UMHS QI Projects Approved for Part IV MOC or NCCPA PI-CME

Completed QI projects documented for maintenance of certification (MOC) credit are listed for physicians by specialty then by subspecialty within specialty, and then for physician assistants. Projects involving individuals from more than one discipline, specialty, or subspecialty are listed under each relevant discipline/specialty/subspecialty along with the number of individuals in that specific group who documented MOC participation. Final reports for projects can be accessed by clicking on the project title (projects with underlined titles).

Physician Assistant Projects

Physicians

Anesthesiology

Subspecialty Project Title Completion Date # with Part IV
--

Cardiovascular Center ACTIVATE (Advancing Care, Treatment Efficiency, Innovation, Value, and Teamwork for Cardiac Episodes)

08/11/2020

1



Emergency Medicine

Subspecialty Project Title Completion Date # with Part IV
Adult Advancing Responsible Opioid Prescribing (through Wave 28) 3/6/2020 1
Adult HMS Peripherally Inserted Central Catheter (PICC) Quality Improvement Project 3/26/18 1
Adult Improving Handoffs from the ED to the Medical Observation Service 1/17/18 1
Adult
12/15/13
2
Adult
1/31/12
2
Pediatric Michigan Emergency Department Improvement Collaborative (MEDIC): Reducing Chest X-ray (CXR) Use in Children with Asthma, Bronchiolitis or Croup 11/13/19 5
Pediatric MEDIC CT Use for Minor Traumatic Pediatric Head Injury 10/2/18 2
Pediatric
4/1/15
2
Pediatric
4/30/12
3

Family Medicine

Subspecialty Project Title Completion Date # with Part IV
--

Improving the Delivery of Confidential Care to Adolescent Patients (through Wave 5)

7/31/2020 14
-- Improving the Quality and Timeliness of Primary Care Notes 7/20/2020 2
-- Smile Connect (through Wave 11) 5/4/2020 3
-- Advancing Responsible Opioid Prescribing (through Wave 28) 3/6/2020 15
-- Transforming Trauma Informed Care (through Wave 1) 12/31/19 4
-- Improving the rate of providers intervening to reduce falls in elderly patients in Family Medicine: Addressing process and individual barriers 11/4/19 100
-- IHA — Improving Diabetic Patient A1c Control 6/14/19 20
-- Improving Chlamydia Screening Rates in Family Medicine: Addressing Process and Individual Barriers 11/14/18 71
-- IHA — Improving Cervical Cancer Screening 11/7/18 16
-- Transforming Depression: A Great Lakes Practice Project (through Wave 18) 10/29/18 6
-- Assessing Opioid Fears and Anxieties in Palliative Care Consultations 5/6/18 1
-- Transforming Medication Adherence: A Great Lakes Practice Project 1/31/18 3
-- Improving Handoffs from the ED to the Medical Observation Service 1/17/18 1
-- Michigan Caries Prevention Program
11/1/17
63
-- MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — University Hospital 2/24/17 1
--
11/2/16
1
--
10/4/16
53
--
09/13/2016
7
--
6/30/2016
16
--
6/30/16
1
--
10/15/15
45
--
9/30/15
22
--
6/30/15
5
--
10/21/14
23
--
12/15/13
4
--
11/30/13
38
--
10/31/13
12
--
8/31/13
1
--
1/4/12
40
Sleep Medicine Improving Accuracy of Average Volume Assured Pressure Support (AVAPS) Titration Studies 4/22/19 3
Sleep Medicine Delays in Seeing Patients in the Sleep Disorders Fellow Outpatient Clinic 5/1/18 1
Sleep Medicine Appetite Assessment During Palliative Care Consultations 1/19/17 1
Sleep Medicine
4/4/16
1
Sleep Medicine
6/1/15
2

Internal Medicine

Subspecialty Project Title Completion Date # with Part IV
Cardiology

Cardiovascular Center ACTIVATE (Advancing Care, Treatment Efficiency, Innovation, Value, and Teamwork for Cardiac Episodes)

