| About the authors |
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vi | |
| Introduction |
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ix | |
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Why do we need to measure physician competence? |
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1 | (12) |
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Why should we measure physician competence? |
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2 | (1) |
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How should physician competence be defined? |
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3 | (5) |
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How should physician competence be measured? |
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8 | (1) |
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How should the physician competency data be used? |
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9 | (2) |
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The impact of medical staff culture on competency data use |
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11 | (2) |
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Creating a medical staff culture of physician data acceptance |
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13 | (10) |
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What is a medical staff culture? |
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14 | (1) |
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Creating a performance improvement culture |
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15 | (2) |
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Data acceptance and mutual accountability: The physician performance pyramid |
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17 | (5) |
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Data acceptance and external accountability |
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22 | (1) |
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Measuring physician performance: Understanding indicator types |
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23 | (12) |
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23 | (1) |
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Donabedian indicator categories: Structure, process, and outcome |
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24 | (4) |
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Peer review indicator categories: Review, rate, and rule |
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28 | (5) |
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Physician reluctance to give up chart review |
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33 | (2) |
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Perception data as a source of physician competency measures |
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35 | (10) |
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Is using perception data to measure physician performance a new concept? |
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35 | (1) |
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Understanding perception data |
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36 | (6) |
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Implementing perception data to measure physician competencies |
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42 | (3) |
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Selecting indicators for your physician competency report |
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45 | (16) |
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Selecting performance indicators |
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46 | (8) |
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54 | (4) |
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Storing and retrieving competency data |
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58 | (1) |
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Dealing with limited resources |
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59 | (2) |
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Interpreting competency data using benchmarks and targets |
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61 | (14) |
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Interpreting data for different indicator types |
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62 | (4) |
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66 | (4) |
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Targets for indicator types |
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70 | (2) |
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Intrepreting aggregate data |
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72 | (3) |
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Practical principles for competency feedback report design |
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75 | (16) |
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76 | (1) |
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Define the principles: 10 questions to guide your design |
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77 | (5) |
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Create a format that reflects the design principles |
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82 | (9) |
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Preparing and distributing competency data reports |
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91 | (12) |
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Develop the infrastructure and support materials |
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92 | (3) |
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95 | (6) |
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Create a policy for physician competency reports |
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101 | (2) |
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Linking competency reports to privileging |
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103 | (12) |
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Step 1: Define privileges in a way that allows your organization to address the competency equation |
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104 | (6) |
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Step 2: Determine data that will be helpful in evaluating competency |
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110 | (5) |
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Competency report software challenges and solutions |
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115 | (10) |
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Challenges to capturing the data |
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116 | (1) |
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116 | (1) |
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Multiple physician identification numbers |
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117 | (1) |
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118 | (1) |
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Multiple sources of data distributed to physicians |
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119 | (1) |
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Claims of unreliable data |
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120 | (1) |
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Creating a practical software solution |
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121 | (4) |
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Using competency reports in conjunction with FPPE |
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125 | (8) |
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126 | (1) |
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127 | (1) |
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Developing an FPPE policy |
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128 | (1) |
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Using OPPE competency reports in the FPPE process |
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129 | (1) |
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130 | (3) |
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External approaches to physician competency reports |
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133 | (6) |
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Potential impact of other physician competency reports |
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133 | (1) |
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Other sources of physician competency data |
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134 | (2) |
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The future of competency reports |
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136 | (3) |
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Ten simple steps for developing and implementing physician competency reports |
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139 | |
