full complement of surgical specialties . If the hospital performs bariatric procedures , are those specifically delineated ?
5 . Does the way the privileges are delineated “ match ” the way that providers provide care or practice at the organization ? For example : do the subspecialties in medicine also provide internal medicine services ? If yes , do their privileges reflect this ? Do some general surgeons provide services only in breast care ? Do their privileges reflect this , or do they have the full scope of general surgery privileges ?
6 . Do the criteria for privileges make sense ? Would an experienced medical services professional understand from reading the criteria , what information must be obtained and / or verified in order to show that an applicant meets the criteria for privileges ? For example , a specific procedure could have criteria that states : “ applicant must be able to provide documentation of competency satisfactory to the Credentials Committee .” What exactly does that mean ? Best practice criteria would specifically define the education , training , certification , clinical activity , and outcomes required to apply for a specific privilege or system / group of privileges .
7 . Does the organization have some method for gathering data about the clinical activity of the providers who exercise privileges at the hospital or other healthcare organization ? How do they know if a provider has used a privilege or system / group
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