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6 Ways to Quash Privileging Squabbles Among Clinical Staff

By Credentialing Resource Center  
   June 20, 2017

If the involved parties decline the invitation to meet, then each party should be requested to advise the credentials committee, based upon their own knowledge and with reference to the research concerning the amount of education, training, and experience they believe is necessary to perform the procedure safely and effectively.

A firm time period should be identified for receipt of their recommendation.

  1. Have the credentials committee review recommendations. If a consensus was reached, the job of the credentials committee is to test the consensus recommendation against the following criteria:
    • If a physician with this amount of education, training, and experience were granted privileges at this facility, would we be comfortable referring a friend to the practitioner?

      If the answer to this question is yes, the credentials committee should proceed to recommend adoption of the rule.

      If the answer is no, the credentials committee's job is to craft a rule, based upon review of the research and after consideration of the various recommendations that will, in their opinion, serve to ensure safe and effective provision of patient care.
    • It may be necessary to touch base once again with the disputing parties and request that they document their objections to a proposed rule in formal minority reports that can be considered at a later point in the process.
  2. Consider the proposed rule by the medical executive committee with subsequent recommendation (if controversial) to the board of directors. It is absolutely vital at this point that the policies and procedures used by the credentials and executive committees preclude procrastination, end runs, serious consideration of "threats," or departmental filibusters.

    If such activities are tolerated, it is likely that the dispute will escalate into a battle, if not a war.
  3. Codify each of the above steps into a formal policy. This procedure should be used during the development of standards for granting and regranting of clinical privileges.

Such a policy should be recommended by the credentials committee, executive committee, and approved by the board. Once approved by the board, it should be followed absolutely in the resolution of any dispute concerning the granting of clinical privileges.


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