There are two components to a PIP Unit – a clinical module (chart review) and a feedback module (patient and peer surveys). Both components must be completed to complete a PIP unit.
PIP activities must be PRE-APPROVED by ABPN. We offer options to diplomates so there is choice of activities and flexibility.
There are a number of products available for a diplomate to use. Approved PIP products can be found on our Web site at: www.abpn.com/moc-products.
It may also be possible that a diplomate is participating in a quality improvement program at their institution that meets ABPN requirements, but that program must be pre-approved by the ABPN. To check if your program is pre-approved, contact Patti Vondrak, firstname.lastname@example.org.
Institutional quality improvement programs approved by the ABMS Multi-Specialty MOC Portfolio Approval Program (www.mocactivitymanager.org) will fulfill the clinical module of PIP. If a diplomate participates in the Portfolio Program approved peer review in a clinical setting, that institutional activity will also fulfill the PIP feedback module criteria.
The requirement for the patient feedback module may be satisfied by participating in the CAHPS survey (https://cahps.ahrq.gov).
Another way of satisfying the requirement is through the following Press Ganey surveys:
- Modified version of Medical Practice Survey
- Modified version of Hospitalists Insights
- Visit Specific Survey
The Diplomate may also do their own chart review and feedback modules. If so, a sample clinical module audit form can be found on our Web site (http://www.abpn.com/downloads/forms/2013-PIP-Audit-Form-Sample.pdf) to help you plan this activity. All PIP modules must be pre-approved by ABPN.
A sample patient (www.abpn.com/downloads/moc/PIP_patient_feedback_v1.pdf) and peer (www.abpn.com/downloads/moc/PIP_peer_feedback_v1.pdf) feedback form can also be found on our Web site.
The modules must satisfy the following criteria:
Clinical Modules (Chart Review):
A. Collection of Patient Data
a. Collect data from at least 5 patient cases in a specific category (e.g. diagnosis, type of treatment, treatment setting) obtained from your personal practice over the previous 3 years.
b. A minimum of 4 quality measures must be collected for each Clinical Module (quality measures are designated in practice guidelines, published best practices, or peer-based standards of care).
B. Improvement Plan
a. Compare data from five patient cases with published best practices, or practice guidelines, or peer-based standards of care and develop a plan to improve effectiveness or efficiency with your clinical activities.
C. Recollection of Patient Data
a. Within 24 months of initial chart review, collect the same data from at least another 5 clinical cases in
the same specific category, to see if improvements in practice have occurred.
Feedback Module (Patient and Peer Surveys):
A. Collection of Surveys
a. Solicit personal performance feedback from at least 5 peers and 5 of your own patients concerning your clinical activity over the previous 3 years.
B. Improvement Plan
a. Identify opportunities for improvement in the effectiveness and/or efficiency of your practice as related to the core competencies and take steps to implement suggested improvements.
C. Recollection of Surveys
a. Within 24 months of the initial surveys, collect the same data from at least another 5 patients and 5 peers to see if improvements in practice have occurred.