Allied Health Peer Review Case Rating Form: Nurse Practitioner

Abstracting meaningful professional practice evaluation data for advanced practice professionals (APP) is often a challenge given the dearth of available clinical activity information. This tool from HighPoint Health System in Gallatin, Tennessee, is a peer review rating form allowing reviewers to identify core privileges and special procedures for the given specialty that may require additional training and certification. While this form is specifically designed for nurse practitioners, with its accessible formatting and emphasis on scope of practice, it can be easily adapted for other APP disciplines.

Editor's note: This form is featured in the Credentialing Resource Center book, The Credentialing and Privileging Toolbox. The forms in this book also feature tips and advice for implementation from expert MSP Merella Schandl, BS, CPMSM, CPCS. If you are a Platinum Plus member, keep an eye out for exclusive access to selected forms from The Credentialing and Privileging Toolbox, coming your way soon.