Medical Staff PROFESSIONAL PRACTICE EVALUATION
Most likely you are familiar with the Joint Commission, a regulatory
Dan Salinas, MD organization that develops standards, surveys healthcare organizations,
SVP/Chief Medical Officer and awards accreditation decisions that ensure hospitals receiving federal
404.785.1259 funds meet basic patient care standards.
Bill Lee, MBA/MHA
Joint Commission standards address all aspects of an organization’s
Physician Organization/ delivery of healthcare. There are many standards that specifically
Medical Affairs address medical staff functions. In 2007 these standards were revised to
404.785.7934 ensure there is an ongoing professional practice evaluation (OPPE) and a
focused professional practice evaluation (FPPE) of all practitioners
Bobbi Henderson, granted clinical privileges (applies to physicians and allied health).
Sr Operations Coord.,
Governance & Oversight The concept of Ongoing Professional Practice Evaluation addresses
404.785.7533 continuous evaluation of a practitioner’s performance (as opposed to
evaluation at time of initial appointment and two-year reappointment).
Lisa Remshik, This process is intended to foster a more efficient, evidence-based
CPMSM/CPCS/CPS privileging process as well as identify and expediently resolve potential
Manager, Medical Staff
issues with a practitioner’s performance.
The concept of Focused Professional Practice Evaluation allows the
Frankie King, CPHQ organized medical staff to focus evaluation on a specific aspect of a
Manager, Physician Peer practitioner’s performance. This process is used when:
Review 1. a practitioner has the credentials to suggest competence, but
additional information or a period of evaluation is needed to
confirm competence in the organization’s setting;
a. as of January 1, 2008 this applies to known practitioners
with new privileges;
2. if questions arise regarding a practitioner’s professional practice
Children’s Mission during the course of ongoing professional practice evaluation.
enhance the lives of The professional staff leadership is the key component in developing a
children through successful plan of action to meet these Joint Commission standards. In
excellence in patient the next few weeks Medical Staff Governance at Children’s will be
care, research and
contacting leaders to assist in the planning and implementation process.