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Sample low- and no-volume practitioner policy

A number of factors are driving physicians to focus less on practicing in the hospital and more
on their outpatient practices. This trend leaves hospitals wondering how to best manage low- and
no-volume providers, that is, those who see no or very few inpatients. Many medical staffs find
it difficult to meet The Joint Commission’s focused professional practice evaluation (FPPE) and
ongoing professional practice evaluation (OPPE) requirements. With the increasing emphasis on
FPPE, OPPE, and demonstration of current competency, it is no longer acceptable to continue to
grant privileges to providers whose only presence in the hospital is their credentials file.

This sample policy and procedure addresses the credentialing and privileging of low-volume and no-volume practitioners.

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