- Who We Are
- Clinician Employment
- Publications
- Witness to Witness (W2W)
- Kugel & Zuroweste Health Justice Award
- Your Voice Matters: Photovoice Project
Credentialing & Privileging Policy
Health Center credentialing and priviliging policy statement.
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- AppointCredentialPolicies ( 53 Kb )
Employee TB Skin Test
Sample policy on employee TB skin testing.
Files
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- 283 EmployeeTBskintesting ( 22 Kb )
Scope of Medical Practice
Outline of scope of medical practice guidelines.
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- 287 ScopeofMedicalPractice ( 325 Kb )
Request for Clinical Privileges
The intent of this privilege list is to aid in evaluating the abilities and training of applicants and as a general guide to the level of functioning of that provider.
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- 53 RequestforClinicalPrivileges ( 340 Kb )
Primary Source Verification for Clinical Providers
The initial credentialing process must include primary source verification of graduation from an accredited professional school and residency training program and a query of the National Practitioner Data Bank. This outlines the policy and provides a release of information form.
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- 52 PrimarySourceVerificationPractioners ( 26 Kb )
Practitioner Checklist for Reappointment
Checklist of requirements for any practitioner reappointment. Recommended that it be filled out every two years following initial appointment.
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- 51 PractitionerReappointmentChecklist ( 149 Kb )
Physician Checklist for Initial Appointment
Checklist that outlines requirements for any physician’s initial appointment to the health center.
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- 50 PhysicianAppointmentforHiringChecklist ( 157 Kb )
Delineation of Privileges in Family Practice Ambulatory Care
Checklist of Delineation of Privileges in Family Practice Ambulatory Care for applicants or new hires.
Files
Delineation of Privileges in Ambulatory Care
Checklist of Primary Care Practitioner privileges in ambulatory care for use with any applicants or new hires.
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- 45 DelienationofPrivilegesinAmbulatoryCare ( 221 Kb )
Clinical Subcontractor Report Form
This form should be filled out annually by any clinical subcontractors. It outlines licensing, appointment certification and credentialing for any clinical staff that provides services under the subcontract.
Files
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- 49 MedicalClinicalStaffReportForm ( 125 Kb )
