Maintenance of Certification Program (MOC)
List of MOC Portfolio–Approved Projects
Approved Projects for Physicians With a Relationship With Seattle Children’s or Its Affiliates
We are excited to offer opportunities for physicians to learn how to continuously improve the delivery of care to their patients. The following is a list of projects currently approved for ABMS Part 4 MOC credit.
Unless otherwise stated, these projects are only available to physicians with a relationship with Seattle Children’s or its affiliates.
BRUE Implementation Collaborative
Recently, the American Academy of Pediatrics (AAP) published a Clinical Practice Guideline for Brief Resolved Unexplained Events (BRUEs). The BRUE Implementation Collaborative is a partnership with researchers from the Children’s Hospital Association and 15 other children’s hospitals that aims to improve adherence to the recommendations. Participation in this project is limited to physicians who work at participating sites.
Performance of high-quality CPR is challenging as a high-acuity, low-frequency event, with significant consequences in terms of patient outcomes. The aim of this project is to improve resuscitation quality at Seattle Children’s by focusing on compliance with best practice measures for in-hospital CPR events in accordance with the American Heart Association. Participants will perform reviews of CPR (“Code Blue”) events to determine whether best practices were achieved as well as looking at process measures, such as presence of a CPR coach, debriefing and effectiveness of crowd control. During these reviews, the project team will identify and mitigate barriers to improvement, engaging physicians in the QI process.
Equity, Diversity and Inclusion (EDI)
2018 Best Project
The aim of this MOC project is to improve equity, diversity, and inclusion, and integrate a culture of equitable, diverse, and inclusive practices at Children's. This project builds on the initial Equity, Diversity and Inclusion (EDI) training – a prerequisite for this MOC project. This project offers a unique opportunity for physicians to deepen their understanding of core concepts, reflect on their experience, and implement changes in their own practice.
First Year Families
Many pediatric clinics do not systematically screen new parents/caregivers for perinatal mood disorders. This presents a missed opportunity to identify parents/caregivers in need, recommend services, and discuss the importance of promoting attachment with their new baby. The goal of this project is to incorporate workflow changes in order to implement perinatal mood disorder screenings at well child visits during the first year and give a recommendation of services to families in need. Participants in this multi-site learning collaborative will meet to review clinic data, assess and remove barriers to performing screenings, and discuss ways to best address perinatal mood disorders in patient families.
Improve NICU Admission Temperatures Collaboration
This regional, multidisciplinary collaboration addresses neonatal hypothermia, particularly in very low birth weight (VLBW) babies, which is associated with increased mortality and morbidity. This effort seeks to decrease adverse outcomes from hypothermia in NICU patients by implementing interventions at each NICU site that will improve thermoregulatory management in the first hour after a baby is born. Participation in this project is limited to providers at each of four regional network NICUs: University of Washington, Providence Regional Medical Center – Everett, St. Joseph Medical Center, and Valley Medical Center.
Increasing Influenza Vaccination Rates for Ambulatory Clinic Patients
2016 Best Project
The overall goal of this project is to improve influenza screening rates in ambulatory settings at Seattle Children's through creating standard work. Specifically, this project aims to:
- Achieve an influenza vaccination rate of 90% for all medically fragile populations (as defined by U.S. News & World Report) seen in our outpatient clinics between October 1 and December 31 each year.
- Ensure their status is documented in CIS.
Participation in this project is limited to physicians who work at Seattle Children's.
Seattle Children’s Care Network (SCCN) Integrated Behavioral Health
Behavioral and mental health conditions are very common in pediatric populations. However, only an estimated 1 in 10 children with an emotional or behavioral problem get care, and when they do there are often long delays in care – of years to decades. This project seeks to improve the health of children and adolescents with behavioral health conditions by addressing pediatric providers comfort in managing general behavioral health concerns in the primary care setting. Participants will serve as leaders in the following interventions: implement standard behavioral health templates, tools, and workflows; implement standard use of SCCN behavioral health registry and data dashboards; designate Integrated Behavioral Health (IBH) team members; promote the SCCN IBH program; and join at least three learning collaborative sessions to review data and evaluate the IBH program.
2019 UW Medicine Inventor of the Year - Dr. Jim Stout
This award recognizes Spirometry 360 and the impact it has had on improving health care.
The mission of Spirometry 360 is to help clinicians succeed in providing the best respiratory care for their patients, including the use of routine diagnostic spirometry as a vital sign. Spirometry 360 achieves this by employing a variety of online communication technologies to deliver spirometry as a distance-training program.
