Welcome to the 4i website for the 4i-ACS Performance Improvement Program

What is the 4i program?

The University Of Virginia School Of Medicine is pleased to invite you to participate in an innovative study on the treatment of patients with Acute Coronary Syndrome (ACS). We are currently recruiting cardiologists and interventional cardiologists nationwide. The goal of this program is to review current ACS treatment practices and to identify opportunities for performance improvement.

By completing this Performance Improvement Program on Acute Coronary Syndrome (ACS), participants will be able to:

1. apply the current guidelines for the management of STEMI and non-STEMI ACS, as well as results from recent clinical trials;
2. implement tests and procedures used to diagnose ACS, including ECG;
3. select appropriate medications for use in hospital and at discharge for treating ACS patients (aspirin, beta blockers, statins, thienopyridines, fibrinolytic therapy);
4. describe the role of patient education and risk factor modifications in cardiac rehabilitation (e.g., smoking cessation, lipid control, hypertension control).

Target Audience:

This activity is intended for cardiologists and interventional cardiologists.

Program Phases

	Needs Assessment: Chart Review
	You will be asked to identify opportunities for performance improvement through a needs assessment completed in the form of a chart review. The care gaps identified will then be used to help you formulate a performance improvement (PI) plan. Completion of this phase will entitle you to receive 5 AMA PRA Category 1 CreditsTM.
	Performance Improvement & Integration
	Based upon your performance improvement plan, you will complete activities tailored to meet your needs and learning preferences.  You will then be asked to implement the lessons learned into your practice. Completion of this phase will entitle you to receive 5 AMA PRA Category 1 CreditsTM.
	Measurement & Evaluation
	You will assess your progress and determine the degree to which you have integrated your learning experiences through a second chart review. Completion of this phase will entitle you to receive 5 AMA PRA Category 1 CreditsTM.
	Share-the-Learning (Optional) Those who wish can involve their peers or multi-disciplinary teams in a face-to-face “Share-the-Learning” meeting, with the objective of addressing key areas in need of improvement. Honorarium will be provided for holding a meeting and the attendees will receive 1 AMA PRA Category 1 CreditTM.

Participants are eligible to receive 20 AMA PRA Category 1 Credits^TM for the completion of the Identify, Implement and Integrate phases.

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