Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) Why FPPE and OPPE? FPPE – to ensure that physicians are qualified to perform procedures and manage medical care as delineated in the clinical privileges requested OPPE – to improve quality of care through ongoing evaluation of performance and to promote evidence-based care guidelines

GETTING FROM HERE TO THERE Bundling Policy Quantification and Timing FPPE OPPE Forms Data Collection and Review Reappointment and Peer Review

BUNDLING Group of similar privileges Applies to both surgical and non-surgical privileges Allows evaluation of competency for low volume procedures By service and “subservice” Nearly all are complete

POLICY Improvements from current policy Define timing Credentials Committee MEC Define timing FPPE – also includes quantification OPPE – every six (6) months

QUANTIFICATION and TIMING By service and “subservice” FPPE OPPE Timing FPPE by duration (e.g. 1st three months) OPPE by frequency (e.g. every six months)

FORMS New credentialing and privileging forms for each service and/or “subservice” FPPE and OPPE by bundles Retain important issues Board certification Added training (e.g. fellowship) Remove Policy issues Numbers other than those for FPPE and OPPE “Specials”

DATA COLLECTION and REVIEW Much is already being collected Responsibility rests with two (2) administrative departments Medical Staff Office Quality Resource Management Scorecard approach Ease review by service chiefs Many good models Few truly attach OPPE and FPPE

REAPPOINMENT and PEER REVIEW REAPPOINTMENT Service Chief and Credentials Committee Scorecard available PEER REVIEW Current process for peer review by case remains intact Current process for peer review by provider remains intact FPPE and OPPE are inherently part of the peer review process Issues can be brought to Peer Review Committee prn FPPE and OPPE to have protection of Peer Review