Provider Credentialing
Complete per credentialing schedule.
- Industry: Healthcare
- Frequency: Per provider / Renewal
- Estimated Time: 1-2 hours
- Role: Medical Staff Services
- Total Items: 31
- Compliance: Joint Commission, NCQA
Primary Source Verification
Verify credentials.
- License verified?
- DEA registration verified?
- Education verified?
- Malpractice history checked?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
Medication Safety & Management
Verify medication handling and administration practices
- Medications stored securely and at proper temperature?
- Controlled substances properly secured and counted?
- No expired medications in stock?
- High-alert medications properly labeled?
Environment of Care & Safety
Verify facility environment meets safety standards
- Fire exits clear and unobstructed?
- Emergency equipment functional and accessible?
- Spill kits available and stocked?
- Electrical cords and outlets in safe condition?
Documentation & Regulatory Compliance
Complete assessment documentation and ensure regulatory compliance
- All findings documented with evidence?
- Corrective actions assigned with timeline?
- Staff education provided on identified issues?
- Assessor Signature
- Additional Observations
Related Healthcare Checklists
- Informed Consent Audit
- Radiology Compliance Audit
- Ethics Consultation Review
- OSHA Healthcare Standards Audit
- Medication Administration Safety Checklist
- Patient Fall Prevention Assessment Checklist
- Hand Hygiene Compliance Audit Checklist
- Surgical Site Marking & Time-Out Checklist
Related Healthcare Compliance Checklists
- OSHA Healthcare Standards Audit - FREE Download
- CMS Conditions of Participation - FREE Download
- Medical Record Audit - FREE Download
- Emergency Preparedness - FREE Download
- Pharmacy Compliance Audit - FREE Download
- Laboratory Compliance Audit - FREE Download
- Informed Consent Audit - FREE Download
- Radiology Compliance Audit - FREE Download
- Ethics Consultation Review - FREE Download
Why Use This Provider Credentialing?
This provider credentialing helps healthcare teams maintain compliance and operational excellence. Designed for medical staff services professionals, this checklist covers 31 critical inspection points across 7 sections. Recommended frequency: per provider / renewal.
Ensures compliance with Joint Commission, NCQA. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Provider Credentialing cover?
This checklist covers 31 inspection items across 7 sections: Primary Source Verification, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management, Environment of Care & Safety, Documentation & Regulatory Compliance. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed per provider / renewal. Each completion takes approximately 1-2 hours.
Who should use this Provider Credentialing?
This checklist is designed for Medical Staff Services professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.