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Quality Dimensions & Core Competencies

Maintenance of Certification at BCM

For questions, please contact: BCM MOC Program


The BCM MOC Program focuses on helping physicians and physician assistants earn MOC Part 4 (Improvement in Medical Practice) credit/points or NCCPA PI-CME credit, respectively, for leading or participating in qualified BCM or affiliated QI activities/projects.

For ongoing measurement across MOC efforts, the quality dimensions and core competencies described below must be assessed by the QI activities/projects, as per stated QI Activity requirements.


QUALITY DIMENSIONS (IOM)
The aim statement/SMART goal of the QI Activity must address at least one (1) of the following IOM Quality Dimensions:

  • SAFETY - Providing Safe Care

    Avoiding harm to patients from care that is intended to help them (e.g., avoiding injuries to patients).

  • TIMELINESS - Providing Timely Care

    Reducing wait times and potentially harmful delays experienced by recipients and providers of care.

  • EFFECTIVENESS - Providing Effective Care

    Providing evidence-based services to all patients who can benefit (avoiding underuse), as well as refraining from providing services to patients not likely to benefit (avoiding misuse).

  • EFFICIENCY - Providing Efficient Care

    Avoiding waste (e.g., across equipment, supplies, innovations/ideas, work effort, resources).

  • PATIENT-CENTEREDNESS - Providing Patient-Centered Care

    Providing care that is respectful and responsive to the patient's individual preferences, needs, and values, and ensuring all clinical decisions are guided by their individual values.

  • EQUITY - Providing Equitable Care

    Ensuring the quality of care provided does not vary due to personal characteristics of the patient (e.g., socioeconomic status, ethnicity, gender, geographic location).

Source: Institute of Medicine (IOM)
CORE COMPETENCIES (ABMS/ACGME)
The process and/or outcome measures included in the QI Activity must focus on one (1) or more IOM Quality Dimension (above), as well as one (1) or more ABMS/ACGME Core Competency, as follows:

  • PATIENT CARE & PROCEDURAL SKILLS

    Demonstrates the ability to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

  • MEDICAL KNOWLEDGE

    Demonstrates medical knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care.

  • PRACTICE-BASED LEARNING & IMPROVEMENT

    Demonstrates practice-based learning & improvement that involves investigation and self-evaluation, appraisal and assimilation of scientific evidence and improvements in patient care.

  • INTERPERSONAL & COMMUNICATION SKILLS

    Demonstrates interpersonal and communication skills that result in effective information exchange and collaboration with patients, their families, and other health professionals.

  • PROFESSIONALISM

    Demonstrates professionalism as manifested by actions that reflect a commitment to professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

  • SYSTEMS-BASED PRACTICE

    Demonstrates systems-based practice as manifested by actions that reflect an awareness of and responsiveness to the larger context and system of health care, as well as by the ability to use system resources to provide optimal care.

Source: American Board of Medical Specialties (ABMS), Accreditation Council for Graduate Medical Education (ACGME)