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# What does it mean when a doctor is not affiliated with a hospital?

- May 3, 2023
- Posted by Kristen Edwards

03 May

Medical credentialing and granting hospital privileges is a crucial step in ensuring the quality of care provided to patients in a hospital setting. It helps to ensure that only qualified and competent healthcare providers are allowed to perform medical procedures and provide patient care in the hospital, which helps to minimize the risk of medical errors, malpractice, and other adverse events. Let’s have a detailed discussion on the topic to comprehend this better.

## What is Hospital Privileging?

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Hospital privileging refers to the process of granting a healthcare provider permission to practice in a hospital setting, usually in the context of performing medical procedures or providing patient care.

Before being granted hospital privileges, healthcare providers must undergo a rigorous vetting process to ensure they meet certain qualifications, such as holding a medical license, having adequate training and experience, and having a clean disciplinary record. This process typically involves submitting an application, providing references and supporting documentation, and undergoing a hospital committee or credentialing board review.

## Difference between credentialing and hospital privileging?

Credentialing and hospital privileging are two separate processes often used to ensure that healthcare providers are qualified and competent to practice in a hospital setting. While they are related, they have distinct differences.

Credentialing is the process of verifying the qualifications and credentials of a healthcare provider, such as their education, training, licensure, work history, and professional references. This process is typically conducted by a hospital’s credentialing committee or a third-party credentialing organization. Credentialing aims to ensure that healthcare providers meet minimum education and training standards and have a clean, professional history.

On the other hand, hospital privileging is the process of granting specific clinical privileges to healthcare providers, such as the ability to perform certain medical procedures or provide certain types of patient care within a hospital setting. The hospital privileges are granted based on the healthcare provider’s qualifications and credentials as determined through the credentialing process.

However, credentialing is the broader process of verifying a healthcare provider’s qualifications and credentials, while hospital privileging is the more specific process of granting clinical privileges within a hospital setting based on the provider’s qualifications and credentials. Both processes are important for ensuring the quality and safety of patient care in a hospital.

## Types of hospital privileges

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Certain types of hospital privileges provide providers special privileges for patient care. Some of them include the following;

- Admitting patient privileges – This gives the authority to providers to prepare their admission into a specific hospital or medical facility.

- Courtesy privileges – This gives authority to providers to treat patients occasionally in a specific hospital or medical facility.

- Surgical Privileges – Enable providers to engage in outpatient treatment and surgical procedures at medical facilities.

## Why do physicians need hospital privileges?

Physicians need hospital privileges to provide medical care and treatment to their patients in a hospital setting. Hospital privileges allow physicians to perform certain medical procedures, such as surgeries and other complex interventions, and to admit and treat patients in the hospital.

Having hospital privileges also allows physicians to collaborate with other healthcare professionals, such as nurses and specialists, to provide coordinated care for their patients. In addition, hospital privileges enable physicians to access important resources and equipment that may not be available in their private practice, such as advanced imaging technologies or specialized medical devices.

For physicians, hospital privileges can also be an important part of their professional development and career advancement. By gaining hospital privileges, physicians can demonstrate their competency and expertise in their field, which can lead to more opportunities for professional growth and recognition.

## Who awards hospital privileges to physicians?

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Hospital privileges are typically awarded by a hospital’s medical staff or credentialing committee, which is responsible for evaluating the qualifications and credentials of healthcare providers seeking privileges.

The medical staff or credentialing committee is composed of physicians and other healthcare professionals who work at the hospital and have expertise in the area of practice for which the healthcare provider is seeking privileges. They review the healthcare provider’s application, which includes information about their education, training, licensure, work history, and professional references.

The committee may also conduct interviews or ask for additional information from the healthcare provider or their references to verify their qualifications and experience. Based on this information, the committee determines whether the healthcare provider meets the hospital’s standards for granting privileges and may grant privileges in specific clinical areas, such as surgery, cardiology, or obstetrics.

The process of awarding hospital privileges is important to ensure that only qualified and competent healthcare providers are granted privileges to practice in the hospital setting and that patient safety and quality of care are maintained.

## Requirement to obtain hospital privileges

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Physicians obtain hospital privileges by completing a credentialing process, which involves submitting an application and providing documentation to verify their qualifications and credentials.

The specific steps and requirements of the credentialing process may vary depending on the hospital and the physician’s specialty but typically include the following:

Application: The physician submits an application to the hospital’s medical staff office or credentialing committee. The application includes information about the physician’s education, training, licensure, work history, and professional references.

Verification of credentials: The hospital verifies the physician’s credentials by contacting their medical school, training programs, licensing board, and other relevant organizations to confirm their qualifications and professional history.

Review by committee: The hospital’s medical staff or credentialing committee reviews the physician’s application and verifies their credentials. The committee may also conduct interviews or ask for additional information to clarify any issues that arise during the review process.

Granting of privileges: Based on the review process results, the committee determines whether to grant privileges to the physician and, if so, what specific clinical privileges to grant.

Once hospital privileges are granted, physicians are typically required to adhere to the hospital’s policies and procedures and to meet certain performance standards to maintain their privileges. The credentialing process is typically repeated at regular intervals to ensure that physicians continue to meet the hospital’s standards for granting privileges.

## What does it mean when a doctor is not affiliated with a hospital?

When a doctor is not affiliated with a hospital, it means they do not have the privilege to admit and treat patients in that hospital. This may be by choice or due to various reasons, such as:

Lack of interest: Some doctors may choose not to have hospital privileges because they prefer to focus on outpatient care or have other professional interests.

Lack of qualifications: In some cases, a doctor may not meet the hospital’s standards for granting privileges, such as not having the required training or experience in a particular clinical area.

Previous disciplinary action: A doctor who has been disciplined by a medical board or has a history of malpractice may not be granted hospital privileges by some hospitals.

Cost or administrative burden: Some doctors may find that the cost or administrative burden of obtaining hospital privileges outweighs the benefits, especially if they do not frequently admit patients to the hospital.

However, it is important to note that not having hospital privileges does not necessarily mean that a doctor is not qualified or competent to provide medical care. Many doctors who do not have hospital privileges still provide high-quality care to their patients in outpatient settings, such as clinics or private offices.

## Conclusion

Hospital privileges are essential for physicians to provide high-quality, comprehensive medical care to their patients in a hospital setting and are an important aspect of their professional practice.

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