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

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

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

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

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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