If you practice in a hospital-based emergency department (ED), it is likely that there is at least one clinical quality measure (e.g., PQRS, Joint Commission Core measure) that is reviewed routinely, that includes at least ten of your patients*, and in which you have recently improved or could improve your practice in the near future. View the list of measures frequently used for ABEM PI activities.
You are not restricted to these measures. Your ED might be focused on improving something unique to your ED, you might work in a practice setting that tracks other measures, or you may need to identify your own opportunity for improvement and design a simple measure that will allow you to determine after the fact if your improvement intervention made a difference.
* If the ED, your physician group, or you alone are looking at patients with low-frequency, high-acuity conditions (such as acute myocardial infarction, stroke, or neutropenic fever), then fewer than ten patients is acceptable as long as some of your patients are included in the measurement group.