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Quality, Safety & Service

URMC / Quality & Safety / Malpractice Differential / Step 2: Qualifying Activity

Step 2: Qualifying Activity (Part B)

Participate in at least one of the qualifying activities listed below (or view full list here). In general a didactic activity with the same content should not be used to qualify in consecutive years.

Registration links and updated information are at these links throughout the year.

Extranet site: https://www.urmc.rochester.edu/quality/malpractice-differential.aspx

Intranet site: Malpractice Differential

First Year Activity / Prerequisite

For those who have never done so before, participation in a URMC TeamSTEPPS course is the required qualifying activity. 

  • Participation in a URMC TeamSTEPPS Fundamentals Course (only for those who have never participated in a TeamSTEPPS course before) – as the online “TeamSTEPPS 3.0” course available via MyPath.

Options for Specific Services

  • Participation in the 2 hour URMC “High Reliability for Providers: Avoiding Harm from Diagnostic Error” course.
    • Saturday and weekday dates to be announced.
    • Register via MyPath
  • Participation in the 2 hour URMC “Risk Management Seminar” course.
    • Saturday and weekday dates to be announced.
    • Register via MyPath
  • Participation in a completed URMC-sponsored ABMS Portfolio Program MOC (Maintenance of Certification) Part IV approved quality improvement effort with sufficient participation during 2025. Coordinate with Pat Reagan-Webster or visit https://sites.mc.rochester.edu/departments/ur-medicine-maintenance-of-certification-portfolio-approval-program/.
    1. Either a new approved project or an ongoing approved project, or
    2. PROMIS outcomes measurement with improvement cycles – to qualify for multiple years participation at higher PROMIS program levels needed, or
    3. The efforts of those with an ongoing formal leadership role in quality improvement and/or patient safety.

      Please note that this is NOT the same as individual ABMS Board MOC programs.
  • Participation in the URMC Healthcare Safety certificate course and receiving a qualifying certificate by attending at least 8 of 11 sessions.
    • Course begins September, 2025
    • Register via MyPath
  • Participation in a URMC Fundamentals of Quality Improvement Course. Either part 1 on the Model for Improvement, or part 2 on Root Cause Analysis and Failure Modes & Effects Analysis.
    • Dates to be announced
  • Participation in a URMC Patient & Family Centered Care advanced training program – either individual coaching or sufficient attendance at PFCC programs (PFCC program certificate required)
  • Participation in the Medical Faculty and Clinician Wellness Series and attending at least 5 different sessions during 2025 (Wellness Series CME certificate required).
  • Participation in at least 4 hours of qualifying eRecord training/optimization activities and receiving a certificate. Contact Katherine Yatteau for more information.
  • Participation in either a one or two day URMC Crucial Conversations Course (certificate required; note there is a fee). Multiple dates to be announced.
  • Participation in a UR Pursuing Excellence Leadership Program in 2025.
  • Participated in this year’s "Staff Safety Education Program" – such as CPI Nonviolent Crisis Intervention level 4 face to face course.
  • Being a featured presenter at a "Quality Circle" session and attending at least 3 of the scheduled 2025 sessions, validated by a meeting agenda and CME certificates.
  • Participation in the AAMC 2025 "Teaching for Quality" virtual program.
  • Participation in the UR Mindful Practice® in Medicine program with receipt of a certificate of completion.
  • Participation in at least 50% of scheduled meetings of URMC-based MCIC initiative teams - Emergency Medicine, Obstetrics, Office Practice, Perioperative & Surgical Safety Initiative (PSSI), or PSSI Minimally Invasive Surgery sub-team, validated by meeting organizers.
  • Participation in the Physicians and Attorneys Cooperative Education (PACE) program (PACE certificate required).
    • Dates to be announced.

Options for Specific Services

  • Participation in an approved Service Specific seminar or series with sufficient content on patient safety/risk management issues - e.g.:
    1. Anesthesiology ASA online program “Fundamentals of Patient Safety”,
    2. Critical Care - RQI (each year up to 2 years),
    3. GCH - Error Prevention training,
    4. Geriatrics - safety series,
    5. Hospital Medicine - Hospital Medicine Quality & Safety Rounds.
    6. Imaging - Backstop education & program participation at specified level,
    7. Medicine - Bias Reduction in Internal Medicine (BRIM) program,
    8. Orthopaedics - annual program,
    9. Otolaryngology - quality and safety program,
    10. Palliative Care - ACT program,
    11. Primary Care Network – annual risk management program,
    12. SIMORS - OR crisis simulation, or
    13. Spine Surgery - Multidisciplinary Complex Spine Surgery Conferences – at least 50% of scheduled conferences. This Part B qualifying activity is in addition to the annual online Part A High Reliability education.

      Certificate or formal confirmation from program organizer required for each.

  • Obstetrics: For those practicing Obstetrics this year again the only way to qualify will be successful completion in 2025 of the annually assigned Relias/GNOSIS Obstetrics course and participation in at least one multidisciplinary Obstetrics TeamSTEPPS-oriented Simulation at SMH or HH.
  • For Neonatologists an alternative option to qualify includes participation during 2025 in at least 6 CME Fellows Conferences and participation in at least one multidisciplinary TeamSTEPPS-oriented Simulation along with Obstetrics participants at SMH or HH. Alternatively, Neonatologists may qualify through options above for any specialty.

Equivalent Programs

  • Successful completion during 2025 of an equivalent face to face or online program of patient safety or risk management education, such as attendance at a specific conference at URMC or out of town with such content, with approval based on a sufficient safety or risk management focus of the program’s agenda, and with receipt of at least 4 hours of patient safety or risk management related AMA Category 1 CME credit. If advance assurance is desired that an equivalent program will qualify, please share the program description and agenda with Robert Panzer.