APP privileging: Getting started, assessing competence, and nailing physician oversight requirements

As physician shortages grow, the number of advanced practice professionals (APP) applying for hospital and ambulatory privileges is rising rapidly. Despite this evolution, regulations and internal standards governing APPs’ work remain variable. Some states grant advanced practice registered nurses (APRN) full practice authority, while others permit narrower scopes of service and require a physician to provide direct oversight through a collaborative or supervisory agreement. The vast majority of states require physician assistants (PA) to work under such arrangements. To complicate matters, healthcare institutions may impose stricter practice parameters than those levied by their state.

This is an excerpt from a members-only article. Please log in or become a member to read the complete article.