Privileging and FTCA Info for Providers - 2025-01

Types of Privileges Explained

CORE

SUPPLEMENTAL

OPTIONAL

Core Privileges define scope and content of patient care that is consistent with the provider’s training.

All core privileges defined in the Request for Privileges are to be performed by the provider type.

Core privileges are not optional, and providers do not have the discretion to eliminate any of the core privileges from their scope of practice.

Examples of Core Privileges:

• Take, evaluate, and record comprehensive health histories.

• Perform comprehensive physical exams

• BLS

• Reporting of suspected abuse

Supplemental Privileges are privileges that fall outside the primary scope of practice.

They require evidence of specialized training, experience, or credentials to ensure patient safety.

Some supplemental privileges may be granted provisionally, which allows a provider to perform directly supervised procedures at Westside. These privileges are noted on the Request for Privilege – Supplemental Privilege table.

Examples of Supplemental Privileges for Medical Providers:

• Insert IUDs

• Insert/remove Nexplanon

Optional Privileges are based on a provider’s specific training and discretion.

Providers will receive a link to our Optional Privilege Survey during the onboarding and renewal process. They are granted upon request and are tracked on a Smartsheet for scheduling purposes.

Westside does not train providers in Optional Privileges. When completing the Optional Privilege survey, “Yes” should only be selected if the provider already possesses the skills to perform the procedure independently.

Renewal of Privileges

Revision of Privileges

Re-credentialing and renewal of privileges for providers are performed at least every two years by the responsible parties.

Providers must fill out a Request for Privileges based on their specialty, a Malpractice Attestation and Consent, and complete an Optional Privilege survey, as well as provide an updated CV, immunization records and optional privilege survey.

A request for Revision of Privileges may be requested at any time and can be revised upon written request. Any updates made to current privileges will require proper documentation and review by the CMO. Once approved, the provider will be notified in writing and all appointment type Smartsheet will be updated appropriately.

The Privileging Process

1. Before your start date, you will be asked to complete a Request for Privileges unique to your credentials. This request will include core and supplemental privileges. In most cases, you will also receive a link to the Optional Privilege Survey form to be completed online.

2. If you want to request a supplemental privilege for which you are already trained, you may provide evidence of training and request the privilege.

3. If you wish to request a supplemental privilege for which you are not already trained, you should request the supplemental privilege prior to beginning any training.

4. Your credentialing file goes to the CMO and Board of Directors for review. At that time, the CMO determines whether a supplemental privilege will be granted in full or granted provisionally.

5. You will be notified in writing of the privileging decision via a Board Memo Email.

6. If you are granted a privilege provisionally, you will receive a form to document the supervised care.

7. Once the requirements of supervised care are complete, you will return the document to the credentialing department, who will then proceed with giving the request and completed form to the CMO for review.

8. After the CMO has reviewed the request, you will receive written communication regarding the privileging decision.