Program Description
Focused professional practice evaluations (FPPEs) and ongoing professional practice evaluations (OPPEs) were designed to support the transition of credentialing and privileging from an intuitive process to one that is more objective and evidence-based. They are also intended to help identify and address performance issues as soon as possible so that quality and safety are not compromised. FPPEs and OPPEs are addressed in Medical Staff (MS) standards MS.08.01.01 (FPPEs) and MS.08.01.03 (OPPEs).

To help you properly interpret and comply with both standards, this 60-minute program addresses the following: 
  • Description of the standards and associated elements of performance (EPs).
  • Definitions of key terms and implementation suggestions. 
  • Preview of what surveyors will discuss regarding these standards during the credentialing and privileging session of an on-site survey.

​After completing this module, the participant should be able to:
  • Explain The Joint Commission’s expectations for the Medical Staff standards specific to FPPE and OPPE.
  • Identify and discuss effective strategies to help achieve and remain in compliance with the Medical Staff standards specific to FPPE and OPPE.

Target Audience.
This activity is relevant to medical staff leadership, physicians, medical staff coordinators, directors of medical offices, and risk managers.

Laurel McCourt, MD, ABFM, CJCP
Joint Commission Resources

This presenter does not have any financial arrangements or affiliations with corporate organizations that either provide educational grants to this program or may be referenced in this activity. This presenter has also attested that her discussion will not include any unapproved or off-label use of products.

Accreditation Information
​The Joint Commission is accredited by the Accreditation Council for Continuing Medical Education (ACCME-AMA PRA Category 1 ™), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Note: No ACPE credit was provided for this program. 

The Joint Commission is provider approved by the California Board of Registered Nursing, provider number CEP 6381, for 1 contact hour.

The Joint Commission is authorized to award 1.0 contact hour of pre-approved ACHE Qualified Education credit for this program toward advancement or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.

This activity has been approved by the National Association for Healthcare Quality (NAHQ) for 1.0 Certified Professional Healthcare Quality (CPHQ) credit.

The Joint Commission Enterprise has been accredited as an Authorized Provider by the International Association for Continuing Education and Training (IACET).

This education offering qualifies for 1.0 Certified Joint Commission Professional (CJCP) credit hours towards CJCP recertification. In order to obtain CJCP credit hours, an individual must first be certified before they start acquiring CJCP credit hours. CJCP credit hours will not be retroactive.

Full attendance at every session is a prerequisite for receiving full continuing education credits. If a participant needs to leave early, his or her continuing education credits will be reduced.

Successful completion of this CE activity includes the following:
  • View the presentation and read the accompanying Resource Guide.
  • Complete the online Evaluation Form and Post Test.
  • A CE certificate/statement of credit can be printed online following successful completion of the Post Test and the Evaluation Form

The JCRQSN program is a monthly series of video conference training sessions produced by 
Joint Commission Resources  (JCR) in partnership with The Wellness Network.  The Wellness Network is 
the distributor of the series and has no  influence on the content.  

To learn more, please contact Customer Service at or call 1-888-219-4678.
To learn more please contact us at 888-219-4678.
Visit our other websites
Medical Staff Issues: 
Overcoming FPPE and OPPE Challenges

Premiere Date:
Thursday, May 23, 2019