The mix of definitions of advance practice professionals (APP) often causes confusion in organizations and medical staffs as they determine which level of practitioners require privileges. Some organizations are unnecessarily offering privileges to practitioners that do not require them. In addition to the waste and inefficiency of resources in doing this, remember that you have a definitive obligation to certify competency for all privileges granted. Therefore, don’t grant privileges unless you have to.

 Published 7/19/17

As physician shortages grow, the number of advanced practice professionals (APP) applying for hospital and ambulatory privileges is rising rapidly. Despite this evolution, regulations and internal standards governing APPs’ work remain variable. Some states grant advanced practice registered nurses (APRN) full practice authority, while others permit narrower scopes of service and require a physician to provide direct oversight through a collaborative or supervisory agreement. The vast majority of states require physician assistants (PA) to work under such arrangements. To complicate matters, healthcare institutions may impose stricter practice parameters than those levied by their state.

 Published 7/19/17

In states where advanced practice professionals (APP) must practice under a physician’s tutelage, a collaborative or su­pervisory agreement may be required to delineate the nature of this relationship.

 Published 7/17/17

Carol Cairns, CPMSM, CPCS, discusses what categories of allied health professionals should have clinical privileges.

Answer our latest poll question and let us know if you have had advanced practice professionals (APP) receive training from their supervising/collaborating physician without being approved to do?

Check out (and contribute to) the latest conversations on topics ranging from NPDB self-queries to sedation QA program requirements.

Post your open jobs in front of the most qualified group of professionals in the industry: jobs.hcpro.com.

Use coupon code QualityCandidates for 25% off any product!