This is to confirm a healthcare professional satisfies the basic criteria for working in the hospital, establishes criteria for denying applications after the pre-application process, and establishes a process where the rejected healthcare worker can re-apply after the initial denial.
Have a process for rapid credentialing for locums, emergency staff, and short-term employment. This is especially imperative for healthcare staffing vendors!
It is also recommended to have a process to limit the practice of medicine for those healthcare workers who do not follow guidelines or the standard of care is not satisfactory.
Sometimes, an outside medical or surgical specialist may be asked to offer advice or perform a life-saving procedure. In such scenarios, this process should address accommodating that need.
Additionally, granting emergency privileges to healthcare professionals in times of disasters should be considered.
The reluctance of the applicant to provide permission to contact the previous employer or healthcare institution, to provide specific references, or major gaps in insurance coverage are things to be aware of.
A sudden relinquishment of licensure or medical staff membership, sudden loss of privileges in a hospital, suspicious gaps in clinical practice, and short permanent tenure at multiple hospitals can indicate a less than reliable hire.
Over someone's career, certain habits and tendencies become more apparent. An unusually high number of professional liability actions with the final judgment against the practitioner, a history of substance abuse, domestic violence, stalking, or formally unprofessional conduct, having been investigated by the state board of licensure or other healthcare organizations, and evidence of multiple poor program evaluations should raise your eyebrows during the credentialing process.
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