Would you like to lead a MOC-approved project at Seattle Children's Hospital? If so, please contact the MOC program manager and fill out the application (DOC). Please allow up to eight weeks for approval.


Project Requirements

Projects must:

  • Have leadership at the project level that is capable of ensuring physician adherence to the participation criteria (see below)
  • Impact one or more Institute of Medicine quality dimensions: safety, effectiveness, timeliness, equity, efficiency and/or patient-centeredness
  • Have a specific, measurable, relevant and time-appropriate aim for improvement
  • Use appropriate, relevant and evidence-based performance measures that include measurement related to patient care at the appropriate unit of analysis (physician, clinic, care team, etc.)
  • Include appropriate intervention (s) to be tested for improvement
  • Include appropriate and repetitive data collection and reporting of performance data to support effective assessment of the impact of the interventions. The frequency of data collection should be appropriate to the measures for the QI effort.
  • Possess sufficient and appropriate resources to support the successful conclusion of the activity without introducing a conflict of interest
  • Address problems participating physicians can influence in their own practice
  • Actively engage physicians
  • Use standard QI methods
  • Document participant activities and results
  • Comply with HIPAA and other regulatory/corporate integrity standards

Project Leader Requirements

MOC project leaders must:

  • Be able to lead and teach quality improvement by doing one or more of the following:
    • Intermountain Health ATP or mini-ATP
    • CPI Leader Training (Seattle Children's Hospital only - link only accessible within Children's network)
    • Lead a CSW project (i.e., be a "CSW owner") for more than 12 months in the improvement phase (Seattle Children's Hospital only)
    • If the above do not apply, provide a written account of QI leadership experiences or plan to obtain the necessary QI leadership skills (e.g., work with a QI coach)

MOC project leader duties include:

  • Early consultation with the MOC portfolio manager to determine appropriateness of the proposed project
  • Submission of the MOC Project Application (DOC) for approval from the MOC project manager
  • Oversee physician participation and learning
    • Orient participants to the MOC project and process
    • Co-sign Participation Plan
    • Take meeting attendance and monitor participation
    • Assess QI knowledge of participants and teach QI methods when indicated
    • Co-sign participant Attestation Form
  • Oversee MOC project
    • Lead team meetings and establish global and specific aims
    • Lead design of intervention (s)
    • Evaluate impact of intervention (s) to achieve aims
    • Oversee data collection and analysis
    • Submit status updates for approved reporting cycle (every three months for the first year, then annually).