Many organizations continue to struggle with appropriately attributing care provided by advanced practice professionals (APP), especially when there are specific supervision requirements in place that must be met before the patient encounter can be closed. Coding such encounters appropriately...
Physicians may claim that the data used to carry out peer review is invalid. This is a claim that many medical staff leaders have heard. It is true that the discovery of even the slightest inaccuracy will invalidate the entire performance report in the minds of some physicians. They will assume...
Today's free resource is a checklist that will help medical staffs select indicators for use in OPPE/FPPE. Indicators should be evaluated for validity, accuracy, benefits, attribution, communicability, competency, and data availability. Keep in mind that some indicators will be more relevant...
The Texas Supreme Court ruled that a trial court judge should not have given a physician access to a hospital’s peer review files without first determining if the hospital took disciplinary action against the physician.
Christus Santa Rosa Health System convened a medical peer review...
For many medical staffs, getting physicians to accept and use performance data has been a struggle. Although the availability and use of physician data seems like a technical issue based on information systems and data accuracy and reliability, fundamentally, it is a cultural issue. Unless a...
