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Component 4: Practice Performance Assessment & Improvement


Each AOBR-certified physician is required to successfully complete one qualified OCC practice performance assessment (PPA) every three-year CME cycle. There are several different options for completing this requirement:

  • Complete an Attestation Form: Attest to your participation in a quality improvement activity by filling out an Attestation Form on the AOA Physician Portal. The Physician Portal also contains an FAQs document that includes examples of QI activities that can be claimed.
    • Notes:
      • Physicians wishing to submit activities like RADPEER or a similar peer review, MQSA or turnaround time should use this form.
      • The AOBR accepts COVID-related work as qualifying for OCC Component 4 credit. Please use this form to submit for credit.
      • The AOBR will audit a percentage of attestation forms to ensure participation in the project.
  • Submit a PPA using your own patient data: Physicians must demonstrate that they can assess the quality of radiological care they provide compared to peers and national benchmarks, and then apply recommendations to improve that radiological care using follow-up assessments. Complete your PPA following these three steps:
    • Step 1: Choose a PPA topic. The AOBR has three pre-approved topics: RADPEER or a similar peer review, MQSA and turnaround time, which should use the Attestation Form above. If you would like to complete a PPA on a different topic, complete the initial topic approval form to request approval.
    • Step 2: Submit your data. If you are using one of the three pre-approved topics, or once you have received AOBR approval on your own topic, use the PPA data form to submit your PPA data. Please be sure to complete all required fields, and hit the submit button when you have completed your PPA form.
    • Step 3: AOBR review. The AOBR will review your submitted PPA data and email you when your form has been reviewed and approved.

Physicians who do not meet the referenced benchmark for their PPA will be required to complete a post-improvement cycle. After completion of the post-improvement cycle form, the physician may consider the project requirement complete, even if the benchmark is not met. Please note “project complete” status is dependent on review and approval from the AOBR.