Practice Improvement Modules: Dialysis PIM

Improving Patient Care

The Dialysis Practice Improvement Module (DPIM) provides nephrologists with a way to apply quality measurements to their practice and then utilize the resulting data and individual/practice-wide improvement plan to take actions to improve patient care. The domains chosen are ones which have been associated with an improvement in patient outcomes such as risk of death, frequency of hospitalization, and quality of life in many observational studies. One of the primary clinical activities of a nephrologist is to care for dialysis patients. Nephrologists can use their data and improvement plan to demonstrate competence in communications, systems-based practice, practice–based learning and improvement, and to enhance the quality of dialysis care delivered by the nephrologist.

For an overview on completing the activity, view the Dialysis PIM Tutorial.

Objectives

The purpose of this educational activity is to improve the quality of care for patients receiving dialysis. Upon completion of the educational activity, participants should be able to:

  • Assess the current practice performance of the nephrologist on selected quality indicators through patient chart audit as it pertains to dialysis.
  • Evaluate the nephrologists' practice structure and processes to determine the extent to which they support the delivery of high-quality dialysis care.
  • Develop and implement a self/practice-wide improvement plan to improve patient care.
  • Re-assess practice performance on selected quality indicators after implementation of the improvement plan.
  • Apply short-and long-term practice performance changes that will support improved quality of dialysis care for patients.

Who Should Complete this Activity?

  • Nephrologists
  • ABMS-certified physicians who are participating in the Maintenance of Certification (MOC) program.

Completing the Activity as a Group

A combination of internists and subspecialists and/or ABFM-certified family physicians can complete a PIM together as long as they care for a group of patients together at one location, i.e. office, hospital, ICU or clinic. One ABIM-certified physician will be considered a group leader, and order the PIM on behalf of the group.

Each participating ABIM-certified physician will earn the full number of Maintenance of Certification points and CME credits available for the PIM. (Physicians certified by ABFM will earn credit toward MC-FP. CME credit is not available to family physicians.)

AQI Approval Statement

This activity is approved through the American Board of Internal Medicine's (ABIM) Approved Quality Improvement (AQI) Pathway and is eligible for 20 points toward the Self-Evaluation of Practice Performance requirement of Maintenance of Certification (MOC).

Requirements for ABIM MOC Points

In order to receive MOC points for participation in the activity, the physician must:

  • Be enrolled in ABIM's MOC program.
  • Provide direct or consultative care to patients as part of the activity. This includes physicians who actively supervise a trainee (resident or fellow) during the project.
  • Implement interventions to improve care as guided by the activity.
  • Collect, submit, and review relevant clinical data that reflects care the physician provided, in keeping with the project's measurement plan. (Data obtained from an electronic health record, or provided by another source, must be reviewed personally by the participating physician.)
  • Demonstrate active collaboration in the design and/or implementation of the project, such as attending team meetings, providing data analysis, assisting with implementation training, etc.
  • Meet the minimum duration of participation criteria established by ASN. ASN has established that all three parts (1, 2, and 3) must be completed to be awarded MOC points.

For more information on Maintenance of Certification (MOC), please visit http://www.asn-online.org/moc/.

Accreditation and CME Designation Statements

The American Society of Nephrology (ASN) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

ASN designates this PI CME activity for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AMA PRA Category 1 CME Credits

Category 1 CME is awarded for completion of all three stages (i.e. A, B, and C). No partial credit is available.

Principal Faculty

John M. Burkart, MD
Wake Forest University School of Medicine
Winston-Salem, NC

Mary (Tessie) Behrens, MD, FASN
Mid-Atlantic Nephrology Associates, PA
Catonsville, MD

Edgar V. Lerma, MD, FASN
Associates in Nephrology
Berwyn, IL

Rajnish Mehrotra, MD, FASN
David Geffen School of Medicine at UCLA
Torrance, CA

Suzanne Watnick, MD
Portland VA Medical Center
Portland, OR

The American Society of Nephrology (ASN) would like to acknowledge Tushar J. Vachharajani, MD, FASN for his contributions to this activity.

Copyright

The content of the ASN Dialysis PIM (Practice Improvement Module) is copyrighted by the American Society of Nephrology (ASN) 2011. © ASN 2011

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