The provincial privileging dictionaries were developed in response to issues raised in the 2011
Cochrane Report—which identified gaps and inconsistencies in the oversight of medical staff credentialing and privileging in BC.
Prior to the introduction of the provincial dictionaries, processes for privileging medical staff in BC were determined by each health authority and affiliates—and in some cases were delegated to individual facilities. This meant that privileging was applied unevenly across the health system and vulnerable to the gaps or inconsistencies that could result.
Following the Cochrane report, a provincial team spent three years consulting with medical practitioners and regulators to develop the original set of 62 dictionaries. The dictionaries identify an appropriate set of activities or procedures for qualified medical staff who seek to practice in BC facilities.
First implemented in 2015, the dictionaries provide a common provincial reference point for practice at health authorities and private facilities across the province.