Perspectives on Point-of-Care Ultrasonography Credentialing and Privileging

What factors play a role in point-of-care ultrasonography (POCUS) privileging and credentialing policy implementation at health care institutions across the US?In this qualitative study, 20 POCUS leaders reported that successful POCUS policy implementation was driven by institutional and external contextual factors, addressing multilevel barriers, policy-specific characteristics, and institutional POCUS capabilities. Policy specifications varied across institutions, though all required local expertise to implement and sustain; the most common theme was establishing diverse stakeholder engagement during policy development and implementation.The findings suggest POCUS policy implementation guides safer POCUS-informed care and is more likely to succeed when barriers, contextual determinants, and implementation infrastructure supporting policy development are thoughtfully considered.

Corresponding Author: Stephanie M. Conner, MD, Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center, 177 Fort Washington Ave, 8th Floor, South Knuckle, New York, NY 11032 (smc2337@cumc.columbia.edu).

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