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The Focused Professional Practice Evaluation (FPPE) is a process whereby the medical staff evaluates the privilege-specific competence of the practitioner that lacks documented evidence of competently performing the requested privilege(s) at the organization.

A key principle of OPPE is the use of Triggers – noticeable drops in performance. The trigger level is a predetermined baseline level of performance within an established criteria. Staff members who are below the trigger level then move into Focused Professional Practice Evaluation (FPPE).

OPPE is required for the purpose of performance improvement and identifying trends and issues that could adversely affect patient outcomes. A well-designed OPPE process includes both qualitative and quantitative data that support re-privileging decisions every two years.

These competencies should include: 1) medical and clinical knowledge, 2) patient care, 3) inter personal skills and communication, 4) practice based learning, 5) professionalism and 6) system based practice. A successful OPPE/FPPE program should include all of these components.

OPPE involves a peer review process, where practitioners are reviewed by other practitioners of the same discipline and have personal knowledge of the applicant. The assessment must have both quantitative performance data and a narrative assessment, preferably given by more than one fellow practitioner.

OPPE stands for ongoing professional practice evaluation. Looking at a practitioner's performance evaluation over the long term—by gathering and reporting data for quality improvement—requires a complex set of activities.

To help hospitals determine monitoring criteria, the Accreditation Council for Graduate Medical Education (ACGME) has established six core competencies for evaluation: patient care; medical knowledge; practice-based learning and improvement; interpersonal and communication skills; professionalism; and systems-based ...

OPPE identifies professional practice trends that may impact the quality and safety of care and applies to all practitioners granted privileges via the Medical Staff chapter requirements. A well-designed process supports early detection and response to performance issues that could negatively impact patient outcomes.