CMS and The Joint Commission require individuals other than licensed physicians who provide a “medical level of care” in the hospital to be credentialed and privileged in the same fashion as physicians. As advanced practice professionals (APP) have a greater presence in medical centers, some questions regarding how to credential and privilege these healthcare professionals naturally arise. This policy and procedure outlines the requirements, application, appointment, and review process.

Published 8/15/18

Using a laundry list or a fragmented privileging system is an extremely inefficient way of complying with FPPE/OPPE requirements, often synonymous with attempting to fit a square peg in a round hole. This is true even when utilizing a privileging system that includes both core/bundle privileging and/or modified laundry list privileging.

Published 8/13/18

New Jersey has two types of “surgery centers.” Of the 300 registered surgery centers, about half are traditional licensed ambulatory surgical centers (ASC). They fall under the jurisdiction of the Department of Health. The other half are registered physician surgical practices, known as “one-room” surgery centers, which fall under the jurisdiction of the New Jersey Board of Medical Examiners.

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