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Metro North Allied Health

Credentialing and defining scope of clinical practice for external allied health professionals

Credentialing is the process used to make a determination about clinicians’ competence, performance and professional suitability to practice safely. Defining scope of clinical practice is a separate process that determines the support services, staff profile, minimum safety standards and
other requirements that ensure clinical services are provided safely and are appropriately supported.

*Some templates within these toolkits contain information that has been designed or adapted to meet local needs. If utilised outside Metro North HHS this toolkit should be considered alongside the overarching policies, implementation standards and guidelines.

Vaccine Preventable Diseases – changes as of 1 July 2016

Any external allied health professional applying for credentialing and defined scope of practice within Metro North HHS after 1 July 2016 is required to provide evidence of vaccination or proof that they are not susceptible
to specific vaccine preventable diseases (VPD).

The Vaccine Preventable Diseases FAQ’s (PDF, 135K) provides some additional details regarding this change. For more information about the policy please visit the mandatory vaccinations page.

Credentialing processes

Proposal and Local Protocol for new service/practice

Use this form when a new service, intervention, or procedure is proposed for a facility which requires an allied health professional to engage in professional practice or clinical practice that isnot traditionally within the scope of their profession and/or has not traditionally been performed within QH/MNHHS.

Application forms

The following forms should be used by external allied health professionals who are not employed by a Hospital and Health Service to apply for credentialing and defined scope of clinical practice within MNHHS facilities.

Referee reports

All applicants must provide at least one (1) professional referee report with their credentialing application (new, re-application and mutual recognition)

Professional supervision of credentialed AHP

All allied health professionals who are credentialed in MNHHS must participate in professional supervision appropriate to their scope of practice with the clinical supervisor named on their credentialing application.

Policy and procedures

The following documents provide the governing framework for credentialing and defining the scope of clinical practice:

Allied Health Credentialing and Defining Scope of Clinical Practice Committee

Contact us

AH Credentialing Committee
p: 3647 9526

Last updated: 18 July 2017