Patient safety is always a priority, and one of the most effective ways for a healthcare organization to ensure safety is through Ongoing or Periodic Professional Practice Evaluation. These programs and processes help organizations meet the many regulatory and accreditation requirements needed. Read on for some industry-leading best practices healthcare systems can leverage to ensure individual provider performance and organizational quality. Let’s start with the basics.
|Ongoing Professional Practice Evaluation (OPPE)||Periodic Professional Practice Evaluation (PPPE)|
|OPPE is a term coined by The Joint Commission (TJC). It is the ongoing monitoring and evaluation (not to exceed every 12 months) of current competency and professional behavior in providers with granted privileges. OPPE is accomplished through peer review activities and the resulting information factors into decisions to maintain, revise, or revoke existing privileges. OPPE relies on qualitative and quantitative criteria to assess how a provider is performing in key areas. A well-designed OPPE process should be able to help identify performance issues that could negatively impact patient care.||Other regulatory and/or accreditation organizations require periodic professional practice evaluation, instead of ongoing.|
Organizations that require OPPE: The Joint Commission (TJC), the Accreditation Association for Ambulatory Health Care (AAAHC), and the Accreditation Commission for Health Care (ACHC).
Organizations that might require PPE:
Centers for Medicare and Medicaid Services (CMS) and the Det Norske Veritas (DNV).
Regardless of your organization's size or type, there are certain decisions that need to be made, as a whole, to ensure requirements are met.
With these decisions made, your organization will have the information necessary to create a repeatable, reliable, and actionable process to enable OPPE or PPPE. Of course, there are a number of ways to set up these processes within your organization, which is why VerityStream by HealthStream has a few tried and true best practices we recommend to all organizations.
OPPE and PPPE can offer the most effective programs within the medical staff services department to make a significant impact on quality. To realize their full potential, we must make concerted efforts to move our evaluation programs forward through standardization and optimization, and that starts with the following best practices:
There are many i’s to dot and t’s to cross to ensure OPPE and PPPE are done effectively, but that doesn’t mean it’s impossible. With a solution like CredentialStream, you have everything you need to request, gather, and validate information about a provider.
CredentialStream’s Evaluate is designed to support OPPE and PPPE by helping organizations track and trend performance data using configurable content templates and metrics. Using Evaluate’s Performance Metrics, organizations establish and monitor the data that is collected on either an ongoing or periodic basis, for the purpose of assessing the provider’s clinical competence and professional behavior and incorporating these factors into privileging decisions.
In very broad terms, CredentialStream enables users to:
Ongoing or Periodic Professional Practice Evaluation programs provide evidence that the medical staff has made a commitment to providing safe, efficient, effective, equitable, and patient-centered care in today's complex healthcare environment. It is through provider-supported and led programs and initiatives that performance expectations are established, and it provides assurance that the organization will exceed established standards of care for all patients. With Evaluate, you get the process, content, and data needed to support peer review and Ongoing or Periodic Professional Practice Evaluation and the insight required to improve patient care while in compliance with regulations. Learn all about Evaluate here.