Assessment Process

Physician Selection

– Annual selection of Family  Physicians is based on random stratified selection.
– Specialists will be assessed by entire section specialty (dermatology, pediatrics, etc) as determined by the PEP Committee.

Pre-Visit Questionaire

– establishes a demographic and professional profile of the physician being assessed. This information will also determine eligibility for assessment.

MCC 360 Multi-Source Feedback Survey

– All physicians will be enrolled into this survey by the Practice Enhancement Program.

– This survey is a tool used to assess physicians in their CanMEDS or CanMEDS-Family Medicine roles of a Communicator, Collaborator, and a Professional.

– The survey will provide feedback from patients, physician colleagues, and non-physician co-workers.

– The MCC360 report focuses on providing physicians with meaningful and actionable feedback to guide professional development and improve patient care. The report is accompanied by a feedback and coaching session with a trained facilitator to allow the physician to view the results in an objective and constructive manner, and to help develop an action plan for positive change.

Streaming Process

– Streaming is based on the MCC Multisource Feedback Survey, the Telephone Interview, and Risk Criteria developed by the Practice Enhancement Program Committee.

– Stream 1 – Assessment complete. No further action necessary.
– Stream 2 – Complete In-Offce Assessment is required.

Note: In order to adhere to PEP’s mandate, some physicians will be randomly placed in Stream 2, regardless of their results of the MCC360 survey or any risk criteria.

Stream Two Assessments – Complete In-Office Assesments:

Physical Facilities & Practice Organization Questionaire:

– The purpose of this questionnaire is to collect standardized information prior to an office visit.

Office Visit

– A physician assessor visits the office and assesses the physical facility, staff and equipment. The assessor reviews at least 20 patient charts, using a predetermined format to assess chart content and quality of care.
– Physician interview – Immediately after the office visit, the assessor meets with the physician being assessed and reviews and the results of assessment, PEP does not review any financial information from Saskatchewan Health. During the interview, the assessor may point out areas of strength in the practice and also areas for possible improvement.

Final Report

– the assessor’s report is submitted to the PEP committee which determines the final category for the assessed physician. The Final Report is then sent to the assessed physician. In most cases, recommendations for improvement are made, but no follow-up review is needed. In some cases, PEP makes recommendations for improvement and arranges to review the practice again. This may take the form of a follow-up letter to ensure that deficiencies have been corrected or may require another office visit. A very small number of practices (in other jurisdictions, 1% or less) may be found very deficient or dangerous to patients. In these cases, PEP does not pursue the assessment further and is required to report the matter to The College of Physicians and Surgeons of Saskatchewan.

Post Assessment Questionaire

– This questionnaire invites the assessed physician to provide feedback to PEP on the assessment process and its value.