Documentation: Mid-Level and Ancillary Staff Privileging (Directions Only)
INFORMATION FOR CLIENT:
Mid-Level and Ancillary Staff(Physician Assistant, Nurse
Practitioner, Esthetician) privileging are addressed as a
part of the Medical Staff Bylaws. Appropriate credentialing
and privileging files must be maintained for every provider
who has been awarded privileges.
Although the governance volume is located in the Policy and
Procedure manual, documentation that surrounds Governance
should be in its own 3 ring binder.
The Governance Volume was created to as a double check to
assure that the organization is completing all of its tasks
The Governance Manual Table Of Contents in the Governance
section of the forms repository has directions for setting up
tabs for the documents which prove you are a business entity;
i.e., articles of incorporation, partnership agreement, etc.
This table of contents on the forms repository is meant for
your separate binder titled Governance.
You can use this area and the other areas (GE.1 through
GE.16) within this volume to indicate to staff and the
surveyor where those documents are filed; i.e., Corporate
Records Book stored in Administrative file, Governance
Binder, Minutes Binder, Drills Binder etc.
You may wish to place blank forms that the organization
utlizes when credentialing and privileging Medical Staff for
membership in the organization. This area could be the
repository for every medical staff credentialing form used.
It is up to you.
This page can be modified without the need of the
consultant's approval. Once you have read these
instructions, and made any modifications, you must click the
Approved By Governing Board