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More About This Textbook
Overview
A new perspective on FPPE and proctoring, based on experience from the field.
Whether you are just starting to develop an FPPE process, or seeking to move beyond policy development to implementation, this easy-to-use resource provides the most clear, comprehensive guide available. This book will help you design a solid FPPE and proctoring process to better determine physician competence.
With Proctoring and FPPE: Strategies for Verifying Physician Competence, Second Edition, you can:
Consider all angles and implement a fair, appropriate FPPE and proctoring process for physicians that:
Are new to the medical staff
Are currently on the medical staff, applying for new privilege
Have identified competency concerns
Incerase physician participation in proctoring by:
Clearly defining the role of the proctor
Explaining proctors' responsibilities
Clarifying peer review protections and discoverability of information gathered during the proctoring process
Improve communication and share information amongst various groups including quality risk, medical staff office personnel, and credential committee
Confused about FPPE data? Just open your toolbox!
The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance is a comprehensive toolbox full of the forms, policies, letters, scorecards, and reports you need to conduct FPPE and manage the tremendous amount of quality data you must gather.
Product Details
Table of Contents
About the Authors vii
Chapter 1 Historical Background 1
Scientific Training and Objective Quality Measurement Take Root 2
Medical Specialties Spur the Creation of Board Certification 3
FPPE Fills the Need for Evaluation of Practicing Physicians 4
Chapter 2 Legal, Ethical, and Economic issues Surrounding FPPE 9
Legal Issues Surrounding FPPE and Proctoring 9
Ethical Issues Surrounding FPPE 17
Economic Issues Surrounding FPPE and Proctoring 24
Chapter 3 How FPPE Fits into Current Physician Performance Improvement Models 27
Defining Your Physician Performance Framework 28
2009 Joint Commission Standards for Measuring Physician Performance 32
Making the New Standards Work for Your Medical Staff 35
Chapter 4 Methods of FPPE 41
Classic Definition of Proctoring 41
New Definition of Proctoring 45
Prospective Focused Review 48
Concurrent Focused Review: Proctoring or Observation of Clinical Care in Real Time 60
Retrospective Focused Review 73
Chapter 5 Situational Applications of FPPE 83
FPPE for New Practitioners at Initial Appointment 84
FPPE for Existing Practitioners Requesting New Privileges 92
FPPE for Reappointment of Practitioners Whose Privilege Requests Do Not Meet Established Competency Criteria 96
FPPE for Physicians Reentering the Workforce 100
FPPE for Potential Clinical Care Issues Raised by the Findings of Peer Review and OPPE 102
Chapter 6 Creating and Implementing an Effective FPPE Policy 107
Purpose 108
Medical Staff Oversight 108
Scope of the Focused Review Program 109
Ethical Positions of the Medical Staff 112
Responsibilities 116
Methods 123
Procedure 126
Results and Recommendations 129
Chapter 7 Creatingand Implementing FPPE Procedures 131
Creating the FPPE Plan 131
Individual Plans 139
FPPE Plan: New Applicant 141
FPPE Plan: Reappointment 145
FPPE Plan: New Privilege Request 146
FPPE Plan: Concerns Raised by OPPE 146
Collecting Data 147
Using Technology to Expand FPPE 155
Off-Site FPPE Methods 157
Training 158
Annual Evaluation Process to Improve FPPE 159
Chapter 8 Best Practices and What We've learned So Far 161
Ten FPPE Tips from the Field 162