OVERVIEW : FOCUSED PROFESSIONAL PRACTICE EVALUATION
“Focused professional practice evaluation is a process whereby the organization evaluates the privilege-specific competence of the practitioner who does not have documented evidence of competently performing the requested privileges at the organization. This practice may also be used when a question arises regarding a currently privileges practitioner’s ability to provide safe, high quality patient care. FPPE is a time-limited period during which is the organization evaluates and determines the practitioner’s professional performance. The organized medical staff does the following: Joint Commission recommends: Current practice for AHPs
Evaluates practitioners without current performance documentation at the organization New applicants are reviewed by the AHP Subcommittee. Competencies are evaluated through peer references and review of case log from the applicant if available.
Evaluates practitioners in response to concerns regarding the provision of safe, high quality patient care This process is not in place.
Develops criteria for extending the evaluation period This process is not in place
Communicates to the appropriate parties the evaluation results and recommendations based on results This process is not in place
Implements changes to improve performance. This process is not in place

OVERVIEW : ONGOING PROFESSIONAL PRACTICE EVALUATION
“The ongoing professional practice evaluation allows the organization to identify professional practice trends that impact on quality of care, and patient safety. Such identification may require intervention by the organized medical staff. The criteria used in the ongoing professional practice evaluation may include the following: Joint Commission recommends: Current practice for AHPs
Review of operative and other clinical