Peer Review Best Practices: Case Studies and Lessons Learned

Does your medical staff peer review committee face any of these challenges?

• Variability between reviewer findings for similar cases
• Newly appointed members who aren’t sure how to do case review well
• Concerns about underscoring of case reviews
• Potential conflicts of interest affecting committee credibility
• Uncertainty of how to use aggregate data for OPPE and FPPE

If so, get the training guide that can help you transform your peer review committee.

Peer Review Best Practices: Case Studies and Lessons Learned will help you take your peer review committee to the next level by providing reality-based training for your physician reviewers and the peer review committee. This book and CD-ROM set is based on proven methods of contemporary peer review design and demonstrates how medical staffs have used those approaches to tackle real peer review challenges. This resource will help your medical staff:

• Standardize your peer review process to minimize bias and assure fairness
• Train physician reviewers in using an effective case review rating system
• Improve efficiency of committee discussion
• Select the right type of indicator to measure physician competence for OPPE
• Use aggregate data for FPPE and improving physician performance
• Create a positive culture for peer review

Use real-world peer review case studies to facilitate committee discussion and improve its ability to handle tough peer review issues fairly and collegially.

At the heart of this resource are twenty case studies pulled directly from The Greeley Company's experience in the field addressing peer review's most challenging issues. Each case scenario is annotated with lessons learned and suggested best practice approaches. Case studies include:

• Recognizing systematic deficiencies in the peer review process
• Tracking and trending data to identify improvement
• Understanding how "better" can be the enemy of "good"
• Overcoming an "out of sight, out of mind" mentality
• Dealing with irreconcilable conflicts
• Turning conflicts into positive outcomes
• Incorporating perception data into evaluating physician competency
• Attributing the right data to the right physician
• Recognizing and acknowledging excellent care in the case review process
• Considering measures for dealing with contentious physicians

And ten more case studies to help you identify peer review risks before they surface at your facility!

Get field-tested processes to address Joint Commission requirements for FPPE, OPPE, core competencies, and more.

The case studies in this resource address the challenging issues raised by The Joint Commission’s requirements for focused and ongoing professional practice evaluations and the core competencies. Minimizing bias and enabling practical application are also covered in depth, along with more of your top concerns related to peer review and physician competence.

Who will benefit?

Medical staff coordinators; medical staff directors; medical staff professionals; quality directors, managers, and VPs; CEOs; chief medical officers; accreditation professionals; medical directors; VPMAs

About the authors

Robert J. Marder, MD, CMSL, is the vice president of The Greeley Company, a division of HCPro, Inc., in Marblehead, MA. He brings more than 25 years of healthcare leadership and management experience to his work with physicians, hospitals, and healthcare organizations across the country. Having performed many roles in senior hospital medical administration and operations management in academic and community hospital settings, Marder has consulted, authored, and presented on a wide range of healthcare leadership issues, including effective and efficient peer review, physician performance measurement and improvement, hospital quality measurement systems and performance improvement, and more.

Jonathan H. Burroughs, MD, FACPE, CPE, FACEP, CMSL, is a senior consultant at The Greeley Company working with medical staffs and boards throughout the country in the areas of governance, credentialing, privileging, peer review and performance improvement, medical staff development planning, strategic planning, physician performance, and behavior management.

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