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Tip of the Week: Granting, renewing, and revising privileges

Credentialing Resource Center Connection, March 15, 2007

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The Joint Commission requires that certain criteria are evaluated before a hospital can grant, renew, or revise a physician's privileges. While hospitals may add additional criteria at their own discretion, the following must be evaluated:

• Challenges to Licensure
• Voluntary and involuntary relinquishment of license or registration
• Voluntary or involuntary termination of medical staff membership
• Voluntary and involuntary limitation, reduction, or loss of clinical privileges
• Evidence of an "unusual pattern or an excessive number of professional liability actions resulting in a final judgment" against the applicant
• Documentation of the applicant's health status
• Relevant practitioner-specific data-compared to aggregate data when available

For more on this topic check out "Ready, Set, Credential!" by Nancy C. Lian, CPCS, CPMSM, available at HCPro's Healthcare Marketplace.

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