Physician Review Strategy Development Playbook

This guide outlines the essential steps for designing an effective physician review strategy, emphasizing the importance of ongoing evaluations as mandated by The Joint Commission. It details the two primary processes: Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE), which are crucial for assessing physicians' clinical competence and professional behavior. The document highlights the need for a structured review cycle to enhance physician performance and compliance, aiming to improve the quality of care. Key factors for successful evaluations include the selection of meaningful metrics, involvement of medical staff, and alignment of review processes with hospital strategies. The playbook also discusses the establishment of a steering committee to drive the strategy, address key process questions, and ensure that metrics are tailored to both system-wide and specialty-specific goals. Overall, it serves as a comprehensive resource for healthcare organizations looking to implement or refine their physician review processes.