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Tip of the week: Guidelines for determining core versus noncore privileges

Credentialing Resource Center Connection, September 16, 2010

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How do you decide if a privilege is a core versus a noncore privilege? The more complex, unique, and high risk a procedure is the more likely it fall into a noncore category because it goes above and beyond the usual procedures performed in a specific practice area. You can ask yourself the following questions to get a good idea of whether a privilege might be core or noncore.

• Knowledge: Is this procedure based on additional education or training that takes place within a postgraduate training program or hands-on continuing medical education?
• Skill: Does the procedure require a higher level of skill, or does the procedure require regular practice in order to maintain proficiency?
• Judgment: Does the procedure require an especially high level of judgment?
• Risks: Are there significant risks associated with the procedure?
• Complications: Would the practitioner require additional, specific training, skills, and/or techniques to manage any potential complications?
• Technique: Are new or controversial clinical techniques used?
• Equipment: Does the procedure require recently introduced technology or equipment, or does the procedure require additional training, advanced clinical skills, and/or specialized judgment?

This week’s tip is from Ready, Set, Credential, Second Edition, by Nancy C. Lian, CPMSM, CPCS.

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