Performance

Approach
We agreed the following key deliverables in our approach with the Ministry to frame the work we would undertake to review existing processes for licensing,
credentialing, privileging, physician performance monitoring and peer review in BC at the College, the Ministry, HAs and hospitals:
Development of a project charter and work plan;
Development of a Review Assessment Framework (RAF);
Final report with summary of findings and advice; and
Final report presentation to the Ministry Action Team.
Given the time and resources available for this review, we agreed with the Ministry that we would focus our attention on the acute care sector and, in a more
limited way, private Non-Hospital Medical Surgical Facilities (NHMSFs) in the Province. Specifically we agreed that we would not examine practices within other
areas of the health care system such as community provision, mental health services or long-term care.
Understanding this report
The purpose of this report is to outline certain matters that came to our attention during our work and to offer our comments and suggestions for improvement
for the Ministry’s consideration. These comments, by their nature, are critical, as they relate solely to opportunities for enhancement and do not address the
many positive features of the Ministry’s current activities and undertakings.
Our procedures consisted of inquiry, surveying, and analysis of information provided by the Ministry, the College and HAs. The Ministry approved the interview
list and the extent of the other materials provided by project participants. Such work does not constitute an audit. Accordingly, we express no opinion on
processes, other information or internal controls.
The evidence that supports our suggestions for improvement has been gathered through completed questionnaires, interview feedback and other comments,
explanations and information received during our work. We are not responsible for this evidence; the sole responsibility lying with those who provided us with
information and those we interviewed or otherwise interacted with during this review.
Our findings arise from our enquiries, although we can provide no assurance as to the day-to-day operation of either those procedures reviewed or issues relating
to physician licensing, credentialing, privileging and performance management in general. KPMG assumes no responsibility for our findings and we have not
attempted to establish whether the issues raised in the report are pervasive, commonplace or rare; the issues raised are merely those that occurred during the
course of our interviews and other work. All procedures covered in this report are dependent for their effectiveness on the diligence and propriety of those
responsible for operating them and are capable of being overridden by persons holding positions of authority and trust.
Ministry of Health 4
Provincial Review of Physician Licensing, Credentialing, Privileging & Performance Management
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