Effective Peer Review, Fourth Edition
Description:
Peer review continues to rate as a top challenge in healthcare organizations. Even if they are meeting regulatory standards, organizations struggle to develop a peer review program that is unbiased and meaningful, making it difficult to change physicians' punitive view of the process.
Now in its fourth edition, Effective Peer Review has been significantly updated and revised, providing even more practical details and policies to help medical staffs reduce peer review bias and implement an approach focused on performance improvement. The book addresses ways to enhance all of the components of a successful competency assessment program, from case review to OPPE and FPPE, with entire chapters dedicated to medical staff culture, multispecialty peer review, and avoiding peer review pitfalls.
New to this edition are chapters that tackle case review from all angles, with detailed guides for peer review coordinators, physician reviewers, and peer review committees. There are also policies for successful OPPE, updated metrics to help measure the effectiveness of your program for case review and OPPE, and guidance on reporting results to the medical executive committee and the board. This edition also looks at how the changing healthcare landscape is affecting competence assessment, such as how to conduct peer review on a healthcare team or outside of the traditional hospital walls.
This book provides:
This updated edition includes:
Contents:
Chapter 1: Peer Review: Why Do We Need to Evaluate Physician Competence?
Chapter 2: Avoiding Peer Review Pitfalls: Conflicts of Interest, M&Ms, RCAs, and Sham Peer Reviews
Chapter 3: From Punitive to Positive: Creating a Performance Improvement Culture for Peer Review
Chapter 4: Legal Considerations and Risk Management: Impact of Regulations and Liability on Peer Review
Chapter 5: Peer Review Structures: The Impact of Multispecialty Peer Review
Chapter 6: Measuring Physician Performance: What to Measure and How to Do It Fairly
Chapter 7: Case Review: A Brief Overview for Reducing Bias and Improving Efficiency and Effectiveness
Chapter 8: Case Review Part 1
Chapter 9: Case Review Part 2
Chapter 10: Case Review Part 3
Chapter 11: Selecting Physician-Driven Measures for OPPE:
Chapter 12: The Role of Healthcare Teams in Competency Measurement
Chapter 13: Evaluating OPPE Data: Using Benchmarks and Targets for OPPE Reports
Chapter 14: From OPPE to FPPE: Creating Accountability for Physician Performance Improvement
Chapter 15: Reporting Peer Review: Who Needs to Know and What You Should Tell Them
Chapter 16: Beyond the Hospital Walls
Chapter 17: Redesigning or Tuning Up Your Program
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