A Systematic Approach to Clinical Peer Review in a Critical Access Hospital.
| Autor: | Deyo-Svendsen ME; Department of Family Medicine (Drs Deyo-Svendsen and Phillips), Department of Quality and Utilization Resources (Mr Schilling and Ms Albright), Mayo Clinic Health System-Red Cedar, Menomonie, Wisconsin; and Clinical Services, Allevant Solutions, LLC, Mechanicsburg, Pennsylvania (Mr Palmer)., Phillips MR, Albright JK, Schilling KA, Palmer KB |
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| Jazyk: | angličtina |
| Zdroj: | Quality management in health care [Qual Manag Health Care] 2016 Oct/Dec; Vol. 25 (4), pp. 213-218. |
| DOI: | 10.1097/QMH.0000000000000113 |
| Abstrakt: | 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. Competing Interests: The authors declare no conflicts of interest. |
| Databáze: | MEDLINE |
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