Maintenance of Certification (MOC) Portfolio Program Active Projects

The Children’s Health℠ Maintenance of Certification (MOC) Portfolio Program maintains a list of projects available for participation credit. For additional information about a project, please contact the MOC Portfolio Program.

Participate in a MOC-Approved Project

Step 1: Select a project and reach out to project lead.
Step 2: Complete participation criteria.
Step 3: Submit a Participation Form to the project lead for signature. Then, submit signed Participation form to MOCProgram@childrens.com
Step 4: MOC Program will submit the participation form directly to ABMS. Credit will be issued within 30 days.

View Physician Attestation of Participation

Active Projects

Activity Name	Project Leader	Project Summary	Board
Decreasing Rejection within First Year for Kidney Transplant Patients	Mouin Seikaly	The kidney transplant team identified a cluster of patients in the Summer of 2023 (N=8)* that had renal allograft rejection. A work group was put together to investigate the root cause(s) and characterize commonality among identified cases. *During this investigation, an additional cluster of patients (n=5) were identified for a new total of 13.	Pediatrics
Home Medication Reconciliation Upon Admission	Clifford Chen	Home Medication reconciliation (HMR) is the process of identifying, entering, and acting on patient home medications. The purpose of HMR is to identify and resolve discrepancies on home medication and those newly ordered medications. As one of the leading causes of medication errors in the hospital, these can lead to adverse drug events in the hospital, patient dissatisfaction for inaccurate records and affect patient outcomes. Joint Commission has listed the medication reconciliation as a National Patient Safety Goals for Hospitals.	Emergency Medicine, Family Medicine, Internal Medicine, Pediatrics
Discharge Milestones Readiness	Abiara Agwu	During this stage of the project, patients with a projected discharge within 12 hours are identified by the attending physician or the resident team by clicking the "Discharge within 12 hours" button found within the Discharge Milestones tab in the EMR (EPIC). Early identification of patient's improve discharge planning and improve discharge efficiency. Additionally, individuals in the PHM division have used this data to better plan for prospective admissions including bed and team assignments.	Pediatrics
Improving Access to Neonatal Care Level Four (PRANCER)	Tetyana H. Nesterenko	Increase the rate of autolaunch neonatal transports dispatched within 30 min of request to > 80% by the end of 2024 and > 90% by the end of 2025	Pediatrics
Optimization of Discharge for Med Ready GI Patients	Danna Qunibi	The project aimed to utilize the A3 lean framework and Lean Six Sigma (LSS) principles to improve the patient discharge process on a gastroenterology (GI) floor with an emphasis on medical readiness. With medical readiness as a trigger for discharge order placement, the result can be an equalization of percentage of discharge orders placed throughout the day (continuous flow rather than batching of discharges after rounds) A series of assessments and interventions driven by the A3 lean framework and LSS principles over a 12-month period.	Pediatrics
Heart Failure 30 Day Readmission Reduction	Ryan Butts	The project utilized evidence-based practices to reduce 30 day readmission rate after acute heart failure admission from 20% to 10%.	Pediatrics
Optimizing Non-Invasive Respiratory Support Using Multi Step Simulation Training	Venkatakrishna Kakkilaya	Starting June 2021, we have implemented strategies to decrease intubation rate of infants ≤25 weeks GA with a new simulation-based QI project emphasizing steps to optimize face mask positive pressure in the DR. This has led to decrease in the intubation rates from 34% to 28%. Overall, the need for mechanical ventilation has decreased from 77% to 39% after successful implementation of QI projects.	Pediatrics
PAC3 Hearts To Home	Sonali Patel	Improve acute care cardiology discharge outcomes and experience for the patient, family, clinical team and hospital system.	Pediatrics
Decreasing Critical and Severe Sepsis Mortality in Pediatric Patients	Brian Wagers	To reduce sepsis mortality at Children’s Health to zero. We improve our processes so much that we eliminate preventable sepsis mortalities for our patients. We want to improve our recognition of sepsis to the point where we do not miss a child who develops sepsis in our system or comes to our emergency department with sepsis. We want to improve our treatment, in accordance with national/international guidelines to provide the appropriate treatment in the time periods specified by these guidelines.	Pediatrics
Systematic Screening of Social Determinants of Health	Stormee Williams	At Children's Health, we screen our patient families for health literacy, social support, food insecurity, transportation and housing. Each of these can influence a patient's access to care and, ultimately, the outcomes of the care they experience. Screening for SDOH is one way we can work to address the unique needs of our patients and reduce healthcare disparities.	Pediatrics
Anesthesiology Department Enhanced Recovery After Surgery (ERAS) Project	Katie Liu	Improve usage of Anesthesia Enhanced Recovery after Surgery (ERAS) protocols.	Anesthesiology
Promoting cefazolin use in all Penicillin Allergic Patient	Hadi Sakhai	Safer patient care through appropriate use of cefazolin instead of clindamycin in penicillin allergic patients.	Anesthesiology, Pediatrics, Surgery
Behavioral Health Innovation and Guidance: Provider Advisory Group	Sabrina Browne	The Provider Advisory Group (PAG) will vet the quality of computer‐based trainings, participating in case studies and smaller focus groups, identifying gaps in training material, and assisting in development of evaluations and practice readiness assessments to address treatment of lower‐acuity mental and behavioral health issues in the Primary Care setting.	Family Medicine, Pediatrics
Implementing Safe and Targeted Care for Children with Musculoskeletal Infection through Appropriate Work-Up and Treatment	Lawson Copley	Providing consistent and efficient evidence-based care for children with deep musculoskeletal infection by obtaining appropriate initial work-up to determine correct diagnosis that will guide the decisions for implementing safe and targeted treatment.	Pediatrics, Radiology, Anesthesiology, Emergency Medicine, Surgery
Antimicrobial Stewardship Program (ASP)	Jeffrey S Kahn	The ASP committee serves to develop, lead, implement, and monitor the appropriate use of antimicrobial therapy across all institutions within the system to improve the provision of antimicrobial therapy and maintain the core elements as delineated by regulatory and national guidelines.	Pediatrics
Peri-Transplant Flight Plan and Huddle	Ryan Butts	Improve one-year graft survival (12-month rolling total) while increasing Discharge Survival.	Pediatrics
Improved Efficiency and Efficacy of Care for Children with Deep Musculoskeletal Infection who are treated by a Multi-Disciplinary Team	Lawson A. B. Copley	The Multidisciplinary team applies evidence-based clinical guidelines to improve the care of children with musculoskeletal infections, including length of hospitalization and readmission rates.	Anesthesiology, Emergency Medicine, Orthopaedic Surgery, Pediatrics, Radiology
Pediatric Hematology/Oncology Central Line Associate Blood Stream Infection Reduction	Victor Aquino	Local implementation of the CLABSI bundles in the Pediatric Hematology/Oncology unit with the specific goals of reducing the rate of central line infections and increasing reliability of the maintenance bundles.	Pediatrics
Implementing Evidence-Based Practice Guidelines for the Management of Bronchiolitis	Vineeta Mittal	The objective for the next 12 months starting 1/1/2024 is to decrease the need for MV within 72 hours by 10% from 39% to 30%	Pediatrics