"Focused and Ongoing Practice Evaluation Support for Medical Peer Review "

Focused and Ongoing Practice Evaluation Support for Medical Peer Review Professional outsourcing service providers in the U.S. provide medical peer review support to facilitate focused and ongoing practice evaluation procedures Health care practices have systematic evaluation procedures for determining the competency of practitioner performance.

These evaluations help improve the quality of care. Professional outsourcing service providers in the U.S. provide medical peer review support for focused and ongoing practice evaluation procedures.

Assistance for Focused Professional Practice Evaluation (FPPE) Focused professional practice evaluation is aimed at evaluating and determining a practitioner’s professional performance. Both new and existing practitioners request hospital privileges. FPPE makes use of peer review data, internal data sources, quality data and sentinel event data to determine whether these privileges should be granted.

Factors considered include adherence to accepted standards of clinical performance, patient care outcomes, and so on.

These help to determine a physician’s knowledge, skills and behavior.

Outsourcing companies provide medical records service to support FPPE required as a result of peer review, which includes: • • •

• • • •

Indexing of medical records Organization of medical records by type Document indexing Medical providers list Chronological medical record listing Chronological medical record summary Medical case history and summary

Ongoing Professional Practice Evaluation (OPPE) for Medical Peer Review Ongoing Professional Practice Evaluation for peer review is a continuous process and includes periodic medical chart review, evaluating diagnostic and treatment techniques, observation, discussions with other health care service providers such as consulting physicians, nursing staff, and so on.

Service providers offering peer review support medicallegal consultants provide comprehensive medical chart audits to provide important information for OPPE such as:

•

• • •

• • • • • • •

• •

Patient demographic and insurance information sheet Consent of care Hospital stay Emergency Department records Test and imaging order entry forms Diagnostic test results Medication provided History and physical examination reports Specialized care consults Department-wise medical orders Progress notes with daily evaluations of medical problems and progress of treatment Administrative data Discharge summary

FPPE and OPPE for peer evaluation can therefore provide valuable information for measuring clinical performance, assessing physician competency, and identification of deviations from the expected standard of care.

Additional evaluations are conducted when an unexpected event occurs as a result of a practitioner’s performance, an unusual adverse clinical pattern of care is noticed or significant trends or events are noticed during aggregate data review or individual case review.

To ensure efficient medical peer review support for focused and ongoing practice evaluation procedures,

health care organizations need to locate an efficient service provider. Competent outsourcing companies ensure timely and affordable solutions that can help them enhance their operations, and improve practitioner performance, professional competence and patient care.