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Based on the cumulative data from over 16 years of assessments, APMPR believes that there are certain factors, including type of practice, age, patient volume, hours of CME, in-patient responsibilities, charting habits and management of chronic disease entities which can predict success or failure in an on-site assessment. In 2001, we conducted an "offsite assessment " pilot involving 73 Family Physicians, and had the results analysed by a statistician, Dr. Carlos Brailovsky of Laval University. In his report, Dr. Brailovsky noted that “the offsite process is a very good and valid indicator of onsite success, and it may be used to reduce the need of onsite visits.” On June 1, 2002, the APMPR Board of Directors approved the incorporation of offsite assessment into the regular APMPR peer assessment program.
Each year, when physicians throughout Atlantic Canada are randomly selected for peer review,one group (also selected at random) will be offered the opportunity to participate in the offsite assessment process. Those who are successful will not be eligible for further review by APMPR for ten years. Those physicians who may be artist, or those whose charts appear to contain deficiencies, will be requested to participate in a more in-depth review through an onsite assessment. Physicians who are offered offsite assessment, but choose not to participate, will be required to undergo an onsite office visit.
The following pages contain the information sent to each physician participating in offsite assessment, as well as the scoring forms used to evaluate the practice.