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New Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards emphasize the need for hospital executives to continuously evaluate the clinical competence of physicians with medical staff privileges. Many hospital leaders have turned to proctoring to comply with the new JCAHO requirement that they use sound data to monitor practitioners to help avoid liability. The 2007 standards require a level of privileged physician performance data that has not been required in the past, says Robert Marder, MD, vice president of The Greeley Company, a division of HCPro, Inc., in Marblehead, MA.