PPAI: Acute Perioperative Pain Management for Abdominal Procedures—A 3-stage performance improvement activity

Purchase Course & Materials

Course Fee
Member price: $220.00
Non-member price: $290.00

Course Description

THIS IS AN ONLINE ACTIVITY. Hard copies are not available.

 The American Board of Anesthesiology's (ABA's) Maintenance of Certification in Anesthesiology Program (MOCA®) Part 4 is titled Practice Performance Assessment and Improvement (PPAI).

Statement of Need: Inadequately treated pain may result in suffering, reduced quality of life, prolonged hospital admission with higher levels of care, or chronic pain. Unfortunately, pharmacologic interventions can have adverse side effects which increase healthcare costs, including:

  • Sedation
  • Nausea
  • Constipation
  • Itching
  • Respiratory or circulatory depression

This module will discuss the new principles of acute pain management for abdominal surgical procedures and direct the physician to guidelines on procedure-specific acute pain management.  

One PPAI activity is a case evaluation–based performance improvement activity. A case evaluation requires the collection of data from clinical outcomes or patient feedback, comparison to evidence-based practice guidelines, an educational activity, the design and implementation of a plan to improve outcomes, and assessment of the success of the interventions. All of these steps are facilitated by the electronic format of this ASA PPAI program.

NOTE: Care should be taken in selecting the appropriate PPAI topic. You will be required to provide actual data from patients' charts in a secure environment. Please be sure to select a topic that is relevant to your practice.

There is a minimum 60-day wait period after creating your performance improvement plan (Stage 2), to implement the plan and collect 10 new cases. Please account for this 60-day wait period requirement to ensure your MOCA diplomate deadline is met.

This activity requires chart data from at least 20 patientss who have undergone one of the following:

  • Open abdominal procedure
  • Laparoscopic abdominal procedure

*ABA diplomates enrolled in MOCA

  • MUST have their ABA ID number on file with ASA. See Update Profile Tutorial for directions on adding/verifying your ABA ID number on your Education Center profile.
  • MUST claim the maximum number of credits at each stage (for a total of 20 continuing medical education [CME] credits) to fulfill MOCA® requirement for PPAI.

These PPAI courses fulfill the case evalution requirement of Part 4 of the Maintenance of Certification in Anesthesiology Program (MOCA®)  of the American Board or Anesthesiology (ABA). Please consult the ABA website, www.theABA.org for a list of all MOCA® requirements.

Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology®.

Learning Objectives:

Program Goals
The objectives of an improvement module are to

  • provide criteria to facilitate assessment of your current medical management
  • support practice improvement by comparing personal practice with current literature recommendations

At the completion of this activity, the learner will be able to

  • screen patients at risk for difficult perioperative pain management.
  • use multimodal (non-opioid) analgesics and local anesthetics to reduce postoperative pain.
  • reduce opioid needs in the immediate postoperative period


Included activities:

Faculty & Credentials:

Editor-in-Chief : Leslie Jameson, M.D. received consulting fees & honoraria from Masimo, and honoraria from GE Medical.

Dawn Dillman, M.D., Mohammed Minhaj, M.D., Edward J. Park, M.D., Francine S. Yudkowitz, M.D. have no financial relationships with commercial interests

ASA Staff: Employees involved in planning have no relevant financial relationships to disclose.

Resolutions of Conflicts of Interest

In accordance with the ACCME Standards for Commercial Support of CME, the American Society of Anesthesiologists will implement mechanisms, prior to the planning and implementation of this CME activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this CME activity.


The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a health care provider relative to diagnostic and treatment options of a specific patient’s medical condition.

Target Audience:

ABA diplomates enrolled in MOCA or any anesthesiologist interested in performance improvement.

CME Credit:

20.00 AMA PRA Category 1 Credit™

The American Society of Anesthesiologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Society of Anesthesiologists designates this live activity for a maximum of 20.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

20.00 Non-physician Credit

Non-physicians may receive a Certificate of Completion stating that this activity was designated for 20.00 AMA PRA Category 1 Credit(s)™.


Participants must complete the online modules, two chart audits, the required readings, an action plan and an evaluation.

Required Hardware / Software:

This program uses the following Web-based technologies: Flash, JavaScript, AJAX, and pop-up windows. Subscribers need to be sure to set their browsers to allow these technologies to function on their computers before using this program. This program was tested using the following browsers: Internet Explorer 8–9 and Firefox 3.x on Windows platforms, and Firefox 3.x and Safari 3.x–5.x on Macintosh platforms. Performance on other browsers and/or platforms may vary. Adobe Reader is also required. NOTE: This program is NOT supported on iPad.

Activity Release Date:

05/02/2014 - 9:00am

Activity Expiration Date:

05/07/2017 - 11:59pm

Estimated Time to Complete:

There is a minimum 60-day wait period after creating your performance improvement plan (Stage 2), to implement the plan and collect 10 new cases. Please account for this 60-day wait period requirement to ensure your MOCA diplomate deadline is met.