About the Authors | p. vii |
Historical Background | p. 1 |
Scientific Training and Objective Quality Measurement Take Root | p. 2 |
Medical Specialties Spur the Creation of Board Certification | p. 3 |
FPPE Fills the Need for Evaluation of Practicing Physicians | p. 4 |
Legal, Ethical, and Economic issues Surrounding FPPE | p. 9 |
Legal Issues Surrounding FPPE and Proctoring | p. 9 |
Ethical Issues Surrounding FPPE | p. 17 |
Economic Issues Surrounding FPPE and Proctoring | p. 24 |
How FPPE Fits into Current Physician Performance Improvement Models | p. 27 |
Defining Your Physician Performance Framework | p. 28 |
2009 Joint Commission Standards for Measuring Physician Performance | p. 32 |
Making the New Standards Work for Your Medical Staff | p. 35 |
Methods of FPPE | p. 41 |
Classic Definition of Proctoring | p. 41 |
New Definition of Proctoring | p. 45 |
Prospective Focused Review | p. 48 |
Concurrent Focused Review: Proctoring or Observation of Clinical Care in Real Time | p. 60 |
Retrospective Focused Review | p. 73 |
Situational Applications of FPPE | p. 83 |
FPPE for New Practitioners at Initial Appointment | p. 84 |
FPPE for Existing Practitioners Requesting New Privileges | p. 92 |
FPPE for Reappointment of Practitioners Whose Privilege Requests Do Not Meet Established Competency Criteria | p. 96 |
FPPE for Physicians Reentering the Workforce | p. 100 |
FPPE for Potential Clinical Care Issues Raised by the Findings of Peer Review and OPPE | p. 102 |
Creating and Implementing an Effective FPPE Policy | p. 107 |
Purpose | p. 108 |
Medical Staff Oversight | p. 108 |
Scope of the Focused Review Program | p. 109 |
Ethical Positions of the Medical Staff | p. 112 |
Responsibilities | p. 116 |
Methods | p. 123 |
Procedure | p. 126 |
Results and Recommendations | p. 129 |
Creating and Implementing FPPE Procedures | p. 131 |
Creating the FPPE Plan | p. 131 |
Individual Plans | p. 139 |
FPPE Plan: New Applicant | p. 141 |
FPPE Plan: Reappointment | p. 145 |
FPPE Plan: New Privilege Request | p. 146 |
FPPE Plan: Concerns Raised by OPPE | p. 146 |
Collecting Data | p. 147 |
Using Technology to Expand FPPE | p. 155 |
Off-Site FPPE Methods | p. 157 |
Training | p. 158 |
Annual Evaluation Process to Improve FPPE | p. 159 |
Best Practices and What We've learned So Far | p. 161 |
Ten FPPE Tips from the Field | p. 162 |
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