Why FPPE and OPPE?FPPE – to ensure that physicians are qualified

to perform procedures and manage medical care as delineated in the clinical privileges

requested

OPPE – to improve quality of care through ongoing evaluation of performance and to

promote evidence-based care guidelines

Bundling Policy Quantification and Timing

• FPPE• OPPE

Forms Data Collection and Review Reappointment and Peer Review

Group of similar privileges Applies to both surgical and non-

surgical privileges Allows evaluation of competency for

low volume procedures By service and “subservice” Nearly all are complete

Improvements from current policy• Credentials Committee• MEC

Define timing• FPPE – also includes quantification• OPPE – every six (6) months

Quantification• By service and “subservice”• FPPE• OPPE

Timing• FPPE by duration (e.g. 1st three months)• OPPE by frequency (e.g. every six months)

New credentialing and privileging forms for each service and/or “subservice”• FPPE and OPPE by bundles• Retain important issues

Board certification Added training (e.g. fellowship)

• Remove Policy issues Numbers other than those for FPPE and OPPE “Specials”

Much is already being collected Responsibility rests with two (2)

administrative departments• Medical Staff Office• Quality Resource Management

Scorecard approach• Ease review by service chiefs• Many good models• Few truly attach OPPE and FPPE

REAPPOINTMENT• Service Chief and Credentials Committee• Scorecard available

PEER REVIEW• Current process for peer review by case

remains intact• Current process for peer review by provider

remains intact• FPPE and OPPE are inherently part of the peer

review process Issues can be brought to Peer Review Committee prn FPPE and OPPE to have protection of Peer Review