Privileging Basics
Credentialing vs. Privileging
Privileging Challenges
Fun Facts
100

This term refers to the process of evaluating a clinician’s qualifications to perform specific procedures at a healthcare facility.

What is privileging

100

While privileging grants specific permissions, this process verifies a clinician’s licenses, work history and qualifications.

What is credentialing 

100

This common issue in privileging occurs when a clinician lacks sufficient case logs to prove competency in a procedure.

What is insufficient documentation

100

This iconic TV show’s fictional hospital, County General, would likely have a rigorous privileging process for its doctors like Dr. Carter.  

What is ER

200

This governing body in a hospital typically oversees the privileging process to ensure patient safety.

What is the Medical Staff Committee (or Credentials Committee)

200

This is the first step a hospital takes before granting clinical privileges to ensure a clinician’s identity and credentials are legitimate.  

What is primary source verification?

200

This term describes when a clinician’s privileges are restricted due to concerns about their performance or conduct.

What is a focused professional practice evaluation (FPPE)?

200

This type of privileging allows a provider to perform low-risk procedures without extensive oversight

What is core privileges

300

This document, often submitted with a privileging application, outlines a clinician’s education, training, and certifications.  

What is a CV

300

This type of review involves contacting a clinician’s previous peers or training programs.

What is peer review or reference check?

300

This can delay privileging if a clinician has practiced in multiple states, requiring verification from each jurisdiction.

What is multi-state licensure

300

This term describes the temporary privileges granted to visiting specialists, often for teaching or consulting purposes

what is Locum Tenens Privileges


400

This type of privileging allows a clinician to practice temporarily while their full application is under review.

What is temporary privileging

400

Unlike privileging, which is procedure-specific, this process ensures a clinician meets general state and federal requirements to practice.  

What is Licensure 

400

This legal concern may arise if a hospital denies privileges without clear evidence, potentially leading to a lawsuit.

What is due process or discrimination

400

What is the name of the process where a hospital ensures a provider’s skills are observed before granting full privileges

What is proctoring 

500

This federal database is checked during privileging to ensure a clinician has no history of malpractice or disciplinary actions.

What is the National Practitioner Data Bank (NPDB)

500

How often are hospital privileges typically renewed for providers?

Every Two years

500

This complex process requires re-evaluating a clinician’s privileges when they request to perform a new, cutting-edge procedure.

What is proctoring or delineation of new privileges

500

This 1986 U.S. law established the NPDB to improve the privileging process by tracking clinician misconduct nationwide

What is the Health Care Quality Improvement Act