CPCS Disaster and Emergency Privileging

Question 1

During activation of a hospital's emergency management plan, who is authorized to grant disaster privileges to volunteer practitioners?

Accepted Answer

The CEO or designee

Answer

The credentials committee chair

Answer

The department chief

Answer

The state medical board

Question 2

Which Joint Commission standard specifically governs the granting of disaster privileges to volunteer licensed independent practitioners?

Accepted Answer

MS.13.01.01

Answer

MS.06.01.03

Answer

LD.04.01.01

Answer

EC.04.01.01

Question 3

What is the minimum documentation required to grant disaster privileges to a volunteer practitioner when normal credentialing processes cannot be followed?

Accepted Answer

A government-issued photo ID plus evidence of current licensure

Answer

A completed credentialing application only

Answer

A letter of good standing from the practitioner's primary hospital

Answer

Verbal confirmation from two hospital staff members who know the practitioner

Question 4

What is 'credentialing by proxy' in the context of disaster privileging?

Accepted Answer

Relying on another accredited hospital's primary source verification to support a privileging decision

Answer

Allowing practitioners to self-certify their own credentials during a disaster

Answer

Delegating all credentialing functions to an outside CVO during an emergency

Answer

Using NPDB query results as the sole basis for granting disaster privileges

Question 5

After a disaster declaration ends, what must the hospital do regarding practitioners who received disaster privileges?

Accepted Answer

Complete primary source verification or terminate those privileges

Answer

Convert disaster privileges to standard temporary privileges automatically

Answer

Retain the privileges until the next reappointment cycle

Answer

Notify the NPDB of all practitioners who were disaster-privileged

Question 6

Which document within a hospital organization should formally outline the process for granting disaster privileges?

Accepted Answer

The emergency management plan and/or medical staff bylaws or policies

Answer

The annual credentials committee report

Answer

The hospital's NPDB self-query form

Answer

The CMS Conditions of Participation survey instrument

Question 7

A volunteer practitioner arrives during an activated hospital emergency. The credentialing specialist has collected a valid driver's license and a copy of a current state medical license. What is the appropriate next step?

Accepted Answer

Proceed with granting disaster privileges per the hospital's policy and notify medical staff leadership

Answer

Require a full credentialing application before any privileges are extended

Answer

Query the NPDB before allowing the practitioner to see any patients

Answer

Defer the decision to the credentials committee at its next scheduled meeting