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MOC Roles & Responsibilities

Maintenance of Certification at BCM

For questions, please contact: BCM MOC Program


The BCM MOC Program serves as an institutional resource to help eligible ABMS diplomates (physicians and medical specialists certified by participating ABMS Member Boards) and physician assistants (PA) (certified by the National Commission on Certification of Physician Assistants) earn continuing certification (MOC) credit for their participation in qualified quality improvement and patient safety activities conducted within their practices and health care organizations.

In order to qualify for MOC Part 4/Improving Health and Health Care (IHHC) or NCCPA Category 1 PI-CME credit, physician/PA participants seeking credit (including the Project Lead if applicable) must independently demonstrate meaningful participation in a qualified QI activity/project that meets stated QI Activity Requirements.

The BCM MOC Program provides guidance to the project team (project lead and project participants), as needed, throughout the project lifecycle.

To clarify roles and responsibilities within a project, the BCM MOC Program distinguishes between the Project Lead, who leads and actively participates in the project, and the Project Participant, who is also actively engaged team members but is not the designated Project Lead.

As such, the roles, responsibilities, and expectations of the BCM MOC Program, Project Lead, and Project Participant are outlined below.


Roles & Responsibilities


BCM MOC PROGRAM
Key responsibilities of the BCM MOC Program include the items described below.

  • Serve as the primary contact between physicians/PAs seeking MOC Part 4/NCCPA Category 1 PI-CME credit and the ABMS Portfolio Program (including participating ABMS Member Boards and NCCPA).
  • Facilitate (as needed, by request) initial contact between I-QIPS QI Coaches and Project Leads and/or teams for customized guidance in QI tools/methodologies and data collection strategies.
  • Provide guidance (as needed, by request) around appropriate educational resources available to assist with QI activity creation and development.
  • Provide web-based project tracking and documentation capabilities via the I-QIPS QI Project Registry (Required for BCM/affiliated employees only.)
  • Prepare and submit Physician/PA completion notifications (with documentation) to the ABMS Portfolio Program for credit consideration.

MOC Review Committee
  • Review (for pre-approval) New QI Activity Application & Project Lead Commitment Form (submitted by Project Lead) to ensure appropriate QI principles are applied to and stated standards/requirements are met by the proposed QI Activity.
    Note: The review and pre-approval process may take up to 60 - 90 days to complete.
  • Review Physician/PA Attestation & Reflection Forms (submitted by each Physician/PA participant seeking credit) to verify that all stated standards and requirements for the respective QI Effort Type are appropriately met and documented. Each QI Effort Type has its own respective Attestation & Reflection Form.


LEADING A QI PROJECT?

PROJECT LEAD
Key responsibilities of the Project Lead include the items described below, which are required for MOC Part 4 credit consideration.

  • Serve as the primary contact for the QI Activity and project team.
  • Design a QI Activity that meets stated QI Activity requirements.
    • Determine whether the QI Activity is considered research, and if so, obtain appropriate IRB approval.
    • Ensure for sufficient and appropriate funding resources to develop, support, and conclude the QI Activity without any real or perceived conflict of interest. See QI Activity Requirements for more information.
  • Submit a New QI Activity Application & Project Lead Commitment Form* to the BCM MOC Program for review and project pre-approval to ensure appropriate QI principles are applied to and all standards/requirements are met by the proposed QI Activity.
    The review and pre-approval process may take up to 60 - 90 days to complete.
    *Unless otherwise indicated, the New QI Activity Application & Project Lead Commitment Form is only required for the "QI Activity" QI Effort Type.
  • Ensure the QI Activity is registered in the I-QIPS QI Project Registry (required for BCM/affiliated employees only), with current and accurate project data entered/updated throughout the project lifecycle.
    Ensure the full name and email address of each project participant (including yourself) is listed in the "Project Team & Stakeholders" section of the QI Project Registry.

    Note: Each QI Activity/Project should be registered only once in the QI Project Registry, which is used for required MOC Part 4/NCCPA Category 1 PI-CME documentation.
  • If applicable, consider and respond to any inquiries or requests from potential project participants interested in joining/participating in the QI Activity to earn MOC Part 4/NCCPA Category 1 PI-CME credit.
  • Lead/conduct the QI Activity, while ensuring all stated Meaningful Participation Requirements are met.
  • In alignment with stated QI Activity Requirements, monitor physician/PA participation in the project to ensure for their ongoing compliance with meaningful participation requirements.

After QI Activity Completion
  • Submit the appropriate Physician/PA Attestation & Reflection Form for the specific QI Effort Type through which you wish to seek credit. Each QI Effort Type has its own associated Attestation & Reflection Form and submission deadline. Forms must be submitted to the BCM MOC Program by their respective deadlines in order to be processed for credit consideration.
    If needed (such as for auditing purposes), the BCM MOC Program may be required to have the Attestation & Reflection Forms of select Project Leads reviewed and signed-off by their respective Supervisors.
  • If relevant, address any additional diplomate requirements (Table 2), as indicated by some ABMS Member Boards for credit consideration.
  • Retain project documentation for at least six (6) years.

If applicable, other responsibilities include the following:
  • Remind physician/PA project participants to complete and submit the appropriate Physician/PA Attestation & Reflection Form to the BCM MOC Program to request credit consideration.
    Only one (1) Attestation Form should be submitted by EACH physician/PA participant seeking credit. No group or team-submissions accepted.
  • If requested by the BCM MOC Program (such as for required auditing), review and sign-off on the Attestation & Reflection Form(s) of select physician/PA project participants, as instructed.
  • Provide timely responses to any questions and/or requests from the BCM MOC Program for additional information needed to process submissions for credit consideration.


PARTICIPATING IN A QI PROJECT?

PROJECT PARTICIPANT / TEAM MEMBER
Key responsibilities of the Project Participant include the items described below, which are required for MOC Part 4/NCCPA Category 1 PI-CME credit consideration.

  • Review and meet all meaningful participation requirements.
  • Review and assist with ensuring that all QI Activity requirements are being met by the project.
  • Assist with ensuring that project details and updates in the QI Project Registry (required for BCM/affiliated employees only) remain current and accurate throughout the lifecycle of the project.
    Ensure that your full name and email address is listed in the "Project Team & Stakeholders" section of the QI Project Registry.

    Note: Each QI Activity/Project should be registered only once in the QI Project Registry, which is used for required MOC Part 4/NCCPA Category 1 PI-CME documentation.

After QI Activity Completion
  • Submit the appropriate Physician/PA Attestation & Reflection Form for the specific QI Effort Type through which you wish to seek credit. Each QI Effort Type has its own associated Attestation & Reflection Form and submission deadline. Forms must be submitted to the BCM MOC Program by their respective deadlines in order to be processed for credit consideration.
    Only one (1) Attestation Form should be submitted by EACH physician/PA participant seeking credit. No group or team-submissions accepted.

    Note: For select QI Effort Types, the BCM MOC Program may be required to have Attestation & Reflection Forms reviewed and signed-off by the respective Project Leads.
  • If relevant, address any additional diplomate requirements (Table 2), as indicated by some ABMS Member Boards for credit consideration.
  • Provide timely responses to any questions and/or requests from the BCM MOC Program for additional information needed to process submissions for credit consideration.