Provider Enrollment & Privileging Flashcards
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Read the first 7 Provider Enrollment & Privileging flashcards as text
Under Joint Commission standards, what is the maximum time a practitioner may hold temporary privileges while their application is pending?
Answer: 120 days
Joint Commission limits temporary privileges for pending applications to 120 days.
A surgeon is granted a new privilege at a hospital where they already practice. Which evaluation is required?
Answer: FPPE
Focused Professional Practice Evaluation is required for all newly granted privileges, including those for current members.
What is the purpose of Ongoing Professional Practice Evaluation (OPPE)?
Answer: Continuous monitoring of performance between reappointments
OPPE continuously evaluates a practitioner's performance data to support decisions about keeping privileges.
Under Joint Commission standards, what is the maximum interval for medical staff reappointment?
Answer: 24 months
Joint Commission requires reappointment and renewal of privileges at least every two years.
In a hospital, who has final authority to grant clinical privileges?
Answer: Governing body
The medical executive committee recommends, but the governing body (board) grants privileges.
When must a hospital query the National Practitioner Data Bank?
Answer: At initial appointment, at reappointment and when new privileges are requested
Federal law requires NPDB queries at appointment, when privileges are added or expanded, and at least every two years.
In a disaster, when the emergency operations plan is activated, who may grant disaster privileges to volunteer licensed independent practitioners?
Answer: The CEO, medical staff president or their designee
Joint Commission lets individuals identified in the medical staff bylaws, such as the CEO or medical staff president, grant disaster privileges.
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