Focused and Ongoing Professional Practice Evaluation (F/OPPE) for

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Your Facility Name

• Focused and Ongoing Professional Practice
  Evaluation (F/OPPE) for
• Medical Staff
• Allied Health Professionals

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What is the Goal of Professional Practice
Evaluation?

• Professional Practice Evaluation
• is a Medical Staff-led initiative
• to establish performance expectations
• and ensure that patient care
• meets appropriate standards

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Why F/OPPE?

• For the Safety of our Patients
• The Medical Staff Leadership and the Governing
  Board have approved this process to ensure
  physician competency and high quality care for
  our patients,
• and to ensure (your facility name) providers are
  the best they can be.

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What is FPPE?

• FPPE is the acronym for Focused Professional
  Practice Evaluation and it is to validate
  competency at (your facility name) using the
  hospitals resources, equipment, environment,
  staff, etc.
• FPPE occurs at initial appointment, a new
  privileges request, or if a question arises
  regarding current privileges.

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What is OPPE?

• OPPE is the acronym for Ongoing Professional
  Practice Evaluation. It is the ongoing review of
  your performance here at (your facility name), to
  validate your competency, and to identify
  professional practice trends. Again, using the
  hospitals resources, equipment, environment,
  staff, etc.
• OPPE review is conducted in 8 month cycles, and
  in order to maintain privileges at (your facility
  name) the Medical Staff requires providers to
  complete 3 patient encounters every 8 months

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Physician AHP Ongoing Evaluation

• Newly appointed physician / AHP or new privilege
  request

Focused and Ongoing Professional Practice
Evaluation
OPPE Cycle 2/ 2nd 8 month review
OPPE Cycle1/1st 8 month review
OPPE Cycle 3/ 3rd 8 month review
FPPE first 3 months or of cases specified, but
not to exceed 6 months.
Issue of Competency When questions of competency
arise regarding a providers current privileges.
Peer Evaluation/Chart Review
Credentials Committee
Once the specified number of cases has been
reviewed,
Medical Executive Committee
Reappointed/ Privileges Granted/Maintained
Physician/ AHP Notified
NOT Reappointed/ Privileges NOT Granted
/ Maintained Physician/AHP Notified
Governing Board
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Specialty Specific Indicators
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Department Specific Indicator Samples
DEPARTMENT FPPE Initially Granted Core Privileges FPPE (Focused Review) Triggers OPPE Indicators
Anesthesiology Review of 5 representative anesthesiology cases/charts, including adequacy of HP, progress notes, consultation, and operative reports for EBM-SCIP On-Time Prophylactic Antibiotic EBM-SCIP Pts on BB Therapy Pre-Admin Received BB during Preoperative Unanticipated Dental Injury   Unexpected Re-intubation Failed Intubation Unexpected Transfer to ICU Due to Anesthesia Complication EBM-SCIP On-Time Prophylactic Antibiotic EBM-SCIP Pts on BB Therapy Pre-Admin Received BB during Preoperative Unanticipated Dental Injury   Unexpected Re-intubation
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Analytics Application

• Source for severity adjusted analytics for OPPE
• Provides drill down access to case detail
• Self evaluation of patient care performance
• Resource for benchmarks and best practice data
• Care cost analysis to review utilization trends

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FPPE Documentation

• Complete the form provided to help us document
  your first 3 cases

______________________________________ Your Name
(Please Print)
Patient Name Date of Birth Medical Record Number Account Number Date of Service(s)



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Remember...

• 5 patient encounters in the first 3 months
• If you are a part of a group practice, please
  notify your scheduler to rotate you to (your
  facility name) until you acquire 3 patient
  encounters within the first 3 months.

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FPPE/OPPE Q A

• Questions about FPPE or OPPE?
• Is there anyone who will have a problem with
  meeting 3 cases in the first 3 months for FPPE?

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