Every hospital privileging checklist for this query lists the same four categories: application form, case logs, references, primary source verification. All correct, and none resolved to where it matters. A privileging application is not one approval. It is one approval per requested privilege, and a facility's own bylaws set the case-volume threshold, the lookback window, and the peer-reference recency requirement separately for each one under 42 CFR 482.22(c)(6). A checklist that says "case logs" once treats four requested privileges as needing identical evidence, and under most bylaws they don't.
So the Requirement Register by Facility resolves at the privilege level, and where a threshold is a rolling lookback, the Case Volume Evidence sheet computes something a static list cannot. It shows whether the applicant's recent case rate is actually closing the gap, or whether the window's own churn is holding it flat as old cases roll off nearly as fast as new ones arrive. The National Practitioner Data Bank query runs on a separate clock entirely, every two years, whether or not the facility's own reappointment review is on time.
Dr. Priya Osei requested four GI privileges at a fictional facility, Thornwell Regional Medical Center. Three cleared immediately: 187, 164 and 58 logged cases against 50-case thresholds. The fourth, therapeutic ERCP, sat at 61 against a 75-case, 24-month rolling threshold. Rolling that window forward six months at her historical rate moved the total to just 62, since the oldest quarters drop off almost as fast as new ones enter. Clearing 75 within six months needs close to double her historical rate, not more time.
Hospital Privileging Application Checklist