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3.c PEP Assessment Categories

The categories listed below are for the use of the Practice

Enhancement Committee for the purpose of tracking

assessment outcomes and reporting aggregate information.

The category assigned to a particular physician is not reported to the physician on

the Physician’s Final Report.

Category 1:

Consistent good care

Category 2:

Acceptable, but significant need for improvement in

specified areas

Category 3:

Immediate cause for concern

Follow-up action per category:

Category 1:

Full accreditation, no review for 5 years

Category 2:

Necessitates planned follow-up

Category 3:

Referral to the College of Physicians and Surgeons of



Illegibility precludes assessment (reaching a conclusion about care). A

review will be carried out within six months, which might include chart-stimulated