As a department within Regulatory Services, the Credentials Department is under the direction of the Directors of Credentials, who report to the Vice President of Regulatory Services. The office is open from 8:00 a.m. to 5:00 p.m., Monday through Friday.
The Credentials Department is responsible for credentialing and processing recommendations for the appointments and reappointments/reassessment to the Medical and Allied Health Professional staff, in accordance with the requirements of the NYS Public Health Laws, NYS Department of Health Regulations, the Health Care Quality Improvement Act of 1986, The Joint Commission, and other regulatory agencies.
The Credentials Department implements a specific, structured procedure for the expeditious processing of complete applications for appointment and reappointment. These procedures are designed to ensure that each applicant for membership to the Medical and Allied Health Professional staff receives privileges/job descriptions commensurate with his or her professional license, experience, competence, ability, and judgment. This ensures that Wyckoff Heights Medical Center will provide a single standard of the highest quality of care to our community.
The Health Care Quality Improvement Act of 1986 required the establishment of the National Practitioner Data Bank (NPDB), which requires hospitals to query the NPDB at the time of initial medical staff appointments and the initial granting of clinical privileges as well as at least every two years thereafter. In accordance with this, NPDB inquiries are processed for new appointments. For reappointment and reprivileging, physician specific data generated through the quality management process is incorporated in the decision making process as well as querying the NPDB and other hospital affiliations.
The Credentials Department ensures that only completed applications are presented to the Credentials Committee for review and recommendation to the Medical Board, who then makes recommendation to the Board of Trustees for final decision.