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Facts about credentialing and verification: Did you know...?

Credentialing & Verification Update, June 4, 2008

Failure to monitor competence constitutes most negligent credentialing cases.
A review of case law shows that the majority of negligent credentialing cases are against hospitals that fully and properly verified a practitioner's credentials upon initial appointment but failed to continue monitoring the practitioner's competence after granting medical staff membership and privileges.*

Requiring applicants to complete applications for reappointment is a crucial step in satisfying the hospital's legal burden to ensure practitioner competence. Although the reappointment process is similar to the process for initial appointment in that each requires the gathering and verification of credentials information, the reappointment process generally looks at the practitioner's capability based upon his or her clinical performance, insurance history, and ability to work with hospital colleagues.

*Source: Negligent Credentialing Lawsuits: Strategies to Protect Your Organization, HCPro, Inc., 2005. 

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