What happens after a peer assessment

Quality improvement approach

All registrants strive to provide the highest quality care to their patients; nevertheless, it's always possible to improve quality.

A quality improvement approach does not remove the need for quality assurance. Quality assurance establishes that a registrant’s performance meets a standard that ensures patient safety. Quality improvement is a framework to systematically enhance registrant performance in providing quality care. Together, quality improvement and quality assurance lead to safe, effective health care.

Commitment to quality improvement

Participants receive a Performance Review and Action Plan report at the end of the assessment. This report contains customized feedback from a medical advisor, the peer assessor report and MCC 360 (if applicable), along with tools and resources to support them in improving their practice. 

Participants may be required to complete quality improvement activities following the assessments. Submitting a completed action plan to the PPEP shows how the participant is committed to change. It is recommended to complete the action plan before completing the chart submission. The participant may also be required to attend one or more of our medical record keeping courses.

Additional support for registrants

Depending on the findings from the assessment, participants may be referred on to other areas of the ºÚÁÏÉç for further support.

Some registrants are required or recommended to connect with a medical advisor who can help plan improvements and direct them to additional resources. This is meant as further guidance and support as they make the required changes to their practice.

Set up a meeting with a PPEP medical advisor

For registrants needing extra support with their prescribing of controlled medications.

Learn more about the Prescription Review Program

For registrants working in an office where medical device reprocessing takes place.

Learn more about medical device reprocessing assessments

While the program and assessments are anchored in quality improvement, we also have a duty to ensure that registrants are providing patients with safe care. A registrant may be reviewed by the PPE Panel to determine next steps.

The Physician Practice Enhancement Panel is a panel of the Quality Assurance Committee. The PPE panel develops and administers a quality assurance program to assess and assist physicians and surgeons in their professional performance.

A registrant may be reviewed by the PPE Panel in these situations:

  • Their clinical care and decision-making falls short of the ºÚÁÏÉç’s standards and guidelines. 
  • If there is a health hazard or risk to significant harm to the public within the meaning of the Public Health Act
  • A registrant may also be asked to attend an interview with a PPE Panel member and a program medical advisor or the deputy registrar to provide charts for review and discussion.

A registrant may be referred to the ºÚÁÏÉç’s Inquiry Committee in these situations. The ºÚÁÏÉç may investigate under its mandate to protect the safety of the public.  

Continuing professional development credits

Family physicians: This activity has been certified by the for up to 19.5 Mainpro+® Certified Assessment Activity credits.

Specialists: This activity may qualify for continuing professional development credits through the .

PPEP evaluation and development

Program evaluation provides information on the effectiveness, efficiency, and impact of a program, enabling informed decision-making and continuous improvement.

Learn more about the approach and feedback surveys