Credentialing & Privileging

Ask the expert: How should medical staffs document and retain FPPE results?

Credentialing Resource Center Connection, August 12, 2010

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Medical staffs should require proctors to complete formal documentation of their activities and findings. If the hospital pays the proctor for services, it is wise for medical staffs to keep detailed time records, as well. In any case, the chair of the department should ask the proctor to complete a structured report outlining the findings of his or her work.

The medical staff should design a format for such reporting so that the feedback is complete, organized, and standardized. The proctor should submit the report to the formal peer review body that initiated the proctoring, and the report should be retained in the practitioner’s peer review file. Include comments on receipt of the report in the minutes of the authorizing peer review committee meeting.

This week’s Q & A is from HCPro’s Proctoring and FPPE, Second Edition. 



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