CPMSM Study Guide - Credentialing and Privileging 2023/2024 verified to pass

CPMSM Study Guide - Credentialing and Privileging1. assists organizations in monitoring and improving quality of care 2. Deemed status 3. Marketing reasons - shows that expectations for providing safe, quality health care are met 4. may favorably influence liability insurance premiums 5. for a hospital, may be required in order to obtain managed care contracts 6. employers and unions may require for providing healthcare coverage to employees - correct answer Why get accredited? TJC - correct answer interprets the word "privileges" to mean the duties and prerogatives of each category, and not the clinical privileges to provide patient care, treatment, and services related to each category. HFAP - correct answer states that membership categories must include all practitioners who provide a medically related level of care. LIPs and AHPs who are non-physicians and are granted medical staff membership must be included in these categories. DNV - correct answer the MS bylaws shall describe the organization of the medical staff and include a statement of the duties and privileges of each category of the medical staff to ensure that acceptable standards are met for providing patient care for all diagnostic, medical, surgical and rehabilitative services. CIHQ - correct answer the MS shall establish, adopt and enforce bylaws, rules, regs, and policies to carry out it's responsibilities. the bylaws (including any revisions) must be approved by the governing body. at a minimum, the bylaws must address a description of the duties and privileges for each category of the medical staff (active, courtesy, etc.) 24 - correct answer ABMS had how many member Boards? Podiatrists, dentists, oral surgeons, chiropractors, and non-physician practitioners - correct answer ABMS does not certify: OB/GYN Neurological and Orthopedic Surgeries Pathology Physical Medicine and Rehab Radiology Urology - correct answer Boards that have an additional requirement for 1-2 years of clinical experience: determined by the Member Board, can be no fewer that 3 years and no more than 7 - correct answer A candidate's eligibility for Board Certification by an ABMS member board expires on what date? 18 - correct answer AOA has how many specialty boards? Maintenance of Certification (ABMS) - correct answer MoC Osteopathic Continuous Certification, mandated by BoS (Bureau of Osteopathic Specialists) - correct answer OCC Transference of Skill - correct answer occurs when the same skills are utilized for different procedures. if a physician has not performed a specific procedure, but has performed another procedure where those skills would transfer, the medical staff may determine this Privilege System Maintanence - correct answer forms should be reviewed on an ongoing basis to determine that they reflect the full range of procedures offered at the facility and that they do not contain procedures or treatments not performed at the facility Volumes (IP, OP, EM, Clinic) CaseMix/Utilization Mortality