4 Important Questions to Consider When Establishing a Peer Review Program Within your Practice

What are the published requirements?

The Joint Commission-Standards LD (Leadership) outlines the requirement to address areas that could affect quality of care and safety and data needs to be captured to do the evaluations.

The American College of Radiology (ACR) requires a formal program be in place.

Medicare, Office of Inspector General(OIG) in 42 CFR § 482.22 outlines medical staff must conduct period reviews to be compliant.

While these accreditation bodies don’t dictate a specific percentage, it’s not uncommon to see a 1-5% sampling of studies.

2. Will this peer review program improve patient care outcomes?

Through an active peer review program, areas of improvement and emphasis can be identified based on your patient population. Your market may have a higher percentage of older patients compared to others, so additional focus on that age groups’ common ailments will improve the quality of your reporting and limit liability.

3. How can this peer review program be integrated into my facility’s workflow?

If your peer review program isn’t integrated into your workflow and is difficult to access, participation will be limited. The most efficient deployment would be one fully integrated into your reading environment, so all users can participate.

4. What is the goal of my peer review program?

No matter the program your practice implements, all findings should be used to improve patient outcomes.


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