Patient Assessment & Clinical Evaluation Flashcards

A new practitioner meets all FPPE criteria. What usually happens next?

Answer: FPPE results go to the credentials or department committee, which recommends ending FPPE and moving to OPPE

Once FPPE is completed successfully, the medical staff reviews the results and moves the practitioner to routine OPPE.

Which practitioners are subject to OPPE and FPPE in a hospital?

Answer: All practitioners granted clinical privileges, including privileged NPs and PAs

Any practitioner holding clinical privileges, physician or advanced practice, falls under OPPE and FPPE.

Which of the following is a rate-based OPPE indicator?

Answer: Surgical site infection rate

Infection rates are measurable outcome indicators commonly used in OPPE.

When interpreting a practitioner's OPPE data, which benchmark is most appropriate?

Answer: Peers in the same specialty

Fair comparisons use practitioners with similar specialty and case mix.

A primary care physician wants to follow admitted patients but not provide hands-on care in the hospital. What status is often appropriate?

Answer: Medical staff membership without clinical privileges (e.g., refer-and-follow)

Membership without privileges lets community physicians stay involved without performing inpatient care.

What does the Joint Commission require leadership to establish to address disruptive practitioner behavior?

Answer: A code of conduct defining acceptable and disruptive behaviors

Joint Commission leadership standards require a code of conduct and a process for managing disruptive behavior.

When is a summary suspension of clinical privileges appropriate?

Answer: When there is an imminent threat to patient health or safety

Summary suspension is an immediate protective action used when patients face imminent danger.