1. 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

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

3. 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

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

5. 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)

6. 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”

7. 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

8. 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