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A provider's Ongoing Professional Practice Evaluation (OPPE) profile is shown below. In this organization, if a provider partially meets or does not meet performance expectations, they are referred to peer review for a Focused Professional Practice Evaluation (FPPE). Fully Meets: >80% of measures at threshold Meets: 65% to 80% of measures at threshold Partially Meets: 40% to 64% of measures threshold Does Not Meet: <40% of measures at threshold After reviewing this provider's overall profile, what should the healthcare quality professional suggest?
Correct Answer: C
The provider's Ongoing Professional Practice Evaluation (OPPE) profile suggests that the provider partially meets expectations, meaning 40% to 64% of measures are at the threshold. According to the organization's criteria, this level of performance warrants retaining privileges but likely with closer monitoring or additional support. * Partial Meeting of Expectations: When a provider partially meets expectations, it indicates that there are areas of performance that need improvement, but the provider is still performing sufficiently in enough areas to retain privileges. * Next Steps: The provider should likely undergo further evaluation or targeted support to address the areas where performance is lacking. This might involve additional training, mentoring, or a Focused Professional Practice Evaluation (FPPE) if specific concerns are identified. * Comparison to Other Options: * A. The provider fully meets expectations; do nothing is not applicable since the provider does not fully meet the performance criteria. * B. The provider does not meet expectations; refer to peer review would be appropriate if the provider's performance was below 40%, but that is not the case here. * D. The provider meets expectations; retain privileges would be correct if the provider was in the 65% to 80% range, which is not the situation here. References: NAHQ guidelines on OPPE and FPPE processes emphasize the importance of distinguishing between different levels of performance and applying the appropriate actions based on the specific thresholds met by the provider. =========