Patient Assessment & Clinical Evaluation Flashcards

Under Joint Commission standards, how often must OPPE data on a privileged practitioner be evaluated?

Answer: More frequently than every 12 months

The Joint Commission expects OPPE to be ongoing, with data reviewed more frequently than annually.

Which situation requires Focused Professional Practice Evaluation (FPPE) for a practitioner?

Answer: All initially requested privileges

FPPE is required for every newly requested privilege, including those of new applicants.

A proctor reviews a surgeon's operative notes and outcomes after the cases are completed. What type of proctoring is this?

Answer: Retrospective

Retrospective proctoring evaluates care through record review after it has been delivered.

Who defines the criteria used to conduct FPPE at a hospital?

Answer: The organized medical staff

The organized medical staff sets FPPE criteria, methods, and duration.

An established cardiologist has a sudden cluster of unexpected patient deaths. What evaluation is most appropriate?

Answer: FPPE triggered by a concern about clinical performance

FPPE is also used when a question arises about a current practitioner's ability to provide safe, high-quality care.

What is the primary purpose of OPPE results?

Answer: Deciding whether to continue, limit, or revoke existing privileges

OPPE data inform decisions to maintain, revise, or revoke privileges before or at reappointment.

Which of the following is NOT one of the six ACGME/ABMS general competencies commonly used in practitioner evaluation?

Answer: Financial productivity

The six competencies are patient care, medical knowledge, practice-based learning, interpersonal skills, professionalism, and systems-based practice; revenue is not one of them.