AAPA PI Builder

AAPA PI Builder is an online tool that enables you to build a personalized PI-CME activity using measures that are relevant to your practice and improvement interests. It is designed to help you assess your clinical care and learn to improve patient care by implementing new strategies, system changes, skills and competencies in a continuous PI process. You can earn up to 20 AAPA Category 1 PI-CME credits for completing the activity.

AAPA Member $75  |  Nonmember $150

An Overview of the Three Paths

Before you begin the activity, you will choose the path that works for you. You can select measures from an existing library (Path 1) or submit your own proposed measures for approval (Path 2). Or, if you recently participated in a qualifying improvement project at your workplace, you can submit documentation for approval and receive credit for your work (Path 3).

Choosing Your Path

  • Path 1: Measure Library: Select Measures or Measure Groups from the Measure Library that are relevant to your practice and improvement interests. AAPA PI Builder will take it from there and provide you with data input screens, link to resources for improvement, and guide you through the activity.
  • Path 2: Proposed Activity: If you don’t find measures that suit your needs in the library or have specific improvement interests, you can submit your own proposed measures for approval. Once approved, AAPA PI Builder will guide you through the implementation of your project.
  • Path 3: Completed Activity: If you recently participated in a structured quality improvement project at your workplace and want to receive credit for it, you can submit documentation for approval.
Path 1: Measures Library Path 2: Proposed Project Path 3: Completed Project
Earn up to 20 AAPA Category 1 PI-CME Credits
PQRS Reporting Available (additional fee paid after completion of Stage A)
Expert Guidance During the PI Process
Design a Custom PI Project
Earn PI-CME for a Completed Project
Propose New PI Measures
Requires Approval Process
Requires Chart Abstraction

Completing AAPA PI Builder

The following steps are required in order to complete the activity:
  1. Answer some general survey questions about your practice.
  2. Review a minimum of 10 patient charts using evidence-based practice performance measures.
  3. Create an Improvement Plan that includes practice-based interventions related to the performance measures you need to improve.
  4. Fully implement your Improvement Plan.
  5. Return to AAPA PI Builder and submit new sample of patient charts. Note: One month is the soonest you can begin your reassessment, but it is typically not long enough to measure the impact of your changes.
  6. Evaluate whether and how the interventions helped you improve, and reflect on what you learned from the process.

Not Sure Where to Start?

Answer a short series of questions and we will help you choose your best path in AAPA PI Builder.

Get Started

Our video explains the process of performance improvement using AAPA PI Builder and how to select measures from an existing library (Path 1) to complete a PI-CME project.

Watch Video
What is included in the measure library (Path 1)?

The library includes the measures that are part of the Centers for Medicare & Medicaid Services Physician Quality Reporting System (CMS PQRS). We have added some additional measures such as the Surgical Care Improvement Project (SCIP) measures and Obesity measures. You can browse the full measure library, or search by specialty and disease state. You may also choose a Measure Group, which includes several closely-related measures that are considered important to the quality of care in the area they address. Most of the Measure Groups in AAPA PI Builder can be combined with PQRS reporting if desired.

Browse the full list of individual measures and measure groups for Path 1.

The measure library has the capacity to grow. If you are aware of measures in your specialty that you think should be considered, let us know and we will look into adding them.

What do I need to include to have a proposed activity approved (Path 2)?

If you do not find measures of interest to you in the library, you can propose measures for your own project. These measures require an approval process, and you will need to submit details about what you are proposing to measure. If you are using measures that have been developed by another organization, let us know the source. Even if the measures are home-grown we will need to know the following:

  • Numerator: Patients who would be eligible for the measure. For example, a numerator for a diabetes measure might be “all patients over the age of 18 with a diagnosis of Type 2 diabetes.”
  • Denominator: Patients who would meet the measure. In the above diabetes example, the denominator statement might include those within the numerator definition above “who have had an A1C test within the past 12 months.”
  • Denominator Exclusions: Those patients who would be excluded from the analysis for some justifiable reason defined by the exclusion criteria. In the above example, you might exclude anyone who was offered an A1C test but refused it.

In your approval submission, tell us why what you are proposing to measure is important to quality care. How does it relate to any of the following dimensions of quality?

  • Does it make care safer?
  • Does it ensure that care is more effective?
  • Does it make care more patient-centered?
  • Does it improve the timeliness of care delivery?
  • Does it ensure that care is delivered in a more equitable way?
What criteria need to be met for the completed activity (Path 3)?

This option allows you to apply to receive credit for your involvement in a quality improvement activity that you have been involved in at work. In order to be approvable, it must meet the following criteria:

  • It must have been completed during your current 2-year logging cycle
  • You must be able to document basic information about the project including duration, targets for improvement, methods used and results achieved
  • You must be able to substantiate that you participated in the project in a meaningful way. Describe how you contributed to the project in a document that is ratified by the project leader.
Is MIPS reporting available?

PQRS Reporting as part of AAPA PI Builder is available only for Path 1 and CMS-defined Measure Groups. Please note that choosing to combine PI-Builder with PQRS reporting involves the following:

  • An additional purchase of $199 for the MIPS PRO product that will transfer your data to CMS
  • Increased chart sample size to meet CMS reporting standards. In most cases, this will mean increasing the number of charts extracted from 10 to 20.

When it’s time for you to transfer data for MIPS Reporting you will receive an email with instructions on how to purchase and transfer your data.

How much does the activity cost?

AAPA PI Builder is $75 for members and $150 nonmembers. PQRS Reporting is an additional $199.

I purchased the activity. Where do I find it?

Go to My Curriculum in Learning Central.

How many PI-CME credits will I earn?

When you complete AAPA PI Builder, you will earn 20 AAPA Category 1 PI-CME credits.

How many measures do I need to choose?

We recommend that you choose three to six measures that are closely related. You may want to consider the Measure Groups, which are closely related measures that are considered to be important to quality of care for the topic they address.

Is AAPA PI Builder HIPAA-compliant?

Yes. AAPA PI Builder will never ask you for personally identifiable, protected health information. The system will ask you to assign a code to each patient. This code is to be used when you need to check your own data. AAPA PI Builder will NOT ask you for a patient’s medical record number, name, birthdate, or date of visit. All data collected in the system meet the standards for de-identified data.

Who do I contact with any questions?

We’re here to help! Email us at PIbuilder@aapa.org or call 703-836-2272.

No returns or refunds are offered for online CME activities purchased through the AAPA Store. All sales are final.