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MOC Part 4 Activity Sponsor Project Profile Update (PDF)

Quality Improvement Project

Follow-Up Care for Children Prescribed ADHD Medication

Part IV American Board of Pediatrics MOC Credit offered for participating QTIP and SC AAP members

Instructions from the QTIP (Quality through Technology and Innovation in Pediatrics) Project

This project is focused on the CHIPRA QI measure dealing with the diagnosis and follow-up of children started on stimulant medication. Participating pediatricians will be required to work with their practice-based quality improvement team within a South Carolina QTIP or CATCH participating practice. Practitioners will perform and measure skills associated with the use of a standardized instrument for diagnosis of ADHD, the use of national recommendations for follow-up visits and the incorporation of safety, efficacy and cost effectiveness knowledge into prescribing habits. There is no fee for eligible participants in this project.

Project Minimum Requirements:

A.  At a minimum, 5 monthly chart audits of 10 charts each over 5 months will be performed and recorded.  Chart       audits on new patients prescribed stimulants between 6 and 12 years of age must include:

  1. If a follow-up visit was performed within 45 days of beginning a new stimulant
  2. Was a standardized instrument (such as the Vanderbilt) used, and
  3. What medications were prescribed

B.  At least two Plan, Do, Study, Act (PDSA) cycles will have been designed and documented to improve      performance.

C.  Practitioner must agree to practice site changes and participate in a minimum of 14 contacts with the office QI team.

D.  Practitioner must be familiar with the QTIP Academic Detailing material.

Part IV MOC Point Value: 25

Start Date: 02/01/2011

End Date: 02/28/2013

The ADHD QI project is one component of a statewide pediatric outpatient quality improvement partnership between the SC AAP, SC DHHS, the USC Institute for Families in Society, CareEvolution, USC School of Pharmacy and Thomson Reuters.  The QTIP program is a federally funded CHIPRA QI Demonstration Grant.

For more information contact Francis Rushton, M.D., at or 843 524 5437

Instructions from the American Board of Pediatrics

The ABP approves QI projects for MOC that are established, structured and sustainable; have demonstrated improvements in care; and are based on accepted improvement science and methodology.  Participating in an ABP-approved quality improvement project allows you to improve care for your patients, develop additional skills and knowledge, and earn credit for maintaining your certificate on the basis of your day-to-day work.  If you are participating in the QTIP ADHD project module, here’s how you earn MOC credit for Performance in Practice:

  1. Fulfill the meaningful participation requirements described below.
  2. Complete the ABP Physician Participating Attestation form.
  3. Send your attestation to your project’s designated leader, who will co-sign it.

a. The project leader notifies the ABP that you fulfilled the meaningful participation requirements and that your attestation is complete.

b. The ABP updates your record showing that you earned credit for the Part IV MOC.

Participation in Quality Improvement Projects

For a pediatrician to earn MOC credit by working on an approved QI project, the ABP requires “meaningful participation”. Meaningful participation involves both an active role in the project and participation over an appropriate period of time.

Active Role

For MOC purposes, an “active role” means the pediatrician must:

  • Provide direct or consultative care to patients as part of the QI project.
  • Implement the project’s interventions (the changes desired to improve care).
  • Collect, submit and review data in keeping with the project’s measurement plan.
  • Collaborate actively by attending at least four project meetings.

MOC Activity Completion

When you have fulfilled the requirements for meaningful participation (i.e. you’ve met the project’s requirements for length of participation plus the “active role” criteria), you have “completed” the activity for purposes of MOC credit (MOC activity completion). Note that your MOC activity completion date must be within the period that spans your current certificate period or MOC cycle. For example, if you hold a seven-year certificate, the completion date must be during the seven-year certificate period. If you are enrolled in a five-year MOC cycle, the completion date must be during the five-year MOC cycle.

Maintenance of Certification Credit for Design and Implementation of QI Projects

In some cases, pediatricians play a major role in designing and leading the implementation of QI projects but do not actually care for patients through the project. You may be eligible to receive credit for design and leadership work on an MOC-approved project. Contact Francis Rushton at for more information.

Documentation of Participation

After you fulfill all participation requirements, submit the ABP’s Physician Participation Attestation form describing your involvement in the quality improvement project. Your attestation must also be co-signed by the physician project leader of the quality improvement project. The attestation form is located electronically at The physician project leader will subsequently forward notice of completion to the ABP, and you will receive credit for your participation in the QTIP project.

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