Clinical Privileging 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 flashcards as text
A hospital receives a request to credential a provider who trained at a foreign medical school. Which verification is MOST critical to complete that differs from domestic graduate verification?
Answer: Verification through the Educational Commission for Foreign Medical Graduates (ECFMG)
ECFMG certification verifies the authenticity of medical education and postgraduate training for graduates of foreign medical schools practicing in the US.
During reappointment, peer references are reviewed and one reference raises significant concerns about a physician's clinical judgment. What should the credentials committee do?
Answer: Request additional information or references and potentially trigger FPPE
A concerning peer reference warrants further inquiry, which may include requesting additional references, convening a peer review, or initiating FPPE before making a final recommendation.
What distinguishes 'core privileges' from 'special privileges' in a privilege delineation system?
Answer: Core privileges define the standard scope of a specialty; special privileges cover procedures requiring demonstrated additional competency
Core privileges represent the baseline clinical activities expected of all practitioners in a specialty, while special privileges require demonstration of specific additional training or competency.
A hospitalist requests privileges to perform bedside thoracentesis. The credentials committee has no established criteria for this procedure. What is the appropriate first step?
Answer: Develop criteria based on specialty society guidelines before granting privileges
When criteria for a requested privilege do not exist, the committee must first develop evidence-based criteria—typically referencing specialty society guidelines—before acting on the request.
Which term describes the process by which a provider's privileges are immediately suspended pending investigation of a patient safety concern?
Answer: Summary suspension
Summary suspension is an immediate, precautionary restriction of privileges imposed when patient safety is at risk, pending a formal investigation.
A nurse practitioner applies for privileges at a hospital in a state with collaborative practice requirements. Which additional element is MOST important to verify before granting privileges?
Answer: Existence and validity of a collaborative practice agreement with a supervising physician
In states requiring collaborative practice agreements for NPs, the existence and validity of such an agreement is a prerequisite to practicing and must be verified before privileges are granted.
Which accreditation standard specifically requires hospitals to have a process for evaluating new procedures or technology before privileges are granted?
Answer: Joint Commission MS.06.01.05
Joint Commission Medical Staff Standard MS.06.01.05 requires a process to evaluate new procedures, including gathering information from external authoritative sources, before granting privileges.