Performance

Terms of our engagement
KPMG was contracted to conduct a review of the existing College, Ministry, HA and hospital processes/systems for: licensure, credentialing, privileging, physician
performance monitoring and peer review in BC, and relevant legislation pertaining to the previously mentioned items. This included the identification of
suggestions for improvement and a suggested quality improvement strategy. Key deliverables included:
Development of a project charter and work plan;
Development of an assessment framework;
Final report with summary of findings and advice; and
Final report presentation to the Ministry Action Team.
As an extension to the original scope, the Ministry requested that KPMG provide commentary on all the initiatives underway and link progress with our
suggestions for improvement.
Out of scope
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 in the Province 7 . This review did not examine practices within other areas of the health care system
such as community provision, mental health services or long-term care.
KPMG sub-contracted with the law firm Osborne Margo to complete the legal and regulatory review. While we quote their report in our findings, their report has
been submitted as a stand-alone document.
7 These private facilities were involved in an online survey and covered through our interviews with leaders from the College, however, we did not conduct on-site visits or follow up
with telephone interviews.
Ministry of Health 17
Provincial Review of Physician Licensing, Credentialing, Privileging & Performance Management
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