Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM On Twitter
  • JABFM On YouTube
  • JABFM On Facebook
Research ArticleOriginal Research

Engagement of Groups in Family Medicine Board Maintenance of Certification

Dena M. Fisher, Christopher J. Brenner, Mark Cheren and Kurt C. Stange
The Journal of the American Board of Family Medicine March 2013, 26 (2) 149-158; DOI: https://doi.org/10.3122/jabfm.2013.02.120262
Dena M. Fisher
Case Western Reserve University, Cleveland, OH (DMF, CJB, KCS); and the Healthcare Improvement Skills Center (MC).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Christopher J. Brenner
Case Western Reserve University, Cleveland, OH (DMF, CJB, KCS); and the Healthcare Improvement Skills Center (MC).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mark Cheren
Case Western Reserve University, Cleveland, OH (DMF, CJB, KCS); and the Healthcare Improvement Skills Center (MC).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kurt C. Stange
Case Western Reserve University, Cleveland, OH (DMF, CJB, KCS); and the Healthcare Improvement Skills Center (MC).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Participant engagement. *One practice divided into 2 working groups: a Patient Experience Survey (PES) working group and a Diabetes Performance in Practice Module (PPM) working group.

  • Figure 2.
    • Download figure
    • Open in new tab
    Figure 2.

    Map of interpractice collaborations around Part IV Maintenance of Certification.

Tables

  • Figures
    • View popup
    Table 1. Quality Improvement Projects and Alternate Modules Used
    Sites (n)Quality Improvement ProjectPart IV Module
    3Improve preventive health maintenance screeningBoth
    1Update patient education handoutsPatient experience
    1Building knowledge of patient's personal informationPatient experience
    2Increase self-management decision supportPatient experience
    2Improve accessPatient experience
    3Improve care coordinationPatient experience
    1Educate patients on newly established ePrescribingPatient experience
    1Update laboratory follow-up procedurePatient experience
    1Improve care for patients with hypertension and at-risk patientsStandard module
    2Assess diabetes care through coordination, support staff, and tracking outcomesStandard module
    2Evaluate and improve In Basket managementStandard module
    1Increase the rates of retinal eye exams for patients with diabetesStandard module
    2Redesign telephone systems for prescription refills and laboratory resultsPatient experience
    • View popup
    Table 2. Patient Experience Module Participant Evaluation Responses (n = 18; 85% Response Rate)
    Positive Response (%)
    Overall opinion of Part IV activity88.9
    Quantitative questions
        Did this activity encourage you to work with other physicians?88.9
        How valuable did you find working with other physicians to be?72.2
        How much value did access to a Practice Coach add to your Part IV experience?88.9
        How confident are you in doing another quality improvement project?88.9
        Do you feel your competence in quality improvement has improved?100.0
    Open-ended questionsMost Frequent Response (%)
        The content was…?Just right (100.0)
        What did you like most?Facilitator/practice coach (47.4)
        What did you like least?Extra work (16.7)
    • View popup
    Table 3. Observations from Facilitating the Maintenance of Certification (MOC) Quality Improvement (QI) Collaborative
    • Practices found that the opportunity to work on meeting the Part IV QI requirement in groups was quite helpful and enhanced their QI efforts.
    • QI coaching (facilitation) seems to be an essential and highly appreciated, previously missing element in the MOC Part IV process.
    • Individualizing response QI intervention to each practice's priorities is also essential.
    • Immediate engagement with practice priorities is important.
    • Employing a Patient Experience Survey can be particularly helpful in fostering individualization, creativity, and motivation.
    • Using a QI template or planning form helps individuals and practices to begin work on projects quickly and to keep on task and on track.
    • Learning about QI is generated and sustained most naturally and effectively as team members work on specific, personally meaningful improvement projects.
    • A warm welcome to systematic improvement enhances facilitation. That is, an approach that:
        • Helps team members to identify and utilize existing QI skills and knowledge
        • Encourages and helps team members to identify the assistance needed with the effort:
            • Regarding the kind of improvement being attempted
            • Regarding the technical parts of QI, such as determining outcome measures and interpreting data on a small scale
        • Helps team members to identify next steps
        • Provides gentle, consistent encouragement as teams encounter problems or obstacles
        • Conveys a sense of play and creativity when approaching these problems or obstacles
        • Helps teams mobilize and/or connect with any needed assistance, such as a particular kind of practice coaching
        • Provides the option of online resources as well as human sources of support and learning
    • Cited concerns of time and staff availability need to be taken seriously.
    • QI interventions can sometimes uncover interpersonal or practice dynamics that might require additional resources.
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 26 (2)
The Journal of the American Board of Family Medicine
Vol. 26, Issue 2
March-April 2013
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Engagement of Groups in Family Medicine Board Maintenance of Certification
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
2 + 18 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Engagement of Groups in Family Medicine Board Maintenance of Certification
Dena M. Fisher, Christopher J. Brenner, Mark Cheren, Kurt C. Stange
The Journal of the American Board of Family Medicine Mar 2013, 26 (2) 149-158; DOI: 10.3122/jabfm.2013.02.120262

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Engagement of Groups in Family Medicine Board Maintenance of Certification
Dena M. Fisher, Christopher J. Brenner, Mark Cheren, Kurt C. Stange
The Journal of the American Board of Family Medicine Mar 2013, 26 (2) 149-158; DOI: 10.3122/jabfm.2013.02.120262
Reddit logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Appendix A: Quality Improvement Project Plan
    • Appendix B: Quality Improvement Assessment Form
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Successful Behavioral Interventions, International Comparisons, and a Wonderful Variety of Topics for Clinical Practice
  • Google Scholar

More in this TOC Section

  • Priorities for Artificial Intelligence Applications in Primary Care: A Canadian Deliberative Dialogue with Patients, Providers, and Health System Leaders
  • Increasing Primary Care Utilization of Medication-Assisted Treatment (MAT) for Opioid Use Disorder
  • Who Is Most Burdened in Health Care? An Analysis of Responses to the ICAN Discussion Aid
Show more Original Research

Similar Articles

Keywords

  • Certification
  • Primary Health Care
  • Quality Improvement
  • Quality of Health Care

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2023 American Board of Family Medicine

Powered by HighWire