How to audit credentialing and privileging practices
Healthcare Auditing Weekly, October 18, 2005
This week, we will continue our discussion of how to audit your organization's credentialing and privileging practices. Last week, we began by outlining preliminary steps for reviewing the structure of the medical staff office's (MSO) credentialing and privileging practices.
Once you have competed the preliminary evaluations, continue by reviewing medical staff bylaws. The medical staff bylaws, rules and regulations, and policies must, according to Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards MS.5.5-MS.5.5.3, define the information that each physician must provide at each appointment and reappointment. This includes
Use JCAHO standards as a benchmark, even if your organization is not seeking JCAHO accreditation. Identify whether the medical staff bylaws require additional information that JCAHO does not.
Next week, we will discuss strategies for developing a checklist to guide your work.
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