Are you thinking of bringing in a new associate or an Allied Health Professional to enhance your practice? Will you need coverage for your office while you’re away? Credentialing new applicants will take time so it is wise to plan ahead.

 

How can I apply for membership & clinical privileges?
Practitioners seeking Medical Staff or Allied Health membership and clinical privileges should contact the Medical Staff Services Department to request an application.

 

I already have privileges at a Cleveland Clinic Regional Hospital, do I still need to apply to your facility?
Yes, you will still be required to complete some, or all of the required paperwork.

 

What paperwork will I need to complete?
If you are already a member at Euclid, Hillcrest, Huron, and South Pointe, credentialing documents can be shared, if they are current (within one year). This includes the application, primary source verifications, and references. Each hospital has “hospital specific” forms that you will be required to complete.

South Pointe Hospital has a “Pre-Application” screening process. Each applicant is required to complete a Request for Application Questionnaire whether or not they are already on staff at another Cleveland Clinic Regional Hospital.

 

I want to apply at Euclid, Hillcrest, or Huron Hospital. Do I have to contact each Medical Staff Office?
No . . . you will only need to contact the Medical Staff Services Department at the facility that you believe will be your primary hospital . The Medical Staff Services Professional will take all your information and will contact each facility where you intend to apply.

 

Why a pre-application process?
A “Request for Application Questionnaire” is an objective-screening tool used for potential applicants. This process helps identify relevant issues, i.e., does the applicant meet board certification requirements, is the applicant applying to a specialty that is currently covered by an exclusive contract, etc. Individuals who do not meet the threshold criteria are ineligible to receive an application.

 

Where do I send the completed Request for
Application Questionnaire?
Your Request for Application Questionnaire should be returned to the Medical Staff Services Department at South Pointe Hospital.

 

I submitted my completed Request for Application Questionnaire,
what next?
Once the Medical Staff Services Department receives a completed Request for Application Questionnaire, iIt will be forwarded to the President for review and approval. Once approved, the Medical Staff Services Professional will then forward an application to you.

 

I received an application, what will I need to complete and what should I include?
Once you have received an application for membership and clinical privileges, you will need to complete the application in full. Applications should be typewritten or printed. Every blank must be completed or filled in for the application to be considered complete. An attached CV will not be accepted in lieu of completion of any part of this form.

In addition to completing the enclosed forms and documents, remember to include the following along with your completed application:

• Application fee
• CV
• Photograph
• Complete work history (Must include month/year. Any gaps of 30 days or more must be fully explained)
• Copy of license(s)
• Copy of DEA license
• Copy of professional liability insurance certificate
• Copy of degree(s) and training certificate(s)
• ECFMG Certificate (if applicable)
• Documentation of current TB Test (within one year)
• Supporting documentation of training, current competency for any special privileges requested
• Copies of CME Certificates for the past two years (related to your specialty) or completion of CME log

 

 

Where do I send my completed Application?
Your application should be returned to the Credentials Specialist in the Medical Staff Services Department at South Pointe Hospital.

 

You have my application, when can I begin to see
patients in the hospital?
All applicants will go through a comprehensive credentialing process approved by the Medical and Regulatory Affairs Committee (MRAC) of the Board. This process includes multiple steps, i.e., verification of all information in the application, and typically takes a minimum of 30 days to complete. Applicants are not able to see patients in the hospital until all information is verified and a favorable recommendation has been received from the Credential Committee at their next regularly scheduled meeting.

 

Can I have temporary privileges while the information
is being verified?
Temporary privileges cannot be granted during the verification process. At the request of the applicant, temporary privileges can be considered only after a completed file has received a favorable recommendation by the Credentials Committee. This is an accreditation and Medical Staff Bylaws requirement.

 

Credentials Committee has reviewed my application,
can I begin seeing patients?
The approval process includes multiple steps and typically takes a minimum of 30 days to complete. The Credentials Committee will forward their recommendation to the next regularly scheduled Medical Executive
Committee, followed by their recommendation to the next regularly scheduled Medical and Regulatory Affairs Committee for final approval.

 

When necessary, to expedite the process, temporary privileges can be considered at the request of the applicant once the Credentials Committee has made a favorable recommendation.

 

How will I know when final approval has been given?
You will be notified by letter, of the Medical and Regulatory Affairs Committee’s approval, from the President within 1 week from the date of approval.