The Complete Guide to FPPE
Strategies for Medical Staff Professionals, Physician Leaders, and Quality Directors
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Don't waste another moment wondering whether your efforts meet The Joint Commission's requirements to conduct focused professional practice evaluation (FPPE).The Complete Guide to FPPE provides step-by-step guidance for developing an FPPE process and policy, selecting indicators, collecting data, conducting performance conversations with practitioners, and managing FPPE for low-volume and advance practice practitioners.
Our authors will help you:
- Develop a framework for measuring competency
- Design an FPPE process and establish accountabilities
- Manage legal issues
- Define proctors’ roles and responsibilities
- Prepare for performance improvement conversations with practitioners
- Determine activities to monitor
- Define how much activity to monitor during initial appointment and for new privilege requests
- Develop an approach to evaluating performance through retrospective reviews
- Manage practitioner health issues identified through FPPE
Table of Contents:
Section 1: Developing a Strategy for FPPE
Chapter 1: Practitioner Performance Measurement and the Impetus for Change
Chapter 2: Building an FPPE Process and Policy
Chapter 3: Managing FPPE Legal Concerns
Section 2: Implementing FPPE
Chapter 4: Creating a Structured FPPE Process for New or Reentering Practitioners
Chapter 5: Conducting FPPE for Low-Volume Practitioners and Advanced Practice Professionals
Chapter 6: Developing a Systematic Approach to Evaluating Performance Through Retrospective Reviews
Chapter 7: Defining Proctoring
Chapter 8: Expectations and Responsibilities of Proctors
Section 3: Evaluating FPPE Results
Chapter 9: Engaging Practitioners Through Collaborative Peer-to-Peer Performance Conversations and Coaching
Chapter 10: Clinical Simulation Training and Procedural Education Courses
Chapter 11: When FPPE Reveals Nonclinical Issues
Earn continuing education credits!This program has been approved by the National Association Medical Staff Services for 5.0 continuing education unit(s). Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.
Meet the Authors:
Valerie Handunge, MA is a senior healthcare strategy and operations consultant with Deloitte Consulting, specializing in care delivery quality, utilization effectiveness, and physician alignment. Prior to joining Deloitte, she played an instrumental role in developing the service model for the Advisory Board Company's Crimson ongoing professional practice evaluation module resulting in documented work-flow efficiencies and time savings. She has expertise in physician performance improvement, clinical integration and surgery, and emergency department operational efficiencies. She has presented at numerous national conferences on OPPE best practices and co-authored The Complete Guide to OPPE.
Christina W. Giles, CPMSM, MS is the principal in Medical Staff Solutions, a consulting firm specializing in education/training of credentialing personnel and orientation/training of medical staff leaders, medical staff professionals, administrative functions such as accreditation survey preparation, credentialing, privileging and peer review, assessment and development of medical staff governance documents and policies and procedures. She is also one of the founding partners of Edge-U-Cate, LLC, a company dedicated to providing cutting edge educational resources. Ms. Giles has over 30 years experience in all types of healthcare organizations, working with various organizational structures and accrediting agencies. She serves as an advisor to multiple medical staff publications, and is a co-author and editor to The Medical Staff Services Handbook: Fundamentals and Beyond and co-author of Health Care Credentialing: A Guide to Practical Innovations. She has presented nationally on multiple topics such as accreditation preparation, credentialing, privileging and medical staff office management.
Jonathan H. Burroughs, MD, MBA, FACPE has worked with medical staffs and boards throughout the country in the areas of governance, medical staff–hospital alignment strategies, credentialing, privileging, peer review and performance improvement, medical staff development planning, strategic planning, and physician performance and behavior management. He is the author or coauthor of the following books: Medical Staff Leadership Essentials (2011), Engage and Align the Medical Staff and Hospital Management: Expert Strategies and Field Test Tools (2010), A Practical Guide to Managing Disruptive and Impaired Physicians (2010), The Top 40 Medical Staff Policies and Procedures, Fourth Edition (2010), Emergency Department On-Call Strategies: Solutions for Physician-Hospital Alignment (2009), and Peer Review Best Practices: Case Studies and Lessons Learned (2008).
Evalynn Buczkowski, RN, BSN, MS is regional director, clinical performance support at Henry Ford Macomb Hospitals in Clinton Township, MI. She provides leadership for the clinical and operational aspects of clinical quality, clinical informatics, public reporting/pay for performance, accreditation, medical affairs including credentialing and peer review, case management, utilization review, social work, and infection prevention. She has 25 years of healthcare experience in management, accreditation and regulatory compliance, and quality and performance improvement and co-authored The Complete Guide to OPPE.