl, M.P.A.S., PA-C

      Support staff:

      Christine Flores, M.P.H, Administrative Director, Continuing Professional Development

      Laura Kleckner, MOC IV Specialist, Continuing Professional Development

      Colleen Reuland, Program Director, OPIP

      Katie Unger M.P.H, Program Manager, Facilitation & Improvement, OPIP

      Providers at OHSU or an OHSU affiliate partner - Interested in joining one of our open projects? Have a project that might qualify? Questions on the process?

      Contact Laura Kleckner, MOC IV Specialist at kleckner@ohsu.edu