Peer Review Benchmarking: Pursuing Medical Staff Excellence

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Peer Review Benchmarking: Pursuing Medical Staff Excellence

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Peer Review Benchmarking: Pursuing Medical Staff Excellence

Robert J. Marder, MD

Looking for metrics and real-world processes to assess your peer review program? Peer Review Benchmarking: Pursuing Medical Staff Excellence offers the tools you need to analyze and redesign your peer review processes. Ten organizations of varying scope and size share their journey of revitalizing their disparate peer review programs into high-functioning and engaging physician performance assessment programs. Learn how these organizations implemented multispecialty peer review committees, taught committee members how to conduct reviews outside of their specialty, found physician champions to change the medical staff culture regarding peer review, aligned their case review and OPPE metrics to become more succinct and highlight physician achievements, and many other issues that can negatively affect peer review.

This book will also help you quantify your peer review data to measure the success of peer review at your organization and how to best share this information with various departments and committees. This data can be used to determine what elements of your peer review process you need to redesign and the case studies will give you real-world ideas on how to do so.

This book will help you improve your peer review program by:

  • Integrating redesign of hospital peer review structures for fairness, efficiency, and effectiveness
  • Reducing bias in case review and OPPE
  • Enhancing organizational sharing of peer review information to improve patient care
  • Determining the best structure for your peer review committee


About the Author:

Robert J. Marder, MD, is president of Robert J. Marder Consulting. Dr. Marder brings more than 30 years of healthcare leadership, management, and consulting experience to his work with physicians, hospitals, and healthcare organizations nationwide. A highly respected speaker, consultant, and author, he has helped hundreds of hospital medical staffs evaluate and improve their approach to peer review and physician performance measurement. Dr. Marder has authored numerous books on peer review for HCPro, including Effective Peer Review, and is an editorial advisory board member for HCPro’s Medical Staff Briefing newsletter.


Published: December 2016

Page Count: 218
Dimensions: 7 X 9
ISBN: 978-1-68308-107-4

Table of Contents

Introduction: Why Did I Write This Book?

Chapter 1: Peer Review Redesign in the 20th and 21st Century: A Personal Historical Perspective

  • 20th Century Peer Review
  • 21st Century Peer Review
  • Movement Toward a Positive Peer Review Culture


Chapter 2: Moving From a Punitive to Positive Culture: Peer Review’s Role in Physician Performance Improvement, Patient Safety, and Risk Management

  • How Can Culture Change?
  • Linking Performance Improvement Values to Actions
  • Recognizing and Managing Physician Organizational Subcultures
  • Engaging Strong Physician Leadership


Chapter 3: Quantifying Peer Review: Practical Approaches for Measuring Effectiveness and Accountability

  • Who Needs the Data?
  • Why Do They Want the Data?
  • What Kind of Data Is Helpful?
  • Educating Oversight Bodies on Peer Review Program Data


Chapter 4: Case Studies Overview: Description of Case Study Goals, Process, and Participants

  • Organization Confidentiality
  • Organization Selection
  • Case Study Process
    • Pre-Redesign Peer Review Structure and Culture
    • Reasons for Redesign
    • Redesign Model
    • Change Management
    • Initial Impact
    • Long-Term Impact
    • Current Peer Review Challenges
    • Lessons Learned


Chapter 5: Case Studies

  • Organization 1: Engaged Leaders Can Drive Change
  • Organization 2: Going From Nothing to Something
  • Organization 3: Overcoming Fear Takes Time
  • Organization 4: Emerging From Under a Cloud
  • Organization 5: Once the Consultant is Gone
  • Organization 6: Staying Ahead of the Curve
  • Organization 7: A Large Organization With a Big Culture Change
  • Organization 8: Quick Start, Incremental Implementation
  • Organization 9: A Common Medical Staff With Different Cultures
  • Organization 10: Creating a System Approach


Chapter 6: Peer Review Program Self-Assessment: Aggregate Results and Analysis From Case Study Participants

  • Survey Description
  • Survey Participants and Process
  • Survey Analysis
  • Comparison of Pre-Redesign Survey vs. Current Survey Results
  • Current Survey Results Analysis
  • Case Review Data Analysis
  • OPPE Data


Chapter 7: Lessons Learned

  • Multi-Specialty Peer Review
  • Culture and Change Management
  • Physician Leadership
  • Medical Staff Communication
  • Case Review Methods
  • OPPE Implementation and Evaluation
  • Closing Thoughts