Today’s free resource is a sample policy and procedure for expansion ("Train Up") of  privileges for advanced practice professionals from...

Today, to help medical staff leaders and committees manage the challenges that sometimes emerge as practitioners age, many organizations have developed policies and procedures that include methods for proactively answering questions of competency for late-practice physicians. These policies must...

Many medical staffs fail to screen for conflicts of interest in their decision-making processes, despite the need to ensure clinical decisions are made for the betterment of patient care, rather than for fame, glory, or the bottom line. Joint Commission standard LD.04.02.01 states that conflicts...

In today’s variable healthcare climate, hospitals should take extra pains to assemble a medical staff that’s capable of—and committed to—achieving big-picture patient care and community service goals. Today’s free resource, a sample intended practice plan, supports this effort. Before granting...

In the hospital setting, a completed checklist prefacing a credentials file can demonstrate to department chairs, the credentials committee, the medical executive committee, and the governing board that an application has been thoroughly vetted and properly prepared. Credentialing checklists can...

Whether electronic or paper, checklists can be used to ensure various medical staff applications (e.g., for initial privileges and renewal of privileges) are processed in accordance with all applicable requirements. For MSPs, these tools provide a systematic means of recording and tracking all...

There are a variety of viable ways to approach the delineation of medical history and physical exam (H&P) privileges. Attached is a sampling of core privilege statements for various disciplines. Some address H&Ps in explicit terms, and others use alternative language. 

The Joint Commission has identified the Accreditation Council for Graduate Medical Education’s core competencies as a potential framework for evaluating practitioners who are credentialed and privileged through the medical staff. The competency domains provide the foundation for identifying and...

When moving enrollment activities in house, meticulous organization is essential. Whether you have credentialing software or use simpler computer applications such as Excel or Access, it is important to have solid workflows that allow you to enroll your providers and follow up on the status of...

MSPs and credentialing specialists often have the responsibility to make sure that all of the steps in the credentialing process have been executed in the processing of any particular application. This is a critical responsibility because plaintiff attorneys will often claim that missed steps...

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