Quality Improvement
MOC Approved Projects
Departmental QI Projects
QI Charts Installation
How to Access the IHI Open School Online Courses

The Department of Pediatrics has been approved to become a Portfolio Sponsor for Maintenance of Certification (MOC) credit through the American Board of Pediatrics (ABP). This relationship enables the Department of Pediatrics to review and approve ongoing quality improvement projects within the department that meet the requirements set forth by the ABP and the department's Quality Committee.

Faculty applying for MOC Part IV credit benefit in multiple ways. Once a project is approved by the Quality Committee, MOC credit can be granted to any faculty member who participates and meets minimal requirements for participation. Project applications will be submitted directly to the Quality Committee (instead of the ABP), streamlining the application process for work that we all do to improve patient care. The Quality Committee is available to provide feedback on project proposals to help them reach ABP MOC standards, if the initial application doesn’t meet the requirements. There is no fee for providers associated with this application.

Please note, each project is worth 25 points towards MOC Part IV. Recertification for MOC requires >25 points, so you will likely have to complete more than one project during your 5 year cycle to meet ABP requirements.

Requirements for MOC credit

  • Team must collect data, annotate interventions, and create run chart/control chart in order to track progress and provide the quarterly data to the Quality Committee. QI Charts Software
  • Individuals must participate in a project for a minimum of 6 months and attend a minimum of 3 team meetings
  • Individual participation must include at least 2 tests of change with Plan-Do-Study-Act (PDSA) planning
  • Each individual must complete IHI Open School QI 101-103 or equivalent training
  • Further details can be found in the applications below
  • Peer-reviewed publications must meet all of the same requirements and complete the same steps as other projects set forth on this page and in the application documents below

MOC Project Leader Application
MOC Individual Physician Application
How to register and begin IHI Open School courses
MOC Roadmap
Completing Attestation Form When MOC Requirements Met

Quality Academy: Learn Quality Improvement Skills

Quality Academy at Monroe Carell Jr. Children’s Hospital at Vanderbilt is a year-long course designed to teach quality improvement (QI) principles and science among provider, nursing and administrative leaders through project-focused and didactic learning. Participants envision, create and lead a team to complete a robust QI project focused on improving one or more of the following: patient outcomes, hospital or department goals, value by reducing waste, efficiency or USNWR reporting. Each participant will have a mentor who has previously graduated from Quality Academy.

Apply to participate in Quality Academy.

Faculty contacts

David P. Johnson, M.D.

Barron Patterson, M.D.

Vanderbilt University School Of Medicine
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Department of Pediatrics | 2200 Children's Way | Nashville, Tenn. 37232 | 615.936.1000
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Monroe Carrell Jr. Children's Hospital at Vanderbilt