Peer Review and Performance Improvement in a Radiation Oncology Clinic: PDF OnlyPeer Review and Performance Improvement in a Radiation Oncology ClinicJohnstone, Peter A. S.; Rohde, David C.; May, Byron C.; Peng, Yuchi P.; Hulick, Peter R.Author Information Peter A. S. Johnstone, MD,is Chief of the Radiation Oncology Division of the Naval Medical Center and is Clinical Associate Professor at the University of California, San Diego, California. David C. Rohde, MD,Radiation Oncology Division, Naval Medical Center, San Diego, California. Byron C. May, MD,Radiation Oncology Division, Naval Medical Center, San Diego, California. Yuchi P. Peng, MD,Radiation Oncology Division, Naval Medical Center, San Diego, California. Peter R. Hulick, MD, FACR, ACR Chair,Committee on Practice Accreditation (Radiation Oncology Accreditation) of the Commission on Standards and Accreditation. The opinions and assertions contained herein are those of the authors and are not to be construed as official or representing the views of the United States Navy or Department of Defense. Quality Management in Health Care: Volume 8 - Issue 1 - p 22-28 Buy Abstract A program was implemented in the Radiation Oncology Division at Naval Medical Center San Diego to document baselines for process improvement and fairly assess physician supervisory performance for recredentialing. This program was based on criteria established by the American College of Radiology (ACR). In addition to weekly chart rounds with peer review of films and charts while patients are on treatment, a new mechanism of peer review post-therapy was instituted. All patients completing therapy have this peer review prior to final disposition of their charts. Data are now readily available for physician recredentialing. Further, several points of inconsistent chart documentation have been identified and remedied. This mechanism is a simple and efficient way to ensure continuing patient care within ACR standards. ©1999Aspen Publishers, Inc.