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Performance improvement (PI) activities describe structured, long term processes by which a physician or group of physicians can learn about specific performance measures, retrospectively assess their practice, apply these measures prospectively over a useful interval, and re-evaluate their performance.
PI activities consist of three stages:
Stage A: Learning from current practice performance assessment
Assess current practice using identified performance measures, either through chart reviews or some other appropriate mechanism. Participating physicians should be actively involved in data collection and analysis.
Stage B: Learning from the application of PI to patient care
Implement an intervention based on the performance measures selected in Stage A, using suitable tracking tools (e.g., flow sheets). Participating physicians should receive guidance on appropriate parameters for applying an intervention and assessing performance change, specific to the performance measure and the physician's patient base (e.g., how many patients with a given condition, seen for how long, will produce a valid assessment?)
Stage C: Learning from the evaluation of the PI effort
Re-evaluate and reflect on performance in practice (Stage B), by comparing to the assessment done in stage A. Summarize any practice, process and/or outcome changes that resulted from conducting the PI activity.
Physicians may be awarded incremental AMA PRA Category 1 CreditTM for completing each successive stage of a PI activity. Incremental credit for PI activities should be awarded as follows:
- Five (5) AMA PRA Category 1 CreditsTM can be awarded for the completion of each of the three stages (A, B and C). Completion of the full PI cycle is not required.
- Physicians completing, in sequence, all three stages (A - C) of a structured PI activity may receive an additional five (5) AMA PRA Category 1 CreditsTM, for a maximum of twenty (20) AMA PRA Category 1 CreditsTM. This credit allocation acknowledges the best learning is associated with completing a well conceived PI activity.
Attention Ophthalmic Mutual Insurance Company (OMIC) Members:
Complete the Performance Improvement CME, Wrong Site/Wrong IOL Activity and receive a 5% risk management discount through OMIC. Discounts will be applied upon your OMIC membership renewal.
