The organized medical staff reviews and analyzes all relevant information regarding each requ...

TJC MS.17.02.03

Source text

4 segments

TJC MS.17.02.03

The organized medical staff reviews and analyzes all relevant information regarding each requesting physician's or other licensed practitioner’s current licensure status, training, experience, current competence, and ability to perform the requested privilege.

(1)

Decisions on membership and granting of privileges include criteria that are directly related to the quality of health care, treatment, and services.

(2)

Gender, race, creed, and national origin are not used in making decisions regarding the granting or denying of clinical privileges.

(3)

The hospital completes the credentialing and privileging decision process in a timely manner.

Source outline

3 anchors in this source