Medical Staff (MS) (Hospital and Hospital Clinics / Hospitals)
Ongoing Professional Practice Evaluation (OPPE) - Intent
Modify | April 11, 2016
What is the intent of the requirement for Ongoing Professional Practice Evaluation?
(Maintaining Privileges)
The Ongoing Professional Practice Evaluation (OPPE) is defined as: "A document summary of ongoing data collected for the purpose of assessing a practitioner’s clinical competence and professional behavior. The information gathered during this process is factored into decisions to maintain, revise, or revoke existing privilege(s) prior to or at the end of the two-year license and privilege renewal cycle."
The OPPE requirements apply to all practitioners granted privileges via the medical staff processes, including allied health practitioners, such as Physician Assistants, Advanced Practice Nurses, etc. OPPE allows organizations to identify professional practice trends that impact the quality and safety of patient care. It is the responsibility of the organization's medical staff to determine the criteria used in the ongoing professional practice evaluation.
In addition to privilege-specific criteria or data, additional examples may include:
- Review of operative and other clinical procedure(s) performed and their outcomes
- Pattern of blood and pharmaceutical usage
- Requests for tests and procedures
- Length of stay patterns
- Morbidity and mortality data
Examples of data sources may include:
- Periodic chart review
- Direct observation
- Monitoring of diagnostic and treatment techniques
- Discussion with other individuals involved in the care of each patient
If there is uncertainty regarding the practitioner’s professional performance, the organized medical staff should follow the course of action defined in the medical staff bylaws, policies, rules/regulations for further evaluation of the practitioner.
Related FAQs:OPPE - Data Collection Guidelines and Frequency OPPE - Low Volume Practitioners - Data Use From Another OrganizationOPPE - Medical/Cognitive Specialties
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