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CMS releases guidance on hospital privileging.

Credentialing Resource Center Connection, November 18, 2004

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In a much-anticipated, four page memorandum, the Centers for Medicare & Medicaid Services (CMS) has spelled out what hospitals must do to ensure their medical staff privileging system meets federal requirements.

A hospital's medical staff must individually evaluate each practitioner and determine that he or she has the qualifications and demonstrated competencies to perform all of the specific privileges granted, CMS said in a November 12 letter to its state survey agency directors.

"The hospital's governing body must ensure that all practitioners who provide a medical level of care and/or conduct surgical procedures in the hospital are individually evaluated by its medical staff and that those practitioners possess current qualifications and demonstrated competencies for the privileges granted," CMS said in a summary of its privileging position.

For a copy of the CMS memo, click on "CMS requirements for hospital medical staff privileging" on the credentialing/privileging Web page at HCPro.com.

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