APPENDIX A
CATEGORY I AND CATEGORY II PRACTITIONERS ELIGIBLE FOR APPOINTMENT TO ADVANCED PRACTICE PROVIDER STAFF
Category I APPs: Licensed Independent Practitioners shall consist of the following types of providers:( a) May be granted independent practice as the primary attending service:
1. Certified Nurse Midwife( with backup by sponsoring physician / group)
( b) May be granted independent practice as part of a consulting service, i. e. patient’ s care is otherwise overseen by a physician from another service: 1. Clinical Nurse Specialist; 2. Nurse Practitioner, Palliative Care 3. Nurse Practitioner, Wound Care, 4. Psychologist / Neuropsychologist, 5. Cardiovascular Perfusionist, and 6. Registered Dietician
( c) May be granted independent practice as part of a Hospital Outpatient Department( HOD) 1. Nurse Practitioner( NP), including Family NP( FNP), Psychiatric Mental Health NP
( PMHNP), 2. Psychologist / Neuropsychologist
Category II APPs: Licensed Advanced Dependent Practitioners shall consist of the following types of APPs:( requires Supervising Physician) 1. Anesthesiologist Assistant; 2. Certified Registered Nurse Anesthetist; 3. Physician Assistant; and 4. Nurse Practitioner in admitting / consulting medicine / surgical specialties, i. e., Hospitalist, Critical Care, Gastroenterology, Cardiology, Neurosurgery, Surgery, Surgical Subspecialties, Medical Subspecialties.
5. Neurodiagnostic Intraoperative Monitoring Technician;
Category III Practitioners: Dependent Practitioners( requires Supervising Physician) for which
Credentialing & Privileging Manual applies. 1. Non-Physician Surgical First Assist( Non-physician, Non-PA, Non-APRN) 2. Dental Assistant 3. Ophthalmic Assistant
Category I Practitioners must have a sponsoring physician with appropriate privileges who provides oversight of appointment, care, treatment and services. The sponsoring physician must be willing to support his / her involvement in Patient / Service Encounters during the individual’ s initial appointment term, but a sponsoring physician is not required for reappointment.
Category II APPs are not permitted to function independently in the Hospital setting.
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