MOCA 2.0® Part 4: Quality Improvement

For the Quality Improvement (Part 4) requirement, diplomates must complete multiple activities during 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 can choose activities that are most relevant to their practice. Points are 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."

We’re streamlining how diplomates self-report activities by no longer requiring them to use our reporting templates. DIplomates will still report the number of hours spent on each completed activity in their portal, but filling out and uploading the reporting templates is now optional. All self-reported activities are subject to audit for eight weeks after submission. Documentation may be requested, if audited.

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.

At least one instructor must be an ABA diplomate participating in MOCA 2.0.
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 us.
Description Simulation that realistically replicates clinical scenarios that participants can work through in a manner similar to what they may experience in clinical practice.

At least one instructor must be an ABA diplomate participating in MOCA 2.0.
Point Value

1 point per hour spent on the activity, up to 15 points.

Reporting Mechanism
You will provide a certificate of completion to show how much time was spent on the activity.
Description Online simulation that realistically replicates clinical scenarios that participants can work through using computer technology. These options are approved:
Point Value 1 point per hour spent on the activity, up to 25 points.
Reporting Mechanism
The ASA will report completion to us for Anesthesia SimSTAT.
Self-report completion for VHA DAARC based on time 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
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
Self-report completion based on time spent on the activity. View the optional reporting template.
Description

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

Point Value 1 point per hour spent on the activity, up to 25 points
Reporting Mechanism
The ASA will report your completion of their activities to us. You'll earn up to 7.5 points per activity (collected from modules 2 and 3 of each activity). 

For all other options, you will self-report completion based on time spent on the activity. View the optional 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
Self-report completion based on time spent on the activity. View the optional 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
Self-report completion based on time spent on the activity. View the optional 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

ABMS will report completion to us.

MPOG: ASPIRE Provider Feedback Emails

Description Diplomates who practice at an active MPOG (Multicenter Perioperative Outcomes Group) site can receive a monthly performance feedback email from ASPIRE. They’ll review their personal performance on ASPIRE quality measures to direct practice improvements. Learn how to become an MPOG member.
Point Value 1 point per hour spent on the activity up to 25 points
Reporting Mechanism
MPOG will report completion to us.
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.

Practice improvement CME is a process by which evidence-based performance measures and quality improvement interventions are used to help physicians identify patient care areas for improvement and change their performance. The accredited CME provider structures the activity as a 3-stage process.
Point Value 1 point per hour spent on the activity, up to 15 points
Reporting Mechanism
Self-report completion based on time spent on the activity. View the optional reporting template.
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
Self-report completion based on time spent on the activity. There is a minimum of one hour per case that must be reported within 31 days of case. View the optional reporting template.
Description Diplomates who submit data to the Anesthesia Quality Institute’s (AQI) National Anesthesia Clinical Outcomes Registry (NACOR) can review their data, track benchmarks and create and implement improvement plans based on their NACOR feedback. Learn how to submit data to AQI.
Point Value 1 point per hour spent on the activity, up to 25 points
Reporting Mechanism
AQI will report completion to us.

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.