to main content History and Physical--Non-Credentialed Practitioners | Ambulatory | Provision of Care Treatment and Services PC | The Joint Commission
History and Physical--Non-Credentialed Practitioners

Can the organization utilize a history and physical that has been performed by someone who is not privileged by the organization?

Any examples are for illustrative purposes only.

The organization can have a requirement, such as in the medical staff rules, regulations or bylaws, that would permit the use of a history and physical examination performed by any practitioner permitted by state law. In this situation a practitioner who is privileged by the organization, permitted by state law,  organization policy and familiar with the organization's requirements for the history and physical must do the following:
review the history and physical examination document
determine if the information is compliant with the organization's history and physical policy/bylaws/rules and regulations
obtain missing information through further assessment and update information and findings as necessary, which may include, but are not limited to:
  • inclusion of absent or incomplete required information,
  • a description of the patient's condition and course of care since the history and physical examination was performed, and 
  • a signature and date on any document with updated or revised information as an attestation that it is current.
Manual: Ambulatory
Chapter: Provision of Care Treatment and Services PC
First published date: March 21, 2019 This Standards FAQ was first published on this date.
This page was last updated on November 01, 2021
Was this response helpful?

If no, please comment on how we could improve this response.

If you have additional standards-related questions regarding this topic, please use the Standards Online Submission Form

Get Extra Help with Books and E-books

Browse our gallery of books and e-books to find trusted prep and readiness resources, practical checklists and toolkits, and resources on specialized health care topics.

Stay Informed with Online Education

Online education is the most convenient and cost-effective way to educate your staff and minimize expenses without the need to leave your organization.

Reach Your Safety Goals with eProducts

Assessing and sustaining compliance with accreditation standards or CMS CoPs can be a challenge, but it doesn’t have to be. Rely on our proven software solutions developed by our team of industry experts.

Can't Find What You're Looking For?

If you do not find an answer to your question, please contact the Standards Interpretation Group (SIG).

Note: To provide adequate support to those organizations that are either accredited/certified or seeking accreditation/certification, we will only answer those questions submitted by those organizations seeking accreditation/certification or currently accredited/certified by the Joint Commission. The Joint Commission no longer answers questions submitted by students or vendors. Thank you for your understanding.