EasyPI: Coronary Artery Disease
Welcome to the coronary artery disease (CAD) performance improvement (PI) track page. Here you will find all of the information you need to complete a self-guided PI project that focuses on CAD in your practice. This process will fulfill the American Board of Family Medicine (ABFM) PI requirement. You can receive 20 continuing medical education (CME) credits for completing the ABFM PI project through the ABFM website. Some resources shared also carry CME credits.
Let’s Get Started!
- As needed, review the background information and guidelines for CAD care.
- Determine what factor in CAD care you want to address – you may already know gaps in care, may have identified change in guidelines that need to be implemented, may identify gaps by doing process mapping, or may use your Electronic Health Record to review data to find opportunities for improvement.
- Review the Performance Improvement Process Materials, complete the process mapping, determine your quality measures and interventions, and create a quality improvement plan.
- Collect preliminary data.
- Implement your change. Note: you will select the length of the PI activity (at least seven (7) days, but not more than 12 months).
- Collect post-intervention data.
- Submit your project for ABFM credit. See the ABFM Performance Improvement Activity section for detailed directions.
The resources provided below can be used for your PI project. There are a variety of options to choose from and all do not need to be utilized.
Resources with
indicate there may be additional CME credit available upon completion.
Resources with
indicate materials that include tools, education, support, etc. on health equity topics to consider.
Background Information
Utilize all or some of these resources to get you ready for your project.
Prevention
- Talking to Patients About Hyperlipidemia and Cardiovascular Disease Risk (American Academy of Family Physicians (AAFP))
- Detection and Management of Hyperlipidemia and Cardiovascular Disease Risk (Family Practice Management)

- Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Cardiovascular Risk Factors: Behavioral Counseling Interventions (United States Preventive Services Task Force (USPSTF))
- Aspirin Use to Prevent Cardiovascular Disease: Preventive Medication (USPSTF)
- Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication (USPSTF)
- 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease
Screening/Diagnosis
- Cardiovascular Disease Risk: Screening with Electrocardiography (USPSTF)
- Cardiovascular Disease: Risk Assessment with Nontraditional Risk Factors (USPSTF)
- Coronary Artery Calcium Scoring for Prevention of Cardiovascular Disease (American Family Physician (AFP))
- CCTA to Evaluate for Coronary Artery Stenosis in Intermediate-Risk Patients with Stable Chest Pain (AFP)

Assessment/Treatment
- 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients with Chronic Coronary Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines
- Stable Coronary Artery Disease: Treatment (AFP)
- Self‐Care for the Prevention and Management of Cardiovascular Disease and Stroke: A Scientific Statement for Healthcare Professionals (AHA)
Point of Care Tools/Clinical Decision Support
Resources for Patients
- Coronary Artery Disease (FamilyDoctor.org)
- Self-Care: Tips for Heart Health (National Institutes of Health)
Performance Improvement Process Materials
- Improve patient outcomes and help meet quality metrics
- Achieve team-based practice change
- Make practices more efficient
- Boost team morale
- Improve revenue.
These materials will guide you through identifying areas for improvement, understanding and using data, planning and making changes, and tracking performance over time.
- Quality Improvement Essentials Toolkit (Institute for Healthcare Improvement)
- Quality and Safety Topic Collection (Family Practice Management)
- Quality Measures (AAFP)
Quality Measures & Intervention Selection
Process Mapping
Workflow & process mapping creates a visual map of the steps your practice is currently using for a specific patient care or administrative task.
Benefits of process mapping include allowing the entire team to visualize and appreciate what role/contribution they and their colleagues play in the care of patients; gives an overview of the current processes that allows the team to plan for change; identifies unintended variations in care, inefficient procedures, and opportunities to involve other team members in care; improves communication between team members; gives team members increased ownership in patient care; and can increase employee job satisfaction.
View an outline of the mapping process and the following instructional video on the process:
Data Collection
Health Equity/Population Health Resource
ABFM Performance Improvement Activity
Now that you’ve collected data, implemented change, and have your outcomes, it’s time to submit your project for credit! Family physicians will use the ABFM’s Self-Directed Performance Improvement (PI) Project pathway to do so.
This activity provides a mechanism for satisfying your PI requirement for continuing certification by sharing with the ABFM how you have assessed and improved the way your practice addresses SDOH; health equity (broadly defined); and/or systemic ways in which you assure that patient access, experience, and care are equitable.
- You may report a project conducted alone or within a single practice group, an ACO, or other larger group practices
- You can use this pathway whether you see patients in a continuity setting or if you are providing non-continuity episodic care (e.g., hospitalist, telemedicine, locums, urgent care, emergency department, etc.).
Log into your MyABFM Portfolio to access this PI activity. To help you through the process of applying for credit, below you will find links to a blank application to review to make sure you have all of the information you will need; a completed sample application for an “Coronary Artery Disease Risk Reduction” project with helpful notes; and a video guide that walks you through each step.
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| Once you’ve submitted your application and it has been approved (may take up to 10 days for approval), you will fulfill an ABFM certification requirement and you will have earned 20 ABFM points and 20 American Academy of Family Physicians Prescribed CME credits.
If you have any questions regarding your PI activity requirement for the ABFM or if you have any issues with your application, please contact Ann Williamson at the ABFM. You can also visit the OAFP’s ABFM Certification webpage for more information on all things ABFM! |
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We’d love to hear how this process was for you and what impact you had on patient care by completing your PI activity. Let us know in a post-survey.
Questions
If you have any questions regarding materials on this page or the PI process in general, please contact Deputy Executive Vice President Kaitlin McGuffie or call 800.742.7327.
Sponsor
Funding support for this EasyPI track was provided by Novo Nordisk, a proud Partner in Health of the OAFP.