08/11/2020

1
Cardiology
10/21/14
18
Cardiology
8/31/13
1
Cardiology
11/1/12
4
Endocrinology
10/16/15
31
Endocrinology
10/21/14
31
Endocrinology
10/31/13
6
Gastroenterology
7/31/15
11
Gastroenterology
11/15/13
8
General Med - Ambulatory Care Improving the Quality and Timeliness of Primary Care Notes 7/20/2020 26
General Med - Ambulatory Care Advancing Responsible Opioid Prescribing (through Wave 28) 3/6/2020 11
General Med - Ambulatory Care Improving Screening for Diabetic Nephropathy 7/11/19 20
General Med - Ambulatory Care IHA — Improving Diabetic Patient A1c Control 6/14/19 21
General Med - Ambulatory Care Universal Adolescent Depression Screening at HME 6/11/19 8
General Med - Ambulatory Care IHA — Improving Cervical Cancer Screening 11/7/18 18
General Med - Ambulatory Care Transforming Depression: A Great Lakes Practice Project (through Wave 18) 10/29/18 4
General Med - Ambulatory Care Advancing Responsible Opioid Prescribing (through Wave 18) 11/19/18 4
General Med - Ambulatory Care Transforming Medication Adherence: A Great Lakes Practice Project 1/31/18 1
General Med - Ambulatory Care Screening for Obesity Hypoventilation (OH) in Obstructive Sleep Apnea (OSA) Population in Adult Patients at the University of Michigan 05/17/17 2
General Med - Ambulatory Care Michigan Caries Prevention Program 3/31/17 1
General Med - Ambulatory Care
11/2/16
3
General Med - Ambulatory Care
10/21/16
1
General Med - Ambulatory Care
10/11/16
32
General Med - Ambulatory Care
09/13/2016
5
General Med - Ambulatory Care
6/30/2016
9
General Med - Ambulatory Care
6/30/15
6
General Med - Ambulatory Care
5/31/15
32
General Med - Ambulatory Care
10/21/14
44
General Med - Ambulatory Care
10/31/13
6
General Med - Ambulatory Care
3/31/12
8
General Med - Ambulatory Care
1/31/12
1
General Med - Hospitalists Hospital Medicine Safety (HMS) Consortium Antimicrobial Use (ABX) Quality Improvement Project 1/31/20 3
General Med - Hospitalists Fever Pathways for 7-59 Day-Olds 9/25/19 2
General Med - Hospitalists

Improving the Effectiveness and Efficiency of Inpatient Medicine Rounds: Awareness of Need for DVT Prophylaxis, Satisfaction with Process

7/12/19 12
General Med - Hospitalists HMS Peripherally Inserted Central Catheter (PICC) Quality Improvement Project 3/26/18 5
General Med - Hospitalists Improving Handoffs from the ED to the Medical Observation Service 1/17/18 4
General Med - Hospitalists Identification of hypertension in pediatric and adult patients with nephrotic syndrome in NephCure Accelerating Cures Institute (NACI) clinical care network 9/8/2017 9
General Med - Hospitalists MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — Cardiovascular Center 7/12/17 9
General Med - Hospitalists

Improving Documentation of an Accurate Problem List for General Pediatrics Inpatients

5/31/17 5
General Med - Hospitalists
MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — University Hospital 2/24/17 59
General Med - Hospitalists
1/22/15
16
General Med - Hospitalists
10/1/12
15
General Med - Hospitalists
Inpatient Adult Sleep Medicine Consultations: Taking Out the Trash 5/2/18 1
General Med - Med Peds Improving Surgical Plan Development and Communication for Congenital Heart Center Patients 06/30/2020 2
General Med - Med Peds Assessing Menstrual Status as a Vital Sign 11/8/18 3
General Med - Med Peds

Improving the Delivery of Confidential Care to Adolescent Patients (through Wave 5)

