This class introduces the main organizational documents that must be in place for an acupuncturist to practice in a hospital system. The Policies & Procedures (P&P) is a document approved by the hospital’s highest executives/boards and/or at the department level. It details all aspects of how acupuncture therapy is to be delivered at the institution globally, or if limited to a particular department. A P&P generally describes the terms of credentialing and privileging for practitioners, referred to as licensed independent practitioners (LIP) by the Joint Commission. Credentialing is the process by which institutions establish that a new practitioner is qualified for a position and can be trusted; and what quality benchmarks they must meet to remain on staff. Privileges determine what the provider can do at the institution, which is described in a state’s scope of practice. Medical supervision or oversight is a key element of hospital-based practice, how it is delineated and evaluated is organization-specific. Particular issues regarding informed consent for inpatients are discussed. Handouts include real world templates for P&P, Credentialing and Privileging of acupuncturists, job description and evaluation, and scope of practice.