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Home Research Research Library Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module 2014 Author(s) Peterson, Lars E, Blackburn, Brenna E, Puffer, James C, and Phillips, Robert L Topic(s) Family Medicine Certification, and Role of Primary Care Keyword(s) Measurement, and Performance Improvement Volume Annals of Family Medicine Source Annals of Family Medicine PURPOSE Practice performance assessment is the fourth requirement of Maintenance of Certification for Family Physicians (MC-FP). American Board of Family Medicine (ABFM) diplomates have many options for completing Part 4 requirements, including Web-based Performance in Practice Modules (PPMs) developed by the ABFM. Our objective was to describe the actions and outcomes of family physicians who completed the ABFM diabetes PPM. METHODS We undertook a descriptive study of all diabetes PPMs completed by physicians in the 50 United States and Washington, DC, from 2005 to October 2012. Successful completion required quality measure abstraction from 10 patient charts before and after a plan-do-study-act cycle improvement effort. We used descriptive statistics to assess physician demographics and quality outcomes. RESULTS Family physicians completed 7,924 diabetes qualitative improvement modules. Their mean age was 48.2 years, they had practiced a mean of 13.8 years, and three-fourths lived in urban areas (76.9%). Nearly one-half selected diabetic foot examination or eye examination as their quality improvement measure. Performance on all quality measures improved. Significant improvement was seen in rates of hemoglobin A1c control (<7.0%; 57.4% to 61.3%), blood pressure control (<130/90 mm Hg; 53.3% to 56.3%), foot examinations (68.0% to 85.8%); and retina examinations (55.5% to 71.1%). The most common interventions were standing orders (51.6%) and patient education (37.1%). CONCLUSIONS Family physicians participating in MC-FP implemented improvement projects and showed quality improvements in caring for patients with diabetes. Emphasis on quality of care by payers will increasingly require physicians to embrace quality measurement and improvement. ABFM Research Read all 2016 Care Coordination for Primary Care Practice Go to Care Coordination for Primary Care Practice 2014 Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model Go to Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model 1999 Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence Go to Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence 2009 Comparing the Performance of Allopathically and Osteopathically Trained Physicians on the American Board of Family Medicine’s Certification Examination. Go to Comparing the Performance of Allopathically and Osteopathically Trained Physicians on the American Board of Family Medicine’s Certification Examination.
Author(s) Peterson, Lars E, Blackburn, Brenna E, Puffer, James C, and Phillips, Robert L Topic(s) Family Medicine Certification, and Role of Primary Care Keyword(s) Measurement, and Performance Improvement Volume Annals of Family Medicine Source Annals of Family Medicine
ABFM Research Read all 2016 Care Coordination for Primary Care Practice Go to Care Coordination for Primary Care Practice 2014 Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model Go to Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model 1999 Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence Go to Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence 2009 Comparing the Performance of Allopathically and Osteopathically Trained Physicians on the American Board of Family Medicine’s Certification Examination. Go to Comparing the Performance of Allopathically and Osteopathically Trained Physicians on the American Board of Family Medicine’s Certification Examination.
2014 Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model Go to Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model
1999 Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence Go to Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence
2009 Comparing the Performance of Allopathically and Osteopathically Trained Physicians on the American Board of Family Medicine’s Certification Examination. Go to Comparing the Performance of Allopathically and Osteopathically Trained Physicians on the American Board of Family Medicine’s Certification Examination.
