At Medical Resource Network, peer reviews are one of the primary services that we offer as a legal nurse consulting firm.
A function of physician credentialing, peer reviews are a valuable tool for healthcare organizations – as a mechanism for improving patient care and for fulfilling accreditation and legal requirements.
Peer reviews are also 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 type of physician peer reviews.
Focused Professional Practice Evaluations (FPPE): This is the type of external peer review that our legal nurses consultants perform the most frequently. Typically, we’ll be called in because there’s been some type of adverse event, which needs to be fully evaluated by an impartial, external consultant.
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 trigged by a concerns 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 the 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.