Medical Staff (MS) (Hospital and Hospital Clinics / Hospitals)
Privileging Process - Core or Bundle - Definition and Implementation
Publish | January 01, 0001
Are they any specific issues with using the core/bundle privileging format?
Yes. The definition of the activities that are being covered by the core/bundle terminology, and the implementation of an evaluation to determine that the applicant can be granted each of the activities listed the core privileges.
Definition: The core/bundled privilege must be clearly and accurately defined to reflect specific activities/procedures/privileges to be included in the core terminology, and those activities/procedures/privileges that are outside the core. The core/bundled privilege must be clearly and accurately defined to reflect only activities/procedures/privileges actually performed at the organization. The core/bundled privilege must be clearly defined to reflect activities that the organization believes a majority applicants should be able to perform.
Implementation: Before the core/bundle is granted the organization must evaluate each applicant's education, training and current competence to perform each activity listed in the core/bundle, and any that are assigned outside the core/bundle. It cannot be assumed that every applicant can do every activity listed. There needs to be a clearly defined method for the applicant to request deletion of specific activities if they don't wish for them to be granted. If organization's evaluation determines that the applicant is not competent to perform certain activities, then the organization must modify the core/bundle that is granted to the applicant. In accordance with the medical staff standards the applicant and all appropriate internal and/or external persons or entities (as defined by the organization and applicable law) are notified as to the granting decision, i.e., whether the full core/bundle or a modified bundle has been granted. If the core/bundle was modified, the notification must detail the specific modifications.
Note: The expectation for the evaluation of each applicant's education, training, and current competence to perform each specific activity would be the same if the organization were to use a "laundry list" format for the applicant to select activities
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