Audio Conference Series #1:
"An Ounce of Prevention..."

Audio Conference #3:
Quality/Performance Improvement & Peer Review Best Practices
Recorded October 20, 2004

Faculty: Barbara Blackmond & Paul Verardi

Topics covered include:

Best Peer Review Practices – The Power of Data

• Communicate often – not only when a case “falls out”
• Provide summary data/comparisons with aggregate data of others in same specialty
• Quarterly reports/graphs provided to physicians with invitations to discuss
• It works – practice patterns change!

Adopt Patient Care Benchmarks and Help Physicians Achieve Them

• Make participation in protocol development the only “mandatory” medical staff participation
• Have salaried “champions” of each clinical area whose task is to lead the development, educate, and counsel those who may not meet standards

Retool the Traditional Process

• What triggers peer review?
• Physician review
  • When is it required?
  • Use constructive review forms
  • Avoid votes and scores

Make the Problem Part of the Solution

• Alternatives to Peer Review by Departments
• Department committees
• Multidisciplinary committees
• Medical advisors
• JCAHO “Focused Review”

Progressive Steps

• Triage/collegial efforts – should be incorporated into bylaws
• Advise physician of concerns
• Make sure bylaws support your educational efforts
• Discipline as a last resort

Documentation

• How much is written down?
• Where do you keep the file?
• Who gets access to it?

Audio CD: $225

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