7/31/2020 10
General Med - Med Peds
9/10/16
5
General Med - Med Peds
1/26/16
1
General Med - Med Peds
10/21/14
8
General Med - Med Peds
3/31/12
6
General Med
1/5/15
22
General Med
9/30/12
17
Geriatric Medicine Improving the Quality and Timeliness of Primary Care Notes 7/20/2020 1
Geriatric Medicine
10/21/14
14
Geriatric Medicine
8/30/14
3
Geriatric Medicine and Palliative Medicine Appetite Assessment During Palliative Care Consultations 1/19/17 3
Hematology/Oncology Tobacco Cessation Quality Improvement Project — Wave 1 (Newland Practice) 1/3/2020 1
Hematology/Oncology Improving Multidisciplinary Discharge Planning on 8A 5/31/18 2
Hematology/Oncology
12/15/14
6
Hematology/Oncology
11/4/14
8
Hematology/Oncology
12/20/12
1
Hematology/Oncology
12/5/11
4
Hospice and Palliative Medicine Safe Opioid Prescribing in Pediatric Palliative Care 10/31/18 2
Hospice and Palliative Medicine
Assessing Opioid Fears and Anxieties in Palliative Care Consultations 5/6/18 2
Hospice and Palliative Medicine
6/24/15
4
Infectious Diseases Chlamydia Screening for patients with HIV 2/22/2021 2
Infectious Diseases Improving colorectal cancer screening in patients with HIV 2/24/2020 3
Infectious Diseases
4/1/16
1
Infectious Diseases
4/20/15
17
Metabolism, Endocrinology, and Diabetes Pneumococcal Vaccine: Specialty-Focus Ambulatory Care Unit (ACU) 2/05/2020 22
Metabolism, Endocrinology, and Diabetes Improving Blood Pressure Management in the Domino's Farms Metabolism, Endocrinology, and Diabetes (DF MEND) Clinic Population 10/31/18 8
Preventive Medicine Improving the Quality and Timeliness of Primary Care Notes 7/20/2020 1
Pulmonary; Critical Care Medicine Improving use of COPD Assessment Test (CAT) in clinic 2/17/2021 15
Pulmonary; Critical Care Medicine Inpatient Adult Sleep Medicine Consultations: Taking Out the Trash 5/2/18 1
Pulmonary; Critical Care Medicine HMS Peripherally Inserted Central Catheter (PICC) Quality Improvement Project 3/26/18 1
Nephrology Pneumococcal Vaccine: Specialty-Focus Ambulatory Care Unit (ACU) 2/05/2020 13
Nephrology HMS Peripherally Inserted Central Catheter (PICC) Quality Improvement Project 3/26/18 1
Nephrology Improving blood pressure control in patients with Chronic Kidney Disease 10/31/17 16
Rheumatology Tobacco Cessation Quality Improvement Project — Wave 1 (Newland Practice) 1/3/2020 1
Sleep Medicine Improving Time from Sleep Study Report Generation to Order Signature

8/6/2020

2
Sleep Medicine Improving Accuracy of Average Volume Assured Pressure Support (AVAPS) Titration Studies 4/22/19 2
Sleep Medicine Positive Airway Pressure (PAP) Device Cleaning Awareness in Adult Patients with Sleep-Disordered Breathing and their Caregivers 4/26/17 2
Sleep Medicine
3/9/16
1
Sleep Medicine
4/4/16
1
Sleep Medicine
4/24/14
3
Sleep Medicine
6/1/15
2

Neurology

Ophthalmology

Subspecialty Project Title Completion Date # with Part IV
-- Improving Physician Adherence to Clinic Time-out Procedures 8/6/19 30
--
6/30/15
24

Otolaryngology

Subspecialty Project Title Completion Date # with Part IV
-
4/15/16
1

Pediatrics

Subspecialty Project Title Completion Date # with Part IV
Behavioral Peds Project F.U.N. (Fun Universally in cliNic): Improving patient access to developmentally-appropriate toys in clinic 1/2/18 2
Behavioral Peds
1/26/16
1
Behavioral Peds
12/21/16
6
Behavioral Peds
4/30/14
4
Cardiology Improving Referral Rates to the Cardiac Neurodevelopment Follow-up Program 12/6/2016 13
Cardiology
1/20/14
7
Emergency Medicine Michigan Emergency Department Improvement Collaborative (MEDIC): Reducing Chest X-ray (CXR) Use in Children with Asthma, Bronchiolitis or Croup 11/13/19 26
Emergency Medicine MEDIC CT Use for Minor Traumatic Pediatric Head Injury 10/2/18 21
Emergency Medicine
4/1/15
11
Endocrine Improving Clinical Management and Communication with Pediatric Diabetes Patients and Caregivers through Utilization of the MiChart Patient Portal 11/15/16 10
General Pediatrics

