Market Education

Credentialing and Privileging Resources in TIER

The Human Resources component of TIER® Workflow includes a credentialing and clinical privileging process that is fully modifiable to fit your organizations needs including compliance with JCAHO standards. The purpose of clinical privileging is to permit licensed independent practitioners (LIP), who successfully complete the privileging process, the opportunity to practice independently. Clinical staff who are not clinically privileged must participate in some level of clinical supervision.

The first step of the privileging process involves verification of the applicant’s credentials. A Credentials Checklist form is included with TIER® to document this process. A copy of the form is below:

This checklist can be expanded to include additional credentials that need to be reviewed as part of your organization’s clinical privileging process. In addition, the application for appointment and privileging can be added as a form to this portion of the Human Resources component or TIER®’s Scanned Documents file can be used to scan a copy of the completed application in TIER® for reference purposes.

Most organizations establish categories of clinical privileges. Not all treatment modalities or activities are subject to clinical privileging. For example, verbal therapies are typically subject to the privileging process, whereas clinical activities that are associated with basic staff competency such as completion of clinical assessments are not typically subject to privileging unless special knowledge, skill or competencies are required.

A common method of categorizing privileges is to differentiate between modality- specific versus discipline-specific privileges including specialized therapies. The screen below gives examples of typical modality-specific privileges for behavioral health services. Additional modalities can be added by the organizations based on their programs and services and approved treatment modalities and procedures.

Staff may be granted discipline-specific privileges as part of appointment to staff as well as privileges in specific modalities. In addition, staff can privileged in specialized therapies. The following screen is the privileging form for discipline-specific and specialized therapies: