1. Changes to medical staff privileging in British Columbia.
- Author
-
Slater, Jon and Bloch-Hansen, Emma
- Subjects
- *
RADIOLOGISTS , *HOSPITAL medical staff , *MEDICAL personnel , *HEALTH services administration , *ECONOMIC credentialing (Physicians) - Abstract
Changes to medical staff appointment and reappointment are now being introduced in British Columbia under the provincial Privileging Standards Project. Although "privileging" is often treated as a synonym for "credentialing," the two terms have different meanings. Privileging is the process used to request, review, and grant a practitioner permission to undertake defined activities in a specific facility. Credentialing is the process that confirms a practitioner's identity, training, licensure, experience, reputation, and skill. Inquiries in the UK and Canada have shown that some physicians do not restrict their activities to their areas of competence, and that some physicians may be pressured by colleagues to practise beyond their level of competence. After British Columbia's regional health authorities raised concerns about the misinterpretation of CT images by a small number of radiologists, the Ministry of Health asked Dr Doug Cochrane, chair of the BC Patient Safety and Quality Council, to conduct an investigation. In an effort to ensure patient safety and prevent the erosion of public confidence in medical staff, the health authorities and the College of Physicians and Surgeons of British Columbia are now moving to a new system of privileging. This system is based on discipline-specific dictionaries developed by expert panels to delineate core clinical privileges (activities or procedures permitted by virtue of possessing a defined set of credentials) and non-core privileges (activities or procedures requiring additional certification or a period of proctoring). Dictionaries for several disciplines, including diagnostic imaging, have been completed and are now in use. More dictionaries will be developed as the provincial Privileging Standards Project continues. [ABSTRACT FROM AUTHOR]
- Published
- 2014