Please complete the data collection form below by the 5th of each month for the previous month. Include:
- Patients with eczema as a chief compliant/previous diagnosis
- At least 10 charts per month or all patients with eczema as a chief compliant/previous diagnosis seen in that month, whichever is smaller, per physician seeking MOC credit
- For example: 2 physicians, 20 charts
Resources to assist in your implementation of the project:
If you have questions or comments on this data collection tool or your practice data, please contact Hayley Southworth at firstname.lastname@example.org.