The medical staff office, rebuilt — credentialing, privileging, and accreditation in one system
Built for the credentialing office, the CVO, and the medical staff professional. Run intake, primary source verification, committee review, privileging, reappointment, and OPPE/FPPE on a single provider record — and replace the standalone credentialing tool you run today.
Retire your legacy credentialing system. Keep your HCM.
The provider lifecycle belongs in one system. Clinical 360 replaces your standalone credentialing and medical staff office software end to end — intake through ongoing professional practice evaluation — so credentialing data stops living in a silo.
Your Workday, Infor, or Oracle HCM stack stays exactly where it is. The HCM remains your system of record for employees; Clinical 360 owns the credentialed-provider record alongside it. Coexistence, not a rip-and-replace of your HR platform.
The credentialing lifecycle, end to end
Every stage a medical staff professional touches, on one continuous record — no re-keying between disconnected tools.
One continuous record — initial appointment flows straight into reappointment.
One file per provider
The Provider Profile is the centerpiece: every fact about a practitioner, verified and audit-ready, in one place a surveyor can read top to bottom.
Identity
NPI, demographics, and unique provider identity — a strict one-to-one record, no duplicates to reconcile.
Appointment
Medical staff category, department, and appointment dates, with the full appointment and reappointment history retained.
Privileges
Granted clinical privileges by service line, tied to the criteria and committee action that authorized each one.
Credentials & verification
Licenses, board certifications, DEA, and education — each stamped with its primary source verification and date.
Enrollment
Payer enrollment status per plan, so the revenue cycle team can see who is participating where.
Expirables
Every dated item — license, board cert, DEA, malpractice, health requirements — surfaced in one expiry view.
Documents
Application packets, signed attestations, and verification artifacts stored against the provider, not in a shared drive.
Audit
An immutable trail of who changed what and when — the record a surveyor or accreditor expects to see.
Native primary source verification
Verify directly against the source — no third-party aggregator sitting between you and the truth.
What runs on top of the record
The workflows a medical staff office lives in, built around the provider file.
Credentialing committee & MEC
Route files to the credentials committee and Medical Executive Committee with quorum-gated voting — a decision only commits when the seated members actually meet quorum.
Every vote and attestation lands in an immutable log, and the final board decision is captured against the provider record for the next survey.
Recredentialing & expirables
Reappointment runs on an automated cadence — Clinical 360 opens the recredentialing file on schedule instead of waiting for someone to notice a date.
One expirables view spans licenses, board certifications, DEA, malpractice, and health requirements, with pre-expiry reminders that escalate when an item goes unaddressed.
Payer enrollment
Track enrollment status for every payer, for every provider, against the same record that holds their credentials.
No separate spreadsheet — the revenue cycle and credentialing teams work from one source of truth on who is enrolled where.
OPPE / FPPE
Capture ongoing professional practice evaluation on a regular cadence and trigger focused professional practice evaluation when an indicator warrants it.
Outcomes cascade to privileges — a focused review can flag, restrict, or feed the next decision on a provider's clinical privileges.
Peer-review confidentiality, enforced
Peer review only works if the people who shouldn't see it can't. Clinical 360 treats that firewall as a core feature, not a setting.
The peer-review firewall
Access to OPPE/FPPE and peer-review detail is gated at the section level — protections aligned with §1157 and state peer-review privilege are preserved by the way the data is partitioned, not by policy alone.
Authority comes from a committee seat, not org rank. Even a CEO sees OPPE/FPPE detail only if they hold a seat on the relevant committee — administrative power does not pierce the peer-review privilege.
Survey-ready in one click
When the surveyor or auditor arrives, export the complete provider file on demand — no scramble, no assembling packets by hand.
Pricing
Priced per credentialed provider. Talk to sales for a quote scoped to your medical staff.