Sample outpatient internal medicine privileges
Across settings, organizations are granting official practice authorization using delineation of privilege (DOP) forms that are incomplete, or that seem to be so, according to the AAAHC Quality Roadmap 2016. Missing signatures and empty check boxes are often telltale signs of incongruity between codified processes and current practices.
Such omissions support the case for core privileges. Awarding privileges for an entire scope of typical practice, rather than for individual procedures, will ensure that facilities don’t fall out of compliance by failing to check the box for across-the-board privileges. Exclude from the core any special privileges that require additional training or qualifications. In ambulatory surgery facilities and office-based practices, these special privileges may include subspecialty-specific anesthesia services (e.g., cardiac anesthesiology, pediatric anesthesiology, or obstetrical anesthesiology).
Facilities that prefer the laundry-list privileging approach must ensure that there are well-defined criteria for awarding and renewing privileges. For example, whereas core privileging criteria might specify that a practitioner must perform [n] procedures within two years to be eligible for renewal, a parallel laundry-list DOP form might require that the practitioner to perform a cross-section of [n] authorized procedures within that time frame. This free resource is a sample DOP form for outpatient privileges.