peer review June 4 5, 2009 evaluating physician competency Register by April 3 and SAVE $100! Featured Topics: Minimizing bias in peer review

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1 Featured Topics: Minimizing bias in peer review Creating a practical policy for OPPE and FPPE Case studies for training physician reviewers Selecting indicators for the six general competencies Challenges and solutions for physician data attribution Contemporary peer review A practical approach to evaluating physician competency for OPPE and FPPE June 4 5, 2009 The Westin Hilton Head Island Resort & Spa Hilton Head Island, SC Register by April 3 and SAVE $100!

2 Contemporary Peer Review A practical approach to evaluating physician competency for OPPE and FPPE June 4 5, 2009 The Westin Hilton Head Island Resort & Spa Hilton Head Island, SC In an era of increasing healthcare accountability and data transparency, is your medical staff still struggling to perform meaningful peer review? Attend this program and learn practical solutions that medical staffs around the country are using to make peer review helpful and efficient. SAVE $100 Register by April 3 and SAVE $100 off the standard registration rate! Is peer review a dirty word? Are you struggling to measure The Joint Commission s six Physician General Competencies and perform Ongoing Professional Practice Evaluation? Are your departments using the same approach to evaluate physicians that they ve used for the past 20 years? Do cases take forever to resolve? Are your medical staff members resistant to accepting nationally benchmarked data? Do your medical staff leaders avoid dealing with physicians clinical performance problems? Does your peer review program produce systematic improvements in physician performance? Attend more than one program and receive discounted rates. Register for 2 programs and save 10%; register for 3 programs and save 15%. Call 800/ for details.

3 Seminar s focus OVERVIEW This unique seminar, conducted over one-and-a-half days, is led by The Greeley Company s national leaders in physician quality improvement. This seminar will provide you with practical and effective strategies for implementing a medical staff peer review program that creates a positive culture for performing peer review, doesn t waste physician time, and improves physician performance in quality and patient safety. Through a combination of lecture and interactive exercises, you will walk away with realistic, innovative tools and approaches to make your peer review process truly effective and meet current Joint Commission Medical Staff Standards. Attend Contemporary Peer Review and learn how to minimize peer review bias, improve committee efficiency, and increase the use of aggregate data such as core measures and severity-adjusted outcomes to provide physicians with performance data that leads to real improvement. You will be able to benchmark your peer review program and walk away with specific action steps that can drive the success of your physicians and your organization. Learn from industry experts Faculty members are peer review experts from The Greeley Company, a division of HCPro, Inc. The Greeley Company is a nationally respected consulting company specializing in providing effective strategies and practical training techniques to assist the leaders of today s healthcare organizations. With more than 75 years of combined experience, Greeley peer review faculty offers valuable resources and management solutions that are critical to your organization s success. Who Should Attend Physicians who are expected to lead or participate in a medical staff peer review program. Other ideal attendees include medical staff officers, medical staff quality committee chairs, chief medical officers, VPMAs, medical directors, department chairs and cochairs, peer review committee members, quality directors, quality staff supporting peer review, medical executive committee members, credentials committee members, and medical staff services professionals. Learning Objectives Upon completion of this program, participants should be able to: Understand the external forces increasing the accountability of the medical staff, administration, and board to evaluate and improve the quality of care Develop physician performance expectations and indicators for the Joint Commission General Competencies Choose principles for developing a fair and efficient peer review structure to implement OPPE Implement policies that minimize bias in the peer review process Define targets for evaluating excellent and acceptable physician performance Use physician competency feedback reports to meet Joint Commission standards for OPPE Discuss approaches for effective management of physician clinical performance issues Evaluate their own medical staff quality program against national benchmarking information 2009 HCPro, Inc. HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks.

