{"ref":"MI-HSP-HR-06","title":"Credentialing, Clinical Privileges and Reporting Disciplinary Action to the Department","category":"Human resources","summary":"Sets out how the Agency credentials physicians, nurse practitioners and other medical and allied health professionals and grants clinical privileges, how it re-credentials them, and how it reports disciplinary actions against any licensed or registered health professional to the Department within 30 days as MCL 333.20175(10) requires.","inShort":["Physicians and nurse practitioners are checked and approved before they care for Agency patients, and again every two years.","Practitioners provide only the services the Agency has approved for them.","Tell the Administrator the same day about any discipline, restriction or resignation in lieu of discipline involving a licensed professional.","Michigan requires the Agency to report such actions to the state within 30 days."],"primaryCitation":"Mich. Admin. Code R 325.45185","citations":["Mich. Admin. Code R 325.45185","Mich. Admin. Code R 325.45179","MCL 333.20175(10)-(13)","MCL 333.20173a","Mich. Admin. Code R 325.45173(1)"],"federalCitations":["42 CFR §418.114","42 CFR §418.62","42 CFR §418.64(a)(1)"],"surveyorAsks":["Show me your credentialing file for this contracted physician.","Who decides what a nurse practitioner may do for your patients?"],"forms":[{"ref":"MI-HSP-HR-06-A","title":"Report of Disciplinary Action Against a Licensed Health Professional (worksheet)"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Mich. Admin. Code R 325.45185)","5. Initial Credentialing","6. Re-credentialing and Ongoing Review","7. Allied Health Professionals","8. Reporting Disciplinary Action to the Department","9. Confidentiality of Professional Review","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"mi-hospice","state":"Michigan","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}