Scorecard
Quality Improvement Project Application American Board of Pediatrics MO
QIPA Version 2.1 rev 2.24.2010
Project Name
Sponsor Organization
Project Status (choose one) Completed In Progress
Reviewer
Date Reviewed
Overall Comments
For projects in progress or completed, there
Minimum passing score is 38.
Total Score 0
For projects that have not launched or have j
possible points. Minimum passing score is 35
Reviewer Guidelines: Unless otherwise indicated, all items are scored 0, 1, or 2. The scorecard will not allow you to enter a
value that is out of bounds. Include any substantive comments for each item you score. The related item from the applicatio
total score will calculate automatically as you fill in the form.
Scoring Factor Refer to Your
Item # Score
A. Applicant describes the problem and a clear and
compelling rationale for undertaking the project. The gap
9
between current practice and what is possible is described.
B. There is a clear aim statement with the patient
population, the interventions and measurable, time- 10
specific objectives described.
C. The project addresses one or more IOM dimensions of
11
quality
D. Performance measures are appropriate to the stated Item 12 and
aim and fully described in the measures table. Exhibit A:
Measures
E. Appropriate balancing measure(s) fully described in the Item 12 and
measures table. Exhibit A:
Measures
F. Appropriate measure(s) of reliability in implementation Item 12 and
of interventions fully described in measures table. Exhibit A:
Measures
G. Sampling strategies are appropriate. 13
H. Data submission cycles occur with appropriate
14
frequency.
I. Data quality and completeness issues are addressed
15
adequately
J. The project’s interventions/changes are appropriate.
16
K. The project leadership understand barriers to the
interventions and have reasonable plans to address 17
barriers.
L. Performance measurement data are analyzed and
reported in aggregate (across all participants or sites) as 18
well as at physician or site level.
M. Participants receive results feedback in a timely fashion
appropriate to improving performance. 19
N. Run charts and/or control charts OR an acceptable
alternative are used for results reporting. 20
O. The project uses its data to guide improvement
21
appropriately.
P. Up to date results for all of the project’s quality
measures are presented, aggregated across all participants,
in clear, interpretable graphical reports (run or control 22
charts or appropriate alternative).
Q. The Improvement Progress Scale score is provided
along with an appropriate rationale for the score.
23
R. The role of the pediatrician is appropriate for MOC
24
purposes.
S. The length of time a pediatrician must participate is
25
appropriate for MOC purposes.
T. The project incorporates appropriate QI education and
training or participating pediatricians. 26
U. Has a physician been designated to sign the attestation
forms for completion and to adjudicate any disputes? 29
V. The project provides key stakeholders with timely and
32
meaningful progress reports.
W. The project is supported by people covering essential
33
roles in different areas of expertise.
X. The project’s annual budget appears to be sufficient to
ensure they can achieve stated objectives. 34
Y. Specific sources of project funding are identified.
35
Z. HIPAA compliance is documented. 36
0
merican Board of Pediatrics MOC
Not yet launched or just launched
projects in progress or completed, there are 48 possible points.
mum passing score is 38.
projects that have not launched or have just begun, there are 44
ible points. Minimum passing score is 35.
scorecard will not allow you to enter a decimal value or a
ore. The related item from the application form is indicated. The
Your Comments
Score 1 for "yes" or 0 for "no"
For projects that have not yet begun to collect data
(not yet launched or just starting), score 0 (this
factor will not count against the project.) For all
other projects, score 0, 1 or 2.
In general, projects that are well underway or
completed should score at least a 3.0 on the
Improvement Progress Scale. For projects that have
not launched or recently launched, score as 0; this
factor will not count against the project.
Score 1 if a physician is designated, score 0 if not a
physician.
Score 1 for "yes" or 0 for "no"
Score 1 for "yes" or 0 for "no"