Clinical Privileging and Competency Evaluation (FPPE/OPPE) Flashcards
7 cards from real CPCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Privileging and Competency Evaluation (FPPE/OPPE) flashcards as text
Which situation requires a hospital to obtain information from the National Practitioner Data Bank (NPDB) during privileging?
Answer: Initial appointment and every two-year reappointment
NPDB regulations mandate querying at initial appointment and at least every two years at reappointment.
A proctor observing a surgeon during FPPE determines the surgeon lacks sufficient skill for one of the requested privileges. Who has authority to DENY that specific privilege?
Answer: The governing body, upon recommendation from the medical staff
Only the governing body has authority to grant, modify, or deny privileges, acting on the medical staff's recommendation.
What is the purpose of 'threshold' or 'trigger' criteria in an OPPE program?
Answer: To define performance levels that prompt additional review or action
Thresholds define the point at which OPPE data triggers escalation to focused review or other action.
A telemedicine physician provides services at a hospital without being physically present. Under TJC standards, how must this practitioner be credentialed?
Answer: Credentialed at the originating site or through a TJC-approved credentialing-by-proxy agreement
TJC allows credentialing by proxy for telemedicine practitioners under specific conditions, or they must be fully credentialed at the originating site.
Which of the following BEST illustrates a 'low volume' challenge in OPPE?
Answer: A practitioner who performs only 3 procedures per year, making statistical comparison unreliable
Low case volume makes it statistically difficult to draw meaningful conclusions from performance data in OPPE.
During an FPPE, a practitioner refuses to cooperate with the assigned proctor. What should the credentials committee consider?
Answer: Treating non-cooperation as a potential basis for adverse privilege action
Failure to cooperate with an FPPE is itself a performance concern that can support adverse privilege action.
Which term describes the process of a hospital accepting another hospital's credentialing work product to avoid duplication?
Answer: Credentialing by proxy
Credentialing by proxy (or privileging by proxy) allows one hospital to rely on another's credentialing under defined conditions, most commonly for telemedicine.