LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 613.02 Credentialing Review Committee
 
  PROCEDURES
  1. The CRC shall meet as needed, but not less than four times in every calendar year.
     
    1. Except under conditions described, all CRC meetings shall be attended only by committee members and are not open to the public or to current or prospective employees
       
    2. Two weeks prior to each meeting, the CC shall notify committee members of the scheduled meeting.
       
    3. Prior to each meeting, the CC shall prepare a meeting agenda. The agenda shall include:
       
      1. Review of credentialing applications for which the CC’s report reveals no adverse findings,
         
      2. Review and discussion of credentialing applications, for which the CC’s report reveals adverse findings
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      3. Approval of credentialing applications,
         
      4. Development of recommendations to address credentialing applications with adverse findings.
         
    4. The CC shall prepare and present all credentialing materials, including the credentialing applicant’s written response, for consideration by committee members. Prior to each meeting, the credentialing documents scheduled for review shall be distributed to the committee members. The credentialing documents shall be marked CONFIDENTIAL, and all receiving personnel shall maintain confidentiality.
       
  2. CRC Evaluation of Applications and Credentials
     
    1. The CRC shall review all credentialing materials and any written response by the credentialing applicant.
       
    2. The CRC may request additional information from the credentialing applicant and pertinent individuals or organizations that may assist the committee in the evaluation process.
       
    3. Upon completion of the review, the committee shall make a recommendation to the LAC-DMH Medical Director.CRC Evaluation of Applications and Credentials.
       
    4. At the completion of the credentialing process, all original credentialing materials shall be retained by the OMD.
       
  3. The CC shall prepare committee minutes, which shall be marked CONFIDENTIAL.
     
    1. The minutes shall reflect the discussion of all relevant issues presented and the consideration of all credentialing materials, including the credentialing applicant’s written response. The minutes shall also include the committee’s recommendation to the Medical Director for each credentialing applicant.
       
    2. Approved committee minutes shall be maintained by the OMD.
       
  4. Notification of Credentialing Applicants
     
    1. The LAC-DMH Medical Director shall notify current and prospective clinical employees and DMH-HRB of the determination.
       
      1. Successful candidates will be notified in writing that they meet LAC-DMH credentialing criteria. DMH-HRB will be notified, by copy of the written notice, of the date of credentialing, thereby establishing a re-credential date (three years after credentialing/re-credentialing)
         
      2. Should there be an adverse preliminary determination against a current clinical employee, the Medical Director will notify him/her of the criteria that were not met and of his/her right to request reconsideration.
         
        1. If reconsideration is not requested within fifteen days, the determination becomes final and DMH-HRB shall perform an employment review in accordance with DMH policy No. 605.1 as well as other personnel policies and procedures that may apply
           
        2. If reconsideration is requested, the Medical Director shall notify the clinical employee of the final determination. Should there be an adverse final determination; DMH-HRB shall perform an employment review in accordance with DMH policy No. 605.01 as well as other personnel policies and procedures that may apply.
           
    2. Should there be an adverse determination against a prospective clinical employee; DMH-HRB shall not proceed with the hiring process.
       
  5. Confidentiality
     
    1. The CRC shall maintain confidentiality regarding all credentialing information