[337] Ongoing Physician Performance Evaluation (OPPE) for Clinicians Performing Endoscopic Ultrasound (EUS) and Endobronchial Ultrasound (EBUS) Guided FNAs

Brent Arville, Jodi Speiser, William Cannon, Guliz Barkan, Eva Wojcik. Loyola University Medical Center, Maywood, IL

Background: OPPE is mandated by the Joint Commission. Two requirements for OPPE include (1) clearly defined performance measures (PM) and (2) ongoing review (>1/year) of the data. A potential PM for physicians performing EUS and EBUS FNAs is the number of procedures resulting in unsatisfactory diagnoses, as these cases lead to additional/repeat procedures increasing exposure to risks/morbidities, patient anxiety, and increasing costs. The aim of this study is to assess the utility of adequacy rate (AR) (satisfactory vs unsatisfactory) as a PM for OPPE in physicians who perform EUS/EBUS guided FNAs.
Design: A retrospective review of the electronic medical record was performed in our institution for EUS and EBUS FNAs (2 and 5 years respectively). Physician performance was measured by their AR. We also reviewed the number of passes performed for each procedure.
Results: A total of 5 physicians performed a range of 17 to 160 (mean=59) EUS or EBUS FNA procedures. The study included 296 cases, 219 EUS and 77 EBUS. EBUS FNAs on average were performed less frequently than EUS FNA and at more irregular time intervals.

Physicians performing EUS or EBUS
PhysicianNumber of casesNumber with adequacy assessmentTypeAvg number passes/procedureAR (%)
A3939EBUSN/A74
B2121EBUSN/A57
C1717EBUSN/A23.5
D160103EUS3.486
E5930EUS3.874.6







Conclusions: We demonstrated that utilization of AR is a useful, simple, low cost tool for PM in OPPE of physicians performing EUS/EBUS FNAs. The number of passes did not affect the satisfactory rate. Additionally, more frequent and/or stringent ARs can be tracked for physicians performing below a set standard satisfactory rate for OPPE and participating in Focused Professional Practive Evaluations (FPPE).
Category: Cytopathology

Monday, March 4, 2013 1:00 PM

Poster Session II # 78, Monday Afternoon

 

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