CPMSM Preparation Exam Questions
with 100% Correct Answers
What are the three major sources of authority in the traditional structure of the hospital
organization? - Answer-CEO, Governing Body and Medical Staff
How does the governing body of a hospital set the organization policy that supports
quality patient care? - Answer-By developing the mission, vision, policies and bylaws
that govern the hospital's operations
Governing boards may be generally classed into which two types? - Answer-
Philanthropic or Corporate
Which of the following is a major responsibility of the CEO? - Answer-Keeping the
medical staff informed about the hospital's plans, organizational changes, board
policies, and decisions affecting providers and their patients.
To whom is the medical staff organization accountable for the quality of the professional
services provided by individuals with clinical privileges? - Answer-Governing body
Which term describes a physician employed or contracted by the hospital as a top-level
management employee to act as a liaison between the medical staff and hospital
administration? - Answer-Medical Director
Which of the following are included in the functions of the medical staff? - Answer-
Providing and evaluating patient care
Which of the following describes a committee that is assembled or appointed to perform
a specific task or duty, works independently and reports back to a larger committee and
typically disbands after the assigned task or duty is performed or completed? - Answer-
Ad hoc Committee
When developing bylaws language for a committee, consideration should be given to
which of the following? - Answer-Composition, duties and frequency of meetings
The credentials committee needs guidance regarding which physicians will be allowed
to perform a new procedure in the hospital. It has recommended that a committee be
appointed to evaluate this issue and report back to the credentials committee. What
kind of committee would be appointed? - Answer-Ad hoc Committee
, Which term describes a physician who provides the general medical care of hospitalized
patients only and turns over the care of the patient to the primary care physician after
discharge? - Answer-Hospitalist
Which term describes a category of medical staff appointment that provides a basic
framework within which physicians and other health care providers carry out their duties
and responsibilities? - Answer-Staff Status
Which term describes interns and residents in medical education programs of a teach
hospital? - Answer-House staff
Which term describes a special classification used to reflect honor and respect for
selected distinguished members of the medical community? - Answer-Honorary or
emeritus staff
Which term describes privileges granted for a specific period of time to a practitioner
while hospital board approval is pending? - Answer-Temporary privileges
Which document describes the organizational structure of the medical staff and defines
the framework within which medical staff appointees act and interact in hospital related
activities? - Answer-Medical Staff Bylaws
Bylaws changes are not effective until final approval by which body? - Answer-
Governing body
Which term describes the mechanism by which an aggrieved practitioner, one who has
been the recipient of a disciplinary action, is entitled to be heard and to appeal an
adverse decision? - Answer-Procedural rights or fair hearing
What landmark care set aside the Charitable Immunity Doctrine and established the
corporate negligence doctrine, also known as negligent credentialing? - Answer-Darling
vs. Charleston Memorial Community Hospital
Why is it important to check that the practitioner is not currently exclude, suspended,
debarred, or ineligible to participate in Federal health care programs? - Answer-The
facility will not get paid for treating patients unless the service is provided by an
authorized provider.
Which of the following credentials must be tracked on an ongoing basis? - Answer-
Licensure
According to NCQA standards, an organization that discovers sanction information,
complaints, or adverse events regarding a practitioner must take what action? - Answer-
Determine if there is evidence of poor quality that could affect the health and safety of
its members.
with 100% Correct Answers
What are the three major sources of authority in the traditional structure of the hospital
organization? - Answer-CEO, Governing Body and Medical Staff
How does the governing body of a hospital set the organization policy that supports
quality patient care? - Answer-By developing the mission, vision, policies and bylaws
that govern the hospital's operations
Governing boards may be generally classed into which two types? - Answer-
Philanthropic or Corporate
Which of the following is a major responsibility of the CEO? - Answer-Keeping the
medical staff informed about the hospital's plans, organizational changes, board
policies, and decisions affecting providers and their patients.
To whom is the medical staff organization accountable for the quality of the professional
services provided by individuals with clinical privileges? - Answer-Governing body
Which term describes a physician employed or contracted by the hospital as a top-level
management employee to act as a liaison between the medical staff and hospital
administration? - Answer-Medical Director
Which of the following are included in the functions of the medical staff? - Answer-
Providing and evaluating patient care
Which of the following describes a committee that is assembled or appointed to perform
a specific task or duty, works independently and reports back to a larger committee and
typically disbands after the assigned task or duty is performed or completed? - Answer-
Ad hoc Committee
When developing bylaws language for a committee, consideration should be given to
which of the following? - Answer-Composition, duties and frequency of meetings
The credentials committee needs guidance regarding which physicians will be allowed
to perform a new procedure in the hospital. It has recommended that a committee be
appointed to evaluate this issue and report back to the credentials committee. What
kind of committee would be appointed? - Answer-Ad hoc Committee
, Which term describes a physician who provides the general medical care of hospitalized
patients only and turns over the care of the patient to the primary care physician after
discharge? - Answer-Hospitalist
Which term describes a category of medical staff appointment that provides a basic
framework within which physicians and other health care providers carry out their duties
and responsibilities? - Answer-Staff Status
Which term describes interns and residents in medical education programs of a teach
hospital? - Answer-House staff
Which term describes a special classification used to reflect honor and respect for
selected distinguished members of the medical community? - Answer-Honorary or
emeritus staff
Which term describes privileges granted for a specific period of time to a practitioner
while hospital board approval is pending? - Answer-Temporary privileges
Which document describes the organizational structure of the medical staff and defines
the framework within which medical staff appointees act and interact in hospital related
activities? - Answer-Medical Staff Bylaws
Bylaws changes are not effective until final approval by which body? - Answer-
Governing body
Which term describes the mechanism by which an aggrieved practitioner, one who has
been the recipient of a disciplinary action, is entitled to be heard and to appeal an
adverse decision? - Answer-Procedural rights or fair hearing
What landmark care set aside the Charitable Immunity Doctrine and established the
corporate negligence doctrine, also known as negligent credentialing? - Answer-Darling
vs. Charleston Memorial Community Hospital
Why is it important to check that the practitioner is not currently exclude, suspended,
debarred, or ineligible to participate in Federal health care programs? - Answer-The
facility will not get paid for treating patients unless the service is provided by an
authorized provider.
Which of the following credentials must be tracked on an ongoing basis? - Answer-
Licensure
According to NCQA standards, an organization that discovers sanction information,
complaints, or adverse events regarding a practitioner must take what action? - Answer-
Determine if there is evidence of poor quality that could affect the health and safety of
its members.
