The purpose of the verification process is to ensure that the information provided by the applicant is accurate and to determine whether the applicant’s credentials meet the organization’s criteria, as outlined in its policies. Verifications are performed at both initial credentialing and...

This sample policy ensures that information regarding each practitioner’s scope of privileges is disseminated and made available to all appropriate internal persons or entities and updated as changes in clinical privileges are made. This policy also lays out the steps a hospital staff member...

Advanced practice professionals play an increasingly important role in today’s healthcare industry. Some states allow independent practice by certified registered nurse anesthetists (CRNA). This form is a focused professional evaluation form that a reviewer/supervising MD may use to assess the...

This spreadsheet, created by Johns Hopkins All Children's Hospital is used by the various departments involved in practitioner onboarding to keep track of important information, including the practitioner's start date. The start date can be adjusted based on when other information in this...

An effective audit tool drives consistent receipt and appropriate processing of all necessary credentialing documents. Conducting regular audits ensures practitioner files comply with accreditation standards and promotes survey readiness. Newly recruited medical staff services leaders can use...

This tool summarizes results from audits of individual credentialing files. Studying this high-level overview can help credentialing, medical staff, quality, and hospital leaders track performance patterns, identify improvement opportunities, and promote compliance with internal and external...

Even the most experienced professionals occasionally make mistakes and miss critical steps—it’s human nature. In the credentialing arena, staff may complete a required activity (e.g., primary source verification of licensure) but forget to document the outcome in the applicant’s file....

The key to successful onboarding is global understanding among program administrators about why the process exists and what effects it has on the practitioner and the organization. In addition, the program’s end users (new practitioners) must learn how to be successful in providing care for...

This tool can be used to capture feedback from the full range of stakeholders who contribute to medical staff appointment and privileging decision-making, from the department chair’s initial recommendation through the governing body’s official authorization. Given its summary of key steps in the...

This is a provider orientation checklist to make sure you get all of the information you need to credential a provider. Although most of the information on the checklist will not come as a surprise, it is helpful to have a visual reminder during the credentialing process to make sure even the...

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