Peer Review
Turn Peer Review Into a Positive Force for Practitioner Improvement
Historically, peer review has been punitive, not embracing collegial performance improvement.
Developed for physicians by physicians, our Peer Review practice brings the processes, tools, and facilitation skills to help clients turn compulsory peer review processes into sustainable, high-value, trusted programs that are non-biased, resilient, metric-based, and focused on driving quality into the organization. We help turn "how did you make this mistake?" into "how can we improve?"
Our Peer Review Capabilities
Peer Review Redesign
We work with clients to determine the best peer review methods for the medical staff, including co-developing relevant, measurable, useful performance metrics with the input and expertise of specialty physicians. We create policies and tools and train new peer review committee members to develop and launch the program. And we provide implementation support as an option post go-live.
Peer Review Assessments
When organizations know their peer review system isn’t performing optimally, a peer review assessment can provide a compelling case for change. In these instances, we perform a deep-dive assessment and provide recommendations for how the organization can implement improvements.
This work includes:
- Interviews with medical staff, administrators, quality staff and the Board
- Analysis of structure, leadership, and the intersection between peer review and the appointment/reappointment processes
- Review of data measures, case review process, the process for performance feedback, management of poor performance, and corrective action
Motivating Factors to Improve Peer Review
Pay for Performance
As part of a national strategy that is moving toward value-based medicine, healthcare organizations must aim for exemplary metric-driven outcomes, best practices, and patient satisfaction to mitigate financial risk and optimize revenue potential.
Lack of Confidence
The administration and/or board within many organizations lack confidence in the effectiveness of the Peer Review program resulting from poor performance metrics.
Perception of Bias
Individual case reviews tend to be subjective, time-consuming, resource-intensive, and conflict-engendering. Many organizations fail to use data as an objective measure of performance.
Related Insights
Meet Our Peer Review Leaders
Mary Hoppa, MD, MBA
Mary Hoppa, MD, is the Vice President of Bylaws and Governance with Chartis Clinical Quality Solutions. She also oversees the peer review practice and brings more than 25 years of consulting and healthcare experience to the firm.
Raúl Zambrano, MS, MD, FAAFP, FACHE, MRO
Dr. Raúl Zambrano is a Senior Physician Consultant and Clinical Education Leader with Chartis Clinical Quality Solutions. He brings more than 19 years of consulting and healthcare experience to the firm, particularly in the areas of credentialing, medical staff relations, hospital operations, quality improvement, coaching, and telehealth.
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