Credentialing, Clinical Privileges and Reporting Disciplinary Action to the Department
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.
About this policy
- Policy number
- MI-HSP-HR-06
- Version
- 1.0
- Main rule
- Mich. Admin. Code R 325.45185
- Library
- Michigan hospice · 59 policies
- Category
- Human resources
- Sections
- 17
In short
- 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.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- Show me your credentialing file for this contracted physician.
- Who decides what a nurse practitioner may do for your patients?
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