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Year : 2015  |  Volume : 2  |  Issue : 2  |  Page : 61-68

Criteria-based core privileging: Best form of privileging

Medical Processes, Fortis Healthcare Limited, Gurgaon, Haryana, India

Correspondence Address:
Dr. Akash Sud
Fortis Healthcare Limited, Gurgaon, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2319-1880.174351

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Hospitals are accountable and responsible for all activities & services provided by the individual healthcare providers within their premises. The primary objective of Credentialing & Privileging process is to ensure that hospital and healthcare providers provide services, which are appropriate in scope and quality of their practice. While credentialing involves obtaining, scrutinizing and verifying the qualifications, experience & professional standing of medical practitioners, to judge their competence, privileging is the right of a medical practitioner to provide specific medical care consistent with his/her training, experience and competency. Of the various methods of privileging, Criteria-based core privileging incorporates predefined criteria in conjunction with clinically realistic, well-defined core privileges. This is a scientific approach to privileging in which the privileges for each specialty are predefined and divided into two categories: a) Core Privileges: Privileges that a fully trained, entry-level medical practitioner is qualified to do in a particularly specialty on completing an approved training program. b) Specific (Additional/Non-Core Privileges): Procedures that go beyond the core that would require additional training and/or experience are covered by additional specific privileges. Practitioners who meet predefined criteria are eligible to apply for core privileges, and those who can document additional training and experience may request special (or noncore) privileges. Advantages of Criteria Based Core Privileging are: scientific approach with clearly defined criteria, consistency, and practicality with ease of operationalization. High attrition rates & frequent hiring of medical staff also makes Criteria Based Core Privileging the most suitable form of privileging for Indian Healthcare scenario.

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