ABIM Attestation & Questions

ABIM Attestation and Questions

For physicians to obtain 20 MOC Part IV points, their facility must engage in a D2B quality impovement effort based on the recommendations of the D2B Alliance and the Physician must be an active participant in the project.

When you are ready to claim your 20 points:

Go to www.abim.org
Click on the tab: “Online Services”
Enter your Candidate Number and Password
Select: “Report Established Quality Improvement Activity for Practice Performance Credit” on your home page
Select: “ACC D2B”

These are the questions that you will need to answer on the ABIM site when you are ready to claim 20 points of ABIM credit for practice improvement.

ATTESTATION

1. I hereby attest that I have significantly participated in and contributed to this established continuous quality improvement program. Specifically, I personally reviewed and reflected on the five performance measures (listed below) collected as part of this program.

Performance Measures:
     1. Percent of STEMI patients (non-transferred) with door-to-balloon < or =90 minutes.
     2. Percent of STEMI patients when the emergency department physician activated catheterization lab.
     3. Percent of STEMI patients when the catheterization lab is activated with single call.
     4. Percent of STEMI patients when patient departed emergency department <30 minutes after activation.
     5. Percent of STEMI patients where door-to-balloon data is reviewed with staff within 48 hours.

2. I Participated In (must check at least one):
         [    ] the design of the quality improvement activity
         [    ] implementation of the quality improvement activities or interventions
         [    ] maintenance of the continuous quality improvement program
         [    ] a quality improvement team working with other healthcare professionals

3. I applied this continuous quality improvement program to my own clinical practice or the clinical practice of my healthcare institution and was involved with the continuous quality improvement program for at least 3 months.
         [    ] Yes, I agree with this statement.

4. I understand that the American Board of Internal Medicine or an appointed agent may review the specifics of my involvement in this continuous quality improvement program. Please type your name in the box below which will serve as your electronic signature for this attestation.

Signature

________________________________

EXPERIENCE AND OBSERVATIONS

1. Enter the source of your data:


2.   Enter the method used for data collection (check all that apply):
       [    ]    Electronic medical record audit
       [    ]    Paper-based medical record audit
       [    ]    Claims data
       [    ]    Patient survey
       [    ]    Other

3.   Provide a brief summary of how your organization's practice initiative or your medical society's practice module or project helps you in continuously improving your performance.

4.   What are your reflections on the quality measures? How well do you think they measure important aspects of care within this condition or practice attribute?

5.   What was your and/or the organization's plan to improve performance on the baseline measures?

6.   Why did you and/or your organization choose this approach? Did you and your organization consider other approaches (please describe)?

7.   What, if any, tools and/or resources were used to bring about improvement?
     What, if any, changes occurred in the behavior of the clinical team to support the improvement?

8.   What problems were encountered in implementing the improvement, and how were these barriers overcome?

9.   What did you learn about your practice process(es) or system(s) of care when making the changes?

10. What do you believe are the benefits to your patients of these changes?
      What are the benefits to you of these changes?

11. What are your next steps to improve quality in your practice?

12. What are your reflections on examining your or your organization's initial performance and resulting improvement?