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View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
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View All ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
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View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsExperience standardized and centralized healthcare credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
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View All ProductsFinally, a comprehensive resource to support collecting, storing, and sharing credentialing data with ease.
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View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreHealthStream regularly publishes guest blog posts like the one below from Vicki Searcy, Vice President of Consulting Services, VerityStream.
I get lots of questions from organizations regarding privileging – and many of those questions relate to how privileging recommendations and decisions are made. One of the more common questions is: The provider does not meet our criteria for privileges – should I ask the provider to withdraw the request?
The following explores situations in which an organization might contemplate asking a provider to withdraw privileges:
When the provider does not meet the written/stated qualifications, the decision can be not to grant the privileges because qualifications were not met. This is not a denial of privileges and is not reportable to the National Practitioner Data Bank (NPDB). Essentially, the organization has not made a determination of whether or not the provider is/is not competent because the provider didn’t meet the eligibility requirements to apply. The documentation for the privilege or group of privileges that will not be granted would include a notation that the provider did not meet qualifications and therefore the privilege(s) were not granted. There would be no disruption to the evaluation and decision-making process. The provider would be notified after the Board decision that privilege(s) were not granted because criteria was not met.
In order to be fair (and avoid challenges that would not easily be defended), the privilege delineation should clearly and unambiguously document the criteria for the privilege(s) in question. For example, if a provider requested privileges that requires specific training (i.e., a residency or fellowship) or clinical activity (must perform 10 procedures during the past 24 months) – this information should be clearly stated on the privilege form. I would not recommend using subjective criteria such as, “applicant must provide evidence of competence acceptable to the Department Chair.”
The provider might have asked for privileges for which s/he meets the qualifications, but it has been determined that because of competency or conduct issues not to grant the privileges.
In this case there are two options: (1) Deny the privilege(s) and make a report to the NPDB; (2) Ask the provider to withdraw the request for those privileges.
If the second option is selected, there are two ways to hand this: (1) the evaluation and decision-making process will need to stop and the request for privileges will need to go back to the applicant so s/he can complete a request for privileges that does not include the privilege(s) in question; or (2) the evaluation and decision-making process can proceed and privilege note(s) can be added to identify that the provider withdrew the request and therefore the privileges were not granted (and supporting documentation to this effect scanned into the software to substantiate the withdrawal).
There may be occasions when a provider fails to meet the minimum clinical activity requirement, education/training requirement or other standard for a specific privilege or group of privileges. The relevant Department Chair may recommend to the Medical Executive Committee and the Board (via the Credentials Committee if one exists) that the requirement in question be waived – and document the specific rationale for why the requirement is recommended to be waived. The individual who is requesting a waiver is responsible for demonstrating that his or her education, training, experience and competence are equivalent to or exceed the requirements that are requested to be waived. Waiving of requirements should be an unusual occurrence, but it is acknowledged that there may be times when patient safety will not be compromised by alternative methods of assuring competency. Waiving of requirements for privileges is always a Board decision. The Board may grant waivers in exceptional cases after considering the findings of the Medical Executive Committee, the specific qualifications of the individual in question, the quality profile of the individual and his or her performance record in the organization (if the credentialing event is a reappointment).
Ultimately, the major consideration and decision should be focused on the best interests of patient care and the community served by the organization.
No individual is entitled to a waiver or to any hearing procedures in the event the Board determines not to grant a waiver. The individual has not received a denial, but rather is simply ineligible to apply for the privileges in question. In the event the Board grants a waiver to any particular individual, that waiver is not intended to act as a precedent for any other provider or group or providers. Each individual request for a waiver should be evaluated on its own merits.
Standardize Your Privilege Delineation, Request, Granting, Monitoring, and Evaluation Processes
Looking for a solution to help streamline this process? Privilege by VerityStream automates the clinical competency lifecycle including the standardization of the delineation, request, recommendation, granting, monitoring and evaluation of clinical privileges.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsLearn more about HealthStream's Provider Credentialing, privileging, & enrollment solutions.
View All CredentialingExperience standardized and centralized healthcare credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
View All Products