Effective Chart Review for Quality Improvement

Effective Chart Review for Quality Improvement


 In 2011, the Massachusetts Board of Registration in Medicine (BORIM) asked the Massachusetts Medical Society (MMS) to explore the best ways to assess a physician's continuing competency to practice medicine. The Society's Committee on the Quality of Medical Practice (CQMP) and expert consultants conducted surveys and focus groups of primary care physicians and specialties.  Top responses from this research indicated physicians preferred chart review and  review by peers as good tools to assess competence.    

This CME activity specific to chart review, was developed from the experience and lessons learned from the three pilot groups: Harvard Vanguard, Atrius Health; Reliant Medical Group, Atrius Health and Massachusetts General Hospital (MGH) to create better measures of physician competency.

Learning Objectives

  • Discuss the use of peer chart review to evaluate competency and quality of care. 
  • Explore different models and methods of performing structured chart review to assess competency and quality of medical care.
  • Understand the performance of a gap analysis and improvement plan based upon the findings of structured peer review.
  • Assess the model of performance assessment and review to improve the quality of medical care for use in your own practice.

Course Faculty

James Feldman, MD MPH, Boston Medical Center, Chair Committee on Quality of Medical Practice (CQMP)
Elizabeth Mort, MD, MPH, Senior VP Quality & Safety, Chief Quality Officer, MGH/MGPO, Co-Chair (CQMP)
Elaine Kirshenbaum, MPH, Vice President, Policy, Planning and Member Services, Massachusetts Medical Society
Susan Haas, MD MS, Specialty Director for OB-Gyn, Harvard Vanguard Medical Associates, Atrius Health
Sandhya K. Rao, MD, Associate Medical Director, Massachusetts General Physicians Organization
MIchael Kelleher, MD, Medical Director for Quality & Patient Safety, Reliant Medical Group

Course Fees
MMS Member Physicians: $12
Nonmember Physicians: $22
Allied Health Professionals: $9.60

Format:  Video

CME Credit:  1 AMA PRA Category 1 Credit™ , risk management study

Accreditation Statement  
The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.

AMA Credit Designation Statement 
The Massachusetts Medical Society designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PAs may claim 1 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by ACCME or a recognized state medical society.

This activity may meet the Massachusetts Board of Registration in Medicine for risk management study.

A score of 70% or higher is required to receive AMA PRA Category 1 Credit(s)™.  

Activity Term
Start: July 23, 2013    
End: July 31, 2017

System requirements:

Windows, XP, Vista, 7, 8
Mac OSX 10.6 higher
Most modern browsers including:
Firefox 18.0+
Chrome 26+
Safari 5+
Flash player  is required for some Online CME courses.

iOS devices beginning with OS version 5 or higher (includes, iPhone, ipad and iTouch devices)
Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.


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