CPCS Medical Staff Bylaws, Rules, and Policies Development 4

Question 1

A hospital's medical staff bylaws include a section on 'corrective action.' Which scenario would most likely trigger corrective action procedures?

Accepted Answer

A practitioner's conduct poses an immediate threat to patient safety

Answer

Corrective action is initiated when a practitioner's conduct, behavior, or clinical performance poses a risk to patient safety or organizational integrity.

Question 2

What is the significance of including a 'savings clause' in medical staff bylaws?

Accepted Answer

It ensures that if one bylaw provision is found invalid, the rest remain in effect

Answer

A savings clause (severability clause) ensures that invalidating one provision does not void the entire bylaws document.

Question 3

The medical staff rules and regulations require practitioners to complete history and physicals within 24 hours of patient admission. Which accreditor most commonly sets this standard?

Accepted Answer

The Joint Commission

Answer

The Joint Commission requires history and physicals to be completed within 24 hours of inpatient admission, a standard commonly incorporated into medical staff rules.

Question 4

A practitioner resigns while under investigation. What must the credentialing specialist do regarding NPDB reporting?

Accepted Answer

Report to the NPDB because the resignation occurred during an investigation

Answer

Under HCQIA, a resignation while under investigation for quality or conduct reasons must be reported to the NPDB.

Question 5

Which medical staff document would most appropriately address the standard of care for blood transfusion consent?

Accepted Answer

A department-level clinical policy

Answer

Clinical care standards such as transfusion consent procedures are typically addressed in department-level or hospital-wide clinical policies, not in bylaws.

(CPCS) Certified Professional Credentialing Specialist Practice Test

(CPCS) Certified Professional Credentialing Specialist Practice Test

CPCS Medical Staff Bylaws, Rules, and Policies Development 4