

Credentialing is a prerequisite to privileging.

Privileges are facility-specific permits to practise, and must take into account the ability of the facility to support an activity. Credentials confirm a practitioner’s identity, training, licensure, experience, reputation, and skill. While many articles use “privileging” and “credentialing” interchangeably, the terms have different meanings.
#ANOTHER WORD FOR DIAGNOSTIC IMAGING PROFESSIONAL#
In British Columbia, the responsibility for privileging and monitoring is defined in the Hospital Act Regulation.Ī review of the literature about professional self-regulation finds many articles focusing on the credentials required for different disciplines and few on the topic of privileging. Legally, hospitals have an independent duty to grant privileges and monitor the competence of practitioners. It is a cyclical process that involves a review of credentials, experience, judgment, and skill displayed in the permitted activities. Privileging is the process used to request, review, and grant a practitioner permission to undertake defined activities in a specific facility. More dictionaries will be developed as the provincial Privileging Standards Project continues. Dictionaries for several disciplines, including diagnostic imaging, have been completed and are now in use.

This system is based on discipline-specific dictionaries developed by expert panels to delineate core clinical privileges (activities or procedures permitted by virtue of possessing a defined set of credentials) and non-core privileges (activities or procedures requiring additional certification or a period of proctoring). In an effort to ensure patient safety and prevent the erosion of public confidence in medical staff, the health authorities and the College of Physicians and Surgeons of British Columbia are now moving to a new system of privileging. After British Columbia’s regional health authorities raised concerns about the misinterpretation of CT images by a small number of radiologists, the Ministry of Health asked Dr Doug Cochrane, chair of the BC Patient Safety and Quality Council, to conduct an investigation. Inquiries in the UK and Canada have shown that some physicians do not restrict their activities to their areas of competence, and that some physicians may be pressured by colleagues to practise beyond their level of competence. Credentialing is the process that confirms a practitioner’s identity, training, licensure, experience, reputation, and skill. Although “privileging” is often treated as a synonym for “credentialing,” the two terms have different meanings. ABSTRACT: Changes to medical staff appointment and reappointment are now being introduced in British Columbia under the provincial Privileging Standards Project.