Improving the Delivery of Confidential Care to Adolescent Patients (through Wave 5)

7/31/2020 59
General Pediatrics Smile Connect (through Wave 11) 5/4/2020 37
General Pediatrics Pneumococcal Vaccine: Specialty-Focus Ambulatory Care Unit (ACU) 2/05/2020 3
General Pediatrics Transforming Trauma Informed Care (through Wave 1) 12/31/19 2
General Pediatrics IHA — Improving Diabetic Patient A1c Control 6/14/19 5
General Pediatrics IHA — Improving Rate of Pediatric Well Visits 3-18 Years 4/16/19 42
General Pediatrics BMi2+ Population Effects of Motivational Interviewing on Childhood Obesity 11/18/18 9
General Pediatrics IHA — Improving Cervical Cancer Screening 11/7/18 3
General Pediatrics Transforming Depression: A Great Lakes Practice Project (through Wave 18) 10/29/18 10
General Pediatrics Transforming Medication Adherence: A Great Lakes Practice Project 1/31/18 1
General Pediatrics Project F.U.N. (Fun Universally in cliNic): Improving patient access to developmentally-appropriate toys in clinic 1/2/18 4
General Pediatrics Improving Communication with Families by providing patient-specific written instructions regarding medication management, laboratory evaluation and follow-up 12/4/17 4
General Pediatrics
11/1/17
174
General Pediatrics Identification of hypertension in pediatric and adult patients with nephrotic syndrome in NephCure Accelerating Cures Institute (NACI) clinical care network 09/08/2017 14
General Pediatrics Outpatient Treatment Guidelines for Typical Pathogens of Community Acquired Pneumonia (typical CAP) 8/14/17 24
General Pediatrics IHA—Improving Care of Pediatric Asthma Patients 3/1/17 35
General Pediatrics
10/21/16
13
General Pediatrics
9/10/16
15
General Pediatrics
9/10/16
2
General Pediatrics
11/2/16
3
General Pediatrics
1/26/16
2
General Pediatrics
2/4/16
8
General Pediatrics
6/1/15
25
General Pediatrics
10/21/14
24
General Pediatrics
8/25/14
29
General Pediatrics
3/30/13
1
General Pediatrics
2/28/12
22
General Pediatrics - Hospitalist

Improving the Effectiveness and Efficiency of Inpatient Medicine Rounds: Awareness of Need for DVT Prophylaxis, Satisfaction with Process

7/12/19 1
General Pediatrics - Hospitalist Improving Handoffs from the ED to the Medical Observation Service 1/17/18 1
General Pediatrics - Hospitalist

Improving Documentation of an Accurate Problem List for General Pediatrics Inpatients

5/31/17 16
General Pediatrics - Hospitalist MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — University Hospital 2/24/17 4
General Pediatrics - Hospitalist
4/1/15
16
Hematology/Oncology Improving Communication with Families by providing patient-specific written instructions regarding medication management, laboratory evaluation and follow-up 12/4/17 7
Hematology/Oncology Improving Pneumococcal Vaccine Assessment and Counseling for At-Risk Patients in the Pediatric Hematology/Oncology Clinic 10/19/16 18
Hematology/Oncology
11/12/14
15
Hematology/Oncology
4/30/12
22
Nephrology Improving blood pressure control in patients with Chronic Kidney Disease 10/31/17 2
Nephrology
8/14/15
8
Nephrology
6/9/14
8
Neurology Improving Accuracy of Average Volume Assured Pressure Support (AVAPS) Titration Studies 4/22/19 1
Neurology
3/31/14
6
Pulmonology Improvement of Asthma Follow-up Post-hospitalization 10/2/18 5
Pulmonology
12/15/14
2
Pulmonology Improvement of pediatric asthma wellness center clinic attendance 9/15/12 2
Sleep Medicine Improving Time from Sleep Study Report Generation to Order Signature

