CPCS Clinical Privileging and Competency Evaluation (FPPE/OPPE) 4

Question 1

A practitioner's privileges are summarily suspended pending an investigation. What MUST the hospital provide to comply with due process?

Accepted Answer

Written notice of the suspension and the right to a hearing after the suspension

Answer

Summary suspension can occur immediately for patient safety, but the practitioner must receive notice and the right to a subsequent hearing.

Question 2

Which of the following is an example of a 'core privilege' in a clinical privileging system?

Accepted Answer

A broad set of standard procedures automatically granted based on specialty training

Answer

Core privileges represent the broad base of routine procedures expected for a practitioner's specialty and are granted based on training and licensure.

Question 3

Which competency domain from the ACGME general competencies framework is MOST directly assessed during clinical privileging?

Accepted Answer

Medical knowledge and patient care

Answer

Medical knowledge and patient care competencies are most directly linked to the clinical performance data evaluated during privileging.

Question 4

A hospital grants temporary privileges to a disaster volunteer physician without completing full credentialing. Under which standard is this permissible?

Accepted Answer

TJC MS.06.01.01 disaster privileging standard

Answer

TJC MS.06.01.01 allows expedited or disaster privileging when the hospital activates its emergency management plan.

Question 5

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?

Accepted Answer

Evaluate whether case mix, acuity, or documentation differences explain the variation

Answer

LOS variation often reflects case mix or documentation patterns rather than performance deficiency, so context must be assessed before escalation.

(CPCS) Certified Professional Credentialing Specialist Practice Test

(CPCS) Certified Professional Credentialing Specialist Practice Test

CPCS Clinical Privileging and Competency Evaluation (FPPE/OPPE) 4