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Understanding OPPE, part 7: Concluding thoughts

The intent of this series was to demystify the OPPE process and offer best practices that could be implemented in your organization. The fundamental underlying principle of OPPE is the ongoing determination of physician competency, a requirement by CMS in the Conditions of Participation (CoP). Peer review is also all about the ongoing determination of physician competency. In other words, effective peer review is effective OPPE with the caveat that peer review requires expansion beyond just case or chart review. Peer review (OPPE) is the ongoing evaluation of an individual physician's performance for multiple performance dimensions, using all appropriate and relevant sources of practitioner performance data that are available.

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