Improving Clinical Practice with Patients who have Opioid Use Disorder (OUD)

The American Academy of Addiction Psychiatry and PCSS are excited to offer an updated 2022 Performance-In-Practice activity to help you and your practice treat opioid use disorder. The PIP has been revised to provide up-to-date information and guidance, and now offers an optional 25-question Self-Assessment Exam.

A PIP activity is a Performance Improvement CME (PI CME) activity designed to assist physicians, PAs, NPs and RNs and other Health Care professionals to determine and address individual practice gaps through a performance improvement plan designed to increase competence, performance, and patient outcomes. The PIP will walk you through Three Stages (A, B, and C) in a process to enhance practice of the treatment of patients with opioid use disorder. It is recommended that the PIP take 3 months or more to complete, though it may take significantly longer (as long as deemed necessary to plan, implement, and evaluate your educational plan). This PIP follows the AMA-standardized three-stage process of a PI CME. It includes the following stages:

  • Stage A: Data Collection: Assess your practice behaviors.
  • Stage B: Application and Intervention: Develop and follow your own improvement plan.
  • Stage C: Reassessment and Review: Reassess your practice to measure the effects of your improvement plan (post intervention measurement).

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Frequently Asked Questions

What is a Performance-in-Practice (PIP) activity?

A Performance-in-Practice (PIP) activity is a Performance Improvement CME (PI CME) activity designed to meet the Maintenance of Certification (MOC) requirements of select ABMS organizations. However, this PIP activity will fulfill the American Board of Psychiatry and Neurology (ABPN) Part 4 PIP requirement for MOC. It mandates that diplomates complete quality improvement programs designed to improve practice over the MOC cycle.

This PIP activity will assist physicians, PAs, nurses and nurse practitioners to determine individual practice gaps and address them through a performance improvement plan designed to improve competence, performance, and patient outcomes.

Why and how often do I need to complete a PIP activity?

MOC cycles vary according to American Board of Medical Specialties (ABMS) organizations. We advise that you check with the certifying board that is relevant to you to learn your MOC fulfillment criteria and select a PIP that is relevant to your MOC requirements.

What are the different stages of a PIP activity and how long do they take to complete?

This PIP activity has three distinct stages:

  • Stage A may take up to 1-2 weeks to complete. You will begin this activity by completing a five patient chart audit to assess your clinical performance using Clinical Quality Performance Measures. The goal of this stage is to identify one clinical measure you wish to improve upon which will determine your personalized practice improvement goal.
  • Stage B may take 2-3 months* to complete. In Stage B, you will construct an effective performance improvement plan utilizing PIP tools in order to implement change on the measure you identified in Stage A. It should take at a minimum 1-2 months to integrate your improvement plan into your practice based on your selected clinical quality measure.
  • Stage C may take up to 1-2 weeks to complete. In Stage C, you will review and evaluate the effectiveness of integrating your improvement plan into your practice by reassessing your performance via chart audit.
Is there any way to complete a PIP activity more quickly?

This PIP activity is designed to take 3 months or more to complete. To maximize the utility of this PIP, we recommend you take advantage of the activity and the resources within it so you can implement lasting change in your practice. This may mean that you complete each stage in less - or in more - time than is estimated.

How many credits will I get for completing the PIP activity?

20 AMA PRA Category 1 Credits
20 Category 1 CME credits for the PIP Clinical Module requirement
2.5 Category 1 CME credits for the Self-Assessment (SA) component

*The Self-Assessment Exam is an optional component.

Accreditation Statement:

Jointly Accredited ProviderJoint Accreditation Statement

In support of improving patient care, American Academy of Addiction Psychiatry is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Release Date: June 6, 2022

Date of Expiration: June 6, 2025

Credit Designation Statements:

Physicians

American Academy of Addiction Psychiatry designates this PI CME activity for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This PIP/SA Clinical Module activity awards up to 20 Category 1 CME credits for the PIP Clinical Module requirement. All stages must be completed for participants to receive PIP (Part 4) credit. This activity awards 2.5 Category 1 CME credits for the Self-Assessment (SA) component.

The American Board of Psychiatry and Neurology has reviewed the Improving Clinical Practice with Patients who have Opioid Use Disorder (OUD) activity and has approved this activity as part of a comprehensive Self-Assessment (SA) and Improvement in Medical Practice (PIP) activity, which is mandated by the ABMS as a necessary component of Continuing Certification.

Other Health Professionals and Other Learners

Participants will receive a Certificate stating this program is designated for 20 AMA PRA Category 1 Credits™. This credit is accepted by the AANP and the AAPA.

How is the PIP activity documented? Will I be evaluated upon completion?

Upon your completion of this PIP activity, you will receive an email supplying you with a certificate to personally document your credits. AAAP will retain the learner completion documentation for 6 years. For ABPN diplomates, AAAP will provide ABPN with a completion report.

I am ABPN board-certified. How will my board be informed?

AAAP will submit your completion information to ABPN by a reporting system provided once a month.

Once I have received my certificate, what do I do with it?

Keep your certificate for your records. You may need this as documentation at the end of your MOC-cycle.

Can I leave the activity and return to it at a later time?

Yes. Within each stage there are various chapters; you may leave a stage at any time, and when you return you will be directed to the beginning of the last chapter you visited. To avoid repeating questions, make sure you have completed all the questions in each stage, and only exit once you have reached a new stage.

How do I choose the patient charts for the chart audit?

You will pull the charts of 5 patients who have been diagnosed with Opioid Use Disorder (OUD).

Can I use the same patient charts in both Stages A and C?

If you have seen patients multiple times between Stages A and C then you may use charts from the same patients. However, Stage C is a re-evaluation of your practice, and it is essential that you use patient charts from recently seen patients at each chart review to get the most accurate examples of your patient interactions and protocols.

Can I use the same patient charts that I used in another PIP activity?

Provided that you are currently seeing the same patients and that you are also treating the patients for OUD – yes, you may use charts from the same patients.

Do I need to be a physician to participate in this PIP activity?

No. This PIP activity was designed for clinically active physicians, PAs, NPs and RNs and other Health Care professionals. It is designated to offer Physicians up to 20 AMA PRA Category 1 Credits. Other participants will receive a Certificate stating that this program is designated for 20 AMA PRA Category 1 Credits, which is accepted by the AANP and the AAPA.”

How much does it cost to participate in this PIP activity?

There is no cost to participate in this PIP activity.