Medical Staff (MS) (Hospital and Hospital Clinics / Hospitals)
Ongiong Professional Practice Evaluation (OPPE) - Data Collection Guidelines and Frequency
Modify | April 11, 2016
Are there any guidelines for collecting information for frequency and evaluation?
The organization may choose to use the methodologies for collecting information outlined at MS.08.01.03 for ongoing professional practice evaluation: periodic chart review, direct observation, monitoring of diagnostic and treatment techniques, discussion with other individuals involved in the care of each patient including consulting physicians, assistants at surgery, nursing, and administrative personnel.
Frequency for conducting the Ongoing Professional Practice Evaluation (OPPE):
The frequency of such evaluation can be defined by the organized medical staff, but must occur more frequently than every 12 months. For example, three months, six months, nine months, etc., would be acceptable. Nine months may not be practical since you would have two complete sets of data and one incomplete set at the two year renewal. Completing the OPPE every 12 months would be considered periodic, and therefore, not compliant. For consideration, many organizations use eight months so they will have three complete sets of data at the two year renewal and they can assess for patterns or trends from one set to the next.
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