Peer Review Best Practices: Case Studies and Lessons Learned

Perfect Paperback Book: 188 pages + bonus CD-ROM
Size: 11" x 8.5"
ISBN 1601462573
978-1601462572
HCPro / Opus Communications
November 2008
(click the button below for the very best currently available pricing for this important resource)

Peer Review Best Practices: Case Studies and Lessons Learned will help you transform peer review theory into best practice.

This book and CD-ROM set is built on contemporary peer review design and demonstrates how hospitals have used those theories to tackle real peer review challenges. Twenty case studies cover topics ranging from fixing your peer review system to tracking and trending data to reconciling peer review conflicts. This resource will help you:

measure physician competence,
improve physician performance,
minimize bias,
conduct effective peer review,
comply with Joint Commission requirements such as FPPE, OPPE, core competencies,
standardize your peer review process to minimize bias and assure fairness
train physician reviewers in using an effective case review rating system
improve efficiency of committee discussion
select the right type of indicator to measure physician competence for OPPE
use aggregate data for FPPE and improving physician performance
create a positive culture for peer review
and more.

Use real-world peer review case studies to facilitate committee discussion and improve its ability to handle tough peer review issues fairly and collegially. Each case scenario is annotated with lessons learned and suggested best practice approaches. Case studies include:

Recognizing systematic deficiencies in the peer review process
Tracking and trending data to identify improvement
Understanding how "better" can be the enemy of "good"
Overcoming an "out of sight, out of mind" mentality
Dealing with irreconcilable conflicts
Turning conflicts into positive outcomes
Incorporating perception data into evaluating physician competency
Attributing the right data to the right physician
Recognizing and acknowledging excellent care in the case review process
Considering measures for dealing with contentious physicians

And ten more case studies to help you identify peer review risks before they surface at your facility! Get field-tested processes to address Joint Commission requirements for FPPE, OPPE, core competencies, and more.

The case studies in this resource address the challenging issues raised by The Joint Commission’s requirements for focused and ongoing professional practice evaluations and the core competencies. Minimizing bias and enabling practical application are also covered in depth, along with more of your top concerns related to peer review and physician competence.

Who will benefit from using this resource kit? Medical staff coordinators; medical staff directors; medical staff professionals; quality directors, managers, and VPs; CEOs; chief medical officers; accreditation professionals; medical directors; VPMAs

Robert J. Marder, MD, CMSL, is the vice president of The Greeley Company, a division of HCPro, Inc., in Marblehead, MA. He brings more than 25 years of healthcare leadership and management experience to his work with physicians, hospitals, and healthcare organizations across the country. Having performed many roles in senior hospital medical administration and operations management in academic and community hospital settings, Marder has consulted, authored, and presented on a wide range of healthcare leadership issues, including effective and efficient peer review, physician performance measurement and improvement, hospital quality measurement systems and performance improvement, and more.

Jonathan H. Burroughs, MD, FACPE, CPE, FACEP, CMSL, is a senior consultant at The Greeley Company working with medical staffs and boards throughout the country in the areas of governance, credentialing, privileging, peer review and performance improvement, medical staff development planning, strategic planning, physician performance, and behavior management.

With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing expertise in the areas of accreditation, medical staff affairs, credentialing, privileging, medical record management, nursing management, finance, quality/patient safety, infection control, workplace safety and regulatory compliance.

Please remember: The government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.

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