MOC DR Part 4 PQI
Part 4: Practice Quality Improvement (PQI)
The ABR has developed new comprehensive PQI guidelines for individuals, groups, and institutions. The guidelines are available here.
The entire document may be downloaded here: ABR Guide to Practice Quality Improvement. New templates for performing and recording PQI projects are also available:
The ABR's Practice Quality Improvement (PQI) program addresses Part 4 requirements. For diagnostic radiology, five potential categories of PQI projects have been defined (note that other categories may also be applicable):
Accuracy of interpretation
Practice guidelines and technical standards
Referring physician surveys
Descriptions of each category can be found by clicking here. Each diagnostic radiologist decides on a project in one of these categories, working as an individual, as part of a group, or within an institution or organization.
The overarching reasons for PQI are to improve the quality of care delivered, reduce errors, and improve safety. PQI projects serve to engage diplomates in the proper application of quality improvement principles. This has been the classic approach to PQI since the inception of Maintenance of Certification (MOC).
PQI Participation Requirements
With the implementation of Continuous Certification and its annual look-back approach, diplomates must have completed at least one PQI project in the previous three years at each annual look-back. The first evaluation of PQI participation will take place during the 2016 MOC annual look-back.
Each PQI project includes certain required elements, which are outlined below. Documentation and record-keeping are also important components. Under usual circumstances, these documents are not submitted to the ABR. However, because a percentage of MOC participants is audited each year, the diplomate must retain all source documentation for each PQI project in case he or she is selected for an audit. These records include, but are not limited to, the following:
- measurements made
- data analysis performed and conclusions reached
- action plans for practice improvements implemented
- if appropriate, a final paragraph of narrative self-reflection on the impact of the project, written after completion
Learning About PQI
The best way to begin participation in MOC Part 4 is to learn about the rationale for its inclusion in MOC, the goals of PQI efforts, and how to choose and complete a PQI project. The ABR has developed a new guide to PQI, which is available here: ABR Guide to Practice Quality Improvement. This guide will help you start to learn about PQI.
Examples of other program resources that you may find helpful in learning about quality improvement include the following:
- Online or in-person courses (including college, institutional, and commercial courses, e.g., Lean Management, Six Sigma)
- Self-Assessment Modules (SAMs) on quality improvement
- Society-sponsored CME offerings
- Institutional courses
Many helpful reading resources on PQI are available, including the ABR's published articles for diagnostic radiologists.
See the list here.
Remember that you must attest to your PQI activity using your myABR account. Please click to access myABR.