Ongoing Professional Practice Evaluation for the outpatient neurology line — continuous, exception-based review of clinician performance rather than a periodic chart-pull scramble.
This page is a deliberate stub. It exists so the concept has a home and a link from the demo hub; the content below is a frame for the real write-up, not the write-up itself. Nothing here is wired to an engine, and no figures, metrics, or scoring rules have been decided.
OPPE is a standing regulatory obligation, and today it is satisfied by periodic manual chart review — expensive, retrospective, and sampled thinly enough that it rarely changes anyone's practice. The interesting question is whether the same review can run continuously and by exception, surfacing only the cases that actually warrant a human reviewer's attention.
That is the same operating principle already used elsewhere in this demo: the machine does the sweep, a clinician adjudicates the exceptions, and the reviewer's judgment feeds back into the rubric.
| Piece | Status | Note |
|---|---|---|
| Case sampling | NEW | Which encounters enter review, and on what cadence. Exception-driven, not random-sample. |
| Review rubric | NEW | The dimensions a reviewer scores. Must be defined by clinicians before anything is built against it. |
| Reviewer surface | EXTEND | A blind-review queue with structured feedback — conceptually adjacent to the audit tooling that already exists. |
| Inter-rater calibration | NEW | Overlapping assignments so reviewer drift is measurable rather than assumed. |
| Trend reporting | NEW | Per-clinician and per-cohort movement over time — the actual OPPE deliverable. |
No sample scores, no clinician names, no synthetic performance data. Fabricated numbers on a page like this get quoted back as if they were real, and a performance-evaluation surface is the worst possible place for that to happen. The figures arrive when the rubric does.