Ongoing and Focused Provider Performance Evaluations in Emergency Medicine: Current Practices and Modified Delphi to Guide Future Practice

Laura E. Walker, Michael P. Phelan, Matthew Bitner, Eric Legome, Christian A. Tomaszewski, Robert W. Strauss, David M. Nestler

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

The Joint Commission requires ongoing and focused provider performance evaluations (OPPEs/FPPEs). The authors aim to describe current approaches in emergency medicine (EM) and identify consensus-based best practice recommendations. An online survey was distributed to leaders in EM to gain insight into current practices. A modified Delphi approach was then used to develop consensus to recommend best practice. A variety of strategies are currently in use for OPPE/FPPE. “Peer reviewed cases with opportunity for improvement” was identified as a preferred metric for OPPE. Although the preference was for use of peer review in OPPE, a consistent and standard adoption of robust internal care review processes is needed to establish expected norms. National benchmarking is not available currently. This was a limited survey of self-identified leaders, and there is an opportunity for additional engagement of leaders in EM to identify a unified approach that appropriately relates to patient outcomes.

Original languageEnglish (US)
Pages (from-to)306-314
Number of pages9
JournalAmerican Journal of Medical Quality
Volume35
Issue number4
DOIs
StatePublished - Jul 1 2020

Keywords

  • FPPE
  • OPPE
  • The Joint Commission
  • health care quality
  • safety

ASJC Scopus subject areas

  • Health Policy

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