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Credentialing is the process of obtaining, verifying and assessing the qualifications of a practitioner to provide care or services in or for a healthcare organization. Credentials are documented evidence of licensure, education, training, experience or other qualifications.
Privileging is the process whereby a specific scope and content of a patient care service (that is clinical privileges) are authorized for a healthcare practitioner by a healthcare organization, based on evaluation of the individuals' credentials and performance.
A "privilege" is defined as an advantage, right or benefit that is not available to everyone. These are rights and advantages enjoyed by a relatively small group of people, usually as a result of education and experience.
All advanced practice providers must go through the Medical Staff Office credentialing and privileging process to practice at Children's Hospital Colorado.
The rules for advanced practice nurse (APRN) prescriptive authority changed in 2015 in Colorado, allowing new graduate APRNs (with at least three years of combined RN/APRN experience) to obtain provisional prescriptive authority upon graduation from an accredited graduate program, acceptance on the State Board of Nursing (SBN) Advanced Practice Registry, and successful completion of the appropriate Board Certification exam.
APRNs with Provisional Rx authority may begin prescribing upon initiating a 1,000-hour Mentorship Agreement with an MD or APRN-RXN with prescribing privileges.
APRNs are eligible to apply for full prescriptive authority upon completion of the Mentorship and creation of an Articulated Plan for prescribing.
General guidance for APRNs practicing at Children’s Colorado:
What do I do if I am an APN moving to Colorado?
Do I need to apply for a Drug Enforcement Administration (DEA) EA license?
For more information, please email us at AdvancedPractice@childrenscolorado.org.