Medical Staff (MS) (Hospital and Hospital Clinics / Hospitals)
Ongoing Professional Practice Evaluation (OPPE) - Medical/Cognitive Specialties
Publish | January 01, 0001
Medical and Cognitive specialties (internal medicine, family practice, psychiatry, med specialties ...) are very tough to identify meaningful data that can be evaluated. Is there any guidance that The Joint Commission can offer to assist organized medical staffs?
Cognitive specialties (internal medicine, family practice, psychiatry, med specialties ...) are very difficult to identify meaningful data that can be evaluated. The most difficult is probably psychiatry due to the confidential nature of psychiatry, if is often not possible to observe the provision off care, treatment, and services by the psychiatrist. It is important to start with the type of privileges that are granted.
Medical specialties in addition to managing medical conditions, also often perform procedures. The Joint Commission Resources Publication "
Credentialing, Privileging, Competency, and Peer Review: Examples of Compliance for the Medical Staff" has some excellent detailed privilege forms for a wide variety of specialties including but not limited to: internal medicine, family practice, OB/GYN, cardiac, cardiovascular disease, clinical psychology, dentistry, emergency medicine, gastroenterology, medical imaging.
As you look at the way the privileges are detailed you can begin to identify data to collect including, but not limited to, numbers of activities, length of stay, complications, management of complications, reasons for readmissions, use of diagnostics, medications or other modalities, etc.
Other data to be considered would include, but not be limited to:
- compliance with The Joint Commission Core Measures (for the applicable practitioners)
- compliance with organization specific clinical practice guidelines
- medication prescribing practices, e.g., number of times a drug is prescribed, appropriateness to diagnosis, appropriateness of dosing, appropriateness of medication monitoring practices
- use of diagnostic, i.e., appropriateness, overuse/underuse, appropriateness of therapeutic interventions in response to diagnostic testing result
- patient readmissions either inpatient or outpatient for the same diagnosis/problem which may such inadequate or inappropriate initial treatment
- patient complaints
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