Ongoing competence challenges and validation at reappointment

Once the medical staff and governing board grant a practitioner clinical privileges, the medical staff is then responsible for ensuring that the practitioner maintains current clinical competence for all privileges granted by monitoring and reviewing the quality of care provided by the practitioner and the practitioner’s overall performance. To monitor competence on an ongoing basis, organizations must develop systems to collect and assess performance data to measure the quality of care their practitioners deliver and ensure that the organization permits practitioners to maintain only those privileges they are competent to perform.

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