Medical Staff

Case study: Understanding FPPE, OPPE, and--IPPE?

Medical Staff Briefing, June 1, 2009

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It’s easy to define ongoing professional practice evaluation (OPPE): it is the ongoing assessment of an existing medical staff member’s performance. But defining focused professional practice evaluation (FPPE) is a different story.
FPPE not only involves the evaluation of new staff members to determine whether they are competent to perform the privileges granted by the medical staff, but it also involves the evaluation of existing members who encounter performance issues discovered during the OPPE process.
“Medical staffs are confused as they attempt to meet these standards, which share the same name but different purposes,” says Robert Marder, MD, CMSL, vice president of The Greeley Company, a division of HCPro, Inc., in Marblehead, MA. “I think it is time that we rename FPPE related to new members or physicians seeking new privileges and give this type of evaluation its own section in medical staff standards.”
That is what Children’s Hospital of Wisconsin in Milwaukee has done. When the medical staff was confused about the two types of FPPE, the chief of surgery suggested using the term FPPE to describe the focused evaluation of an existing medical staff member experiencing performance problems and the term initial professional practice evaluation (IPPE) for members applying for new privileges.

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