4 Agenda Day 1 7:00 AM 8:00 AM Registration and continental breakfast 8:00 AM 8:25 Am the New Era of Healthcare Accountability and Transparency: Implications for peer review today and tomorrow 8:25 AM 9:15 AM Creating a Positive Peer Review Culture Redefining Peer Review Creating a medical staff culture based on mutual expectations and feedback Defining physician competency: Implementing The Joint Commission General Competencies Ongoing Professional Practice Evaluation: How will it affect your peer review program? 9:15 AM 9:30 AM Minimizing Bias in Peer Review Recognizing sources of bias in evaluating competency Reducing the effect of bias on peer review structures, procedures, and measurement 9:30 AM 9:45 AM Break 9:45 AM 10:30 AM Contemporary Peer Review Models Department-based vs. multispecialty review: What s working and why? Physician compensation for peer review: Options and current trends What would peer review look like if the organized medical staff model changed? 10:30 AM 11:00 AM Measuring Physician Competency: Practical strategies that reduce bias Choosing valid and useful physician indicators When to use review, rate, and rule measures 11:00 AM 11:15 AM Exercise: Selecting Physician Competency Measures 11:15 AM 11:30 AM Break 11:30 AM 11:45 AM Discussion: Selecting Physician Competency Measures 11:45 AM 12:30 PM Measuring Physician Competency: Practical strategies that reduce bias (continued) Strategies for using normative and risk adjusted data Using perception data to measure nontechnical competencies Selecting indicators for the six general competencies Reducing bias in data interpretation 12:30 PM 1:00 PM Exercise: Selecting Physician Competency Targets 5:00 PM 6:00 PM Networking Reception Day 2 7:00 AM 8:00 AM Continental Breakfast 8:00 AM 9:00 AM Fair and Efficient Case Review Creating better case review criteria Improving the case rating system Standardizing the case review process Training physician reviewers: Best practices 9:00 AM 9:30 AM Exercise: Case Studies for Scoring Case Review 9:30 AM 9:45 AM Break Agenda subject to change.

5 Agenda (Continued) Day 2 (Continued) 9:45 AM 10:15 AM Fair and Efficient Case Review (continued) When to use external peer review Running an effective peer review committee meeting Benchmarking your case review results: Does your output match the effort? 10:15 AM 10:45 AM Physician Competency Feedback Reports: Improving internal data transparency Designing your competency report Implementing competency reports for OPPE 10:45 AM 11:00 AM Reporting Physician Competency Measurement: What should the MEC and the Board know? 11:00 AM 11:15 AM managing Physician Clinical Performance: Practical principles and case studies to address individual physician improvement issues 11:15 AM 11:30 AM Break 11:30 AM 12:00 PM Managing Physician Clinical Performance (continued) 12:00 PM 12:30 PM Challenging Issues and Current Strategies Legal issues affecting peer review Low-volume providers 12:30 PM 12:45 PM focused Professional Practice Evaluation for New Members: Role of proctoring in measuring physician performance 12:45 PM 1:00 PM Evaluating Your Peer Review Program Defining your goals and prioritizing your opportunities Reviewing the 14 Action Items to decide what you can do on Monday 1:00 PM Adjourn Agenda subject to change. Faculty ROBERT J. MARDER, MD, CMSL, is vice president of The Greeley Company. He works with hospitals and healthcare systems throughout the country in the areas of medical staff peer review, hospital performance improvement, patient safety/error reduction, and case management. He has served as vice president for medical affairs at Holy Cross Hospital in Chicago, assistant vice president for quality management at Rush Medical Center in Chicago, and project director for clinical indicator development at The Joint Commission. He is a board-certified pathologist and was assistant director of laboratories at Northwestern Memorial Hospital in Chicago. Faculty subject to change. MARK A. SMITH, MD, MBA, CMSL, is the director of credentialing and privileging services and a senior consultant at The Greeley Company. He brings 25 years of clinical practice and hospital management experience to his work with physicians and hospitals across the United States. His clinical practice as a surgeon and multiple roles in senior hospital administration make him uniquely qualified to help Greeley clients develop solutions to their complex staffing and managerial problems. He has expertise in peer review, focused professional practice evaluation, and criteria-based privileging. A board-certified surgeon, he is currently a part-time vascular surgery faculty member at the University of California, Irvine. His previous positions included president, chief of surgery, chair of the peer review committee, and medical director of cardiac surgery at Desert Regional Medical Center in Palm Springs, CA.

