Iverson Named PIP Editor, AAN Working to Prepare Members for Maintenance of Certification

November 10, 2010

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Donald Iverson, MD, FAAN, has been named the AAN's new Performance in Practice (PIP) Editor, a role in which he will oversee the Academy's upcoming line of practice improvement modules. Available the first quarter of 2011, the new NeuroPI℠ modules will help members address the PIP component of Maintenance of Certification (MOC).

"The AAN has been working to inform members for some time now about the American Board of Psychiatry and Neurology (ABPN) requirements for MOC, with particular emphasis on the new PIP requirement," said Iverson. "Although the development of NeuroPI was precipitated by MOC requirements, our goal is to create a performance improvement tool that benefits neurologists and patients–extending beyond MOC requirements into every day practice."

The Academy's NeuroPI program is an online module that guides you step-by-step through each phase of a performance improvement project: Assessment, Intervention, and Re-evaluation. The module offers confidential feedback on your performance against nationally endorsed measures, best practices, and the performance of peers. There will be a selection of resources in each module to bring you up to speed on areas of weakness and assist you in constructing an effective improvement plan. After the implementation period you select, you will reassess your performance and determine whether you have achieved your improvement goals.

The first four modules to debut will be Epilepsy, Parkinson's Disease, and two Patient Safety Modules: Falls and Medication Reconciliation. Not only will NeuroPI tools help ABPN diplomates fulfill MOC requirements, but each module will also offer an opportunity to earn up to 20 AMA PRA Category 1™ credits.

"To be clear, MOC is not an AAN initiative," said Iverson. "The initiative is actually mandated by the American Board of Medical Specialties (ABMS), and was designed to ensure that physician specialists offer quality patient care through an ongoing process of self-improvement and performance improvement. The ABPN MOC program has four components: Professional Standing, Self-assessment and Continuing Medical Education (CME), Cognitive Expertise—and the new Performance in Practice requirement. The AAN's role in MOC and PIP is to make sure members who are applying for MOC understand this initiative and how it impacts them as neurologists, and to provide members with appropriate tools and resources to help them meet these requirements."

PIP is a two-part quality improvement program designed for clinicians to evaluate whether they have shown practice improvement over the 10-year MOC cycle. Diplomates will be required to complete three PIP Units, each consisting of both a clinical module (chart review) and a feedback module (Patient/Peer second-party external review). The PIP requirement impacts ABPN diplomates certified October 1994 and forward. Those applying for MOC in 2013 will need to complete one PIP unit to be eligible for recertification. While the ABPN has gradually implemented the MOC program, those certified 2007 and forward are required to participate in the full program including three PIP units, one in each third of their 10-year MOC cycle.

More information about the NeuroPI modules will be available in future issues of AANnews, on AAN.com, and in emails.

Learn more about AAN resources to help you meet the ABPN requirements