If you’d like to talk with us about our peer review services and see redacted samples of our peer review reports, call for a free consultation, (888) 899-1406.
At Medical Resource Network, facilitating external peer reviews is one of the primary services we offer as a legal nurse consulting firm.
Often a function of physician credentialing, peer review is a valuable tool for organizations – as a mechanism for improving patient care and for fulfilling accreditation and legal requirements.
Peer reviews are frequently used to determine whether the care provided by a healthcare professional met an acceptable level, according to standards of care. FPPEs and OPPEs are the two most common types of peer reviews.
Focused Professional Practice Evaluations (FPPE): This is the type of external peer review that our legal nurse consultants facilitate most frequently. Typically, our services are requested due to an adverse or uncommon event that needs evaluation by an impartial, external peer.
We facilitate objective, confidential reviews of physicians, using board-certified, clinically active physicians who are in the same specialty as the physician under review.
Typically, an FPPE peer review is triggered by a concern(s) about a physician’s professionalism and practice, or a specific case.
When a specific case is being investigated, we present clear findings and conclusions concerning how medical care was managed. In the process, we identify any deviations from the accepted standard of care. We also carefully analyze any variations from practice patterns and/or expected outcomes – and the potential effects that those variations might have had on patient care.
Ongoing Professional Practice Evaluation (OPPE): Hospitals and other health organizations use OPPEs to assess the professional behavior and clinical competence of practitioners. The information gathered in this type of physician peer review is used to inform decisions about maintaining, revising, or revoking clinical privileges.