Do’s and Dont’s in FPPE/OPPE Blog Feature
Joni Orand

By: Joni Orand on June 5th, 2014

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Do’s and Dont’s in FPPE/OPPE

Peer Review | Peer Review Software | OPPE | FPPE | Healthcare Provider Credentialing

Peer Review, Peer Review Software, OPPE, FPPEFocused and Ongoing Professional Practice Evaluation (FPPE and OPPE) are a standard practice in healthcare today. The Joint Commission (TJC) and all other accrediting bodies require organizations to perform evaluations and validate their evaluation processes are clearly defined. To assist in creating or updating your program to not only meet, but exceed minimum standards we've outlined some things to consider!

10 details your policies and procedures should address to meet minimum requirements:

  1. The frequency of performing evaluations should be standardized

  2. Reviews should be handled consistently for all providers

  3. Standard workflows should be established

  4. Clinical performance benchmarks should be defined

  5. Document event types that trigger automatic evaluation

  6. Establish guidelines of how FPPE/OPPE is used for re-credentialing

  7. Determine whether internal or external staff will perform the evaluations

  8. Define the methods utilized for collecting information (chart review, direct observation, etc.)

  9. List all possible outcome actions and next steps

  10. Feedback to providers should be consistent regardless of the outcome

10 signs of an ineffective FPPE and OPPE program:

  1. Redundant processes across various review functions

  2. Applying FPPE and OPPE inconsistently across providers

  3. Reporting capabilities are inefficient and time-consuming

  4. Not recognizing or identifying potential peer review conflicts

  5. Inability to compensate for a lack of physicians in a given specialty

  6. Delay in review of incident reporting or performance metrics

  7. Paper-based processes and charts are utilized

  8. Providers only receiving feedback when outcomes are negative

  9. Oversight committee doesn't communicate with re-credentialing committee

  10. Lack of provider buy-in for processes

Creating and maintaining a FPPE/OPPE program that allows your organization to prosper is the pinnacle for healthcare executives. Structuring your program to be intuitive and nimble will allow your processes to grow and change with your organization. Consider investing in software that maintains the structure needed; yet allows for the flexibility required.

After all, if your organization’s professional practice evaluations are cumbersome or only used for surveys, you and your patients aren’t receiving the benefits intended by the requirements - increasing the quality of the healthcare we deliver and receive.

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About Joni Orand

Joni Orand serves Medkinetics as Regional Director of the Consulting Practice for the Northeast and Southeastern United States. She works with clients to identify gaps in process and procedure, create efficiencies and deliver solutions to improve the methods of managing healthcare providers. Her extensive background presents our clients with a unique perspective in understanding each component of an organizations relationship with a provider from recruitment to credentialing, privileging through quality and risk management.