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Once the decision is made to offer APPs the opportunity to train up, the organization is now ready to determine the policy and procedures necessary to accomplish this goal. Policy considerations should include the following:

Over the past decade, both the number of and need for nurse practitioners have grown. The American Association of Nurse Practitioners' NP Fact Sheet, reports there are more than 248,000 licensed NPs in the United States, and the Health Resources & Services Administration projects the supply of primary care NPs to increase to 110,540 FTEs, up from 57,330 in 2013.

CMS and The Joint Commission require individuals other than licensed physicians who provide a “medical level of care” in the hospital to be credentialed and privileged in the same fashion as physicians. As advanced practice professionals (APP) have a greater presence in medical centers, some questions regarding how to credential and privilege these healthcare professionals naturally arise. This policy and procedure outlines the requirements, application, appointment, and review process.

"Experience teaches us that this is occurring across the country," says Carol Cairns, CPMSM, CPCS. "APPs are expanding skills under the tutelage of their supervising or collaborating physician sponsors. Sometimes this is being done without the organization’s knowledge or approval. If an organization determines it wants to allow APPs to expand their scope of practice, it is imperative that the organization/medical staff develop a process to accomplish this goal.

Published 8/15/18

Using a laundry list or a fragmented privileging system is an extremely inefficient way of complying with FPPE/OPPE requirements, often synonymous with attempting to fit a square peg in a round hole. This is true even when utilizing a privileging system that includes both core/bundle privileging and/or modified laundry list privileging.

Published 8/13/18

New Jersey has two types of “surgery centers.” Of the 300 registered surgery centers, about half are traditional licensed ambulatory surgical centers (ASC). They fall under the jurisdiction of the Department of Health. The other half are registered physician surgical practices, known as “one-room” surgery centers, which fall under the jurisdiction of the New Jersey Board of Medical Examiners.