About the Author |
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vii | |
About the Contributors |
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viii | |
Acknowledgments |
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x | |
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1 | (44) |
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Chapter 1 Credentialing: The Prerequisite of Privileging |
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3 | (10) |
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3 | (2) |
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Principles and Guidelines of Credentialing |
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5 | (4) |
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9 | (1) |
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Best Practices in Credentialing Verification |
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10 | (3) |
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Chapter 2 Clinical Privileging: The Regulatory Requirements |
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13 | (4) |
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Chapter 3 Criteria-Based Core Privileging: A Better Way to Privilege |
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17 | (28) |
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Approaches to Privileging |
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17 | (4) |
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Why Criteria-Based Core Privileging? |
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21 | (2) |
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Sample Policies and Forms |
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23 | (22) |
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PART II DEVELOPING AND IMPLEMENTING CORE PRIVILEGES |
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45 | (54) |
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Chapter 4 Getting to the Core: Customizing Criteria-Based Core Privileges for Your Organization |
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47 | (18) |
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An Overview of Developing Core Privileges |
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47 | (2) |
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Step 1 Secure formal MEC/credentials committee support |
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49 | (2) |
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Step 2 Research, Research, Research |
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51 | (4) |
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55 | (2) |
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57 | (6) |
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Step 5 Conduct an Administrative Review |
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63 | (2) |
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Chapter 5 Implementing Core Privileges |
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65 | (4) |
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Chapter 6 Core Privileging and Focused Professional Practice Evaluation |
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69 | (8) |
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69 | (1) |
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70 | (1) |
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Step-by-Step Process to Achieve FPPE |
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71 | (1) |
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10-Step Process for Developing FPPE Policies and Procedures |
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72 | (5) |
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Chapter 7 Controversies and Challenges |
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77 | (14) |
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Crossover Privileges, or `Turf Battles' |
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77 | (2) |
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Can Different Specialties Use Different Criteria for the Same Privilege? |
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79 | (1) |
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80 | (2) |
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Privileging by the Numbers |
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82 | (2) |
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Do Departments `Own' Privileges? |
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84 | (1) |
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Departmental Terriotrialism |
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85 | (1) |
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Write-In Privilege Requests |
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85 | (1) |
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86 | (1) |
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Exercising Privileges Selectively |
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86 | (1) |
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87 | (1) |
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Low- or No-Volume Practitioners |
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87 | (1) |
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88 | (1) |
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`Who Did You Meet With, and Why Wasn't It Me?' |
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89 | (1) |
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Managed Care Organizations and Privileging |
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90 | (1) |
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Chapter 8 Core Privilegeing Questions and Answers |
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91 | (8) |
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PART III SAMPLE CORE PRIVILEGE FORMS AND PROCEDURES LIST |
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99 | (560) |
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Chapter 9 Introduction to the Core Privilege Forms |
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101 | (4) |
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Sources Used to Develop the Core Privilege Forms |
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101 | (1) |
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Customizing the Core Privilege Forms |
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101 | (1) |
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102 | (3) |
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Chapter 10 Specialty Core Forms |
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105 | (248) |
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Allergy/Immunology Clinical Privileges |
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106 | (4) |
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Anesthesiology Clinical Privileges |
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110 | (10) |
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Colon and Rectal Surgery Clinical Privileges |
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120 | (6) |
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Dentistry Clinical Privileges |
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126 | (5) |
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Dermatology Clinical Privileges |
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131 | (10) |
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Emergency Medicine Clinical Privileges |
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141 | (7) |
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Family Medicine Clinical Privileges |
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148 | (11) |
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General Surgery Clinical Privileges |
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159 | (16) |
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Hyperbaric Medicine Clinical Privileges |
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175 | (5) |
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Internal Medicine Clinical Privileges |
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180 | (8) |
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Medical Genetics Clinical Privileges |
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188 | (4) |
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Neurology Clinical Privileges |
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192 | (14) |
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Nuclear Medicine Clinical Privileges |
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206 | (4) |
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Obstetrics and Gynecology Clinical Privileges |
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210 | (15) |
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Ophthalology Clinical Privileges |
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225 | (7) |
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Oral and Maxillofacial Surgery Clinical Privileges |
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232 | (8) |
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Orthopedic Surgery Clinical Privileges |
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240 | (17) |
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Otolaryngology Clinical Privileges |
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257 | (7) |
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Pathology Clinical Privileges |
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264 | (9) |
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Pediatric Clinical Privileges |
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273 | (7) |
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Physical Medicine and Rehabilitation Clinical Privileges |
