Medical credentialing is an important, and sometimes legally required, process that health care organizations conduct prior to, and ongoing throughout, employment of its staff. It involves licensure, training, experience, as well as criminal and disciplinary activities.  

The credentialing process can take a significant amount of time and effort, and it is important the person performing the credentialing research primary records sources and utilize consistent search methodologies. Often, hospitals and health care organizations perform their credentialing using in-house staff – a process that can vary by the individual(s) performing the task.

  • Mistakes may reduce the quality of an organization’s health care staff, which can possibly put patient safety, the organization’s brand, fundraising, government, insurance, and The Joint Commission accreditation at risk.
  • Furthermore, under certain state laws, a hospital must prove it took every preventable measure to ensure a physician or nurse was capable before granting them privileges. Hospitals can reduce potential liability and other risks by implementing thorough and consistent credentialing and background checking programs.
Protect patient safety, facilitate compliance and reduce employee attrition costs

Protect patient safety and brand, mitigate risk of litigation by confirming that a provider has the experience and qualifications to treat patients or provide medical care, as applicable, thereby mitigating the risk of a security gap, embarrassment and negligent hiring or retention lawsuit.
Facilitate compliance by verifying professional credential information using a primary source, which helps satisfy The Joint Commission Standards related to credentials verification. Consolidated reports and documentation assists in managing audits efficiently.
Reduce employee attrition costs by using consistent research methodologies to understand a provider’s qualifications, character and their suitability for the role, which helps ensure the provider is a good organizational fit, which reduces staff turnover and related costs.

Credentialing