Peer Practice Assessment of Recorded Care

Premise and requirements

Peer practice assessments (PPAs) are based on the premise that an experienced physician can review another physician's medical records and effectively assess the quality of care being provided. A review of records enables an assessor to develop a picture of the physician’s practice and an understanding of his/her approach to patient care.

The peer assessors will review and assess medical records based on the College’s professional standard on Medical Records. This standard contains items that are mandatory requirements and are based on Part 3, Section B – Registrant Records of the Bylaws made under the Health Professions Act (HPA).

Preparing for the PPA

Physicians who work in multiple offices may select where they want the PPA to take place. The location selected should be the most representative of the physician’s practice. The PPEP makes every effort to match an assessor’s scope of practice and experience with that of the physician being assessed.

Prior to the PPA, physicians will receive a number of documents to help them prepare, including:

  • a sample assessment report used to review charts
  • relevant College reference material
  • their own prescribing history, which may provide opportunities for education and learning

Peer assessors are provided with copies of:

  • an assessment report used to review charts
  • physician pre-visit questionnaire(s)
  • medical director pre-visit questionnaire (if applicable)
  • physician(s)’prescribing history

Peer assessment of medical charts takes approximately three hours.

At the conclusion of the PPA, the physician and the assessor will discuss the outcome of the assessment and strategies for incorporating recommendations. Physicians are encouraged to ask questions, share the experience, and seek clarification if needed.