8 Steps to Complete a QI Project
Visit the ABPMR QI Project Wizard, answer a few questions, and get suggestions and resources for a QI project topic relevant to your practice.
Choose a topic template from the ABPMR or create your own project— think of an issue in your practice that bothers you or is creating inefficiency. Choose a topic where making one small change could save time, money, or improve the care you provide.
Gather the necessary data that will allow you to measure your progress throughout the project. This could be taken through chart review, surveys, self-reporting, etc. Set a specific goal and timeframe, and decide which variable you'll change to see if it results in improvement.
Begin your project! Record the impact of the change you made to see if you're on track to reach your goal. Completing a project takes an average of 4 weeks or more, depending on your goals.
Reflect on your project. What are the results? Did you achieve your goal? Even if your project wasn't successful, you can still submit it for QI credit.
Use the QI project submission platform to detail your project process and results. Visit ABPMR QI Submission Platform site to write up and submit your project to the ABPMR.
An ABPMR reviewer will review your project and get back to you with approval or suggestions for revisions.
Make any necessary revisions to your project then resubmit for credit. It usually takes 2-4 weeks for re-review before your project is officially approved.
ABPMR Guided QI Project Templates
Based on our create-your-own self-guided QI template, the ABPMR has released several guided QI project templates to provide a little more support and guidance for those looking for ideas or direction.
The questions are the same no matter which template you use, but the Guided QI project templates provide topic-specific prompts before each question to help guide diplomates in the Plan-Do-Study-Act cycle. These are topics that have been identified and suggested by diplomates as those with wide applicability to a range of practice settings.
See project topics below and click ‘Begin This Project’ when you are ready to create an account at the ABPMR QI Submission Platform site and start your QI project.
Baclofen Pump Management
Intrathecal baclofen (ITB) pump complications may result in poor therapeutic effect, withdrawal, hospitalization, or reoperation. Consider this project if you have concerns about ITB pump management in your practice.Begin This Project
Catheter associated urinary tract infections (CAUTIs) are one of the most common complications associated with hospital admission. CAUTIs can result in patient morbidity and mortality, extended hospital stays, and increased health care costs. Consider this project if your facility’s CAUTI rate is higher than expected or desired.Begin This Project
Create my own QI Project
Create your own QI project based on minor annoyances, inefficiencies, or persistent issues in your practice, your education work, your administrative role, or your research that you could improve by completing a QI project.Begin This Project
Department Wellness/Burnout Initiative QI Project // In collaboration with The AAP Chair Council
Physician burnout is a national problem amongst practitioners due to the ever-changing face of health care, including EMR burdens, decreased reimbursements, increased requirements and policing of documentation, insurance denials, loss of autonomy, and more. Consider this project if you’re concerned about burnout and physician wellness in your department or practice.Begin This Project
Diversity and Inclusion
Participation and contributions from diverse individuals is critical to the future of medicine and our civil society. Consider this project if there are improvements to be made in areas such as staff and resident diversity, unconscious bias in payer and insurance considerations, holiday considerations, patient satisfaction measures, or if you have your own idea for making a small improvement in this vital area.Begin This Project
Literature suggests that tracking the functional status of patients with spine-related pain improves outcomes. Consider this project if you could begin consistently obtaining a functional status measure in this patient group and utilizing this effectively amongst your team.Begin This Project
Effective communication is important in almost every area of a physician’s professional work. Consider this project if trainees describe your communication as too abrupt/directive/distant, patients have requested diagnosis-specific education, or you see opportunities to improve communication about next appointments or other care aspects.Begin This Project
Improving PPE Use
Proper use of personal protective equipment (PPE) in health care settings has always been important for patient and provider safety, but PPE has gained increased attention in the era of COVID-19. Consider this project if there is concern in your work that PPE is not being used optimally.Begin This Project
Improving Wait Times
Longer-than-optimal patient wait times lower patient satisfaction scores; implementing simple changes to decrease wait times could make a major difference to your patients. Consider this project if long patient wait times are a persistent problem in your practice.Begin This Project
Research has demonstrated that pre-procedure timeouts decrease procedure-related errors. Consider this project if your practice needs consistency in performing pre-procedure timeouts.Begin This Project
Inpatient Departure Checklist
Literature indicates safety gaps exist when patients are discharged from the hospital. Consider this project if there are potential safety issues to address with the current method of discharging patients at your facility.Begin This Project
Opioid Management: Physician Drug Monitoring Program to Identify Multiple Opioid Prescriptions and Contraindicated Drugs
