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June 2011June 20, 2011

PPE, OPPE, and FPPE: Complying With the New Alphabet Soup of Credentialing

Author Affiliations

Author Affiliations: Department of Surgery, Johns Hopkins University School of Medicine, The Johns Hopkins Hospital (Drs Makary, Wick, and Freischlag); and Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health (Dr Makary), The Johns Hopkins University, Baltimore, Maryland.

Arch Surg. 2011;146(6):642-644. doi:10.1001/archsurg.2011.136

For years, physician evaluation by hospital staff occurred every 2 years with a subjective and often perfunctory renewal of privileges. However, in 2007, the Joint Commission announced a new requirement for hospitals to evaluate their providers objectively and regularly. Implementation of this requirement would take place via a program called Professional Practice Evaluation (PPE), and conformity to the guideline increasingly is being reviewed by accreditation surveyors.1 For many departments, complying with this new standard has been challenging given the complex and established privileging process already in place at most institutions and because of the novelty of objective, peer-based evaluation in medicine. In this article, we explain the Joint Commission requirement and describe strategies for establishing a compliant PPE program.