CPCS Medical Staff Committee Support and Management 2

Question 1

When a medical staff committee meeting lacks a quorum, what is the most appropriate action?

Accepted Answer

Adjourn the meeting and reschedule

Answer

Proceed with the meeting and ratify actions at the next meeting

Answer

Allow proxy votes to establish quorum

Answer

Reduce the quorum requirement by majority vote of those present

Question 2

Which document serves as the authoritative source for a medical staff committee's scope of authority?

Accepted Answer

The medical staff bylaws and committee charters

Answer

The committee's meeting minutes

Answer

The hospital's policy and procedure manual

Answer

The Joint Commission accreditation standards

Question 3

A credentials committee member has a close personal relationship with an applicant under review. What should occur?

Accepted Answer

The member must recuse themselves from the discussion and vote

Answer

The member may participate but must disclose the relationship

Answer

The committee chair decides whether the member may participate

Answer

The member may vote but must abstain from discussion

Question 4

What is the primary purpose of an executive committee in a medical staff organization?

Accepted Answer

To act on behalf of the medical staff between general meetings and coordinate committee activities

Answer

To replace the board of directors on clinical matters

Answer

To handle all credentialing decisions directly

Answer

To manage the hospital's quality improvement program

Question 5

Which of the following best describes a 'consent agenda' in medical staff committee meetings?

Accepted Answer

A group of routine, non-controversial items approved in a single vote

Answer

An agenda item requiring unanimous consent to be discussed

Answer

An agenda that requires board approval before implementation

Answer

A confidential agenda distributed only to committee members

Question 6

How should a credentialing specialist handle a situation where committee meeting minutes contain an error after they have been approved?

Accepted Answer

Issue an amended set of minutes with corrections noted and re-approve

Answer

Correct the error silently in the official record

Answer

Destroy the original minutes and create corrected ones

Answer

Make a notation in the next meeting's minutes referencing the error

Question 7

What information must a credentialing specialist typically track to support a peer review committee's ongoing work?

Accepted Answer

Ongoing professional practice evaluation (OPPE) data and case review outcomes

Answer

Physician compensation data and billing records

Answer

Patient satisfaction scores only

Answer

Physician scheduling preferences and vacation requests