Medical Staff Credentialing and Privileging: The Basics and Beyond

Presenter: Carolyn St.Charles, RN, BSN, MBA – Chief Clinical Officer
Date & Time:
October 9, 2020 at 12pm CT


Medical staff credentialing and privileging is a critical function for every healthcare organization.  The process ensures that qualified providers are appointed and reappointed as members of the medical staff, and that providers practice within the scope of their capabilities and expertise.  An effective credentialing and privileging process improves the quality of care that patients receive and lessens the probability of harm.

The webinar will provide a review of credentialing and privileging processes and best practices for both the initial appointment and reappointment process.

 An overview and discussion of the Joint Commission Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) will be presented, including examples of both quantitative and qualitative performance measures


Upon completion of the webinar, the participant will be able to:

  1. Understand negligent credentialing as defined by the courts
  2. Identify essential components of an initial appointment or reappointment application
  3. Describe at least three (3) red flags in an appointment or reappointment application
  4. Define the difference between OPPE and FPPE
  5. Identify the importance of developing performance measures and the different types of measures

Fun Fact:

In the United States: 

  • California has the most active physicians
  • The District of Columbia has the most active physicians per 10,000 population