Practice Performance Options

To make it possible for all internists and subspecialists to complete the Self-Evaluation of Practice Performance requirement, ABIM provides a number of options, all of which include information on how to develop and implement a relevant improvement plan and report the results of changes made to ABIM.

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Chronic Condition PIMs

The Asthma, Diabetes and Hypertension PIMs include:

  • Patient surveys that allow the physician to hear the patient's voice
  • Chart reviews that focus on key outcomes and processes of care
  • A practice systems survey that identifies both the human processes and information technology that can improve the quality of care
  • Developing, implementing and reporting on an improvement plan

Note: The data collected for the Diabetes PIM may be transmitted to the National Committee for Quality Assurance (NCQA) for Physician Recognition in Diabetes and possible pay-for-performance rewards.

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Subspecialty Condition PIMs

The Hepatitis C, HIV, Osteoporosis and Colonoscopy PIMs include:

  • Chart reviews that focus on key outcomes and processes of care
  • A practice systems survey that identifies both the human processes and information technology that can improve the quality of care
  • Developing, implementing and reporting on an improvement plan
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Prevention PIMs

The Clinical Preventive Services and Preventive Cardiology PIMs include:

  • Patient surveys that allow the physician to hear the patient's voice
  • Chart reviews that focus on key outcomes and processes of care
  • A practice systems survey that identifies both the human processes and information technology that can improve the quality of care
  • Developing, implementing and reporting on an improvement plan
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Care of the Vulnerable Elderly PIM

The Care of the Vulnerable Elderly PIM includes:

  • Patient surveys that allow the physician to hear the patient's voice
  • Chart reviews that focus on key outcomes and processes of care
  • A practice systems survey that identifies both the human processes and information technology that can improve the quality of care
  • Developing, implementing and reporting on an improvement plan
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Hospital-Based Patient Care PIM

The Hospital-Based Patient Care PIM includes:

  • Performance Data entry used to examine hospital-level performance for the selected condition
    • Acute MI
    • Community-Acquired Pneumonia
    • Heart Failure
    • Prevention of Ventilator-Associated Pneumonia
  • An examination of the current work process, barriers to ideal care, and change ideas relevant to improving the selected performance measure
  • A practice systems survey that examines the hospital’s quality environment and information management systems
  • Developing, implementing and reporting on an improvement plan
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Communication Modules

The Communication - Primary Care, Communication - Subspecialist Care, Communication with Referring Physicians PIMs and the Patient and Physician Peer Assessment include(s):

  • Surveys for patients and/or physician peers
  • A practice systems survey that identifies both the human processes and information technology that can improve the quality of care
  • Developing, implementing and reporting on an improvement plan
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Self-Directed PIM

The Self-Directed PIM includes:

  • Performance Data entry used to examine performance as measured by data provided from approved sources (see Approved Sources for Performance Data and Measures) or independently collected by the practice using measures derived from evidence-based, nationally-recognized guidelines
  • A practice systems survey that identifies both the human processes and information technology that can improve the quality of care
  • Developing, implementing and reporting on an improvement plan
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Option for Clinically Inactive Physicians

Physicians who have no patients or no access to patient data, either directly or indirectly, can complete the Essentials of Quality Improvement (EQI) module. This module allows physicians to assess their knowledge of current quality improvement principles and practices and to apply that knowledge to their current work situation.

This module includes:

  • Six interactive learning modules on the topic of current quality improvement principles and methods
  • Developing, implementing and reporting on an improvement plan appropriate for the physician's current responsibilities
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