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
A practitioner's privileges are summarily suspended pending an investigation. What MUST the hospital provide to comply with due process?
Answer: Written notice of the suspension and the right to a hearing after the suspension
Summary suspension can occur immediately for patient safety, but the practitioner must receive notice and the right to a subsequent hearing.
Which of the following is an example of a 'core privilege' in a clinical privileging system?
Answer: A broad set of standard procedures automatically granted based on specialty training
Core privileges represent the broad base of routine procedures expected for a practitioner's specialty and are granted based on training and licensure.
Which competency domain from the ACGME general competencies framework is MOST directly assessed during clinical privileging?
Answer: Medical knowledge and patient care
Medical knowledge and patient care competencies are most directly linked to the clinical performance data evaluated during privileging.
A hospital grants temporary privileges to a disaster volunteer physician without completing full credentialing. Under which standard is this permissible?
Answer: TJC MS.06.01.01 disaster privileging standard
TJC MS.06.01.01 allows expedited or disaster privileging when the hospital activates its emergency management plan.
An OPPE report shows a physician's length-of-stay (LOS) is 30% above peer average. What is the MOST important consideration before taking action?
Answer: Evaluate whether case mix, acuity, or documentation differences explain the variation
LOS variation often reflects case mix or documentation patterns rather than performance deficiency, so context must be assessed before escalation.
Which document serves as the primary legal framework governing a hospital medical staff's self-governance, including privileging processes?
Answer: The medical staff bylaws
Medical staff bylaws are the governing document that defines the structure, authority, and processes of the medical staff, including credentialing and privileging.
What is the significance of the Health Care Quality Improvement Act (HCQIA) of 1986 for privileging decisions?
Answer: It provides immunity to peer review participants acting in good faith during privilege actions
HCQIA grants qualified immunity to peer review participants who act in good faith during professional review actions affecting privileges.