ON GOING PROFESSIONAL

PRACTICE EVALUATION (OPPE)

AS A TOLL FOR RISK
ASSESSMENT
Dr. Baety Adhayati, Sp.F
WHAT IS OPPE
• A document summary of ongoing data collected for the
purpose of assessing a practitioner’s clinical competence
and professional behavior.
• The information gathered during this process is factored
into decisions to maintain, revise, or revoke existing
privilege(s) prior to or at the end of the license and
privilege renewal cycle." 
• The OPPE requirements apply to all practitioners granted
privileges via the medical staff processes, including allied
health practitioners, such as Physician Assistants,
Advanced Practice Nurses, etc. 
• OPPE allows organizations to identify professional
practice trends that impact the quality and safety of
patient care.
• It is the responsibility of the organization's medical staff to
determine the criteria used in the ongoing professional
practice evaluation.
Data Sources
Examples of data sources may include:
• Periodic chart review
•  Direct observation
•  Monitoring of diagnostic and treatment techniques
•  Discussion with other individuals involved in the care of
each patient including consulting physicians, assistants at
surgery, nursing, and administrative personnel.

• Use Your Available data and tools such as incident

reports, medical audit report, death case report, etc
Frequency of Evaluation
• The frequency of such evaluation can be defined by the
organized medical staff, but must occur more frequently
than every 12 months.  For example, three months, six
months, nine months, etc., would be acceptable. 
• Completing the OPPE every 12 months would be
considered periodic, and therefore, not compliant.
• For consideration, many organizations use eight months
so they will have three complete sets of data at the two
year renewal and they can assess for patterns or trends
from one set to the next.
• 
Benefit of OPPE
• Benefit of OPPE:
• Risk of liability
• Feedback for Re-credentialing
• Evaluation of Clinical Privilege
• Recommendation for re-schooling