Maintenance of Certification Part IV Program

QI Effort Submission Deadline: October 26th, 2019


Program Resources

American Board of Medical Specialties Member Boards
Review Committee Members

As of November 1st, 2018

  • Katie N. Ballert, MD
    Assistant Professor
    Department of Surgery
    Division of Urology
  • Jagriti Chadha, MD, MPH, FACP, FHM
    Assistant Professor of Medicine
    Division of Hospital Medicine
    Department of Internal Medicine
  • Romil Chadha, MD
    Hospitalist
    Department of Internal Medicine
  • Donna G. Grigsby, MD
    Associate Professor
    Department of Pediatrics
    Chief, Division of General Academic Pediatrics
  • Hamza Mlatoum, MD
    Clinical Instructor of Medicine
    Division of Hospital Medicine
    Department of Internal Medicine
  • Anne Sayers, MD, FHM, FACP
    Assistant Professor of Clinical Internal Medicine
    Internal Medicine Interest Group Faculty Sponsor
    Adult Inpatient Director of Kentucky Cystic Fibrosis Center
  • Suarav Suman, MD, MPH, FACP
    Assistant Professor and Hospitalist
    Division of Hospital Medicine
    Department of Internal Medicine
  • Joseph Sweigart, MD
    Hospitalist
    Department of Internal Medicine
  • Preetham Talari, MD
    Assistant Professor of Medicine
    Division of Hospital Medicine
    Department of Internal Medicine
  • Kshitij Thakur, MD
    Assistant Professor of Medicine
    Division of Hospital Medicine
    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