Criteria-Based Core Privileging: A Guide to Implementation and Maintenance

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Criteria-Based Core Privileging: A Guide to Implementation and Maintenance

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Criteria-Based Core Privileging: A Guide to Implementation and Maintenance

Todd Meyerhoefer, MD, MBA, CPE, FACS

A criteria-based core privileging system ensures consistency, flexibility, efficiency, and objectivity. However, transitioning to core privileges can be a daunting and overwhelming task. Criteria-Based Core Privileging: Guide to Implementation and Maintenance helps take the hassle out of that transition. Acting as a how-to guide, this book provides the necessary steps for medical staff and credentialing leaders to successfully adopt a criteria-based system. In addition, it also lays out a road map to overcome the biggest challenges along the way, including obtaining buy-in from physicians and hospital leaders.

This book will help medical staff leaders:

  • Develop a criteria-based core privileging system that is flexible, efficient, consistent, and objective
  • Identify key tips on how to obtain staff buy-in
  • Identify a clear path of transition to criteria-based privileging
  • Discuss how to apply criteria-based privileging to various practitioner categories
  • Handle privileging requests for new procedures and technology


Table of Contents:

Chapter 1: Credentialing: The Prerequisite of Privileging
Chapter 2: Criteria-Based Privileging: A Better Way to Privilege
Chapter 3: Evaluating Existing Credentialing and Privileging Practices
Chapter 4: Secure Support
Chapter 5: Determining the Scope of the Privileging Project
Chapter 6: Provide Education
Chapter 7: Design Draft Privilege Forms
Chapter 8: Approve New/Revised Forms
Chapter 9: Converting to the New System
Chapter 10: Communicate Current Privileges
Chapter 11: Evaluate Forms Periodically
Chapter 12: Advocate for the Privileging Delineation System


About the Author:

Todd Meyerhoefer, MD, MBA, CPE, FACS, is vice president of medical affairs and chief medical officer of Union Hospital in Dover, Ohio. He previously served as senior vice president of physician alignment for Akron (Ohio) General Health System and as president of the health system’s Partners Physician Group. An experienced physician executive, Meyerhoefer has held various medical staff leadership positions, such as trauma committee chair, bylaws committee chair, and membership on peer review, credentials, and utilization review committees.

In his current role, he is responsible for medical affairs, quality improvement, and physician relations. He advised on the growth and development of Union Hospital’s employed physician group and serves on the board for the hospital’s ambulatory surgery center. He helped reorganize and streamline medical staff office operations; implemented an electronic credentialing process, markedly improving staff productivity; and revamped the physician performance profile process to a digital platform.  Meyerhoefer has twice developed and implemented a core privileging system.


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Published May 2016