Medical Staff (MS) (Hospital and Hospital Clinics / Hospitals)
Credentialing and Privileging - Hospital-Based Behavioral Health Care Settings Surveyed Under the Behavioral Health Care Manual
Publish | January 01, 0001
Can Hospital-Based Behavioral Health settings surveyed under the Comprehensive Accreditation Manual for Behavioral Health Care have a separate verification of competence/approval of clinical responsibilities process or must they be integrated with the hospital’s medical staff and credentialing and privileging process?
The organizations are free to decide whether to have a separate process or whether to integrate with the hospital's medical staff and processes. Whichever approach is selected the approach must meet the intent for the standards in the manual under which the organization is being surveyed and when the practitioner is receiving privileges/authorization/clinical responsibilities in multiple settings using a single credentialing and privileging process, it must be clear as to what the practitioner is allowed to do in each setting.
The term "hospital-based" means that the services are under the auspices of the hospital, meet the Joint Commission rules for functional and organization integration and are tailored with the hospital's accreditation survey, regardless of where the services are physically housed.
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