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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