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.
Consistent good care
Acceptable, but significant need for improvement in
Immediate cause for concern
Follow-up action per category:
Full accreditation, no review for 5 years
Necessitates planned follow-up
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