Six steps to making a decision about your PPR
Accreditation Connection, December 2, 2004
If you don't know where to begin when weighing the Periodic Performance Review (PPR) options, consider these steps, suggests Bud Pate, REHS. He is the director of clinical operations improvement for The Greeley Company, a division of HCPro in Marblehead, MA:
1. After you've spoken with your legal counsel, go down the list of options just the way they've been written, beginning with the full PPR all the way to option three.
2. Do your own self-evaluation to see which option feels right by looking at your level of compliance standard by standard. It also helps you understand the elements of performance.
3. Look at the full PPR. Will your critical assessments allow that option? If so, choose that one.
4. If your assessments doesn't allow for the full PPR, look at option one in which the JCAHO will look at your measures of success.
5. If option one proves to be too problematic or overwhelming, simply pay the JCAHO to do it for you. In most cases it's a fraction of what it would cost to truly put in the resources. In most cases, your surveyor will find one or two problems.
6. If this doesn't feel right, there's option three.
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