MOCA 2.0® Part 4: Improvement in Medical Practice

Diplomates must complete multiple activities over their 10-year MOCA® cycle to demonstrate that they are participating in evaluations of their clinical practice and are engaging in practice improvement activities.

Diplomates will be able to choose Part 4 activities that are most relevant to their practice. Points will be awarded for each activity based on the time and effort associated with their completion. Diplomates must earn a minimum of 50 Part 4 points during their 10-year cycle in MOCA 2.0® (25 points during Years 1-5 and 25 points during Years 6-10). Diplomates must still complete an attestation in Year 9; however, it will not provide points. View all of the requirements that need to be completed by Years 5 and 10 to be considered as "Participating in MOC."

Part 4 Overview


 

Part 4 Activities

Description

Simulation that realistically replicates clinical scenarios that participants can work through in a manner similar to what they may experience in clinical practice.

Point Value Participants receive 20 points for completing the course and 5 additional points for completing the post-course survey and 30-day follow-up to document practice improvements.
Reporting Mechanism
The education provider will report completion of both components to the ABA.
Description Simulation that realistically replicates clinical scenarios that participants can work through in a manner similar to what they may experience in clinical practice.
Point Value 1 point per hour spent on the activity, up to 15 points.
Reporting Mechanism
The diplomate will provide a certificate of completion to show how much time was spent on the activity.
Description Any MOC Part 4: Improvement in Medical Practice activity completed through another ABMS Member Board.
Point Value 1 point per hour spent on the activity, up to 25 points.
Reporting Mechanism
The diplomate will provide documentation to show how much time was spent on the activity and how much credit was granted by the other Board.  
Description The quality improvement (QI) project leader will initiate and/or guide the work of a QI project team and will serve as the "key contact" responsible for communicating with team members, stakeholders, and the ABA.
Point Value 1 point per hour spent on the activity, up to 25 points.
Reporting Mechanism
The diplomate will self-report completion with documentation and will provide a department chair attestation. Click here to view the reporting template.
Description

A process in which a diplomate implements changes designed to improve patient outcomes based on feedback from one of the following:

  • Quality data registries
  • Joint Commission’s Focused Professional Practice Evaluation (FPPE) process
  • Joint Commission’s Ongoing Professional Practice Evaluation (OPPE) process
  • 360 professional reviews
  • Patient experience of care surveys
Point Value 1 point per hour spent on the activity, up to 25 points
Reporting Mechanism
The diplomate will self-report completion with documentation. Click here to view the reporting template.
Description A clinical pathway (CP) development leader will organize and guide development of structured multidisciplinary care plans to inform clinical practice based upon evidence-based guidelines while optimizing efficiency.  The CP development leader will also serve as the "key contact" person responsible for communication with clinicians and administrative staff.
Point Value 1 point per hour spent on the activity, up to 25 points.
Reporting Mechanism
The diplomate will self-report completion with documentation and will provide an attestation from the department chair. Click here to view the reporting template.
Description The clinical pathway participant will contribute to the development of structured multidisciplinary care plans to inform clinical practice based upon evidence-based guidelines while optimizing efficiency.
Point Value 1 point per hour spent on the activity, up to 15 points.
Reporting Mechanism
The diplomate will self-report completion with documentation and will provide an attestation from the clinical pathway development leader. Click here to view the reporting template.
Description Individual healthcare organizations can apply and gain approval for administering group quality improvement activities.
Point Value Leaders: 1 point per hour spent on the activity, up to 25 points.
Participants: 1 point per hour spent on the activity, up to 20 points.
Reporting Mechanism

Leaders: The diplomate will self-report completion with documentation and will provide a department chair attestation. Click here to view the reporting template.

Participants: The organization will report completion to the ABA.

Description Point-of-care learning consists of self-directed knowledge acquired during the course of patient care.
Point Value 1 point per hour spent on the activity, up to 15 points
Reporting Mechanism
The diplomate will self-report completion with documentation. There is a minimum of one hour per case that must be reported within two weeks of case. Click here to view the reporting template.
Description A case evaluation is a process in which diplomates assess their practice and implement changes designed to improve patient outcomes. A Morbidity & Mortality (M&M) conference is a peer-review of adverse (or potentially adverse) patient outcomes, in order to learn from the experiences of care and to modify behavior and judgment to prevent or reduce the incidence of future errors or complications. A case discussion is a peer review discussion regarding a unique case or patient issue.
Point Value 1 point per hour spent on the activity, up to 15 points
Reporting Mechanism
The diplomate will self-report completion with documentation. Click here to view the reporting template.

Click here to see a PDF list of MOCA 2.0 Part 4 activity options. Click here to see how to report activities in your portal.