A credentials review summary allows medical staff professionals to document the numerous checks that medical staff and administrative leaders perform on an application. Reviewers use the form to identify their findings and to sign off on the information.
In cases where one or more medical staff leaders is unable to make a positive finding or recommendation, the entire file-along with the medical executive committee's findings and recommendations-will be processed according to the medical staff bylaws.
The credentials review form will be presented to the board or the board's subcommittee prior to formal board action concerning requests for appointment, reappointment, or clinical privileges.
Examples of the "reviews and attestations" that should be documented on the form include the following:
License is current and unrestricted
DEA is current and unrestricted
No prior criminal record identified
NPDB report reviewed; no issues identified suggesting competency problems
Basic medical/other education record reviewed and found normal
Residency training reviewed; no problematic issues of any kind identified
Board status reviewed; no problematic issues of any significance identified
Information from prior clinical practice settings reviewed; nothing identified suggesting problems with clinical practice, behavior, or adherence to medical staff rules identified
To learn more about creating a credentials review summary or to download a free sample, click here.