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Top reasons to automate and standardize clinical privileging

What is Clinical Privileging?

Healthcare organizations often use the term credentialing to describe the process used to make decisions regarding membership and the granting of clinical privileges. The two terms are, however, quite different. Credentialing is the process by which a healthcare organization assesses and confirms the qualifications of a provider. The process ensures that individuals who are providing care are qualified to do so.

Clinical Privileging is the process of authorizing a licensed or certified provider's specific scope of patient care services. This process is performed in conjunction with credentialing and includes the evaluation of an individual’s clinical qualifications and/or performance.

Automating and standardizing privileging is an effective way for your organization to fortify patient care, satisfy providers, and comply with regulations. Privilege, which is part of HealthStream's CredentialStream® solution, empowers you to go beyond simply checking these boxes!

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Ensure Patient Safety

Standardize privileges with a detailed, repeatable process. With Privilege from VerityStream, required qualifications are outlined for primary privileges and each subsequent privilege cluster. Clearly stated requirements set applicants’ expectations and guide the vetting of qualified candidates. The Privilege form library covers all care settings:

  • Hospitals and Health Systems
  • Ambulatory Surgery Centers
  • Urgent Care Clinics
  • FQHCs
  • And more

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Deliver Better Clinical Outcomes and Maximize Reimbursement

The number of times a provider performs a given privilege or procedure is a key element in determining competency. Privilege analyzes this data and delivers volume reports to answer the important question of "how many." This data alignment is made possible by embedded ICD-10 and CPT codes in every privilege form and enables you to:

  • Measure provider volumes against peer populations to garner further insight and meaning
  • Analyze patient-procedure data against provider-privilege data
  • Expose low-volume and performance of non-granted privileges scenarios

Manage Disaster Privileging

The COVID-19 pandemic has upended traditional privileging processes. There is more pressure than ever before to get providers immediately into the field, where their expertise is desperately needed. Privilege, along with our consulting experts, enable you to navigate the complexities of disaster privileging during a National Emergency including;

  • Implementation of Disaster or Temporary privileges with pre-built forms
  • Guidance around telehealth regulations and common practices
  • What to document regarding actions taken to accommodate the exigencies of the crisis
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Mitigate Risk Via Initial Monitoring

When a provider is granted privileges for the first time, he or she may undergo an initial period of focused evaluation. With Privilege, all privilege forms include:

  • Best-practice FPPE or proctoring requirements at the cluster level
  • Ability to streamline and automate the assignment and completion of individual reviews
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Reduce Human Errors

A broad and deep library of criteria-based privilege forms enables you to standardize privileges and removes any guess work. Each privilege form is fully cited and aligned with the most recent industry trends and regulations, and specialty-society guidelines.

  • Keep forms up-to-date and fully coded to support all critical medical staff decisions, including reappointment
  • Our expert consultants do the heavy lifting, so you don’t have to

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Recruit, Onboard, and Retain Higher Quality Physicians

Today’s providers want to focus on patient care—not paperwork. Privilege takes your privileging process online making all data fully transparent and readily accessible to providers and reviewers alike.

  • Applicants benefit from standardized forms across multiple facilities and an efficient application processing
  • Privilege volume reports become a self-guided course correction tool for providers, as needed, and inspire a data-acceptance culture
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Emerge as Best in Class

Your privileging solution will collect massive amounts of data. Privilege converts that data into graphical, easy-to-interpret, actionable insights that will reveal:

  • The efficiency of your privileging processes
  • The consistency of your initial monitoring practices
  • Your providers' volumes compared to those of other "like" organizations

Managing clinical privileges doesn’t have to be hard – HealthStream Credentialing is here to help! We currently serve over 2,500 hospitals and 1,300 outpatient facilities in the U.S. including ambulatory surgery centers, urgent care clinics, and medical groups. We’d like to help you standardize privileges too!

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