CPMSM FINAL PAPER QUESTIONS AND
SOLUTIONS
◉ Meeting Minutes must include
Answer: conclusions, recommendations, and actions taken.
◉ President
Answer: Has same voting rights as other group members
◉ Ex Officio
Answer: Member by virtue of some other office they hold/held
and have same voting rights as rest of the group.
◉ Once a Motion is stated it becomes part of the
Answer: Assembly
◉ Proxy
Answer: Can allow if allowed by state, federal laws, and bylaws.
◉ Board Meetings
Answer: Can be held electronically as long as bylaws allow.
◉ Privileged Motions
,Answer: Are used to set aside the (main) pending motion to give
immediate attention to an item/topic.
◉ Subsidiary Motion
Answer: applies to pending motions and is lower ranking.
◉ Incidental Motion
Answer: arise out of questions to Main/Pending Motion and
normally must be addressed or answered to continue on with
Main Motion.
◉ Rescind (Unclassified Motion)
Answer: To take from the table, revoke, cancel, or repeal.
◉ Ratify (Unclassified Motion)
Answer: Sign or give formal consent to, making it officially valid.
◉ Medical Executive Committee (MEC)
Answer: Receives and acts upon reports and recommendations
from the other Medical Staff Committees, special committees and
officers of the staff concerning performance improvement and
quality assessments. MEC reports results and recommendations
to the Medical Staff and Board of Directors.
◉ Bylaws
,Answer: Documents approved by the Medical Staff and Governing
Board that set the laws and guidelines for the governance of the
Medical Staff.
◉ Credentials Committee
Answer: This committee reviews and evaluates the training, scope
of practice, competency, ability to perform privileges requested of
each initial appointment, reappointment, and modifications of
clinical privileges and makes recommendations to the Medical
Executive Committee. This committee provides oversight for FPPE
and OPPE. Should meet regularly.
◉ Utilization Management or Utilization Review Committee
Answer: Ensures that all of the patient care given by the
facility/providers is appropriate and provided effectively.
Normally monitors topics such as: appropriateness of admission
to the Hospital, delays in use of, or over use of ancillary services,
delays in consultations and referrals, lengths of stay, and
discharge planning.
◉ It is important to check that the practitioner is not currently
excluded, suspended, debarred, or ineligible to participate in
Federal healthcare programs
Answer: because the facility will not get paid for treating patients
unless service is provided by an authorized provider.
, ◉ According to NCQA standards, an organization that discovers
sanction information, complaints, or adverse events regarding a
practitioner must
Answer: first determine if there is evidence of poor quality that
could affect the health and safety of its members.
◉ Health Care Quality Improvement Act of 1986
Answer: Created the National Provider Data Bank to restrict the
ability of incompetent providers to move from state to state
without disclosure or discovery of previous medical malpractice
payment and adverse action history.
◉ When Developing clinical privileging criteria
Answer: it is important to evaluate the established standards or
practice such as, specialty board recommendations
◉ Periodically assessing appropriateness of clinical privileges for
each specialty
Answer: is important to protect patient safety by ensuring current
competency, relevance to the facility, and accepted standards of
care.
◉ TJC hospital standards require
Answer: clinical privileges to be based on the individual's
demonstrated current competence and the procedures the
hospital can support.
SOLUTIONS
◉ Meeting Minutes must include
Answer: conclusions, recommendations, and actions taken.
◉ President
Answer: Has same voting rights as other group members
◉ Ex Officio
Answer: Member by virtue of some other office they hold/held
and have same voting rights as rest of the group.
◉ Once a Motion is stated it becomes part of the
Answer: Assembly
◉ Proxy
Answer: Can allow if allowed by state, federal laws, and bylaws.
◉ Board Meetings
Answer: Can be held electronically as long as bylaws allow.
◉ Privileged Motions
,Answer: Are used to set aside the (main) pending motion to give
immediate attention to an item/topic.
◉ Subsidiary Motion
Answer: applies to pending motions and is lower ranking.
◉ Incidental Motion
Answer: arise out of questions to Main/Pending Motion and
normally must be addressed or answered to continue on with
Main Motion.
◉ Rescind (Unclassified Motion)
Answer: To take from the table, revoke, cancel, or repeal.
◉ Ratify (Unclassified Motion)
Answer: Sign or give formal consent to, making it officially valid.
◉ Medical Executive Committee (MEC)
Answer: Receives and acts upon reports and recommendations
from the other Medical Staff Committees, special committees and
officers of the staff concerning performance improvement and
quality assessments. MEC reports results and recommendations
to the Medical Staff and Board of Directors.
◉ Bylaws
,Answer: Documents approved by the Medical Staff and Governing
Board that set the laws and guidelines for the governance of the
Medical Staff.
◉ Credentials Committee
Answer: This committee reviews and evaluates the training, scope
of practice, competency, ability to perform privileges requested of
each initial appointment, reappointment, and modifications of
clinical privileges and makes recommendations to the Medical
Executive Committee. This committee provides oversight for FPPE
and OPPE. Should meet regularly.
◉ Utilization Management or Utilization Review Committee
Answer: Ensures that all of the patient care given by the
facility/providers is appropriate and provided effectively.
Normally monitors topics such as: appropriateness of admission
to the Hospital, delays in use of, or over use of ancillary services,
delays in consultations and referrals, lengths of stay, and
discharge planning.
◉ It is important to check that the practitioner is not currently
excluded, suspended, debarred, or ineligible to participate in
Federal healthcare programs
Answer: because the facility will not get paid for treating patients
unless service is provided by an authorized provider.
, ◉ According to NCQA standards, an organization that discovers
sanction information, complaints, or adverse events regarding a
practitioner must
Answer: first determine if there is evidence of poor quality that
could affect the health and safety of its members.
◉ Health Care Quality Improvement Act of 1986
Answer: Created the National Provider Data Bank to restrict the
ability of incompetent providers to move from state to state
without disclosure or discovery of previous medical malpractice
payment and adverse action history.
◉ When Developing clinical privileging criteria
Answer: it is important to evaluate the established standards or
practice such as, specialty board recommendations
◉ Periodically assessing appropriateness of clinical privileges for
each specialty
Answer: is important to protect patient safety by ensuring current
competency, relevance to the facility, and accepted standards of
care.
◉ TJC hospital standards require
Answer: clinical privileges to be based on the individual's
demonstrated current competence and the procedures the
hospital can support.
