
HealthStream 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 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.
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 ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
View All ProductsTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
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.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsFinally, a comprehensive resource to support collecting, storing, and sharing credentialing data with ease.
View All ProductsHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
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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 MoreMedical credentialing allows healthcare practices to confirm the qualifications of their healthcare professionals. Privileging ensures that physicians have the experience and clinical competency necessary, within their area of medicine, to care for patients. Together, privileging and credentialing ensure patients have access to safe and reliable care. In our Privileging 101 Webinar Series, we go into all the details you need to become a privileging expert. In part five of the series, Privileging 101 - Introduction to Privileges: Part 5 - The Privileging Puzzle, we uncover the documentation required for credentialing and privileging, and how it all comes together to showcase a provider’s qualifications in detail.
Numerous steps and pieces of documentation must be obtained during the credentialing and privileging process. A checklist includes:
These documents all fit together like pieces of a puzzle to demonstrate a provider’s overall qualifications. Some of these terms may be unfamiliar to those new to credentialing and privileging, so let’s examine a few.
It is the responsibility of the accredited organization (hospital, medical center, etc.) to complete PSV. The Joint Commission defines PSV as “Verification of an individual practitioner’s reported qualifications by the original source or an approved agent of that source.” PSV can be conducted in many ways, be it by direct correspondence, documented telephone verification, secure electronic verification from the original source, or reports from credentials verification organizations (CVOs) that meet The Joint Commission requirements.
Selected agencies have been determined to maintain specific items of credential information that are identical to the information at the primary source, these are referred to as Designated Equivalent Sources (DES). DES may be used to verify certain credentials in lieu of using the primary source. Some DES sources are:
These sources determine what method is used to document the primary source and must have information on what PSV was completed, the methodology, who conducted it, what was verified, and the result of the verification. Simply presenting a copy of the license in lieu of evidence of a PSV completed by the organization does not meet the requirement.
Applicants are required to hold a current and active state license to practice. Each state will have different requirements for obtaining licensure, which can be found in the documentation provided by the Federation of State Medical Boards (FSMB). Some states do not accept credential verification services from the FSMB, which means the organization would need to contact the state licensing board directly to obtain primary source verification.
Advanced practice registered nurses, in addition to their state licensure, are required to maintain their registered nursing license, which means both licenses must be verified and kept up to date with no disciplinary action against any license. When you receive verification of a state license, you want to examine the verification closely to ensure you’re not missing any important information, like whether the license is active or if there have been adverse events reported.
The importance of confirming current competence cannot be underestimated. Every accreditation body requires that the current competency of medical practitioners be evaluated and confirmed prior to the granting of clinical privileges.
Accreditation Body | Legal Requirements |
---|---|
CMS |
|
The Joint Commission |
|
DNV |
|
AHAC |
|
AAAHC |
|
At the time of reappointment or renewal, references must be obtained from practitioners who have direct knowledge of how the applicant has performed with their granted privileges and procedures. There is no substitute for recommendations provided by knowledgeable practitioners, like department chairs, chiefs of staff, or chief medical officers.
All of this information correlates to current and/or ongoing competency for requested privileges, which is why keeping it up to date is of the utmost importance. Documentation on education and training, malpractice or liability history, all of it, must be verified at initial and reappointment every time, through a primary source. This is how Medical Service Professionals (MSPs) can ensure their providers are up to the task.
Most hospitals and healthcare organizations re-credential their physicians every two years, the same goes for granting privileges. Case logs, procedure reports, and peer reviews all go into building a physician profile to ensure they are qualified to continue providing care. Meeting the requirements established by the medical staff and accreditation bodies to confirm current competency is critical in ensuring patient safety.
To learn more about the documentation must be obtained during the credentialing and privileging process, be sure to watch our webinar, Privileging 101 - Introduction to Privileges: Part 5 - The Privileging Puzzle.
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