Credentialing & Privileging

Tip of the week: A 10-step guide to drafting FPPE policies and procedures (part II of II)

Credentialing Resource Center Connection, April 24, 2008

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The following steps are intended to serve as a starting point for developing a focused professional practice evaluation (FPPE) policy and procedure (Note: Steps 1-5 appeared in last week’s Credentialing and Privileging Advisor):

6. The draft FPPE policy, methods, reporting forms, and implementation approach are presented to the MEC, department/service lines, and medical staff members for their feedback regarding the final criteria.

7. The task force modifies draft documents based on the feedback and submits the final drafts for MEC and board approval.

8. The MEC, department/service lines, and the medical staff office (MSO)/quality department implements an orientation and training program for potential physician participants/proctors to establish organization and accountability systems.

9. The MSO/quality department staff create a systematic and timely process for reporting FPPE activity and results to the credentials committee and the MEC.

10. The credentials committee annually reviews the FPPE program description to make necessary modifications and improvements based on experience and new knowledge, and recommends changes to the MEC.

These steps are from Core Privileges for Physicians: A Practical Approach to Developing and Implementing Criteria-Based Privileges, Fourth Edition, by Wendy Crimp, RN, BSN, MBA, CPHQ; Sally J. Pelletier, CPMSM, CPCS; Vicki L. Searcy, CPMSM; and Mark Smith, MD, MBA, FACS.



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