The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance Carol S. Cairns, CPMSM, CPCS; Sally J. Pelletier, CPMSM, CPCS; Donna K. Goestenkors, CPMSM Not sure how to collect, organize, and present your FPPE data? Just open your toolbox By now you know the importance of focused professional practice evaluation (FPPE). Due to revisions to Joint Commission standards in both 2007 and 2008, hospitals must establish and track practitioner competency using measurable performance data. What is the bottom line for your MSO? The bottom line is, to be compliant with the regulatory changes, your MSO must adopt a standard framework defining the dimensions of privileged practitioners performance, applying The Joint Commission s requirements for competency. In addition, failing to gather and organize FPPE data in a standardized way presents risks including failing to gather sufficient data, redundancy, inconsistency across specialties, and failing to articulate to practitioners their role in FPPE. Do you have the tools for FPPE compliance? "The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance"provides exactly that a comprehensive toolbox full of the forms and tools you need to conduct FPPE and OPPE. It offers: Forms Policies Letters Scorecards Reports Save time by tailoring your existing materials to meet the latest requirements In addition to providing new forms and tools you can customize for your facility, this guide also shows you how to repurpose existing materials to achieve compliance. Eliminate the headache of developing an organizational system on your own Use the tools in this book to manage the tremendous amount of quality data you must gather through FPPE. Organizing your FPPE data now means you will save time applying it to credentialing and privileging decisions in the future. Don t reinvent the wheel get the tools you need to get the job done Take advantage of the expert knowledge and practical resources in this toolbox you can put its contents to use immediately at your facility, without wading through lengthy background information. Use sample policies and forms to create a cohesive competency documentation process This book and CD-ROM set includes field-tested FPPE policies from your peers around the country. This toolbox is useful for facilities of all types and sizes, and it includes sample tools you can use right away: Case studies showing how your peers implemented FPPE FPPE policy documents FPPE language excerpted from peers bylaws documents or policies and procedures A practice evaluation form based on the six general competencies Department-specific proctoring forms Inpatient and outpatient proctoring (nonprocedural) forms A proctoring summary report of a provisional staff member Notification to a practitioner successful conclusion of provisional staff status and advancement of staff category A letter to a physician requesting his/her service as proctor A summary report to the board Physician competency data scorecards Guide to drafting a focused professional practice evaluation policy Retrospective, concurrent, and prospective proctoring guidelines Performance feedback process for mid-level practitioners Earn continuing education credits This program has been approved by the National Association Medical Staff Services for 5 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. Who will benefit? Medical staff coordinators/directors Managers of medical staff services Credentialing coordinators/managers Quality managers/directors Chief medical officers VPMAs Medical executive committee members