This interactive, comprehensive activity will guide the learner through all the phases required to complete a Practice Improvement Project. This includes a self-assessment evaluation with remediation, a practice assessment including a random survey of patient charts, review of evidenced based literature, selection of a performance goal and the construction of an improvement plan for their practice. After a recommended 30-day implementation period of the improvement plan, learners will be asked to input their data and a narrative of their experience.

Learning Objectives
After completing this PI activity, the participant should be able to:

• Assess current knowledge of low back pain according to published evidence based medicine.
• Assess current incorporation of evidence based medicine and standards of care into clinical practice and procedures.
• Identify gaps in utilization of best practices for patient care
• Create an action plan based on self assessment and practice assessment and establish measurable benchmarks to assess progress of action plan
• Integrate action plan into clinical practice to improve patient care
• Analyze outcomes of action plan, identify areas for improvement according to established benchmarks and incorporate appropriate changes into practice

Accreditation Statement
AAPM&R is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit Designation

Principal Faculty: 
Steven Stanos, DO
Consultant: Pfizer, Salix, Sanofi, Scilex

Peer Reviewer:
Armando S. Miciano, MD
Disclosed no relevant financial relationships.

AAPM&R Medical Education Committee:
Steve R. Flanagan, MD, Chair
Royalties from Springer Publishing; research grant from Brain Injury of America

John C. Cianca, MD, Vice Chair
Independent contractor, Houston Marathon Committee; owner, Musculoskeletal Ultrasound Consultants, LLC; consultant, 2nd MD; royalties from Demos Medical Publishing

Karen P. Barr, MD
Disclosed no relevant financial relationships.

Anna-Christina Bevelaqua, MD
Disclosed no relevant financial relationships.

Rachel A. Brakke Holman, MD
Disclosed no relevant financial relationships.

Joseph E. Burris, MD
Serves on the Speakers Bureau for, and received clinical research grants from Allergan.

Kevin N. Hakimi, MD
Disclosed no relevant financial relationships.

Rita G. Hamilton, DO
Disclosed no relevant financial relationships.

Charles D. Kenyon, DO (PHiT Liaison)
Disclosed no relevant financial relationships.

R. Sam Mayer, MD
Royalties from Demos Medical Publishing.

Atul T. Patel, MD, MHSA
Speakers Bureau for Allergan, Ipsen, Merz; participates in clinical trials for Ipsen, Merz, and Revance; Guideline and AUC Committee for the AAOS, nonremunerative position of influence.

Sunil Sabharwal, MD
Royalities from Demos Publishing; board member, American Board of Physical Medicine and Rehabilitation.

G. Sunny Sharma, MD (PHiT Liaison)
Disclosed no relevant financial relationships.

Rebecca DeVivo, MPH, MSW, CHCP
Staff Liaison
Disclosed no relevant financial relationships.