6 Location The Westin Hilton Head Island Resort & Spa Make your hotel reservation by May 4 and SAVE! Program Information To register, call The Greeley Company at 800/ , fax the attached registration form to 800/ , or sign up online at seminars. Schedule Day 1 June 4, :00 am 8:00 am Registration and continental breakfast 8:00 am 1:00 PM Seminar 5:00 PM 6:00 PM Networking reception Day 2 June 5, :00 am 8:00 am Continental breakfast 8:00 am 1:00 PM Seminar 1:00 PM Adjourn Morning and afternoon breaks announced by your faculty. June 4 5, 2009 THE WESTIN HILTON HEAD ISLAND RESORT & SPA 2 Grasslawn Avenue Hilton Head Island, SC Reservations: 843/ Web site: DISCOUNTED ROOM RATE: $189 per night CUTOFF DATE: May 4, 2009 For the discounted room rate, reservations must be made by May 4, Be sure to mention The Greeley Company/HCPro, Inc., to receive the discounted room rate. Rooms are available on a first-come, first-served basis and may sell out before the May 4th cutoff date. Make your hotel reservations immediately to guarantee rate and availability. Nestled amid lush landscaping along a pristine stretch of white-sand beach, The Westin Hilton Head Island Resort & Spa provides guests with superior quality and service in an elegant seaside setting. Enjoy breathtaking views from your private balcony, a vigorous workout at a full-service health club featuring the Westin WORKOUT Powered by Reebok Gym, or a soothing massage from a professionally trained therapist. This luxury resort is a relaxing retreat yet still provides an abundance of outdoor recreational activity. Bicycle rides on white-sand beaches, three championship golf courses, and sixteen tennis courts featuring all three Grand Slam surfaces are available within the resort area. Kayaking, sailing, deep-sea fishing, and horseback riding are just a short trip away. The Greeley Medical Staff Institute offers a unique, physician-led organization membership program that provides direction and resources to help you create an effective medical staff and strong physician-hospital relationships. For more information on becoming a member, please visit us on the Web at

7 Registration information Register ONLINE today at Enter your source code, found above your name, at checkout. Registering has never been easier! at 800/ Register today by CALLING toll-free at 800/ Be sure to mention your source code, found above your name. Complete the registration form found on the reverse side and FAX back today Contemporary Peer Review Early-bird rate deadline April 3, 2009 $895 Individual attendee $3,580 Team of five Standard rate $995 Individual attendee $3,980 Team of five The program includes one-and-a-half days of intensive, interactive learning, course downloads, continental breakfast on both days, morning and afternoon refreshment breaks, a networking reception, and CE credit. Send a team of four a n d y o u r 5th member is FREE! Additional Medical Staff Leadership Training Programs being held on Hilton Head Island: Expanded 3-Day format June 4 6 medical Executive Committee Institute: The Essential Training Program for All Medical Staff Leaders NEW FORMAT June 6 8 mastering Medical Leadership: Advanced Training for Today s Physician Challenges Attend more than one program and receive discounted pricing off the standard rate. Register for 2 programs and save 10%; register for 3 programs and save 15%. Call 800/ for details. sponsored by Continuing EDUCATION Please visit us at for more information about continuing education credits that will be provided for this program. ON-SITE EDUCATION Can t make it to the seminar? HCPro and The Greeley Company provide on-site educational opportunities. Call us at 800/ for more information. Seminar policies Cancellation policy Visit or call 800/ for details. Americans with Disabilities Act If you require special accommodations in order to participate in this educational activity, please contact us at 800/ Faculty Disclosure Statement HCPro, Inc., has confirmed that none of the faculty/ presenters or contributors have any relevant financial relationships to disclose related to the content of this educational activity.

8 Contemporary Peer Review A practical approach to evaluating physician competency for OPPE and FPPE June 4 5, 2009 The Westin Hilton Head Island Resort & Spa Hilton Head Island, SC Registration Form Fax to 800/ , call 800/ , or visit Registration fees: Early-bird rate April 3, 2009 n $895 Individual attendee n $3,580 Team of five Standard rate n $995 Individual attendee n $3,980 Team of five SPECIAL PRICING For attending more than one program Attend more than one program and receive discounted pricing off the standard rates. Register for 2 programs and save 10%; register for 3 programs and save 15%. Call 800/ for details. Contact Person Name: Attending the seminar: n Yes n No Title: Dept: Organization: Street Address: City: State: ZIP: Tel: Fax: Send a team of 4 and your 5th member is FREE! Call for special offers for teams with more than five participants. 200 Hoods Lane Marblehead, MA Register by April 3 and SAVE $100 off the standard rate! Name of registrants: (Seminar confirmation will be sent via .) 1st Name: Title: 2nd Name: Title: 3rd Name: Title: 4th Name: Title: Fifth Member Is FREE! Name: Select your method of payment: (Payment is due immediately upon receipt.) n Check enclosed (payable to The Greeley Company) n Please bill my organization with PO # n Bill my credit card (check one): n VISA n MC n AmEx n Discover Signature Account # Exp. Date Required for authorization Your credit card bill will reflect a charge from The Greeley Company. MT77673