OPPE reports should not catch practitioners by surprise. Create a timeline around which all practitioners will receive OPPE/FPPE education, particularly if the medical staff is adopting a new reporting process.
Credentialing Resource Center Journal - Volume 25, Issue 12
The South Dakota Supreme Court (the “Court”) recently reversed a circuit court’s decision ordering several healthcare providers to produce peer review materials. The Court disagreed with the lower court’s interpretation of the state’s peer review privilege and found that a court-created crime-...
This week, CRC Daily covers OPPE. An organization’s decision to employ physicians may require reexamination of existing information-sharing approaches to promote compliant, confidential, and effective use of performance data. Most medical staffs are rightfully extremely protective of...
When implementing retrospective proctoring, it is important to standardize the approach. One good practice is to have medical records prescreened by a nonphysician reviewer (typically a nurse in the quality department). This pre-review is used to highlight major issues and concerns in the chart...
Most credentialing work is considered a peer review activity performed by the medical staff and governing board. As a result, state laws generally grant some amount of peer review protection to those parts of a particular credentials file that are acted upon by medical staff committees or the...
Credentialing Resource Center Journal - Volume 25, Issue 11
Credentialing and privileging have long been keystones of quality care and patient safety. But as healthcare reform drives consolidation, integration, and value-based reimbursement, these perennial functions are taking on new forms, environments, and significance. The following Q&A...
