{"version":"0.38.0","built_at":"2026-10-24T19:53:00.313Z","license":"CC BY 4.0 © Mike Reams","canonical":"https://catalog.mikereams.com","capability":{"id":"BC-1850.40","name":"Credentialing & Privileging","level":2,"parent_id":"BC-1850","l1_id":"BC-1850","industry":"healthcare","macro_id":null,"path":["Quality & Patient Safety","Credentialing & Privileging"],"description":"Confirm that every physician and advanced practitioner is licensed, trained and fit to practice before they treat patients, grant privileges that match proven competence, and recheck both on a set cycle. Hiring employees and enrolling clinicians with payers are owned elsewhere.","aliases":["Medical Staff Services","Medical Staff Credentialing","Clinical Privileging"],"in_scope":["Primary source verification of licenses, education, training and certification","Privilege delineation and committee approval","Reappointment and professional practice evaluation","Medical staff bylaws, rules and committee support"],"out_of_scope":["Recruiting and pre-employment checks for employees (see BC-320.30)","Enrolling clinicians with payers so their claims are paid (see BC-1840.60)","Health plan credentialing of network providers (see BC-1870.30)","Mandatory training and certification tracking for staff (see BC-330.50)"],"csdm_note":"Record as a Business Capability realized by a medical staff credentialing Business Application that shares practitioner data with scheduling and the health record; align it to the medical staff office Business Service.","status":"active","successor_id":null,"child_ids":["BC-1850.40.10","BC-1850.40.20","BC-1850.40.30","BC-1850.40.40","BC-1850.40.50"]},"crosswalk":{"realized_by":[],"used_in":[],"patterns":[],"stacks":[],"books":[],"technology":[],"frameworks":[],"principles":[],"data_concepts":[],"domain_events":[]},"ancestors":[{"id":"BC-1850","name":"Quality & Patient Safety","level":1}],"children":[{"id":"BC-1850.40.10","name":"Primary Source Verification","level":3,"child_count":0},{"id":"BC-1850.40.20","name":"Clinical Privilege Delineation","level":3,"child_count":0},{"id":"BC-1850.40.30","name":"Practitioner Reappointment","level":3,"child_count":0},{"id":"BC-1850.40.40","name":"Professional Practice Evaluation","level":3,"child_count":0},{"id":"BC-1850.40.50","name":"Medical Staff Governance","level":3,"child_count":0}]}