CMS SOM App. A, Tag A-0050

§482.12(a)(6) Ensure the criteria for selection are individual character, competence,

training, experience, and judgment; and

Interpretive Guidelines §482.12(a)(6)

The governing body must assure that the medical staff bylaws describe the privileging process to be

used by the hospital. The process articulated in the medical staff bylaws, rules, or regulations must

include criteria for determining the privileges that may be granted to individual practitioners and a

procedure for applying the criteria to individual practitioners that considers:

• Individual character;

• Individual competence;

• Individual training;

• Individual experience; and

• Individual judgment.

The governing body must ensure that the hospital’s bylaws governing medical staff membership or the

granting of privileges apply equally to all practitioners in each professional category of practitioners.

Survey Procedures §482.12(a)(6)

• Verify that there are written criteria for appointments to the medical staff and granting of

medical staff privileges.

• Verify that granting of medical staff membership or privileges, both new and renewal, is based

upon an individual practitioner’s meeting the medical staff’s membership/privileging criteria.

• Verify that, at a minimum, criteria for appointment to the medical staff/granting of medical staff

privileges are individual character, competence, training, experience, and judgment.