title: Challenges to performance-based assessment for community physicians.
abstract: The Joint Commission on Accreditation of Healthcare Organizations requires accredited organizations to assess individual competency of physicians granted membership on the medical staff. Verification of the competency of physicians caring for children in the acute-care setting presents a particular challenge for the clinical privileging of community physicians. At Cincinnati Children's Hospital, a knowledge-based reappointment method was developed and implemented. Using a case-based self-test, the initial phase measured physicians' knowledge of evidence-based guidelines for three common pediatric inpatient diagnoses. Future methods for tracking individual performance of community-based generalists at the time of reappointment were explored through a physician survey. Response was positive. This process may help keep community physicians engaged as vital members of the hospital staff.
authors.affiliation: Cincinnati Children's Hospital Medical Center, OH, USA. Melodie_Blacklidge-Dunn@cgha.com
authors.forename: Melodie
authors.initials: M
authors.lastname: Blacklidge
authors.forename: Uma R
authors.initials: UR
authors.lastname: Kotagal
authors.forename: Lisbeth
authors.initials: L
authors.lastname: Lazaron
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Schoettker
authors.forename: Melissa R
authors.initials: MR
authors.lastname: Kennedy
authors.forename: Michelle
authors.initials: M
authors.lastname: Stultz
authors.forename: Stephen
authors.initials: S
authors.lastname: Muething
mesh_terms: D003153:Community Health Services; D003625:Data Collection; D019317:Evidence-Based Medicine; D020445:Hospitalists; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D010372:Pediatrics; D010820:Physicians; D011361:Professional Competence; D011785:Quality Assurance, Health Care; D014481:United States