halogen software, Employee engagement, employee performance, employee performance reviews, employee development, workforce planning, Performance management, Talent Management, Learning management, employee motivation, development planning, succession planning, goal alignment, pay for performance, Coaching, job descriptions, 360 degree feedback, compensation management, recruiting management, HR, human resources, job competencies, coaching, development planning, workforce planning, job description software, healthcare learning series, peer reviews, nursing, Vicki George, FAAN, Bard Haag-Heitman, PHCNS-BC, feedback, nurse managers, goal setting

1. The Many Faces of Peer Review – Part 2
The Manager’s Role
Barb Haag-Heitman, PhD, RN,
PHCNS-BC
Vicki George, PhD, RN, FAAN
Yvon Martel, VP of Sales, Healthcare,
Halogen Software
http://www.nursingconsultingpartners.com/
© 2014 Halogen Software. All rights reserved. All contents are confidential.

2. Objectives
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• Describe:
• The roles of the Nurse Manager in
supporting a peer review program to
achieve sustainable outcomes
• Define:
• The manager’s peer review process
• Provide:
• Three best practice examples

3. Safety Crisis in the US
No Real Progress
• Significant patient harm continues
• Medical errors, unsafe practices and poor
quality care continue to kill 98,000
patients and waste billions of dollars every
year
• The average hospitalized patient
experiences at least one medication error
each day
• 1-in 25 hospital patients has at least one
healthcare-associated infection.
© 2014 Halogen Software. All rights reserved. All contents are confidential.

4. © 2014 Halogen Software. All rights reserved. All contents are confidential.

5. ANA Definition Peer Review
“an organized effort whereby practicing professionals
review the quality and appropriateness of services
ordered or performed by their professional peers”
“the process by which practicing registered nurses
systematically assess, monitor, and make judgments
about the quality of nursing care provided by peers as
measured against professional standards of practice”
ANA Peer Review Guidelines, 1988, p.3
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6. Evidence Based Peer Review
Principles
• A Peer is Someone of the Same Rank
• Peer Review is Practice Focused
• Feedback is Timely, Routine and a
Continuous Expectation
• Peer Review Fosters a Continuous
Learning Culture of Patient Safety and
Best Practice
• Feedback is Not Anonymous
• Feedback Incorporates the
Developmental Stage of the Nurse
© 2014 Halogen Software. All rights reserved. All contents are confidential.
© George/Haag-Heitman 2009

7. Peer Review
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• Clarity in Definition
• Focus on Outcomes
• Cost and quantity of
care, not just quality
• Use the 6 EBP Principles of Peer Review
• Assure Peer Review - all levels and all roles

8. Conceptual Model for Successful
Implementation of Peer Review
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Manager
©George,1999

9. In the Responsive Environment, Managers
Structurally Empower:
• Involving all staff in quality and safety initiatives
• Supporting the structures for clinical ladders, novice to
expert, credentialing and privileging
• Resources for staffing,& shared governance
• Just culture
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10. Peer Review Vs. Performance Review
• Understanding the peer
review is different that
performance evaluation
• Peer review data can be
used in the yearly
performance evaluation
• Peer review is about practice
and not “good citizen”
behaviors
© 2014 Halogen Software. All rights reserved. All contents are confidential.

11. Colleague Evaluation vs Peer Review
• 360 evaluation is not peer review.
• Colleague evaluation is a form of 360 evaluation.
• The 360 evaluation should be with all members of team
contributing, not just peers.
• 360 evaluation is optional for the organization, peer
review is NOT optional for a professional.
• Peer evaluation should not be done with performance
© 2014 Halogen Software. All rights reserved. All contents are confidential.
review.

12. Get the full story on the many faces!
Watch the full webinar to learn about peer review
evidence-based practice principles and processes that
help build professional practice environments and
accountability for nurses in all roles and in all settings.
Watch now!
Visit our website to learn more:
www.halogensoftware.com
© 2014 Halogen Software. All rights reserved. All contents are confidential.