CPCS Disaster and Emergency Privileging 3

Question 1

How long may disaster privileges remain in effect under Joint Commission Standard MS.13.01.01?

Accepted Answer

For the duration of the emergency management plan activation or until normal PSV can be completed

Answer

Joint Commission does not impose a fixed time limit; disaster privileges may continue as long as the emergency management plan remains activated and normal primary source verification cannot be completed.

Question 2

Who is typically responsible for officially declaring the internal emergency or disaster that activates a hospital's disaster privileging policy?

Accepted Answer

The hospital CEO or their designee

Answer

The hospital CEO or designee has the authority to activate the emergency management plan, and that same individual is also authorized under Joint Commission standards to grant disaster privileges once the plan is activated.

Question 3

Joint Commission does not specify an exact post-disaster deadline for completing primary source verification. What must the hospital's policy include to address this?

Accepted Answer

A defined organizational timeframe within which PSV must be completed after the emergency ends

Answer

Because Joint Commission sets no fixed deadline, each hospital must define its own post-disaster PSV completion timeframe in policy to ensure timely follow-through.

Question 4

Another accredited hospital contacts the credentialing department to verify that a practitioner received disaster privileges during a recent emergency. What should the credentialing specialist provide?

Accepted Answer

Confirmation that disaster privileges were granted and the scope of those privileges

Answer

Sharing confirmation that privileges were granted and their scope supports the credentialing-by-proxy process, enabling the requesting hospital to rely on that verification for its own disaster privileging decision.

Question 5

Which of the following BEST describes the credentialing specialist's primary role during a disaster privileging event?

Accepted Answer

Implementing the disaster privileging policy and maintaining accurate documentation of all practitioners privileged

Answer

The credentialing specialist's role is to implement the pre-established disaster privileging policy, collect required documentation from practitioners, and maintain accurate records — not to make unilateral privileging decisions.

CPCS - Certified Provider Credentialing Specialist Practice Test

CPCS - Certified Provider Credentialing Specialist Practice Test

CPCS Disaster and Emergency Privileging 3