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7. Full Office Assessment

Office visit

– a physician assessor visits the office and assesses the physical

facility, staff and equipment.

Chart

review – The assessor reviews at least 20 patient charts, using a

predetermined format to assess medical chart content and quality of care.

Physician interview

– immediately after the office visit, the assessor

meets with the physician being assessed and reviews the results of the

assessment. The assessor also presents the results of an annual profile,

received from the Medical Services Branch of the Saskatchewan Ministry

of Health, so that the assessed physician can see a description of the

demographics of his/her practice as well as to see how his/her practice

profile compares to their peer group. This annual MSB profile is provided on

this informational basis alone. PEP does not receive or review any financial

information from Saskatchewan Health. During the interview, the assessor

may point out areas of strength in the practice and also areas for possible

improvement.

8. Final Report

– the assessor’s report is submitted to the PEP committee

which determines the final category for the assessed physician. The

Final Report is then sent to the assessed physician. In many cases,

recommendations for improvement are made but no follow-up review is

needed. In some cases, PEP makes recommendations for improvement and

arranges to review the practice again. This may take the form of a follow-up

letter to ensure that critical deficiencies have been corrected or may require

another office visit. A very small number of practices (in other jurisdictions,

1% or less) may be found very deficient or dangerous to patients. In these

cases, PEP does not pursue the assessment further and is required to report

to The College of Physicians and Surgeons of Saskatchewan.

9. Post-assessment Questionnaire

– sent to the assessed physician

with the Final Report as an invitation to provide feedback to PEP on the

assessment process and its value.

10. Survey of Assessee Feedback

– sent to assessed physicians six months

after their final reporting package has been received to determine the value

and measure any impact and/or patterns of practice change resulting from

their PEP assessment.