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The ACNM Department of Professional Practice & Health Policy frequently receives member requests for assistance with securing credentialing and medical staff privileging. Midwives who are not credentialed and do not have medical staff privileges are often required to admit clients under a physician colleague's name and to have the physician co-sign client history and physical examination documentation.This limitation may impact liability and designated responsibility.
The following is a suggested general approach. Please use as appropriate to your practice.
Review federal regulations and state statutes as they apply to midwifery.
Below is a list of resources prepared by Barbara Hughes, CNM, MS, FACNM, and presented at the 2008 ACNM Annual Meeting. It includes a number of resources that are useful to presenting an application for credentialing and medical staff privileging.
Background Information about CNMs/CMs
CNMs/CMs and Physician Relationships
The following are examples* to assist you during your credentialing process.
*Note: ACNM is not suggesting that this sample document from an individual Colorado institution represents a nationwide model to which CNMs and CMs should aspire. It is important to bear in mind when negotiating regarding privileges, that local practice and state law parameters may be more constraining than would be ideal, though progress on each front can still be made.
Guidance from Charting A Course for the 21st Century: The Future of Midwifery, a joint report from the Pew Health Professions Commission and the University of California, San Francisco Center for the Health Professions (1999), is also instructive:
For further information, please contact the Department of Professional Practice & Health Policy via email or at 240-485-1842.
|ACNM Professional Liability Resource Kit||Resource and Reference Packets|
|Antitrust Resource Packet||Resource and Reference Packets|
|Credentialing and Medical Staff Privileging||Resource and Reference Packets|
|Family Medicine||Resource and Reference Packets|
|Federally Qualified Health Centers||Resource and Reference Packets|
|Home Birth: Resources for Payers and Policymakers||Resource and Reference Packets|
|Indian Health Services||Resource and Reference Packets|
|Rural Health Care||Resource and Reference Packets|