Things that make you go Hmmmm?! North Carolina Medical Staff Services May 13, 2016 Renee Aird Dengler, RN, MS, CPMSM, CPCS

Scrub Techs, RN 1st Assist and other AHPs Facility Employed Practitioner Employed Practitioner Group Employed

Scrub Techs, RN 1st Assist and other AHPs Does it matter who pays them? Do they need to be credentialed? Do they need to be privileged?

Medical Level of Care CMS – Medical Level of Care https://www.cms.gov/Medicare/Provider-Enrollment- and- Certification/SurveyCertificationGenInfo/downloads/ SCLetter05-04.pdf Not defined by CMS

Medical Level of Care Registered Nurse First Assist May include others: (Anesthesiology Assistant, Radiology Assistant) Credentialed and Privileged through Medical Staff Process FPPE / OPPE

Scrub Techs and other AHPs Scrub Tech, Orthopedic Tech, etc. Credentialed Scope of Practice Human Resources Frequency of evaluation same as an employee

QUESTIONS