A Beginners Guide to Privileging
Although residency and fellowship program director evaluations and recommendations may not be required , it is considered best practice to obtain both . Some accrediting bodies , such as The Joint Commission ( TJC ), require and / or consider it a best practice to perform some type of peer review / professional practice evaluation ( PPE ) for a provider to be considered for renewal of clinical privileges . This would include evaluating privilege volumes along with quality metrics ( e . g ., complications , surgical site infections , mortality , readmissions , case review outcomes etc .); it may also include information pertaining to the number of substantiated patient , family , visitor or staff complaints , grievances or even incident reports , including any validated disruptive behavior incidents a provider has on file , to establish how well a provider has performed their privileges . Requirements for peer review / PPE differ depending on the organization ’ s accreditation .
Core / Primary Privileges
It is common practice to have core or primary privileges listed in the delineation of privileges . These are privileges that any provider who has completed a residency , or fellowship , or other training program should be able to perform upon successful completion of the training program . There are many ways to delineate privileges including : by provider specialty ; by patient risk categories ; utilizing a list of procedures ; and approaches combining these
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