How do I earn MOC?

To complete this module and earn 20 points towards Self-Evaluation of Practice Performance for ABIM's MOC Program, you will:

1.  Begin by selecting 25 of your recent adult patient visits for entry into your baseline chart review survey. You will assess your performance of influenza and/or pneumococcal vaccination assessment.

2.  Once you complete that chart review, you will be able to review your performance and target an area for improvement. Then, using the practice biopsy tool and resource library in this module, you will create a plan of action for improvement. 

3. After you have implemented your plan for improvement, you will come back and reassess your performance with a follow-up set of 25 of your recent adult patient visits three months after initiating the improvement activity. You will then be able to compare your baseline performance with your follow-up performance and reflect on your experience.

4. After completion of the second assessment, you can attest to your participation and receive 20 Self-Evaluation of Practice Assessment points by submitting a report to ABIM through your Physician Homepage on  Simply login using your ABIM ID and password and click "Submit AQI Project Report."  ABIM will grant MOC points after the sponsor, ACP, verifies your participation in the activity. Program.”

For any questions about this process, please email  ACP also provides extensive information on the American Board of Internal Medicine recertification requirements.



Why is this topic important?

Historically immunization rates for adults have lagged far behind those for children, and the impact of vaccine-preventable disease remains significant. The CDC estimates that between 1976-1977 and 2006-2007, annual flu-associated deaths ranged from 3,000 to a high of about 49,000 people.[1]  More than 40,000 cases and more than 4,400 deaths from invasive pneumococcal diseases (bacteremia and meningitis) are estimated to have occurred in the United States in 2005.[2]  In 2010 pertussis outbreaks were reported in Michigan, Ohio, and California, with the latter reporting 10 infant deaths.[3]  Vaccination rates for influenza, pneumococcal and tetanus/Tdap continue to fall below national targets. Race and ethnicity continues to be associated with suboptimal immunization rates.

1. Thompson MG et al. Updated Estimates of Mortality Associated with Seasonal Influenza through the 2006-2007 Influenza Season. MMWR 2010; 59(33): 1057-1062.

2. Accessed 12/27/2011.

3. Accessed 12/27/11.

How will these tools help?

The intention of this module is to concentrate on tools that staff in the typical primary care office – including physicians, physician assistants, nurse practitioners, nurses, medical assistants and office managers – can implement to improve rates of immunization in their practice. This module will lead the primary care office staff through the actual processes of vaccine delivery in the office. The focus is on improving the way that immunization services are provided, which ultimately will help to improve immunization rates.