About the Portfolio Program

The Multi-Specialty MOC Portfolio Approval Program (Portfolio Program) offers a single process for healthcare organizations to support physician involvement in quality improvement and Maintenance of Certification (MOC) across multiple ABMS specialties. This pathway offers a streamlined approach for organizations that sponsor and support multiple well-designed quality improvement efforts involving physicians across multiple disciplines to work with ABMS Member Boards to grant MOC Part IV credit to physicians who are involved in those improvement efforts.

Beginning in 2003 several ABMS Member Boards began awarding MOC Part IV credit to physicians involved in valid, local quality improvement efforts. These Boards developed similar but separate standards and processes that enabled organizations to submit individual quality improvement efforts for approval, leading to MOC Part IV credit. Over time, organizations began to seek approval from multiple ABMS Member Boards for quality improvement efforts they sponsored. Mayo Clinic was the first organization to approach the three Primary Care Boards (ABFM, ABIM and ABP) asking for a single application process stimulating the three Boards to adopt a common set of standards and a common application and approval process. The “Primary Care Board QI Approval Pilot” was launched in May of 2009 with Mayo Clinic as the first “Pilot Portfolio Sponsor.”

Since then, the program has evolved to include additional sponsor organizations and ABMS Member Boards. Some Boards, such as the ABP, developed a single specialty-specific version of the Portfolio Program and the experience of that effort has informed this program.

The Portfolio Program is only one pathway for physicians to obtain MOC Part IV credit and is not an approved pathway for all ABMS Member Boards. Organizations that elect not to pursue this pathway may still choose to submit quality improvement efforts to individual Boards for approval. Individual Boards offer a variety of other pathways for physicians to receive MOC Part IV credit.

Portfolio Sponsorship involves an investment of time and resources, including an application fee, establishing and maintaining an internal review body, adjudicating disputes, tracking and reporting physician completion data, and submitting progress reports on approved quality improvement efforts. These costs are offset by a single streamlined internal approval process and the avoidance of application fees to individual Boards.

The approval of an organization as a Portfolio Sponsor signifies a commitment to supporting physician involvement in quality improvement to improve patient care and a commitment to supporting physician participation in MOC. Portfolio Sponsor status however, is not a measure of the quality of care an organization delivers. Organizations may deliver high quality care and support good quality improvement efforts and elect not to participate in this program.

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