Performance

Report structure
This Chapter provides context for the reader on the background of this review, our mandate and approach to completing the work.
Chapter 3 provides the reader with an understanding of the roles and responsibilities of all organizations which informs our analysis in subsequent Chapters. It
also includes an analysis of progress on the eight initiatives put in place to address the Ministry’s response to Dr Cochrane’s report.
Chapter 4 details the Ministry’s response to Dr. Cochrane’s report and sets out commentary on the eight initiatives being managed by the Ministry Action Team
as part of that response.
Chapters 5, 6 and 7 outline our findings related to physician licensing, credentialing and privileging and performance management respectively, under seven
headings:
Key observations
Role of organizations;
Communication;
Governance and accountability;
Process;
Technology; and
Learning from other jurisdictions;
Chapter 8 details our suggestions for improvement and sets out a suggested future state for managing licensing, credentialing and privileging and performance
management in BC.
Appendix A is an overview of current licensing, credentialing, privileging and performance management processes, including process maps that illustrate the
processes and systems in place by the College, the HAs and healthcare providers. Appendix A is informed by Appendices B and C that set out process maps in
more detail for initial privileging and ongoing privileging re-appointments.
Appendix D details credentialing standards used at all HAs that informs our analysis of credentialing in Chapter 6.
Appendix E sets out an overview of the US Data Bank and Appendix F sets out different Board directives for peer review, both informing our analysis of
performance management in Chapter 7.
Finally, Appendices G to I detail the Review Assessment Framework discussed further in this Chapter.
Ministry of Health 15
Provincial Review of Physician Licensing, Credentialing, Privileging & Performance Management
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