If a Hospital Learns That Another Facility Has Sanctioned One of Its Privileged Physicians, How Should the Hospital React to Such a Situation?
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Recredentialing is the process of obtaining and evaluating data to support the continued competence of the healthcare practitioner to provide patient care services in or for a healthcare organization. If the patient suffers an adverse outcome at the hospital, the hospital can be held liable. If the provider has problems that would have been revealed by credentialing, but credentialing was not performed, the hospital may be liable for any patient harm caused by the substandard clinician.
Ironically, it is also one of the most avoidable delays with appropriate planning and due diligence on the applicant’s part.
While employing excellent medical staff is vital for success, the healthcare institution must have medical bylaws that define the required minimum credentialing and privileging requirements to validate the competency of healthcare providers. In the past, only hospitals used to perform credentialing, but today almost all healthcare facilities, ambulatory care centers, long-term care institutions, and even urgent care clinics perform credentialing. Credentialing is a vital process for all healthcare institutions that must be performed to ensure that those healthcare workers who will be providing the clinical services are qualified to do so. There are ample cases reported in the literature about healthcare workers who worked in hospitals with bogus certificated and falsified experience. Over the past 20 years, the credentialing process has become complex and onerous primarily due to the expansion of the provider scope of practice, accrediting bodies, and requirements of third-party payers like Medicare, Medicaid, and private insurers (Barnett SD, 2015).
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