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On Infection Prevention & Control

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Re-Appointing and Re-Privileging During a Disaster

03/30/2020

Robert Campbell, PharmD, director, clinical standards interpretation for hospital/ambulatory programs 

Editor’s Note: This blog post is part of The Joint Commission’s daily communication on issues relevant to organizations managing the COVID-19 pandemic. The full list of FAQs is available here.

If an established provider’s privileges are scheduled to expire during the time of a declared national emergency, such as during the COVID-19 pandemic, The Joint Commission will allow an automatic extension of medical staff reappointment beyond the 2-year period under the following conditions:

  • a national emergency has officially been declared
  •  the organization has activated its emergency management plan
  • extending the duration of providers’ privileges during an emergency is NOT prohibited by state law

The duration of the extension cannot exceed 60 days after a declared state of emergency has ended. It is up to organizations to determine. The organization determines how the extension will be documented.

Additional Resources:
FAQ:  Emergency Management - Requirements for Granting Privileges During a Disaster
FAQ:  Emergency Management – Privileging Requirements When Providing Services via Telehealth Links During a Disaster
FAQ:  Credentialing and Privileging - Temporary Privileges

Robert Campbell, PharmD, is director, Clinical Standards Interpretation Hospital / Ambulatory Programs and director, Medication Management. Prior to these roles, he served as the pharmacist for Clinical Standards Interpretation in the Division of Healthcare Improvement at The Joint Commission. Campbell also surveys as a field representative for The Joint Commission in the Hospital Accreditation and Critical Access Hospital Accreditation Programs and is a reviewer in the Medication Compounding Certification Program. Prior to joining The Joint Commission, Campbell worked in health care organizations and held leadership positions with oversight responsibilities for performance improvement, accreditation readiness, risk management, infection control, medical staff services, as well as inpatient and outpatient pharmacy services.