Physicians prescribing or renewing prescriptions for opioids may not be aware that patients are obtaining opioids from multiple providers or being prescribed other substances. The Centers for Disease Control recommends that physicians consider checking their state’s Physician Drug Monitoring Program (PDMP) to monitor their patients’ prescriptions. Consider this project to help assess how often you’re checking the PDMP when prescribing and renewing opioid prescriptions.Begin This Project
Pediatric Fitness Surveillance
Current guidelines suggest that to promote a healthy lifestyle, children ages 3-5 should get three hours of activity daily and adolescents 6-17 should be active for at least 60 minutes a day. Consider this project if you need to address physical activity and obesity with your patients.Begin This Project
Patient falls during an admission to an inpatient rehabilitation facility (IRF) or skilled nursing facility (SNF) can cause significant morbidity and possibly even mortality. Consider this project if your facility’s fall rate is higher than desired.Begin This Project
Reducing Inpatient Acute Care Transfers
Acute care transfers (ACT) from inpatient rehabilitation facilities (IRF) cause interruptions of functional progress, are related to negative overall outcomes, and are increasingly viewed by external parties as an indicator of IRF quality. Consider this project if your facility’s acute care transfer rate could be decreased.Begin This Project
Reducing Pressure Injuries
Multiple factors (e.g. impaired cognition and/or sensation, decreased strength and mobility, poor nutritional status, incontinence, etc) that are commonly present in patients admitted to an inpatient rehabilitation facility (IRF) or skilled nursing facility (SNF) can greatly increase the risk that those patients will develop pressure injuries. Consider this project if your facility’s pressure injury rate is higher than desired.Begin This Project
SOAPP-R for Opioid Management
Literature suggests that early identification of opioid abuse potential improves the outcome of patients with painful medical conditions. Identify whether your practice uses the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) or a similar tool. Consider this project if the SOAPP-R tool is not administered consistently or the results of the screener are not used effectively to manage a patient’s risk of opioid misuse.Begin This Project
Stroke Anticoagulation Education
Research demonstrates that standard management protocols for anticoagulation therapy reduce errors and improve outcomes, including diet and drug interaction education. Consider this project if there is room for improvement in your practice’s current protocols and implementation for anticoagulation diet and drug interaction education.Begin This Project
Some practice areas were already starting to embrace it, but the COVID-19 pandemic substantially accelerated the widespread development and use of telemedicine. Consider this project if the infrastructure, quality of care, and patient satisfaction in your telemedicine processes and procedures need improvement.Begin This Project
Medical errors are a common and serious problem in health care; the FDA receives more than 100,000 reports per year of medication errors. A medical error is a single event that should prompt a root cause analysis to prevent a recurrence. Consider this project if you experienced a medical error and want to use a QI project to measure its impact and implement a change to prevent future errors.Begin This Project
How to Create Your Own Project
Create-Your-Own QI Project
Wondering how you’d come up with your own self-designed QI project? It may be more straightforward than you think.
Here’s a great place to start: Think of an issue in your practice that bothers you, or is creating inefficiency, or something you wish would work more smoothly. You’re always trying new things, making small adjustments, and finding incremental ways to improve over time to save some time, save some money, or even to improve the care you provide your patients.
To translate this everyday activity into a QI project, you just have to plan ahead. Remember to record the baseline data – simply the current state of affairs – before you begin. Then, gather your team, set a goal, make the change, and measure again to get post-intervention data. Even if you don’t reach your goal, completing and documenting that process counts for the QI component of your CC requirements.
Need some help getting started? Check out the resources below, choose an area of your practice that you’ve recently improved or could benefit from a small-scale project, and make an improvement today.
Use this worksheet to plan, design, and conduct your project; the online submission form asks the same questions.Download (PDF)
View QI Infographic
View an infographic that distills the steps (including Plan-Do-Study-Act) built into a self-directed QI Project.View Infographic
QI Project Spotlight
Check out our ever-expanding library of exemplary QI projects that have been submitted by your peers.View QI Spotlights
Submit a Project
Connect to our QI project submission site to create-your-own or use one of our guided QI project templates.Submit a QI Project
Watch PDSA Videos
In this video, ABPMR Board Director Dr. Christopher Garrison gives an overview of the Plan-Do-Study-Act methodology, as well as explaining a SMART Aims statement, a key component of the "Plan" step.
In this video, ABPMR Board Director Dr. Christopher Garrison delves deeper into how a SMART aims statement works by using an example aims (goal) statement and then applying the principles to make it SMARTer.
In this video, ABPMR Board Director Dr. Christopher Garrison uses a common QI project example (increase DVT prophylaxis on a rehab unit) to demonstrate some other key aspects of the Plan portion of the Plan-Do-Study-Act cycle: Getting a baseline measurement and mapping your process.
In this final video in the series, ABPMR Board Director Dr. Christopher Garrison briefly covers the rest of the PDSA cycle: Once you're completed the Plan section of your project, Do, Study, then Act.