More carrot, less stick

Douglas A Koekkoek

Doug Koekkoek, M.D.
Chief medical officer, Oregon
Chief executive, clinical services

May 21, 2014

It’s no secret physicians working in hospitals around the country have viewed clinical peer review with skepticism. We all agree that peer review for professionalism and competence is vital for ensuring quality care. But traditional approaches could be punitive rather than instructive, aimed at weeding out bad practitioners rather than fostering learning.

Fortunately, new models of peer review have emerged that aim to improve both hospital quality and professional development.

As noted in this issue of Pulse, medical staff leaders from all Oregon hospitals recently held a retreat to standardize and, in some areas, redesign Providence’s clinical peer review process.

This new model emphasizes collaboration, allowing us to teach each other how to provide the best clinical care and to develop practices that define 21st century medicine.

Real quality improvement starts with making sure we have a learning environment where everyone is always striving to improve the care we deliver to our patients.