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280 | (7) |
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Plastic Surgery Clinical Privileges |
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287 | (10) |
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Podiatry Clinical Privileges |
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297 | (9) |
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Psychiatry Clinical Privileges |
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306 | (9) |
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Radiology Clinical Privileges |
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315 | (17) |
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Thoracic Surgery Clinical Privileges |
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332 | (9) |
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Urology Clinical Privileges |
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341 | (12) |
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Chapter 11 Subspecialty Core Forms |
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353 | (306) |
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Adolescent Medicine Clinical Privileges |
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354 | (4) |
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Cardiac Surgery Clinical Privileges |
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358 | (9) |
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Cardiovascular Disease (Cardiology) Clinical Privileges |
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367 | (16) |
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Critical Care Clinical Privileges |
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383 | (5) |
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Developental/Behavioral Pediatrics Clinical Privileges |
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388 | (4) |
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Endocrinology Clinical Privileges |
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392 | (4) |
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Gastroenterology Clinical Privileges |
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396 | (7) |
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Geriatric Medicine Clinical Privileges |
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403 | (4) |
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Hematology/Oncology Clinical Privileges |
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407 | (7) |
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Infectious Disease Clinical Privileges |
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414 | (6) |
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Medical Toxicology Clinical Privileges |
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420 | (4) |
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Neonatal/Perinatal Medicine Clinical Privileges |
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424 | (5) |
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Nephrology Clinical Privileges |
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429 | (8) |
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Neurodevelopmental Disabilities Clinical Privileges |
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437 | (4) |
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Neuromusculoskeletal Medicine/Osteopathic Manipulative Medicine Clinical Privileges |
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441 | (4) |
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Neurological Surgery Clinical Privileges |
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445 | (14) |
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Occupational and Environmental Medicine Clinical Privileges |
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459 | (5) |
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Pain Medicine Clinical Privileges |
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464 | (7) |
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Palliative Medicine Clinical Privileges |
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471 | (4) |
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Pediatric Anesthesiology Clinical Privileges |
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475 | (4) |
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Pediatric Cardiology Clinical Privileges |
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479 | (8) |
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Pediatric Cardiothoracic Surgery Clinical Privileges |
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487 | (6) |
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Pediatric Critical Care Medicine Clinical Privileges |
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493 | (5) |
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Pediatric Dentistry Clinical Privileges |
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498 | (6) |
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Pediatric Emergency Medicine Clinical Privileges |
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504 | (6) |
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Pediatric Endocrinology Clinical Privileges |
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510 | (4) |
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Pediatric Gastroenterology Clinical Privileges |
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514 | (6) |
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Pediatric General Surgery Clinical Privileges |
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520 | (9) |
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Pediatric Heatology/Oncology Clinical Privileges |
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529 | (5) |
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Pediatric Infectious Diseases Clinical Privileges |
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534 | (4) |
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Pediatric Nephrology Clinical Privileges |
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538 | (6) |
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Pediatric Neurosurgery Clinical Privileges |
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544 | (6) |
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Pediatric Ophthalmology Clinical Privileges |
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550 | (7) |
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Pediatric Orthopedic Surgery Clinical Privileges |
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557 | (7) |
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Pediatric Otolaryngology Clinical Privileges |
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564 | (5) |
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Pediatric Pulmonology Clinical Privileges |
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569 | (6) |
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Pediatric Radiology Clinical Privileges |
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575 | (10) |
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Pediatric Rehabilitation Medicine Clinical Privileges |
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585 | (5) |
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Pediatric Rheumatology Clinical Privileges |
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590 | (4) |
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Pediatric Urology Clinical Privileges |
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594 | (8) |
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Pulmonary Medicine Clinical Privileges |
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602 | (6) |
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Radiation Oncology Clinical Privileges |
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608 | (6) |
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Rheuatology Clinical Privileges |
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614 | (5) |
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Sleep Medicine Clinical Privileges |
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619 | (4) |
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Sports Medicine Clinical Privileges |
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623 | (4) |
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Surgery of the Hand Clinical Privileges |
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627 | (6) |
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Surgical Critical Care Clinical Privileges |
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633 | (6) |
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Surgical Oncology Clinical Privileges |
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639 | (6) |
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Urgent Care Center Clinical Privileges |
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645 | (4) |
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Vascular Surgery Clinical Privileges |
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649 | (10) |
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659 | |
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Appendix A The Medicare CoP and Joint Commission Credentialing and Privileging Standards |
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661 | (20) |
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Appendix B Professional Resources for Developing Criteria: Board Certifications |
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681 | (30) |
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Appendix C Professional Resources for Developing Criteria: Specialty Associations, Societies, Colleges, and Academies |
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711 | |