- CPPA currently partners with 200+ hospitals and medical groups who have contracted with CPPA to implement our Patient Advocacy Reporting System® (PARS) and Coworker Reporting System℠ (CORS) services. These partnerships have led to the creation of CPPA’s repository of more than 3 million patient reports and coworker observations associated with the practices of more than 225,000 physicians, nurses, and advanced practice professionals.
- CPPA employs natural language processing (NLP) to screen reports for clinician-related observations, after which trained staff and faculty review and code reports for specific types of complaints and observations. We assess coder reliability twice annually.
- CPPA calculates separate PARS (patient complaint related) and CORS (coworker observation related) scores for each medical team member using algorithms that weight codes by recency and severity.
- All reports for clinicians with high-risk PARS or CORS scores undergo multiple levels of review by CPPA staff, CPPA faculty, and key partner site clinicians. When systematically aggregated, the codes identify the small subset of clinical team members who model disrespect for others, threaten team performance and create risk, many or most of whom remain unaware without feedback.
- CPPA produces feedback materials including local and national discipline specific comparison data to promote awareness of risk status and behavior/performance change.
- CPPA provides the materials to local leadership to distribute to their peer messengers who have received CPPA training to support effective delivery.
- Confidential interventions commence. The cycle (Steps 1-7) continues with feedback about progress or, if performance fails to improve, suggestion of escalation based on Vanderbilt’s widely adopted tiered intervention strategy illustrated by the Promoting Professionalism Pyramid.