Designing a Large-Scale Multilevel Improvement Initiative: The Improving Performance in Practice Program - American Board of Medical Specialties

This report describes the design, development and spread strategy of the Improving Performance in Practice (IPIP) program through 2010. IPIP is a large system intervention led by a collaboration of the primary care medical certifying boards and professional societies that seek to align efforts and motivate the creation of a tiered system of improvement at the national, state, practice, and patient levels to accelerate quality improvement in the care of chronic illness and preventive services. The authors site the Maintenance of Certification (MOC) program and its call for documentation regarding physician’s actual performance in practice in addition to individual knowledge as the impetus for the design, development, and evaluation of IPIP.

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