Peer Evaluation Chart Review Committee
Facility Name
F/OPPE activity report
Peer evaluation chart review committee
Insert Date of Meeting
Agenda Item / Findings/Discussion / Recommendations /A. Focused Professional Practice Evaluation (FPPE) –
1. Initially Requested Privileges –
3 months / The Committee reviewed the Department Vice-Chairman’s assessment of the practitioner’s current clinical competence, practice behavior and ability to perform the requested privileges, using retrospective case review and integrated performance improvement activities.
1. / Based on the information resulting from this focused professional practice evaluation, it was recommended to continue the provider’s privileges for the next 8 month OPPE cycle. No further action is required for FPPE; the provider(s) is/are deemed competent for his/her approved privileges.
Focused Professional Practice Evaluation (FPPE) –
2. Initially Requested Privileges –
3 months < 5 cases / The Committee reviewed the Department Vice-Chairman’s assessment of the practitioner’s current clinical competence, practice behavior and ability to perform the requested privileges, using retrospective case review and integrated performance improvement activities.
1. / Based on the information resulting from this focused professional practice evaluation, it was recommended to continue the provider’s privileges for the next 8 month OPPE cycle. No further action is required for FPPE; the provider(s) is/are deemed competent for his/her approved privileges.
Focused Professional Practice Evaluation (FPPE) –
3. Initially Requested Privileges –
6 Mo/Extension / The Committee reviewed the Department Vice-Chairman’s assessment of the practitioner’s current clinical competence, practice behavior and ability to perform the requested privileges, using retrospective case review and integrated performance improvement activities.
1. / Based on the information resulting from this focused professional practice evaluation, it was recommended to continue the provider’s privileges for the next 8 month OPPE cycle. No further action is required for FPPE; the provider(s) is/are deemed competent for his/her approved privileges.
2. Focused Professional Practice Evaluation (FPPE) –New Privilege Requests / There were no providers to present for new privilege requests. / No further action required
3. Focused Professional Practice Evaluation (FPPE) – Focus Reviews / There were no providers presented for focused review. / No further action required
1. Ongoing Professional Practice Evaluation-
OPPE 1( 8 Month Cycle 1)
Insert Date Begin and End for data range / The Committee reviewed the Department Vice-Chairman’s assessment of the practitioner’s current clinical competence, practice behavior and ability to perform the requested privileges, using retrospective case review and integrated performance improvement activities.
1. / This 8 month cycle included at least 3 patient encounters and zero Peer Review Worksheets. Based on the information provided in the ongoing professional practice evaluation and integrated performance improvement activities, it was recommended to continue the privileges unchanged for the next 8 month cycle.
Ongoing Professional Practice Evaluation-
OPPE 1( 8 Month Cycle 1)
Insert Date Begin and End for data range
with Low/No Activity / The Committee reviewed the Department Vice-Chairman’s assessment of the practitioner’s current clinical competence, practice behavior and ability to perform the requested privileges, using retrospective case review and integrated performance improvement activities.
1. / This 8 month cycle included less than 3 patient encounters and zero Peer Review Worksheets. The practitioner provided the required documentation to support his/her competency evaluation. Based on the information provided in the ongoing professional practice evaluation and integrated performance improvement activities, it was recommended to continue this provider’s privileges unchanged for the next 8 mo. cycle.
2. Ongoing Professional Practice Evaluation-
OPPE 1( 8 Month Cycle 1)
Insert Date Begin and End for data range
With Indicator Findings / 1. / This 8 month cycle included greater than 3 patient encounters and
Insert any additional findings by the committee…
Based on the information provided in the ongoing professional practice evaluation and integrated performance improvement activities, it was recommended to continue this provider’s privileges unchanged for the next 8 month cycle.
Ongoing Professional Practice Evaluation-
OPPE 1( 8 Month Cycle 1)
Insert Date Begin and End for data range
with Peer Review findings / The Committee reviewed the Department Vice-Chairman’s assessment of the practitioner’s current clinical competence, practice behavior and ability to perform the requested privileges, using retrospective case review and integrated performance improvement activities.
1. / This 8 month cycle included greater than 3 patient encounters and
2 Peer Reviews rated Q1 and Q2
Based on the information provided in the ongoing professional practice evaluation and integrated performance improvement activities, it was recommended to continue this provider’s privileges unchanged for the next 8 month cycle.
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