8/6/2020

2
Sleep Medicine Improving Accuracy of Average Volume Assured Pressure Support (AVAPS) Titration Studies 4/22/19 2

Physical Medicine and Rehabilitation

Subspecialty Project Title Completion Date # with Part IV
Pain Medicine Advancing Responsible Opioid Prescribing (through Wave 25) 12/6/19 1

Psychiatry

Subspecialty Project Title Completion Date # with Part IV
-- Improving Chlamydia Screening Rates in Family Medicine: Addressing Process and Individual Barriers 11/14/18 1
-- MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — University Hospital 2/24/17 1
Child Neurology Implementing a Standardized Outpatient Seizure Action Plan for Patients with Seizures and Epilepsy 3/24/17 4
Epilepsy Inpatient Adult Sleep Medicine Consultations: Taking Out the Trash 5/2/18 1
Epilepsy Implementing a Standardized Outpatient Seizure Action Plan for Patients with Seizures and Epilepsy 3/24/17 5
Sleep Medicine Delays in Seeing Patients in the Sleep Disorders Fellow Outpatient Clinic 5/1/18 1
Sleep Medicine Screening for Obesity Hypoventilation (OH) in Obstructive Sleep Apnea (OSA) Population in Adult Patients at the University of Michigan 5/17/2017 2
Sleep Medicine Positive Airway Pressure (PAP) Device Cleaning Awareness in Adult Patients with Sleep-Disordered Breathing and their Caregivers 4/26/17 2
Sleep Medicine
3/9/16
1
Sleep Medicine
6/1/15
1

Surgery

Subspecialty Project Title Completion Date # with Part IV
Colorectal Surgery Colorectal Surgery ACTIVATE (Advancing Care, Treatment efficiency, Innovation, Value, And Teamwork for Colorectal Episodes) 3/9/2021 1
Orthopaedic Surgery
6/8/16
1
Palliative Care Assessing Opioid Fears and Anxieties in Palliative Care Consultations 5/6/18 1
Palliative Care Appetite Assessment During Palliative Care Consultations 1/19/17 1
Palliative Care
6/30/16
1
Palliative Care
6/24/15
1
Palliative Care
8/30/14
1
Palliative Care
2/2/13
1
Palliative Care
2/2/13
1
Palliative Care
2/2/13
1
Thoracic Surgery MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — Cardiovascular Center 7/12/17 3
Thoracic Surgery

Cardiovascular Center ACTIVATE (Advancing Care, Treatment Efficiency, Innovation, Value, and Teamwork for Cardiac Episodes)

08/11/2020

5
Trauma Surgery Advancing Responsible Opioid Prescribing (through Wave 25) 12/6/19 4

Physician Assistants

Project Title Completion Date # with AAPA PI-CME
Colorectal Surgery ACTIVATE (Advancing Care, Treatment efficiency, Innovation, Value, And Teamwork for Colorectal Episodes) 3/9/2021 4

Cardiovascular Center Structural Heart ACTIVATE: Advancing Care, Treatment Efficiency, Innovation, Value, and Teamwork for Cardiac Episodes

10/14/2020

12

Cardiovascular Center ACTIVATE (Advancing Care, Treatment Efficiency, Innovation, Value, and Teamwork for Cardiac Episodes)

08/11/2020

13
Improving Surgical Plan Development and Communication for Congenital Heart Center Patients 06/30/2020 1
Smile Connect (through Wave 11) 5/4/2020 1
Advancing Responsible Opioid Prescribing (through Wave 28) 3/6/2020 2
IHA — Improving Cervical Cancer Screening 11/7/18 1
Transforming Medication Adherence: A Great Lakes Practice Project 1/31/18 2
Michigan Caries Prevention Program 11/1/17 25
Improving blood pressure control in patients with Chronic Kidney Disease 10/31/17 1
MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program Cardiovascular Center 7/12/17 9
MiPART (Michigan Patient Arrival and Rapid Throughput) Priority Discharge Program — University Hospital 2/24/17 22
6/8/16
4
4/15/16
3
Improving Referral Rates to the Cardiac Neurodevelopment Follow-up Program 12/6/2016 1
12/2/15
7
6/30/15
1
5/31/15
1
10/31/14
4