Collaboration within and beyond the hospital is key to a robust OPPE process. MaineGeneral Medical Center, part of MaineGeneral Health system in the Augusta area, has taken this philosophy to heart. The hospital initiated OPPE and FPPE in 2009, but had a similar physician quality assessment...

There is good protection for physicians who engage in peer review activities, such as legal immunity from damages under the Health Care Quality Improvement Act of 1986, which is often reinforced by similar state statutes. However, these statutes cannot keep lawsuits from being filed. Therefore,...

Prospective proctoring is a powerful and greatly underutilized tool. The approach involves a one-on-one discussion with the practitioner of concern to learn how he or she will tackle a specific patient care problem and to understand his or her clinical thinking. It is a vehicle for previewing...

Peer review ensures that a hospital assesses the performance of individuals granted clinical privileges via the activities of its medical staff, and uses the results of such assessments to improve care. This free resource is a sample form for documenting OPPE results from ...

One way to encourage physician proctoring is to make it a medical staff expectation—either informally through your culture or formally through your medical staff governance documents. At St. Jude Medical Center in Fullerton, California, the medical staff rules and regulations and bylaws make...

This checklist will help medical staffs select indicators for use in OPPE/FPPE. Indicators should be evaluated for validity, accuracy, benefits, attribution, communicability, competency, and data availability. Keep in mind that some indicators will be more relevant than others based on specialty...

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