Article ; Online: A Systematic Approach to Clinical Peer Review in a Critical Access Hospital.
Quality management in health care
2016 Volume 25, Issue 4, Page(s) 213–218
Abstract: Purpose: Clinical provider peer review (CPPR) is a process for evaluating a patient's experience in encounters of care. It is part of ongoing professional practice evaluation and focused professional practice evaluation-important contributors to ... ...
Abstract | Purpose: Clinical provider peer review (CPPR) is a process for evaluating a patient's experience in encounters of care. It is part of ongoing professional practice evaluation and focused professional practice evaluation-important contributors to provider credentialing and privileging. Critical access hospitals are hindered in CPPR by having a limited number of providers, shortages of staff resources, and relationships among staff members that make unbiased review difficult. Small departments within larger institutions may face similar challenges. Methods: A CPPR process created at Mayo Clinic Health System is described. It involved a case review questionnaire built on the Institute of Medicine "Six Aims for Changing the Health Care System," a standardized intervention algorithm and tracking tool. Outcomes: During 2007 through 2014, a total of 994 cases were reviewed; 31% led to provider dialog and education or intervention. Findings were applied to core measure processes with success rate going from 87% to 97%. Changes were adopted in end-of-life care, contributing to a 50% reduction in all-cause mortality rate. Conclusions: Providing peer review tools to a critical access hospital can keep peer review within a group with knowledge of the individual provider's practice and can make process improvement the everyday work of those involved. |
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MeSH term(s) | Algorithms ; Hospital Administration/methods ; Hospital Mortality ; Humans ; Inservice Training ; Medically Underserved Area ; Peer Review/methods ; Quality Improvement/organization & administration ; Terminal Care/organization & administration |
Language | English |
Publishing date | 2016-10-17 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1162319-6 |
ISSN | 1550-5154 ; 1063-8628 |
ISSN (online) | 1550-5154 |
ISSN | 1063-8628 |
DOI | 10.1097/QMH.0000000000000113 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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