MANAGING FPPE AND OPPE WITH ACCOUNTABILITY

FOCUSED PROFESSIONAL PRACTICE EVALUATIONS (FPPE) AND ONGOING PROFESSIONAL PRACTICE EVALUATIONS (OPPE) ARE SYSTEMATIC EVALUATION

PROCESSES CREATED IN 2008 BY THE JOINT COMMISSION TO GAUGE A HEALTH CARE PROVIDER’S COMPETENCE AND ONGOING PERFORMANCE.

A VERISYS CORPORATION PUBLICATION

2

A VERISYS RESOURCE

FPPE AND OPPE CHECKLISTOPPE is designed to identify trends in performance and through data-driven qualitative and quantitative documentation, early detection and rapid response measures will reduce negative impact to patients. Should an issue arise on a provider’s performance, an FPPE review will be implemented to further assess the issue.

1 A leader must accept responsibility for supervising new and existing practitioners.

2 This person must receive training in the rationale for and the process used to perform the evaluations, including what to do if there is no or insignif icant volume.

3

The chair, if there is one-if there is not , then the medical executive committee (MEC) must design or approve

the system to be used to perform and document the initial and ongoing evaluations.

4

Data must be gathered by support staf f members for review by the designated physician leader. It is not

generally their job to gather such data.

5 Collected data must be arrayed on a designated form for review.

6 A designated leader must review the data and (if necessary) discuss the practitioner's work with others.

7 The designated leader must document his or her review and evaluation on a structured worksheet and develop a conclusion about initial and ongoing performance.

VERISYS.COM

UNDERSTANDING HOW DATA PROTECTS PATIENTS, YOUR ORGANIZATION AND THE HEALTH CARE INDUSTRY

A VERISYS CORPORATION PUBLICATION

8 Ideally, the results of the review should be discussed with the new practitioner and presented to existing ones.

9 Conf irmation of completion of the reviews should be presented to the MEC, the designated committee or the designated person to assure that the function is performed as necessary and to permit general oversight . It is not necessary that each F or OPPE be individually presented for approval. However, those with recommendations needing further attention should be submitted. A well-organized summary of the activity might be presented annually to the MEC showing that all required reviews were completed, how many required action, how many could not be completed due to lack of data, and perhaps a comparison of results broken down by "evaluator."

10 The results must be f iled for posterity.