Standards FAQ Details

Medical Staff (MS) (Hospital and Hospital Clinics / Hospitals)

Focused Professional Practice Evaluation (FPPE) - Components of Design Process

Modify | April 11, 2016

Must the process be pre-defined for new privileges or can it be determined for each specific applicant for the new privilege?

Yes. You must predefine the FPPE process. You may predetermine criteria specific to physicians who have previous experience and privileges from another organization which may differ from those physicians requesting privileges with limited experience. The process must be implemented consistently. The components for design are listed in MS.08.01.01 and would include, but not be limited to: criteria for conducting performance evaluations method for establishing the monitoring plan specific to the requested privilege method to determining the duration of performance monitoring circumstances under which monitoring by an external source is required.

See also:
What is the intent of the Focused Professional Practice Evaluation requirement?

Focused Professional Practice Evaluation (FPPE)- Four Required Components

Focused Professional Practice Evaluation (FPPE) - Peer Review

Focused Professional Practice Evaluation (FPPE) - Monitoring Timeline

Focused Professional Practice Evaluation (FPPE) - New Privileges

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