CPMSM Cards, CPMSM Study (MCO), CPMSM questions n answers rated A+2023

CPMSM Cards, CPMSM Study (MCO), CPMSMBoyd vS Albert Einstein - correct answer Doctrine of Ostensible Agency - HMO found liable in patient's death. Chest perforation during breast biopsy, chest pain/MI six weeks later. Elam vS CollegePark - correct answer Doctrine of Corporate Negligence - Med Records had information on many lawsuits agains podiatrist Patrick vs Burget - correct answer Anticompetitive Peer Review - Led to development of HCQIA Gonzales vs Nork & Mercy Hospital - correct answer Hospitals owe patients a duty of care - laminectomy, negligently performed. MD had history of unnecessary or negligent surgeries Webman vs Little Company of Mary - correct answer Duty to credential - application denied when physician refused to authorize prior hospital to release information. Mahmoodian vs United - correct answer Disruptive behavior - hospital can revoke otherwise competent physician's privileges when disruptive behavior adversely affects patient care. Darling vs Charleston - correct answer End of Doctrine of charitable immunity - Patient lost leg due to improper casting. Hospitals are independently responsible for monitoring and supervising care provided. Mathews vs Lancaster - correct answer HCQIA - Burden on physician to prove bad faith peer review. Committee including competitors found sub-standard care by Surgeon Hongsathavij vs Qeen of Angels - correct answer Governing Body is ultimate authority - Board overturned hearing committee recommendation to reinstate call panel membership. Osooki vs Fountain Valley - correct answer Failure to disclose - Ophthalmologist did not disclose all prior hospital affiliations on application. Bell vs Sharp - correct answer Negligent Credentialing - Hospital liable for failure to request data from another hospital regarding its summary suspension of practitioner. Rao vs Auburn - correct answer Personality may be considered. Physician denied privileges after reports from other hospitas on termination/restriction of privileges. Personality may be considered. Harrell vs Total Health Care - correct answer The Managed Care Organization in this case was not held liable for negligent credentialing because State law granted immunity to non-profit health. McClellan vs HMO Pennsylvania - correct answer Ostensible Agency - MCO found liable for providers action due to negligent credentialing. Robinson vs Magovern - correct answer MD brough anti-trust suit against the hospital after his application was denied. Court found that hospitals may limit competition if they carefully follow objective criteria, bylaws and policies. Miller vs Eisenhower - correct answer Denial of application due to physician's inability to work with others, no quality of care issues identified. Court held that disruptive behavior must be a real danger to qualtiy of medical care. AHRQ - correct answer Agency for Healthcare Research and Qualtiy 1989 AHRQ - correct answer An agency within DHHS established in 1989 to improve quality, appropriateness and effectiveness of US Healthcare Medicare Program - correct answer Established by an amendment to the Social Security Act in 1965 SMDA - correct answer Safe Medical Device Act of 1990