March 2021 Grand Rounds —
Building an Effective PPE/Peer Review Process: “Survey Says…”

March 2, 2021 - 1:00 pm to 2:00 pm (ET)


Paul Verardi and Phil Zarone

How does your hospital’s PPE/peer review process compare to other hospitals?  To best practices?

Since 2013, close to 600 hospitals attending Horty Springer’s The Peer Review Clinic have completed surveys describing their PPE/peer review processes.   The data illustrates how PPE/peer review processes have evolved over the years and how they differ based on hospital size and other demographics, such as the percentage of physicians who are employed.  The data also serves as a helpful reminder of what works — and what doesn’t!

Join Paul Verardi and Phil Zarone as they explore questions such as the following based on aggregate survey results from The Peer Review Clinic:

      • How many FTEs (clinical and non-clinical) support the PPE/process at small and large hospitals across the country? Do those hospitals believe that number is sufficient?
      • How many cases are reviewed through the PPE/peer review process on a monthly basis?
      • Are APPs reviewed through the same process as physicians, or via a separate process?
      • Is the care provided in outpatient settings reviewed through the Medical Staff peer review process?
      • Who does the initial review of cases – an individual or a committee? Is there a way to have the best of both worlds?
      • Are individual case reviewers paid? If so, how much?  By whom?  What are the trends?
      • Is there a multi-specialty PPE/peer review committee? How many individuals serve on it, and for how long?
      • Are PPE/peer review committee members paid? How much?  By whom?  What are the trends?
      • Do hospitals still “score” cases? Is this changing?
      • What is the role of the MEC? What should it be?
      • What information should be shared with the MEC about PPE/peer review? With the Board?

Reading Resources

Clinical care review systems in healthcare: a systematic review, Laura E. Walker et al, Int J Emerg Med. 2018; 11: 6.

In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals, Marc T. Edwards, International Journal for Quality in Health Care, 2018, 30(8), 602–607.

Learning Objectives

Upon completion of this audio conference, participants should be able to:

  1. Identify and implement peer review “best practices” that foster consistent, effective, and constructive peer review processes and promote both patient safety and practitioner success; and
  2. Develop reports that allow the Medical Executive Committee and Board of Directors to oversee the peer review process.

Education Credit

Instructions on how to obtain your Continuing Education certificate for audio conferences will be e-mailed to the contact person for your organization at the conclusion of this audio conference.

Category 1 CME

Joint Provider Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Pittsburgh School of Medicine and HortySpringer Seminars.  The University of Pittsburgh is an affirmative action, equal opportunity institution.  The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

CEUs Credit

Other health care professionals are awarded 0.1 continuing education units (CEUs), which is equal to 1 contact hour.

NAMSS Continuing Education Credit

This course has been approved for National Association of Medical Staff Services (NAMSS) continuing education credit and NAMSS hereby awards 1.0 NAMSS continuing education credits for participation in this activity.  Accreditation of this educational content in no way implies endorsement or sponsorship by NAMSS.

HortySpringer Audio Conference Disclaimer


The information presented during an audio conference and any supplementary materials provided to registrants are intended for educational and informational purposes only. Nothing contained therein is to be considered as the rendering of legal advice for specific cases or circumstances.

No one should act or refrain from acting on the basis of any information presented during an audio conference without seeking the appropriate legal or other professional advice on the particular facts and circumstances at issue from a lawyer practicing as permitted by applicable laws, regulations or rules of professional conduct. No attorney-client relationship is formed by registration for an audio conference or the use of the supplementary materials.

About the Grand Rounds

PLEASE NOTE: To help your staff and medical professionals adhere to social distancing guidelines, we will waive the extra line fee for up to 3 additional lines so others in your organization are able to safely listen from their home or office.

The Grand Rounds 2021 Audio Conference Series consists of twelve audio conferences spread over the course of the year, with the goal of providing focused, manageable bites of education for Medical Staff leaders and those who support them.

  • Registration includes an MP3 containing the audio conference at no additional charge following each conference.
  • CME credit issued for live conference participation.
  • Register for the full series of 12 monthly audio conferences. More information on how to register will be provided shortly.

* Registration fee includes up to three phone lines; you may add up to two additional lines to your order for $50 each line (per audio conference).

Designed for even the busiest hospital and medical staff leaders, registration for the year-long series is a quick and inexpensive way for Medical Staff Officers, members of the Medical Executive Committee, Department Chairs, Chairs of the Credentials and Peer Review Committees, and the Chairs of other key Medical Staff committees to have access to the most up-to-date health care information at their fingertips while obtaining valuable CME credits as well.


PLEASE NOTE: To help your staff and medical professionals adhere to social distancing guidelines, we will waive the extra line fee for up to 3 additional lines so others in your organization are able to safely listen from their home or office.

Audio Conferences/Grand Rounds Registration: $250 and includes:

      • 1 AMA PRA Category 1 Credit*
      • 1.0 NAMSS continuing education credit*
      • One MP3 recording to share with your staff throughout the year
      • Three phones lines. You may purchase additional lines for $50/line, per audio conference.

Can’t make the live audio conference? No problem! We offer single MP3 recordings for $250/audio conference.

*Not all audio conferences will be approved for continuing medical education credits.

Register Online