You are using an outdated browser. Please upgrade your browser to improve your experience.
Become a Fellow
ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
Earn MOC points
The most comprehensive meeting in Internal Medicine.
April 11-13, 2019
Internal Medicine Meeting 2019
Prepare for the Certification and Maintenance of Certification (MOC)
Exam with an ACP review course.
Board Certification Review Courses
MOC Exam Prep Courses
Treating a patient? Researching a topic? Get answers now.
Visit AnnalsLearn More
Visit MKSAP 18Learn More
Visit DynaMed Plus
Ensure payment and avoid policy violations. Plus, new resources to help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Access helpful forms developed by a variety of sources for patient charts, logs, information sheets, office signs, and use by practice administration.
ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
© Copyright 2018 American College of Physicians. All Rights Reserved. 190 North Independence Mall West, Philadelphia, PA 19106-1572
Toll Free: (800) 523.1546 · Local: (215) 351.2400
PHILADELPHIA, October 30, 2012 -- Health care expenditures are
projected to reach almost 20 percent of the United States' GDP by
2020. Many economists consider this spending rate unsustainable. Up
to 30 percent, or $765 billion, of health care costs were
identified as potentially avoidable -- with many of these costs
attributed to inappropriate or unnecessary services.
Evidence-based performance measures for low-value tests and
treatments can be one of the ways to help physicians provide high
value care to their patients, according to the American College of
Physicians (ACP) in a new policy paper published today in Annals of Internal
Although the trend in the performance measurement arena has been
to measure underuse of high-value tests and treatments, experts are
increasingly developing performance measures to assess the use of
low-value interventions. This new direction has the potential to
improve health care quality by changing clinician behavior through
feedback, public reporting, pay-for-performance programs, and
clinical decision support.
imaging for uncomplicated low back pain is an example of a
low-value intervention because the evidence indicates that the use
of routine X-ray or advanced imaging methods does not improve the
health outcomes of patients.
"We need valid, evidence-based performance measures to reduce
the overuse of tests and treatments that provide little benefit or
might even cause harm," said Amir Qaseem, MD, FACP, PhD, MHA,
Director of Clinical Policy, ACP. "Physicians and patients need to
work together to pursue care that improves health, avoids harms,
and eliminates wasteful practices."
ACP recommends that performance measures should be based on high
quality evidence that assess the benefits, risks, and costs of
interventions. In addition, data from different types of research
designs and methods, including subgroup analyses from clinical
trials, cohort studies, cost-benefit analyses, and
cost-effectiveness analyses, are needed to develop performance
measures for low-value interventions.
Performance measures for use of low-value interventions will
likely need to be applied at the group level, such as a hospital or
multispecialty group practice because many individual physicians
may not see enough patients with the target conditions within the
measurement interval to allow reliable measurement of differences
in utilization, ACP says in the paper.
"Design and Use of Performance Measures to Decrease Low-Value
Services and Achieve Cost-Conscious Care" appears in the October 30
online issue of Annals of Internal Medicine, published by
ACP launched a High Value
Care initiative in 2010 to help physicians provide the best
possible care to their patients while simultaneously reducing
unnecessary health care costs. ACP defines high value care as the
delivery of services providing benefits that make their harms and
Value is not merely cost. Some expensive tests and treatments
have high value because they provide high benefit and low harm.
Conversely, some inexpensive tests or treatments have low value
because they do not provide enough benefit to justify even their
low costs and might even be harmful.
ACP's evidence-based recommendations aim to educate physicians
and patients about how to pursue care together that improves
health, avoids harms, and eliminates wasteful practices.
The American College of Physicians is
the largest medical specialty organization and the second-largest
physician group in the United States. ACP members include 133,000
internal medicine physicians (internists), related subspecialists,
and medical students. Internal medicine physicians are specialists
who apply scientific knowledge and clinical expertise to the
diagnosis, treatment, and compassionate care of adults across the
spectrum from health to complex illness. Follow ACP on Twitter and Facebook.