Performance review and action plan (PRAP) report

Physicians can expect to receive their Performance Review and Action Plan (PRAP) report providing feedback on their physician assessment.

The PRAP report provides tools or resources to support physicians to make changes to their practice based on their assessment findings.

Action plan template

When a physician receives their PRAP, they are provided with instruction on how to complete a fillable action plan template. This template can be used as part of the assessment follow-up or independently. It is intended as a continuous quality-improvement tool for all physicians.

Download template

RISE criteria for assessing the quality of the action plan

Program guidance is available to see if you are on the right path for developing an action plan. We recommend using the RISE criteria to assess your plan.

1. Relevant action items
   • Does the plan the address the areas for improvement noted in report?
   • Completeness: Are the areas for improvement noted in the PRAP included in the plan? Are the planned changes sufficient for successful improvement?
   • Clarity: Is it apparent what will be done and who will do what by when, to bring about change?
2. Insight into deficiencies
   • Goals are concrete but not superficial.
   • Plans reflect thoughtful consideration of the improvement areas and how to address them.
3. SMART goals
   • Specific: Describe exactly the action that needs to be done.
   • Measurable: Formulate the action in a way that it can be checked (measured) whether it has been carried out.
   • Achievable/attainable: How can I attain this goal?
   • Realistic: Formulate a realistic action. An action which is not realistic will never be carried out. Resources needed are realistically available.
   • Time-bound: Deadline of the action.
4. Engagement
   • The action items are already in motion, rather than hypothetical.
   • Activities to help the physician hold themselves accountable:
     • identify learning partners or communities of practice
     • how progress will be tracked towards the goals outlined in the plan (i.e. how will the physician know if they have been achieved)?