ALBUQUERQUE AREA INDIAN HEALTH SERVICE
ONGOING PROFESSIONAL PRACTICE EVALUATION (OPPE)
Dental Providers
Provider: ________________________________________Specialty:_________________________________________
Evaluation period: ____________________________________
Review type: Biannual review, random selection of charts

Factor
Program Review: Meets or exceeds quality
program standards as defined by the Albuquerque
Area Dental Program Review
Evaluation criteria

Evaluation (* requires further
comment on last page)
Satisfactory (80% or higher)
IHS Indirect quality of care (chart review) tool, sections A
(Every Visit) and B (Examination).
Unsatisfactory*
For dental chiefs/program managers, they will be
evaluated on entire system performance.
Comments:
For dentists, they will be evaluated on
documentation, productivity, and efficiency.
Factor
Quality benchmarks: Achieves established
quality benchmarks for dental programs.
Evaluation Criteria
Data can be retrieved using ADA codes in RPMS/EDR. The
evaluator should evaluate at least 6 of these criteria:
Evaluation (* requires further
comment on last page)
 Satisfactory

1. % of oral surgery performed with informed consent
documented (standard is 100%)
Result:___
2. Broken appointment rate (standard is <23%)
Result:___
3. Patient satisfaction survey score (standard is >90%)
Result:___
4. % of post-surgical complications (standard is <10%)
Result:___
5. % of patients receiving comprehensive treatment
plans (standard is >63%)
Result:___

The provider meets at
least 75% of the
established standards
evaluated
Unsatisfactory
Comments:*
6. % of patients completing planned treatment (standard
is >48%)
Result:___
7. % of basic (Levels I-III) services provided (standard is
80%)
Result:___
8. % of endodontic failures within the past 5 years
(standard is <25%)
Result:___
9. % of periodontal patients completing phase I (nonsurgical therapy, standard should be 75%)
Result:___
10. % of retained restorations within the past two years
(standard is 95%)
Result:___
Continuing education: Meets or exceeds
continuing education requirements.


Factor
Clinical productivity and efficiency: Meets or
exceeds established IHS productivity and
efficiency indicators.
Satisfactory
Unsatisfactory*

Comments:
Evaluation Criteria

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Interpersonal and communication skills:

Participates in at least 50% of Albuquerque Area
continuing dental education conference calls
Result:___
Presents at least one in-service or topic to service unit
staff, on Area CDE calls, or at the Area Dental Meeting
each year.
Result:___

Averages more than 1,926 patient visits (adjust for less
than one full-time equivalent provider) per year
Result:___
Provides 7,000 or more dental services (adjust for less
than one FTE provider) per year
Result:___
Produces more than 10,146 relative value units (adjust for
less than one FTE provider) per year
Result:___
Produces 5.3 or more RVUs per patient visit
Result:___
Produces 10.9 or more RVUs per patient per year
Result:___
Evaluation (* requires further
comment on last page)
 Satisfactory
Responds positively to supervisor’s recommendations and


Meets at least 3 of the 5
standards
Unsatisfactory*

Comments:
Satisfactory
Demonstrates interpersonal and communication
skills that enables him or her to establish and
maintain professional relationships with patients,
families, and other members of healthcare teams
Professionalism: Demonstrates behaviors that
reflect a commitment to continuous professional
development, ethical practice, understanding and
sensitivity to diversity, and a respectable attitude
toward patients, the dental profession, and
society.

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
directions
Fewer than 10 patient complaints within the past year
Fewer than 5 complaints from service unit staff within the
past year
Participates in peer review as requested during this rating
period
Participates on committees as requested N/A during this
rating period
Absence of validated disruptive or unprofessional
behavior
Staff meeting attendance: attended _____of _____ meetings
Observed behavior suggestive of possible chemical
dependency: 
No  Yes*

Unsatisfactory*

Comments:
Satisfactory
Unsatisfactory*

Comments:
Factor
Systems-based practice: Understands the
contexts and systems in which healthcare is
provided and applies this knowledge to improve
and optimize healthcare
Data source
Complies with safety, security, and privacy policies (ongoing
monitoring)
 Usually  Sometimes  Rarely
Evaluation (* requires further
comment on last page)
 Satisfactory
 Unsatisfactory*
Comments:
Arrives to work on time (supervisor/team leader evaluation)
 Usually  Sometimes  Rarely
Arranges proper clinical coverage during planned absences
(supervisor/team leader evaluation)
 Usually  Sometimes  Rarely
Complies with hand-off communication policy (supervisor
evaluation)
 Usually  Sometimes  Rarely
Evaluator’s comments: _______________________________________________________________________________________
Evaluation completed by (name, title):___________________________________________________________________________
Evaluator’s signature and date:_________________________________________________________________________________
Dental Chief/Program Manager’s comments:______________________________________________________________________
Dental Chief/Program Manager signature and date:_________________________________________________________________
Clinical Director comments: ___________________________________________________________________________________
Clinical Director signature and date: ___________________________________________________________________________