CPMSM - Study Guide Material verified to pass 2023/2024

CPMSM - Study Guide MaterialWhat are four models of HMOs? - correct answer Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - correct answer Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - correct answer 5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - correct answer 5 At least five active medical staff How many medical staff members must serve on an Infection Control Committee? - correct answer 3 At least three active medical staff How many medical staff members must serve on a Medical Records Committee? - correct answer 1 At least one active medical staff How often should the Medical Records committee meet? - correct answer At least quarterly How many medical staff members must serve on a Pharmacy & Therapeutics Committee? - correct answer 5 At least five active medical staff How often should the Pharmacy & Therapeutics committee meet? - correct answer At least quarterly How many medical staff members must serve on a Utilization Review Committee? - correct answer 1 At least one active medical staff How often should the Utilization Review Committee meet? - correct answer Every other month What is the process of obtaining, verifying, and assessing the qualifications of a health care practitioner who seeks to provide patient care services in or for a hospital? - correct answer Credentialing What are the three reasons for credentialing? - correct answer Patient Safety Risk Management Required by agencies Which three accreditors have been granted "deemed status"? - correct answer TJC, HFAP, DNV Which two organizations offer accreditation for managed care organizations? - correct answer NCQA, URAC Who is the main accreditor for ambulatory care facilities? - correct answer AAAHC