For most healthcare organizations, conducting medical staff peer reviews is a central component of quality management. The majority of insurance companies, accreditors, and regulatory bodies require consistent peer review as part of the credentialing process. Although peer review is widely practiced as an industry standard, its implications are often misunderstood.
In the medical industry, quality of care is measured through a series of accreditation processes by independent surveyors. These checks are designed to ensure that policies, procedures, processes, and outcomes are all held to acceptable standards by stakeholders, such as insurance groups and regulatory agencies like The Joint Commission. Most accreditation agencies use the widely respected and accepted framework form ISO 9001 because of its emphasis on risk management.
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With violent crime on the rise in hospitals across the country – and with the ever-present threat of active shootings in public facilities – today’s hospitals are implementing new systems and processes designed to deter the threat of violence. Preparation and prevention involves everything from active shooter training to high-tech visitor management systems, but one of the most important prevention mechanisms is vigilant employees. Hospital safety, after all, is everyone’s job.
No doubt, the Ongoing Professional Practice Evaluation (OPPE) is meant to be a valuable screening tool to ensure care provided by practitioners does not fall below an acceptable level. As a major priority created in 2007 by the Joint Commission, the OPPE is designed to ensure quality of care and safety for patients – an essential part of the credentialing process.
Twenty years ago, the idea of having 24/7 access to a board-certified physician who could diagnose and treat common illnesses via a computer was a pipe dream. Thanks to legislation and advancing technology, telemedicine has become an increasingly popular option for lowering healthcare cost without compromising quality. It has also made it a much more marketable option – especially for patients and healthcare systems that lack access to specialty care and other resources.
Let’s face it, regulating clinical privileges can have a major impact on the quality of care provided by healthcare facilities and their physicians. The Joint Commission (TJC) developed the Focused Professional Practice Evaluation (FPPE) and the Ongoing Professional Practice Evaluation (OPPE) as objective standards for the fair assessment of physicians.