THE MEASUREMENT of medical care against objective, predetermined, explicit criteria—the so-called medical audit—has turned into an every-month, if not every-day, procedure at most American hospitals. The major credit for changing medical audit from theory to reality clearly belongs to the Joint Commission for the Accreditation of Hospitals (JCAH), which has made such activities a requirement for accreditation.
The Rise of PEP
In a short time, the JCAH has been able to accomplish more than had medical educators or Professional Service Review Organizations (PSRO). This achievement is due to the efforts of JCAH in designing, supplying, and promoting an appealing, prepackaged, ready-to-go system of medical audit, the Performance Evaluation Procedure (PEP).1Not only did PEP offer a fully prepared and relatively easy-to-install medical audit, it also came buttressed by a well-organized and effectively managed series of seminars where hospital trustees, administrators, and physicians were taught how to install the system
Rosenberg EW. Medical Audit JCAH-StyleA Negative View. JAMA. 1977;237(18):1935–1937. doi:10.1001/jama.1977.03270450025012
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