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1. Enter Performance Data
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Choose a condition for review (AMI, CAP or CHF) and enter your hospital's most current performance data
on the measures for your chosen condition. Review your data and determine what measure(s) could be improved.
Next, list the members of the quality improvement team in your hospital. If your hospital does not have an
interdisciplinary team, list individuals you would include on a team and talk with your hospital quality improvement
department about how they might assist you in creating a team for improvement.
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2. Examine Work Process
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Choose one measure to target for improvement and complete the work process and change ideas worksheets
for that measure. This exercise will help to identify potential barriers in the current process of care and change
ideas to improve the process.
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3. Examine Systems
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Complete the 3-page survey (with your team's input if applicable) to help you to identify areas for
improvement in how your hospital is currently structured and care is delivered to patients.
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4. Request Report
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When you've completed the three steps above,
request a summary report from the main menu. The report will be
available within 48 hours of your request.
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5. Develop Improvement Plan
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Review your report and enter your improvement goal for the measure chosen and the planned re-measurement
date. Describe your change idea and quality improvement intervention including what resources
and tools you believe you will need for the improvement plan.
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6. Report Results
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Pilot test your Improvement Plan and enter the remeasurement data for the measure chosen for improvement.
Implementing a change idea and remeasuring the selected outcome may take from two weeks to six months or
longer.
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7. Submit Completed Module
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Submit your completed module to the ABIM to receive credit toward Maintenance of Certification
and CME credit.
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