{"id":1559,"date":"2011-12-31T18:04:10","date_gmt":"2011-12-31T18:04:10","guid":{"rendered":"http:\/\/www.fieldsinc.com\/?p=1559"},"modified":"2012-12-13T18:59:25","modified_gmt":"2012-12-13T18:59:25","slug":"crtj_ms08_ofppe-2011","status":"publish","type":"post","link":"https:\/\/www.fieldsinc.com\/crtj_ms08_ofppe-2011","title":{"rendered":"-CRTj_MS08_OFPPE (2011)"},"content":{"rendered":"<p><span style=\"font-size: large;\"><a href=\"http:\/\/www.ingentaconnect.com\/content\/jcaho\/jcts\/2011\/00000009\/00000005\/art00002\" target=\"_blank\"><span style=\"font-size: x-large;\">5 Sure-Fire Methods: Complying with MS.08.01.03<\/span><\/a> [<span style=\"background-color: #ffff99;\">REF:<\/span> <span style=\"color: #800080;\">MDx, MD<\/span>] <\/span><br \/><span style=\"color: #c0c0c0;\"><em><span style=\"font-size: large;\">Source May 2011, Pg2, Vol 9, # 5<\/span><\/em><\/span><br \/><span style=\"font-size: large;\">Accredited hospitals continue to have difficulty with OPPE and FPPE. Frequent citations include:<\/span><\/p>\n<ul>\n<li><span style=\"font-size: large;\">Failure to define the data to be collected<\/span><\/li>\n<li><span style=\"font-size: large;\">Failure to clearly define the OPPE process<\/span><\/li>\n<li><span style=\"font-size: large;\">Failure to use collected data in privileging decisions<\/span><\/li>\n<\/ul>\n<p><span style=\"font-size: large;\">This article provides the following five Strategy steps to improve compliance:<\/span><\/p>\n<ol>\n<li><span style=\"font-size: large;\">First identify data already being collected by your organization that could be used to address OPPE\/FPPE.<\/span><\/li>\n<li><span style=\"font-size: large;\">Determine the type of data to be collected for psychiatrists vs. non-psychiatrists<\/span><\/li>\n<li><span style=\"font-size: large;\">Make sure your OPPE process is clearly defined<\/span><\/li>\n<li><span style=\"font-size: large;\">Make sure there is a mechanism established to ensure the use of collected OPPE data in your FPPE and other privilege-related decisions<\/span><\/li>\n<li><span style=\"font-size: large;\">\u00a0Determine how OPPE\/FPPE data will be incorporated into credentialing files. It need not be stored there permanently, but must be easily accessible for reviews.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-size: large;\">MDX and JCSC should also review the recently developed FPPE\/OPPE BoosterPak for more detailed implementation suggestions and tips. See also TJC-LPL resources to include: : FPPE OPPE Policy, Physician Performance Toolkit ,<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ff9900; font-size: large;\">**********<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-size: large;\"><a href=\"http:\/\/www.ingentaconnect.com\/content\/jcaho\/jcp\/2011\/00000031\/00000005\/art00006\" target=\"_blank\"><span style=\"font-size: x-large;\">Tracer Methodology Evolves to Include Detailed Exploration of Several High-Risk Areas: Second Generation Tracers Now in Use for Some Hospital, Critical Access Hospital On-site Surveys<\/span><\/a> [<span style=\"background-color: #ffff99;\">REF: <span style=\"color: #800080;\">JCSC<\/span><\/span>] <\/span><br \/><em><span style=\"font-size: large; color: #c0c0c0;\">Perspectives May 2011, Pg5, Vol 31, # 5<\/span><\/em><br \/><span style=\"font-size: large;\">Second Generation Tracers (SGT) are deeper and broader systems explorations (drilling down) that are triggered when concerns are raised about what TJC calls high-risk issues (HRI). These are defined as including \u201cprocesses or procedures that, if not planned or implemented correctly, have significant potential for affecting\/impacting patient safety.