Synergy - March/April 2014 - 16
industry feature
Challenges in OPPE Implementation
By Mark A. Smith, MD, MBA, FACS
I
n 2007, the Joint Commission created
Ongoing Professional Practice Evaluation
(OPPE) as a standard. It seemed fairly
straightforward at the time. Using an
objective process and data, hospitals need to
evaluate the competency of all practitioners
to exercise their granted privileges, and this
must be done every 6 to 9 months. Typically,
this role has been delegated to the organized
medical staff as part of their peer review
and credentialing responsibilities. Hospitals
and medical staff across the country have
struggled to create a robust and effective
process to fulfill this requirement. Some
hospitals have specifically changed their
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SYNERGY MARCH/APRIL 2014
accrediting body based on these types of
requirements. This article will examine why
it has been so difficult and suggest some
general strategies to overcome this hurdle.
Why So Tough?
When Quality and Medical Staff Service
departments as well as physicians are
queried as to the causes of their OPPE
implementation problem, the answers
generally fall into two categories.
First, most point to problems in knowing
what to measure. They note there are
certain obvious performance measures that
are already being collected and reported,
such as core measures. How do you
know what to measure for each of the
specific clinical specialties? There are no
standard measures out there for a hospital
or medical staff to adopt and creating
them from scratch is almost impossible.
One person interviewed put it this way:
"Early in the experience, just measuring
a few performance items seemed to be
OK. Now, they expect us to measure each
individual's performance across all six
general competencies and for all delineated
privileges. It's an impossible task especially
with our limited resources, so we piece
Synergy - March/April 2014
Table of Contents for the Digital Edition of Synergy - March/April 2014
Table of Contents
Synergy - March/April 2014 - Intro
Synergy - March/April 2014 - Cover1
Synergy - March/April 2014 - Cover2
Synergy - March/April 2014 - 1
Synergy - March/April 2014 - Table of Contents
Synergy - March/April 2014 - 3
Synergy - March/April 2014 - 4
Synergy - March/April 2014 - 5
Synergy - March/April 2014 - 6
Synergy - March/April 2014 - 7
Synergy - March/April 2014 - 8
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