Online Workflows: Submitting Projects for Maintenance of Certification (MOC) Part IV Credit Caitlin C. Donohue, MSPH, CHES; Julie M. Bryar, MS; Andrew Norden, MD, MPH; Suzanne E. Davidson, MBA; Joseph O. Jacobson, MD, M.SC; Carole K. Dalby, RN, MBA, OCN, CCRP Dana-Farber Cancer Institute – Boston, MA Background In 2009, the American Board of Medical Specialties (ABMS) authorized Portfolio Sponsor organizations to internally approve projects for MOC Part IV credit. These designated Portfolio Sponsors must demonstrate a process for the approval and oversight of quality improvement projects. Dana-Farber Cancer Institute (DFCI) became an authorized Portfolio Sponsor in the spring of 2013 in order to provide: • A valuable service to DFCI physicians • Oversight and incentive to ongoing quality improvement projects • A harmonized, centralized approach to quality improvement projects A User-Friendly Approach After reviewing the requirements from the MOC Portfolio Program, a multi-disciplinary team comprised of physicians, administrators, and information specialists convened to create a simple, user-friendly, online system to house and submit MOC Part IV project specific information. This online system is complete with: • Web-based forms • Feedback loops • Automated emails with links to assignments • Reporting, tracking, and cataloguing capabilities Need MOC Part IV Credit? Participation Contract, Attestation, & Personal Reflection Dana-Farber Cancer Institute: MOC Part IV Intranet Site Participation Contract Workflow Physicians access MOC Part IV information on the DFCI MOC Part IV intranet site. This site serves the following functions: • Provide an overview of MOC Part IV • Share requirements for submitting projects • Share information about previous projects • Introduce Review Board members • Link to external MOC Part IV resources • Link to the Project Application Workflow Application & Evaluation Workflow Each proposed project for MOC Part IV credit must be approved through the Application & Evaluation Workflow. The system allows the Physician Team Leader to submit an Application, the MOC Program Managers to review the Application for completeness, and the Review Board to review and approve the Application as well as evaluate the proposed project. The system is designed with feedback loops where the MOC Program Managers and Review Board members can return the Application to the Physician Team Leader for additional information prior to project approval. After obtaining project approval, each physician participating in the project for MOC Part IV credit must electronically sign the Participation Contract agreeing to meet the ABMS requirements for meaningful participation. Attestation and Personal Reflection Form When the project commences, each physician must complete an Attestation and Personal Reflection Form. This online form provides attestation that a physician meaningfully participated in the project as well as the ability to personally reflect on the experience. Feedback from Workflow Users The physicians and administrators who have used the system enjoy: •The ‘save’ functionality which allows them to complete work over time • The automated emails informing them of when they have an assignment to complete • The ease of completing web-based forms in lieu of paper-based forms