The government and accrediting bodies have rules and regulations in place to protect the patients. There are rules and regulations that have been put in place for all providers when applying for privileges at a hospital. The reason there are rules and regulations, to ensure patients are receiving treatment from qualified and competent providers. There are many accrediting bodies as well as government agencies that provides rules, regulations, and guidelines to assist in the process …show more content…
If hospitals do not meet the requirements or COPs set by CMS, hospitals would struggle to keep their doors open as a large number of their patients are Medicare patients.
Protecting the Patients
As mentioned previously, the government and accrediting bodies have rules and regulations in place to protect the patients. Conditions of Participation are in place that pertain to the Medical Staff. Organizations are required to have a process in place to assure that the providers entering their facility are competent and qualified to be treating the patients. This is also known as the credentialing process. There are regulations and interpretive guidelines outlined for the medical staff, retrieved from §§https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_a_hospitals.pdf ,
” Interpretive Guidelines § 482.22(2) (a) There must be a mechanism established to examine credentials of individuals perspective members (new appointments or reappointments) by medical staff. The individual’s credentials to be examined must include at …show more content…
It is at the discretion of each organization to meet the requirements set forth by CMS as well as their accrediting body. The first clinical privileges, each organization must have a list of privileges that each individual provider completes. Some organizations use a “laundry list” of privileges whiles others use “bundled”. The privileges on the form must be specific to each organization. Specialty hospitals and surgery centers often use the laundry list of privileges. The trend seems to go back and forth between laundry list and bundled