As a Medical Service Professional (MSP), you must adhere to a series of rules and regulations to ensure patients are safe. And when it comes to the regulatory and legal aspects of the job, there is a lot to consider when it comes to compliance. We understand how hard this can be, and this is why we created our webinar series, Privileging 101, which provides all the information you need to become a privileging pro.
In this series, we cover everything from the basics to the fundamentals of clinical privileging as well as how to navigate all the regulatory and legal aspects involved. Click here to access the webinar series at any time. In part three of the series, Privileging 101 - Navigating the Regulatory and Legal Aspects of Privileging, we go over the difference between credentialing and privileging, and provide an overview of the many accreditation bodies and their privileging standards. Read on for the highlights of this session.
Credentialing vs. Privileging
Let’s start by clarifying what the difference between credentialing and privileging. Credentialing is the process of assessing and confirming the qualifications of a licensed or certified healthcare practitioner. This includes verification of their education and training, as well as state licensure board certification. Credentialing is an essential process that healthcare organizations and medical practices must perform to ensure those providing services are qualified to do so.
Privileging is the process whereby a specific scope of a patient care services (that is clinical privileges) are authorized for a healthcare practitioner by a healthcare organization, based on an evaluation of the individual’s credentials and performance. Practitioners are granted privileges based on their education and training, which would include completion of medical school, residency, or fellowship depending on their specialty. For example, an internal medicine physician would not be granted privileges to do surgery as their residency training does not include training in any surgical techniques or procedures.
Privileging is required for a few reasons:
When it comes to privileging, all accreditation organizations focus on specific health care organizations and have differing standards. See below for general guidance:
|Accreditation Organization||Health Care Organization||Privilege Standards|
|The Joint Commission (TJC)||
|DNV-GL (Det Norske Veritas, Germanischer Lloyd||Hospitals||
|Accreditation Commission for Health Care (ACHC)||
|Accreditation Association for Ambulatory Health Care (AAAHC)||
|Bureau of Primary HealthCare (BPHC) & Health Resources anf Services Admin (HRSA)||
For full details on the standards requires by each accreditation organization, visit their websites:
Healthcare organizations have a multitude of responsibilities they must abide by, and it’s a lot to keep track of, especially when it comes to regulatory and legal requirements. From the differing standards for each accreditation body, to the multitude of paperwork that must be completed to keep patients safe, having a grasp of all that is necessary to remain compliant takes time. VerityStream is all about providing guidance, so be sure to catch the whole Privileging 101 Webinar series for insight into the entire privileging process. And of course, if you have any questions, you know where to reach us.
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