Regulatory Compliance and Standards Flashcards
6 cards from real CHSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Regulatory Compliance and Standards flashcards as text
What is the relationship between state health department surveys and CMS Conditions of Participation?
Answer: State health departments conduct surveys on behalf of CMS to verify facilities meet federal Conditions of Participation
State health departments serve as CMS agents by conducting certification surveys to determine whether facilities comply with federal CoPs.
What is the difference between a Type I and Type II citation in healthcare regulatory surveys?
Answer: Type I citations are more serious, involving immediate jeopardy to patient safety
Type I citations represent conditions presenting immediate jeopardy to health or safety; Type II represent conditions with direct relationship to safety but no immediate jeopardy.
What does deemed status mean for a healthcare facility accredited by The Joint Commission?
Answer: The facility is deemed to meet CMS Conditions of Participation based on accreditation, reducing need for separate CMS surveys
Deemed status means accreditation by a CMS-approved organization is recognized as meeting most Medicare Conditions of Participation.
What is the purpose of OSHA Voluntary Protection Programs (VPP)?
Answer: To recognize workplaces demonstrating exemplary safety systems beyond OSHA standards
VPP recognizes employers with exemplary safety programs that go beyond minimum compliance, establishing cooperative relationships with OSHA.
What rights do employees have regarding access to their exposure and medical records under OSHA?
Answer: Employees can access exposure monitoring results and medical records within 15 working days of request
Under 29 CFR 1910.1020, employees can access their exposure and medical records within 15 working days of request.
What is the significance of NFPA 99 Health Care Facilities Code?
Answer: It establishes criteria for minimizing hazards from fire, explosion, and electrical systems in healthcare facilities
NFPA 99 establishes a risk-based approach to healthcare facility safety for electrical systems, medical gas and vacuum systems, HVAC, and other building systems.