Adoption Of A Regional Physician Peer Review Program For Radiation Oncology

67Background: Physician peer review is an important component of patient quality and safety programs. In 2012, the American Society for Radiation Oncology (ASTRO) published a white paper on peer review standards with recommendations to evaluate quality standards and compliance. Methods: Per ASTRO guidelines, physician peer review policy was adopted in 2013 by the Radiation Oncologists at the medical school and health system regional network. Peer review was conducted via WebEx by 5 regional centers. Reviews were done prior to start of treatment for all but emergent cases. Data were collected prospectively on 25 quality metrics, and scored by pre-defined peer consensus as follows: no change, minor change, major change, refer to chair. A description of recommended change was notated. Major changes were required to be represented. Aggregate data for the group and per physician were analyzed quarterly and incorporated into annual performance evaluations. Results: Aggregate categorical scores were compared for...