Q.  Can the organization utilize a history and physical that has been performed by someone who is not authorized/privileged by the organization? 

A.  The organization can have a policy that would permit the use of a history and physical examination performed by any practitioner permitted by state law.   

In this situation a practitioner who is authorized/privileged by the organization, (as permitted by state law and organization policy) and familiar with the organization’s policy for the defined minimal content of the H & P must:

• review the history and physical examination document;
• determine if the information is compliant with the organization's defined minimal content;
• obtain missing information through further assessment
• update information and findings as necessary, which may include, but are not limited to: 
  • inclusion of absent or incomplete required information
  • a description of the patient's condition and course of care since the history and physical examination was performed
  • a signature and date on any document with updated or revised information as an attestation that it is current.