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Tip of the week: Use prospective FPPE to catch problems before they happen

Medical Staff Leader Connection, October 7, 2010

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Prospective review is the process whereby the evaluated physician describes to the physician reviewer a care plan for a particular patient. This approach enables the reviewer to concur or disagree with the proposed treatment before the observed physician begins it. The physician reviewer can identify any major variations from standard care guidelines before the plan is implemented; therefore, the medical staff can be confident about allowing the physician to proceed with the treatment.

This form of review also allows for modifications or adjustments to be made to the physician’s care plan before beginning any irreversible treatment or intervention. That makes prospective focused review less disruptive to patient care than other FPPE methods.

Because the conversation between the physician and the reviewer occurs before the physician treats the patient, both parties can maintain an air of collegiality between the practitioners. This, in turn, allows medical staff physicians to establish better interpersonal relationships.

Finally, prospective focused review does not take long to accomplish on a case-by-case basis, which amounts to a more efficient use of the medical staff reviewer’s time.

This week’s tip is from Proctoring and FPPE: Strategies for Verifying Physician Competence by Robert J. Marder, MD, CMSL and Mark A. Smith, MD, MBA, CMSL.

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