Question: We are struggling with how to do FPPE to confirm competence for members of our Medical Staff who have privileges solely for coverage purposes and thus have very little activity here.  We need them on the Medical Staff and they have to have privileges so a Medical Staff category with appointment only doesn’t work.  Any suggestions?

Answer: You are not alone!  Many Medical Staffs are grappling with the same issue.  The simplest, most effective solution we have found is to define the FPPE requirements for those members as 100% retrospective review of cases in which they are involved – providing care, consultations, etc. – up to a certain number per year (typically four or five).  That requirement does not prove to be burdensome to implement because the numbers are so small.

For practical, effective solutions to your FPPE, OPPE and peer review dilemmas, join Paul Verardi and Phil Zarone for The Peer Review Clinic in San Francisco, April 10-12.