When my case is selected for peer review, what is the process?
When my case is selected for peer review, what is the process?
Christine Hearst, CPMSM: Because peer review is a medical staff–led initiative, the specific process varies between organizations. At our hospital, when a practitioner’s performance in a particular case raises concerns, the peer review coordinator (who has a clinical background) receives an initial request for peer review, at which point he or she opens a peer review case. The coordinator then writes a case summary for the prospective reviewer, outlining the relevant clinical events. He or she also notifies the director of medical staff services, the peer review chair, the practitioner flagged for review, and, when appropriate, the relevant department chair. All notifications are strictly confidential.
If there’s no imminent patient safety concern, our peer review committee designates a qualified member to serve as the case reviewer, and he or she evaluates the case, taking notes for discussion at a dedicated meeting. If the case poses an immediate threat to patient safety, the review process may be expedited. In such instances, the review typically includes the chief of staff, the [chief medical officer (CMO) or vice president of medical affairs (VPMA)], and the CEO.
If the peer review activity reveals an issue with the practitioner’s performance, those facilitating the process will work according to organizational policies to decide on the appropriate next steps, which may include peer counseling, additional training, or, when necessary, privilege modification. If, however, the evaluators determine that the practitioner has provided excellent care, the peer review committee may send the practitioner a letter commending his or her exemplary performance.