Maintenance of Certification Part IV Program

QI Effort Submission Deadline: October 1st, 2017


Program Resources

American Board of Medical Specialties Member Boards
Review Committee Members

As of November 21, 2013

  • Katie N. Ballert, MD
    Assistant Professor
    Department of Surgery
    Division of Urology
  • Roberto Cardarelli, DO
    Professor
    Department of Family and Community Medicine
  • Romil Chadha, MD
    Hospitalist
    Department of Internal Medicine
  • Todd R. Cheever, MD
    Associate Residency Training Director
    Director, Second Year Psychiatry Course
    Department of Psychiatry
  • Donna G. Grigsby, MD
    Associate Professor
    Department of Pediatrics
    Chief, Division of General Academic Pediatrics
  • Jonathan H. Smith, MD
    Assistant Professor
    Department of Neurology
  • Joseph Sweigart, MD
    Hospitalist
    Department of Internal Medicine
  • Dale E. Toney, MD
    Associate Professor
    Department of Internal Medicine
Sustained Quality Improvement Cycles of Change

The QI effort must be sustained, involving at least two or more linked cycles of performance review and improvement. Post-intervention data and review from one cycle become the baseline data and planning for the next cycle. Begin with a problem in patient care.

  • 1st QI cycle
    • Baseline data collection, analysis/review
    • Identify underlying (root) cause(s)
    • Intervention(s) to address root cause(s)
    • Post-intervention data collection, analysis/review, identify remaining root cause(s)
  • 2nd QI cycle
    • Post-intervention data collection, analysis/review, identify root cause(s) (from 1st cycle)
    • Adjustment(s) and second intervention(s) to address root cause(s)
    • Post-adjustment data collection, analysis/review, identify remaining root cause(s)
  • To develop the plan for improvement within each cycle:
    • Identify operational problem through data collection, analysis, and review of results
    • Identify underlying (root) causes of the problem through consideration of relevant factors (e.g., people, materials, equipment, methods, environment)
    • Conduct interventions that address the most important root causes
    • Collect post-intervention data, analysis/review, identify remaining root cause(s)

The project should be easy to describe within this framework of two or more QI cycles.

QI Cycle Root Cause Analysis
A3 Form Template