scope:

Purpose.

To update and reissue policy and procedures for the Credentials Review and Privileging Program for the Department of the Navy (DON), per references (a) through (c) and (w), and as part of the DON clinical quality management program. Adverse privileging actions, monitoring, and reporting of practitioner or clinical support staff misconduct and due process (fair hearing and appeals) are addressed in reference (d). Reference (e) through (z) provide additional guidance. This is a complete revision and must be read in its entirety.

Applicability.

This instruction applies to all military (active duty and reserve) and civilian health care practitioners and clinical support staff (as defined in section 5), including those assigned, employed, contracted, or under resource sharing agreements and clinical support agreements with DON activities or who are enrolled in a Navy-sponsored training program.