Conducting a Successful Practice Quality Improvement Project for American Board of Radiology Certification.
Practice quality improvement (PQI) is a required component of the American Board of Radiology (ABR) Maintenance of Certification (MOC) cycle, with the goal to "improve the quality of health care through diplomate-initiated learning and quality improvement." The essential requirements of PQI projects include relevance to one's practice, achievability in one's clinical setting, results suited for repeat measurements during an ABR MOC cycle, and reasonable expectation to result in quality improvement (QI). PQI projects can be performed by a group or an individual or as part of a participating institution. Given the interdisciplinary nature of radiology, teamwork is critical to ensure patient safety and the success of PQI projects. Additionally, successful QI requires considerable investment of time and resources, coordination, organizational support, and individual engagement. Group PQI projects offer many advantages, especially in larger practices and for processes that cross organizational boundaries, whereas individual projects may be preferred in small practices or for focused projects. In addition to the three-phase "plan, do, study, act" model advocated by the ABR, there are several other improvement models, which are based on continuous data collection and rapid simultaneous testing of multiple interventions. When properly planned, supported, and executed, group PQI projects can improve the value and viability of a radiology practice.
From the Department of Radiology and Biomedical Imaging, University of California-San Francisco, 505 Parnassus Ave, Room L374, San Francisco, CA 94143 (C.S.L.); the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, Md (V.W.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (J.B.K.); and Department of Radiology, Stanford University School of Medicine, Stanford, Calif (D.B.L.).
Cindy S
CS
Lee
From the Department of Radiology and Biomedical Imaging, University of California-San Francisco, 505 Parnassus Ave, Room L374, San Francisco, CA 94143 (C.S.L.); the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, Md (V.W.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (J.B.K.); and Department of Radiology, Stanford University School of Medicine, Stanford, Calif (D.B.L.).
Vibhor
V
Wadhwa
From the Department of Radiology and Biomedical Imaging, University of California-San Francisco, 505 Parnassus Ave, Room L374, San Francisco, CA 94143 (C.S.L.); the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, Md (V.W.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (J.B.K.); and Department of Radiology, Stanford University School of Medicine, Stanford, Calif (D.B.L.).
Jonathan B
JB
Kruskal
From the Department of Radiology and Biomedical Imaging, University of California-San Francisco, 505 Parnassus Ave, Room L374, San Francisco, CA 94143 (C.S.L.); the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, Md (V.W.); Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Mass (J.B.K.); and Department of Radiology, Stanford University School of Medicine, Stanford, Calif (D.B.L.).
David B
DB
Larson
D002568:Certification / Q000592:standards*; D003299:Cooperative Behavior; D003951:Diagnostic Errors / Q000517:prevention & control; D007857:Leadership; D008327:Mammography / Q000592:standards; D008962:Models, Theoretical; D019982:Organizational Case Studies; D011364:Professional Practice / Q000458:organization & administration; D058996:Quality Improvement / Q000458:organization & administration* / Q000592:standards; D011871:Radiology / Q000592:standards*; D012955:Societies, Medical; D013044:Specialty Boards / Q000592:standards*; D014481:United States