Patient Assessment & Clinical Evaluation Flashcards
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Read the first 7 Patient Assessment & Clinical Evaluation flashcards as text
Under Joint Commission standards, who may confirm an applicant's statement that they are able to perform the requested privileges?
Answer: A training program director, chief of services, or a licensed physician designated by the organization
Health status confirmation must come from a qualified clinical source such as a program director or designated physician.
To comply with the ADA, health-related questions on a credentialing application should focus on what?
Answer: Current ability to perform the requested privileges safely
ADA-compliant questions address current impairment affecting ability to practice, not disability history.
How should the medical staff handle suspected practitioner impairment under Joint Commission standards?
Answer: Through a process separate from disciplinary action, focused on assistance and rehabilitation
The Joint Commission requires a practitioner health process that is separate from the disciplinary process.
An OPPE indicator such as 'unplanned return to the operating room within 48 hours' is an example of what?
Answer: A quality trigger that may prompt case review
Triggers such as unplanned returns flag cases for focused peer review.
Which federal law grants immunity from damages to professional review bodies whose actions meet specified due-process standards?
Answer: HCQIA
The Health Care Quality Improvement Act of 1986 protects good-faith peer review that meets its standards.
A practitioner is involved in a sentinel event during surgery. What is the most appropriate credentialing response?
Answer: Refer the case for focused review, which may lead to FPPE
Sentinel events involving a practitioner warrant focused evaluation of their performance.
Under NCQA standards, how often must health plan practitioners be recredentialed?
Answer: At least every 36 months
NCQA requires recredentialing at least every 36 months.
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