The Spirometry 360 faculty includes a respiratory therapist and generalist as well as specialist physicians with an interest in respiratory medicine, teaching and improving care. The staff includes technical experts in online training, multimedia and other software production, health education and quality improvement.
Although this project is based at the University of Washington in the Department of Pediatrics, participants from across the United States are welcome. Prior participants include physicians from Vashon, Washington; Wenatchee, Washington; McMinnville, Oregon; Burbank, California; Phoenix, Arizona; and Valhalla, New York.
Time is Brain
2020 Best Project
Neonates diagnosed with hypoxic-ischemic encephalopathy (HIE) severe enough to require therapeutic hypothermia treatment are at high risk for seizures. For those that develop seizures, a significant percentage display symptoms only detectable through EEG monitoring and do not show physical changes visible to caregivers. The aim of this project is to decrease the time from admission to the NICU to the start of continuous video EEG monitoring in neonates with HIE. Following physician and EEG education, participants in this project will take part in huddles to discuss order and priority of procedures, ensure checklist completion, regularly review data, and reflect on areas for improvement.
Use of Individualized Provider Feedback to Improve Antibiotic Prescribing
As part of the Antimicrobial Stewardship Program, this MOC project aims to optimize inpatient antibiotic prescribing at Seattle Children's. The team plans to achieve this by giving providers direct, personalized information about their antibiotic prescribing and how it can be improved. Participants will work with their division chief to determine which clinical behaviors to track and report, provide in-person education to providers in their division on the clinical behaviors selected, and distribute baseline and post-intervention results.
Washington State Health Improvement Partnership (WACHIP)
The Healthy People 2020 goal for adolescent vaccination coverage is 80%. In Washington State in 2018, the proportion of adolescents who had at least one Tdap (tetanus, diphtheria, and acellular pertussis), at least one MCV (meningococcal conjugate), and were up-to-date on HPV (human papillomavirus vaccine) by their 13th birthday was only 28.1%. In King County, the proportion vaccinated was 32.4%. The aim of this project is to improve vaccination rates of adolescents in Washington state. Over a 6-month period, clinics will do this by identifying missed opportunities to vaccinate adolescents, implement improvements, receive regular data and coaching, and benefit from participating in a community of clinics working toward the same goals.
Mitigating Burnout Mindfully
Rates of burnout are on the rise for medical professionals, which leads to decreased patient satisfaction, decreased patient safety, and decreased physician and staff well-being. This project aims to reduce burnout by increasing trait mindfulness in physicians and advanced care practitioners. Participants will attend workshops to learn about and recognize various stress responses, develop skills of mindful communication to enhance patient care, collegial relationships, and personal relationships, create a personal toolkit of useful mindfulness techniques, and actively use these methods in at home exercises.
Reach Out and Read – Inpatient Reading Program
Seattle Children's Hospital's participates in the national Reach Out and Read program that provides eligible patients ages 6 months to 5 years with new books at each medical clinic visit. Reach Out and Read builds on the relationship between parents and medical providers to develop critical early reading skills in children while encouraging families to read aloud together. When functioning optimally, the program provides books to all eligible children at every clinical visit. Despite intentions to model this aim and practice, practitioners often fail to distribute books consistently due to concerns about time, forgetting or overlooking established protocols. This project aims to improve adherence to established protocols through coaching and evaluation of the process of getting the books to families. All participants will complete the Reach Out and Read online training program, engage medical teams to improve the rate of book delivery, and identify barriers and ideas for further improvements.
SHEEP (Sleep Health: Expectations and Evaluations for Physicians)
2019 Best Project
2017 Best Project
Due to shifts in burden of patient coverage and expectations for 24-hour access, faculty physicians have disrupted sleep habits. This can lead to fatigue, insomnia, and other significant adverse physician and mental health consequences (shift work disorder). Suboptimal physician wellness subsequently can negatively affect patient care and patient safety. It can also lead to poor physician career satisfaction and poor physician retention (loss of physicians to other careers with more traditional work schedules or early retirement). This project aims to educate physicians about sleep disturbances due to atypical shift work and ways to mitigate these deleterious effects ultimately leading to better sleep habits, improved physician health, improved patient care and better physician retention. Participants will attend workshops, implement strategies, complete surveys and diaries, and review data at team meetings.