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Learn MoreFor Medical Services Professionals (MSPs) who are new to the profession, or even seasoned MSPs who are not regularly involved in privileging processes and are interested in a brief refresher, the following are some privilege basics.
"Introduction to Privileges: Part One" of this two-part blog covered Credentialing vs Privileging, the Centers for Medicare and Medicaid Services (CMS) requirements for privileging, and Accrediting bodies and Healthcare Organizations to which privileging is applicable.
Based on the CMS and other Accrediting body requirements (discussed in Part One of this blog), it is best practice to organize privilege forms by specialty, not by medical staff organization departments. If privileges are organized by medical staff organization departments, it may lead to confusion about the criteria/ qualifications required to apply for the privileges. Additionally, organizing privilege forms by medical staff organization departments may lead to very lengthy forms, and also providers who may inadvertently request privileges outside of their specialty or scope of practice. Once privilege forms are organized by specialty, there are certain components that typically should make up each specialty’s privilege form.
Required Qualifications:
At the beginning of a privilege form, before the actual privilege detail, it is best practice to have a section for Required Qualifications.
Privilege Detail:
After the Required Qualifications, next is the actual Privilege Detail. Privilege detail should be written so that privileges with similar criteria and transferable skills are grouped together. Under Privilege detail the privileges are typically categorized as follows:
Since the CMS requires that Core Privileges must be able to be modified, when formatting Core Privilege detail, it is imperative to ensure that the providers requesting privileges as well as the clinical reviewers making recommendations, are able to modify the Core Privileges. On an electronic privilege form, the privileges within the Core Privilege group would need to be listed out individually, so that each privilege detail can be “checked” or “unchecked” as opposed to on a paper privilege form where Core Privileges within a group/paragraph could be crossed out.
Once privilege forms have been developed, medical staff organizations should have a plan for regular review and updating of all privilege forms in order to keep privilege forms relevant and in alignment with current requirements. Some privilege forms will require annual review while others might be reviewed every other year.
Additionally, in between formal review periods, medical staff organizations should have policies and procedures in place for when new procedures/privileges/technology need to be added to their privilege delineations. The medical staff organization must determine that the privilege/procedure in question should be added to the scope of services for the medical staff organization and must develop criteria for what providers will be eligible to apply for the new privilege/procedure.
HealthStream’s learning management system and healthcare training solutions support medical training initiatives and allow for 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 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 & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
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View All ProductsUtilize patient access solutions and advanced reimbursement solutions to manage clinical denials and improve your organization’s reimbursement strategy.
View All ReimbursementExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsOur competency development solutions personalize learning for clinicians to bridge the gap between theory and practice for your nurse residents.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing orientation challenges to easily achieve and maintain certification with our emergency and acute care training solutions.
View All ProductsAs a premier provider of healthcare education, we are committed to promoting safer, more successful surgical and sedation outcomes for each and every patient.
View All ProductsOur solutions are designed to cater to the needs of patients, healthcare professionals, and organizations dealing with illnesses or chronic conditions.
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 workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
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