What is the purpose of privilege audits and how are they conducted?

• A. To publicly post privileges for each practitioner
• B. To track attendance at credentialing committees
• C. To verify that practitioners perform only approved privileges; may involve chart reviews, peer reviews
• D. To determine a provider's compensation

Answer: (C)

Privilege audits verify that practitioners are practicing only within the privileges they have been granted. The process checks that the actual procedures performed and patient care align with the approved privileges listed in the medical staff bylaws and privileging decisions. Audits are typically done by reviewing patient charts and records to see which procedures were carried out and by whom, often using sampling methods. Peer reviews may be conducted to assess whether the care provided meets the standards expected for those privileges. This approach helps identify any drift or unapproved practice, supports corrective actions or re-privileging when needed, and promotes patient safety and compliance with credentialing requirements.