Big Guy
Western Governors University
AFT Task 4 Periodic Performance Review
DEFINITION:
A periodic performance review (PPR) is a self-assessment of standards all of which are applicable to a health care organization. The Joint Commission of Healthcare Organization conducts triennial surveys of health care organizations. The PPR involves an annual assessment of an organization’s performance. The PPR show the organizations performance in relationship to the standards set forth by the Joint Commission. The standards are measured by elements of performance. Some elements of performance require a simple response of yes or no while others require multiple possible responses (e.g., compliant, partial, and noncompliant). The PPR helps determines and organizations readiness for an accreditation audit
PURPOSE OF PERIODIC PERFORMANCE REVIEW
An integral component in the Joint Commissions accreditation process, PPR promotes continuous standard compliance through ongoing internal monitoring. Beginning in January 2006, the Joint Commission expects organizations to conduct annual self-assessment against applicable Joint Commission standards, develop plans of action to address identified areas of non-compliance and identify measures of success in the identified problem areas to validate resolution. At the mid-cycle point, the organization is expected to share information with the Joint Commission. The staff at the Joint Commission will work with the organization to refine its plan of action to assure that the corrective efforts are on target.
To address concerns about the potential discoverability of PPR information, particularly where it is shared with the Joint Commission, the Joint Commission has established three options to the full PPR, for accredited-health care organizations:
Option One: The organization performs the full self-assessment, develops the plan of action and measures of success (MOS), but does not submit PPR data