The Complete Guide to OPPE and FPPE

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9781556459085: The Complete Guide to OPPE and FPPE
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OPPE and FPPE are mainstays in the privileging process, but they're anything but cut and dry. In today's evolving healthcare industry, medical staff leaders and MSPs often encounter scenarios that don't fit squarely into evaluation frameworks, such as telehealth providers, low-volume practitioners, and the growing ranks of advanced practice professionals. With a myriad of factors at play, it can be difficult to take the proper steps to ensure effective peer review.

The Complete Guide to OPPE and FPPE is your comprehensive guide to navigating today's OPPE and FPPE landscape, and a handy companion to The OPPE Toolbox and The FPPE Toolbox. Authors Juli Maxworthy, DNP, MSN, MBA, RN, CNL, CPHQ, CPPS, CHSE, and Evalynn Buczkowski, RN, BSN, MS, shed light on the industry's most pressing questions about hard-to-evaluate practitioners, data aggregation, effective reporting strategies, and more. Plus, customizable forms make for a seamless transition from education to application.

With a healthy blend of practical guidance on core OPPE and FPPE concepts and targeted strategy on specific pain points, The Complete Guide to OPPE and FPPE is a must-have for medical staff veterans and newcomers alike.

This book will help you:

- Evaluate and strengthen existing OPPE/FPPE approaches
- Integrate, evaluate, and share meaningful performance data
- Understand confusing OPPE/FPPE scenarios
- Prepare for the future of OPPE/FPPE

Table of Contents


Introduction: Why Are OPPE and FPPE Still Such Challenges?


Section 1: Revisiting Your Strategies for OPPE and FPPE

Processes and Policies for Ensuring Successful OPPE and FPPE Programs
The Critical Role of Strong Communication
OPPE, FPPE, and Emerging Legal Concerns


Section 2: Selecting Data

Performance Indicators for OPPE and FPPE
Establishing Performance Thresholds and Benchmarks
Use of Databases for Sharing Information


Section 3: Evaluating OPPE and FPPE Results

Designing Practitioner-Friendly Reports
Delivering Reports to Practitioners


Section 4: Specific Challenge Areas

Low-Volume/No-Volume Practitioners
Locum Tenens and Temporary Privileges
Advanced Practice Professionals
Telemedicine Providers
Behavioral Health


Section 5: The Future of OPPE/FPPE

Simulation and Other Tools
Evolution and Expansion of Standards
New Environments
Unified, Integrated Medical Staffs

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About the Author:

Juli Maxworthy, DNP, MSN, MBA, RN, CNL, CPHQ, CPPS, CHSE, brings nearly 30 years of nursing experience to her roles. Her last clinical position was vice president of quality and risk, where she had oversight of many of the activities of the medical staff. She has implemented OPPE and FPPE at the institutions in which she had oversight of the process. Through her work, she has learned how challenging and rewarding this implementation can be, both for organizations mandated to execute OPPE and FPPE to maintain their accreditation as well as the medical staffs working to understand and comply with the associated mandates.

Evalynn Buczkowski, RN, BSN, MS, has over 30 years of healthcare experience in consulting and in leadership roles in the delivery of healthcare services. Her background and experience provides strong knowledge and proven leadership skills for accreditation and regulatory compliance, clinical quality, case management, and medical staff affairs. Prior to joining MedAssets Advisory Solutions, Buczkowski was a regional leader in a large multi-hospital system. In that role, she provided leadership for the clinical and operational aspects of clinical quality; clinical informatics; accreditation; medical staff administration, including credentialing and peer review; case management, utilization review, and social work; and infection prevention. Core competencies include innovative healthcare delivery models, case management/care coordination, value-based care strategies, clinical quality processes and structures, physician-hospital alignment, accreditation/regulatory compliance, medical staff affairs, and physician performance (OPPE/FPPE). Buczkowski was an active member of the Michigan Health and Hospital Association's Quality and Accountability Committee. In addition, she has recently published two books on the topics of OPPE and FPPE and has had national speaking engagements as a result of the publications.

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