Peer Review Live!: Practical Training Through Credentialing Resource Center’s Virtual Workshop - On-Demand

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Peer Review Live!: Practical Training Through Credentialing Resource Center’s Virtual Workshop - On-Demand

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Peer Review Live!: Practical Training Through Credentialing Resource Center’s Virtual Workshop - On-Demand

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Available ON-DEMAND

Presented on:
Tuesday, November 14, 2017

Presented by:
Marla Smith, MHSA
Robert J. Marder, MD 

Level of Program:

Although all hospitals have some kind of peer review system in place, physicians and support staff often receive little training on how to conduct peer review well. During this live three-hour workshop, participants will be guided through the critical steps of performing peer review at their facilities fairly and efficiently. Using practical tools and case studies, this workshop is divided into sections that focus on the responsibilities of peer review coordinators, physician reviewers, the peer review committee, and department chairs in conducting case review and FPPE as performance improvement tools. By supporting these components of the peer review process, organizations can ensure they exceed the regulatory requirements regarding peer review and focus on physician performance excellence.

During this program, Marla Smith, MHSA, and Robert J. Marder, MD, will help physician reviewers and committee members understand the importance and seriousness of conducting peer review that is fair and helpful to the physician being reviewed. They will also help peer review support staff understand the value of their role and provide steps for selecting and preparing peer review cases.

At the conclusion of this program, participants will be able to:

  • Identify and screen appropriate cases for the case review process
  • Design a case review form that supports physician reviews to conduct effective reviews
  • Identify and communicate physician improvement opportunities fairly and collegially
  • Create polices to enhance accountability for providers and physician leaders involved in the FPPE process 

Who Should Listen?

  • Peer review coordinators
  • Peer review and quality committee members
  • Chief medical officers
  • Vice presidents of medical affairs
  • Medical staff professionals
  • Medical staff services managers/directors


  • Introduction: Building a performance improvement–driven peer review system
  • Peer review training part 1: The peer review coordinator
    • The role of the coordinator
      • Case identification and screening
      • Defining case review indicators and criteria
      • Review preparation and physician reviewer assignment
    • Case study and exercise part 1: The coordinator section of the case review form
  • Peer review training part 2: The physician reviewer
    • The role of the physician reviewer
      • Guide to physician medical record review
      • Case review rating systems
      • Initial case rating and justification
    • Case study and exercise part 2: The physician reviewer section of the case review form
  • Peer review training part 3: The peer review committee
    • The role of the peer review committee
      • Meeting preparation
      • Managing confidentiality, and potential reviewer biases
      • Case presentation and discussion
      • Obtaining physician input and committee decision
      • Communication and follow-up
    • Case study and exercise part 3: The committee section of the case review form
    • FPPE initiation and monitoring
      • Why and when does FPPE begin?
      • Creating an FPPE plan
      • Who is responsible for FFPE?
      • Evaluating and improving your peer review program

Live Q&A sessions will follow each section.

Meet the Speakers

Marla Smith, MHSA
Marla Smith, MHSA,
 is a consultant for HCPro who focuses on quality and peer review solutions. She formerly served as a consultant for The Greeley Company in the quality and patient safety practice. Her areas of expertise are in medical staff and nursing peer review, medical and hospital quality performance improvement, and physician- and hospital-based data analysis. She is coauthor of the HCPro book Nursing Peer Review, Second Edition: A Practical, Nonpunitive Approach to Case Review.
Robert J. Marder, MD
Robert J. Marder, MD,
 is president of Robert J. Marder Consulting. 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. Marder began his full-time involvement in performance improvement in 1988 as the national project director for clinical indicator development and use at The Joint Commission.

Webinar system requirements and program materials: 

To fully benefit from the webinar experience, please note you will need a computer equipped with the following: 

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version is now available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $349 value! 

Participation in the webinar is just $349 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.