WEEK 2: DELINEATION OF CLINICAL PRIVILEGES
How does a hospital medical staff determine that a physician applicant is qualified and competent to
perform all procedures requested on his or her delineation of clinical privileges? By way of process,
what happens next once the medical staff has completed this assessment process? Why is regular
reappointment to the medical staff important for patient safety?
According to this week’s lesson, the credentialing and privileging of physicians or medical staff is the
responsibility of the board of directors.
First step is the credentialing process, which reviews the verification of license, education, training, and
experience (Showalter, 2017) of the candidate. “Medical staff credentialing is one of the most important
tasks boards undertake to ensure quality of care in their organizations” (Boardroom Basics, n.d.). In
order to determine that a physician applicant is qualified and competent, the hospital medical staff
needs to go through the physician’s qualifications to make sure they match up with the requirements
set forth by the hospital. This includes:
• Education
• Residency and fellowship experiences
• Privileges at other healthcare organizations
• Verification of professional liability insurance
• History of any malpractice claims
• Quality of care data collected at other healthcare organizations
• Professional references
• Other information as defined by the healthcare organization
Once a practitioner is credentialed and all this information has been confirmed, the physician’s skills
need to be evaluated to ensure that the candidate is proficient and can competently meet the needs of
the facility. This will take place as part of the privileging process. This process reviews a physician's
capability to deliver specific services and medical procedures (Showalter, 2017).
Regular reappointment of the medical staff is important for patient safety because it ensures that they
stay up to date and relevant on the latest knowledge and techniques. The re-credentialing process is
important because it:
• Helps to increase patient safety
• Provides for a better quality of care
• Reduces the risk of lawsuits that results from medical errors
Sources:
Boardroom Basics. (n.d.). Medical Staff Credentialing. Retrieved from
https://www.mnhospitals.org/Portals/0/Documents/Trustees/briefs-resources/credential.pd
Showalter, J. S. (2017). The Law of Healthcare Administration, Eighth Edition. [VitalSource Bookshelf].
Retrieved from https://online.vitalsource.com/#/books/9781567938777/cfi/277!/4/4@0.00:40.
This study source was downloaded by 100000801755870 from CourseHero.com on 03-13-2022 11:43:49 GMT -05:00
https://www.coursehero.com/file/54078351/HSM542-Week-2-Discussionpdf/
How does a hospital medical staff determine that a physician applicant is qualified and competent to
perform all procedures requested on his or her delineation of clinical privileges? By way of process,
what happens next once the medical staff has completed this assessment process? Why is regular
reappointment to the medical staff important for patient safety?
According to this week’s lesson, the credentialing and privileging of physicians or medical staff is the
responsibility of the board of directors.
First step is the credentialing process, which reviews the verification of license, education, training, and
experience (Showalter, 2017) of the candidate. “Medical staff credentialing is one of the most important
tasks boards undertake to ensure quality of care in their organizations” (Boardroom Basics, n.d.). In
order to determine that a physician applicant is qualified and competent, the hospital medical staff
needs to go through the physician’s qualifications to make sure they match up with the requirements
set forth by the hospital. This includes:
• Education
• Residency and fellowship experiences
• Privileges at other healthcare organizations
• Verification of professional liability insurance
• History of any malpractice claims
• Quality of care data collected at other healthcare organizations
• Professional references
• Other information as defined by the healthcare organization
Once a practitioner is credentialed and all this information has been confirmed, the physician’s skills
need to be evaluated to ensure that the candidate is proficient and can competently meet the needs of
the facility. This will take place as part of the privileging process. This process reviews a physician's
capability to deliver specific services and medical procedures (Showalter, 2017).
Regular reappointment of the medical staff is important for patient safety because it ensures that they
stay up to date and relevant on the latest knowledge and techniques. The re-credentialing process is
important because it:
• Helps to increase patient safety
• Provides for a better quality of care
• Reduces the risk of lawsuits that results from medical errors
Sources:
Boardroom Basics. (n.d.). Medical Staff Credentialing. Retrieved from
https://www.mnhospitals.org/Portals/0/Documents/Trustees/briefs-resources/credential.pd
Showalter, J. S. (2017). The Law of Healthcare Administration, Eighth Edition. [VitalSource Bookshelf].
Retrieved from https://online.vitalsource.com/#/books/9781567938777/cfi/277!/4/4@0.00:40.
This study source was downloaded by 100000801755870 from CourseHero.com on 03-13-2022 11:43:49 GMT -05:00
https://www.coursehero.com/file/54078351/HSM542-Week-2-Discussionpdf/
