1 focused and ongoing professional practice evaluation (f/oppe) for medical staff & allied...

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Focused and Ongoing Professional Practice Evaluation (F/OPPE) for

Medical Staff & Allied Health Professionals

Facility NameLast Update: _________

Professional Practice Evaluation

is a Medical Staff-led initiative

to establish performance expectations

and ensure that patient care

meets appropriate standards

2 Facility NameLast Update: _________

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For the Safety of our Patients

The Medical Staff Leadership and the Governing Board have approved this process to ensure physician competency and high quality care for our patients,

and to ensure (your facility name) providers are the best they can be.


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FPPE is the acronym for Focused Professional Practice Evaluation and it is to validate competency at (your facility name) using the hospital’s resources, equipment, environment, staff, etc.

FPPE occurs at initial appointment, a new privileges request, or if a question arises regarding current privileges.


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OPPE is the acronym for Ongoing Professional Practice Evaluation. It is the ongoing review of your performance here at (your facility name), to validate your competency, and to identify professional practice trends. Again, using the hospital’s resources, equipment, environment, staff, etc.

OPPE review is conducted in 8 month cycles, and in order to maintain privileges at (your facility name) the Medical Staff requires providers to complete 3 patient encounters every 8 months


NOT Reappointed/ Privileges NOT

Granted /Maintained –

Physician/AHP Notified

OPPE Cycle 2/

2nd 8 month review

OPPE Cycle1/1

st 8 month review

Physician & AHPOngoing

Evaluation

Newly appointed physician / AHP or new privilege request

Credentials Committee

Governing Board

Focused and Ongoing Professional Practice Evaluation

Issue of Competency:When questions of competency

arise regarding a provider’s current privileges.

OPPE Cycle 3/

3rd 8 month review

Once the specified number of cases

has been reviewed,

FPPE first 3 months or # of

cases specified, but not to exceed 6

months.

Reappointed/ Privileges

Granted/Maintained – Physician/ AHP

Notified

Medical Executive Committee

Peer Evaluation/Chart Review

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FPPE/OPPE Indicator Table

DEPARTMENT

And/or Specialty

FPPE Initially Granted Privileges

How do we evaluate Provider competency for

success

FPPE (Focused Review) Triggers

Indicates a closer look at the provider’s

competency is required (example – surgery on

the wrong leg)

OPPE Indicators

Department and ACGME indicator monitors that

establish continued competency


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DEPARTMENT

FPPEInitially Granted “Core” Privileges

FPPE (Focused Review) Triggers OPPE Indicators

AnesthesiologyReview of 5 representative anesthesiology cases/charts, including adequacy of H&P, progress notes, consultation, and operative reports for

EBM-SCIP: On-Time Prophylactic Antibiotic

EBM-SCIP: Pts on BB Therapy Pre-Admin Received BB during Preoperative

Unanticipated Dental Injury • Unexpected Re-intubation

Failed Intubation

Unexpected Transfer to ICU Due to Anesthesia Complication

EBM-SCIP: On-Time Prophylactic Antibiotic

EBM-SCIP: Pts on BB Therapy Pre-Admin Received BB during Preoperative

Unanticipated Dental Injury • Unexpected Re-intubation


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Source for severity adjusted analytics for OPPE

Provides drill down access to case detail

Self evaluation of patient care performance

Resource for benchmarks and best practice data

Care cost analysis to review utilization trends

Analytics Application


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______________________________________Your Name (Please Print)

Patient Name Date of Birth Medical Record Number

Account Number Date of Service(s)

Complete the form provided to help us document your first 3 cases


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5 patient encounters in the first 3 months If you are a part of a group practice, please notify your

scheduler to rotate you to (your facility name) until you

acquire 3 patient encounters within the first 3 months.


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Questions about FPPE or OPPE?

Is there anyone who will have a problem with meeting 3 cases in the first 3 months for FPPE?


1 focused and ongoing professional practice evaluation (f/oppe) for medical staff & allied...

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