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Understanding Licensing, Accreditation, Certification, and Privileging
Understanding Licensing, Accreditation, Certification, and Privileging

21.11.2021

Licensing

Licensing is the formal recognition by a regulatory agency or body that a person has passed all the qualifications to practice that profession in that state. Typically, licensure requirements include some combination of education, training and examination to demonstrate competency. Licensure requirements also involve continuing education, training, and, for some, periodic re-examination. If a practitioner licensed in one state seeks licensure in another state, the existing license and any disciplinary records are considered as part of the licensing process in the new state.
 

Privileging

Like credentialing, privileging typically arises in the healthcare context for hospitals, HMOs, and other healthcare providers to allow a practitioner to practice in or in a capacity associated with their institution. The granting of privileges to a practitioner will define the scope of permitted activities the practitioner may engage in while at the facility. A practitioner’s credentials are checked as part of the privileging process.
 

Certification

Certification is a credential that a practitioner may seek in addition to their primary qualifying degree and examination. For example, a physician may seek certification in a specialty (e.g., emergency medicine) in addition to his or her medical degree. Certifications are generally administered by national boards that specify the education, training, competency, and examination requirements to achieve certification and re-certification. Certification may or may not be required as part of the licensure process.
 

Accreditation

Accreditation is recognition by an independent professional organization or nongovernmental agency that a healthcare entity has met predetermined standards.

Note: This document was compiled from June–December 2011 and reviewed May 2013; it reflects the laws and programs current then. It reflects only portions of the laws relevant to public health emergencies and is not intended to be exhaustive of all relevant legal authority. This resource is for informational purposes only and is not intended as a substitute for professional legal or other advice. The document was funded by CDC Award No. 1U38HM000454 to the Association of State and Territorial Health Officials; Subcontractor PI Elliott, Logan Circle Policy Group LLC.

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