2009 PQI talk handouts - American Association of ... · Tyler Lembcke (Extensive template input)...
Transcript of 2009 PQI talk handouts - American Association of ... · Tyler Lembcke (Extensive template input)...
7/23/09
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Society-Based Practice Quality Improvement Projects for Maintenance of Certification
Michael Taylor, MS Northwest Permanente
Portland, OR 2009 AAPM Annual Meeting
Objectives
• Understand PQI requirements
• Individual vs. society based PQI projects
• Review TG 127 PQI project
• Project Development
M. Taylor 2009 AAPM Annual Meeting
AAPM ABR Diplomates
TG 127
ABR Trustees
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ABR MOC version 1.0
M. Taylor 2009 AAPM Annual Meeting Slide adapted from P. Halverson 2006
ABR MOC version 2.0
M. Taylor 2009 AAPM Annual Meeting Slide adapted from P. Halverson 2006
ABR MOC version 3.x
M. Taylor 2009 AAPM Annual Meeting Slide adapted from P. Halverson 2006
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Definition of PQI? All Radiologic Physics diplomates must be trained in the process and procedures of quality improvement as they affect an individual's practice of Radiologic Physics.
http://theabr.org/moc/moc_rp/moc_rp_comp4.html
M. Taylor 2009 AAPM Annual Meeting
PQI Reading Resources
http://theabr.org/moc/moc_rp/moc_rp_pqiread.html http://www.amazon.com
M. Taylor 2009 AAPM Annual Meeting
PQI Summer Book Club Reading
http://www.amazon.com http://www.amazon.com
M. Taylor 2009 AAPM Annual Meeting
Definition of PQI? The key components of Part IV require a physicist-based response to demonstrate commitment to practice quality improvement (PQI) and progress in continuing individual competence in practice.
A central element of PQI projects (Part IV) is to provide evidence of critical evaluation of the individual’s performance in practice.
M. Taylor 2009 AAPM Annual Meeting
PQI Definition?
A metric based investigation that critically assesses, evaluates, and ‘improves’ a Diplomate’s performance in practice
M. Taylor 2009 AAPM Annual Meeting
Components of PQI
• Relevance to patient care and/or individual practice
• Identifiable metrics
• Results
• Assessment
• Improvement Plan
• Reassessment
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PQI timeline
1. Collect baseline data.
2. Review and analyze baseline data.
3. Implement improvement plan.
4. Collect data.
5. Gauge ‘improvement’
6. Report participation to the ABR.
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Med. Phys. Volume 34, Issue 11, pp. 4158-4163 (November 2007)
MOC database
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Type II project
• Society or organization-based initiative
• Meets fundamental PQI elements
• Aggregated data maintained, reported*, and benchmarked by organization
* Under development M. Taylor 2009 AAPM Annual Meeting
Type I vs. Type II
Type I Type II
Development Self Approval
Approval Self* ABR
Maintenance Self Organization
Reporting Self Self*
Benchmarking Possible Organization
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http://theabr.org/moc/moc_rp/moc_rp_pqi_projects.html
TG127 PQI Template
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http://moc.aapm.org/pqi
TG127 PQI Template
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http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
AAPM PQI source
http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
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http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
http://moc.aapm.org/pqi M. Taylor 2009 AAPM Annual Meeting
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Metrics?
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PQI Possibilities
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PQI Possibilities
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Failure Mode and Effects Analysis
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Process Tree Int. J. Radiation Oncology Biol. Phys., Vol. 71, No. 1, Supplement, pp. S170–S173, 2008
Risk Probability
M. Taylor 2009 AAPM Annual Meeting
Int. J. Radiation Oncology Biol. Phys., Vol. 74, No. 3, pp. 852–858, 2009
Severity Score Occurrence Detectability
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2
3
4
5
6
7
8
9
10
No effect < every 5 years
Dose ∆ 5% Every 2-5 years Very easy to detect
Once per year
Minimal delay in care Several times a year Easy to detect
Once a month
Moderate delay in care
Several times a month Mildly difficult to
detect
Once a week
Dose ∆ 20%, reportable
Several times a week
Once a day
Patient dies several times a day Impossible to detect
Acknowledgements
• Tammy Conquest (AAPM web development)
• Tyler Lembcke (Extensive template input)
• David Laszakovits (Division Chair, Maintenance of Certification, ABR)
• Geoff Ibbot (Trustee, Therapeutic Radiologic Physics, ABR)
• AAPM
• Task Group 127
• Matthew Meineke
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