&#8221; This article identifies the first 5 such issues as: 1) Cleaning, disinfection, and sterilization (CDS), 2) Patient flow across the care continuum, 3) Contracted services, 4) Diagnostic imaging, 5) OPPE and FPPE. HRIs 1, 2 and 4 may seem to have limited significance for psychiatric hospitals. While the CDS issue was generated largely in response to concerns about steam sterilization, its relevance to us includes the cleaning of small equipment and surfaces. Patient flow is relevant because of its applicability to any delay or lack of timeliness in patient services. Diagnostic imaging may affect few of our facilities. However, contracted services and OPPE\/FPPE should be considered key HRI to pay attention to. The article also provides examples of possible triggers for SGT in Credentialing &amp; Privileging session (OPPE FPPE) and Cleaning, disinfection, and sterilization. It should be noted that once an SGT is triggered, a specific patient may or may not be involved. See also: TJC-LPL: FPPE OPPE Policy Contributed by Teche Regional Medical Center Morgan City, LA (5\/17\/11)<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ff9900; font-size: large;\">**********<\/span><\/p>\n<p><span style=\"font-size: large;\"><a href=\"http:\/\/www.ingentaconnect.com\/content\/jcaho\/jcp\/2011\/00000031\/00000004\/art00009\" target=\"_blank\"><span style=\"font-size: x-large;\">New Standards BoosterPak Available for Medical Staff Evaluations<\/span><\/a> [<span style=\"background-color: #ffff99;\">REF: <span style=\"color: #800080;\">MDx, MD<\/span><\/span>] <\/span><br \/><span style=\"color: #c0c0c0;\"><em><span style=\"font-size: large;\">Perspectives April 2011, Pg8, Vol 31, # 4<\/span><\/em><\/span><br \/><span style=\"font-size: large;\">TJC is now providing guidance on how to conduct focused professional practice evaluations (FPPEs &#8211; <span style=\"color: #800080;\">MS.08.01.01<\/span>) and ongoing professional practice evaluations (OPPEs &#8211; <span style=\"color: #800080;\">MS.08.01.03<\/span>) via its second BoosterPak. Its contents include the following:<\/span><\/p>\n<ul>\n<li><span style=\"font-size: large;\">A description of both standards with implementation suggestions<\/span><\/li>\n<li><span style=\"font-size: large;\">A description of what surveyors are likely to discuss and documents needed during an on-site survey credentialing and privileging session<\/span><\/li>\n<li><span style=\"font-size: large;\">Key definitions and frequently asked questions related to FPPEs and OPPEs<\/span><\/li>\n<li><span style=\"font-size: large;\">Definitions of key terms and supporting documentation, evidence, value, and historical information<\/span><\/li>\n<li><span style=\"font-size: large;\">Links to relevant CMS Conditions of Participation and additional references<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n","protected":false},"excerpt":{"rendered":"<p>5 Sure-Fire Methods: Complying with MS.08.01.03 [REF: MDx, MD] Source May 2011, Pg2, Vol 9, # 5Accredited hospitals continue to have difficulty with OPPE and FPPE. Frequent citations include: Failure to define the data to be collected Failure to clearly define the OPPE process Failure to use collected data in privileging decisions This article provides [&hellip;]<\/p>\n","protected":false},"author":60,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,12],"tags":[],"class_list":["post-1559","post","type-post","status-publish","format-standard","hentry","category-cat-crt_ofppe","category-custom-resource-topics"],"_links":{"self":[{"href":"https:\/\/www.fieldsinc.com\/wp-json\/wp\/v2\/posts\/1559","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fieldsinc.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fieldsinc.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fieldsinc.com\/wp-json\/wp\/v2\/users\/60"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fieldsinc.com\/wp-json\/wp\/v2\/comments?post=1559"}],"version-history":[{"count":13,"href":"https:\/\/www.fieldsinc.com\/wp-json\/wp\/v2\/posts\/1559\/revisions"}],"predecessor-version":[{"id":3003,"href":"https:\/\/www.fieldsinc.com\/wp-json\/wp\/v2\/posts\/1559\/revisions\/3003"}],"wp:attachment":[{"href":"https:\/\/www.fieldsinc.com\/wp-json\/wp\/v2\/media?parent=1559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fieldsinc.com\/wp-json\/wp\/v2\/categories?post=1559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fieldsinc.com\/wp-json\/wp\/v2\/tags?post=1559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}