January 18, 2018

Tales From The Front: Practical Tips On Peer Review

FPPE as a Performance Improvement Tool

I was recently working with a medical staff on peer review redesign project that was sending all focus professional practice evaluations (FPPE) resulting from ongoing professional practice evaluations (OPPE) monitoring to their MEC for discussion and approval. Their approach was well intended in that they wanted to assure MEC oversight of FPPE. However, once an issue goes to the MEC for discussion, most physicians perceive that is close to affecting their privileges even when that is not the intent. Thus, the  unintended consequence of this approach is that it can raise the physician’s level of concern when requested to participate in FPPE and can make peer review appear punitive.

 If you wish FPPE to be viewed as a performance improvement step by your medical staff rather the part of a formal corrective action, consider the following policy:

“All FPPEs for issues arising from trends or case review s that are not an immediate threat to patient safety are approved and managed by the peer review committee in coordination with the department chair.  The peer review committee will report to the MEC on the status of all approved FPPEs but should not be involved until the FPPE plan is completed and the department chair and the peer review committee have determined whether or not it has been successful and can recommend next steps.”

Creating a performance improvement culture for peer review means acting in way that makes physicians believe you are really trying to first help them improve.

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