Cpmsm Practice Test Part II Of II
- 1.According to HFAP standards, when confirming malpractice coverage the organization must:
- A.
Query the NPDB
- B.
Obtain the claim history with each carrier over the last five years
- C.
Have evidence of professional liability insurance, which includes certificate showing amounts of coverage
- D.
Require the applicant to attest that he/she has never been sued
- 2.Which of the following providers is considered a primary care physician (PCP)?
- A.
General Surgeon
- B.
Gastroenterologist
- C.
Family medicine practitioner
- D.
Orthopedic surgeon
- 3.Which body has the obligation to the community to assure that only appropriately educated, trained and currently competent practitioners are granted medical staff membership and clinical privileges?
- A.
Medical Staff
- B.
Governing Body
- C.
The Joint Commission on Accreditation of Healthcare Organizations
- D.
State Licensing Board
- 4.When credentialing and privileging practitioners it is appropriate to:
- A.
Handle each applicant on a case-by-case basis
- B.
Follow a routine process for each applicant
- C.
Give preferential treatment to those providers whose specialty is primary care
- D.
Process all applications within one week of receipt
- 5.Medical liability insurance should be held in what limits?
- A.
$200,000 per occurrence and $500,000 annual aggregate
- B.
$500,000 per occurrence and $1,000,000 annual aggregate
- C.
$1,000,000 per occurrence and $3,000,000 annual aggregate
- D.
As specified by the medical staff and board directors
- 6.Which of the following would be an appropriate question to ask an applicant for medical staff?
- A.
How many children do you have?
- B.
Are you married?
- C.
Do you have any medical conditions, treated or untreated, that would negatively affect your ability to provide the services or perform the privileges you are requesting?
- D.
Have you ever been diagnosed with AIDS or a sexually transmitted disease?
- 7.The governing body delegates the responsibility of credentialing, recredentialing, and privileging to
- A.
The hospital administrator
- B.
The medical staff office
- C.
The medical staff
- D.
The credentials committee
- 8.Who should have access to medical staff meeting minutes?
- A.
Medical Staff President
- B.
Governing Body members
- C.
Personnel as documented in a records access policy and procedure
- D.
Hospital President
- 9.In addition to conclusions, recommendations made, and actions taken, which of the following should always be documented in meeting minutes:
- A.
Names and professional titles of all in attendance
- B.
Date and location of next scheduled meeting
- C.
Any required follow-up to occur
- D.
Complete transcription of all discussion that occurred
- 10.Active, Associate, Courtesy, Honorary, Consulting are all examples of:
- A.
Committees
- B.
Medical Staff officers
- C.
Membership categories
- D.
Privileges
- 11.Changes in medical staff bylaws are not final until formally approved by the:
- A.
Medical staff
- B.
Medical staff president
- C.
Governing body
- D.
Hospital CEO
- 12.What is the only hospital medical staff committee required by The Joint Commission hospital standards?
- A.
Credentials committee
- B.
Medical executive committee
- C.
Pharmacy and therapeutics committee
- D.
Utilization review committee
- 13.The Healthcare Quality Improvement Act:
- A.
Provides immunity for health care entities that do not report information to the National Practitioner Data Bank
- B.
Keeps hospitals and physicians who perform peer review from being sued
- C.
Provides qualifies immunity from antitrust liability arising out of peer review activities that are conducted in good faith
- D.
Creates an exemption to the Doctrine of Ostensible Agency
- 14.If you have a question regarding whether or not information regarding a practitioner should be released to a third party, which of the following would be the best person to ask?
- A.
Director of Medical Records
- B.
Chief of Staff
- C.
Approval from the organization's attorney
- D.
Organization's attorney
- 15.Prior to releasing information to a third party regarding a practitioner, the organization should acquire
- A.
A picture ID of the provider
- B.
A signed consent and release form
- C.
Approval from the organization's attorney
- D.
Informed consent
- 16.You are working at an AAAHC accredited facility and you want to introduce the concept of utilizing a credentials verification organization. If the CVO is not accredited by a nationally recognized organization you must:
- A.
Perform an initial on-site visit of the CVO to assess their capabilities and quality of work
- B.
Perform an assessment of the capability and quality of the CVO's work
- C.
Perform an assessment of their turn-around times
- D.
Perform an assessment of all CVO policies and procedures
- 17.What are three major sources of authority in the traditional structure of the hospital organization?
- A.
Chief executive officer, governing body, and medical staff
- B.
Chief executive officer, hospital vice-president, medical director
- C.
Medical staff president, vice-president, and secretary-treasurer
- D.
Chief executive officer, nursing director, medical staff president
- 18.How does the governing body of a hospital set the organization policy that supports quality patient care?
- A.
By assigning these responsibilities to the chief executive officer
- B.
By seeking medical staff input in the hiring if key personnel
- C.
By examining the finances of the hospital
- D.
By developing the mission, vision, policies, and bylaws that govern the hospital's operations
- 19.Governing boards may be generally classed into which two types?
- A.
For-profit or not-for-profit
- B.
Philanthropic or corporate
- C.
General or specialty
- D.
Full-time or part time
- 20.Which of the following is a major responsibility of the CEO?
- A.
Directly observing nursing care to assure that patients receive proper care and treatment
- B.
Keeping the medical staff informed about the hospital's plans, organizational changes, board policies, and decisions affecting providers and their patients
- C.
Overseeing the patient accounts department to assure accurate billing practices
- D.
Orientation of all new employees
- 21.To whom is the medical staff organization accountable for the quality of the professional services provided by individuals with clinical privileges?
- A.
The Joint Commission
- B.
Hospital chief executive officer
- C.
Governing body
- D.
American Medical Society
- 22.Which term describes a physician employed or contracted by the hospital as a top-level management employee to act as a liaison between the medical staff and hospital administration?
- A.
Medical director
- B.
Chief financial officer
- C.
Medical staff president
- D.
Patient care coordinator
- 23.Which of the following are included in the function of the medical staff?
- A.
Contracting for Medicare assignment
- B.
Training of nursing staff
- C.
Providing and evaluating patient care
- D.
Participating in the design of operating rooms
- 24.Which of the following describes a committee that is assembled or appointed to perform a specific task or duty, works independently and reports back to larger committee and typically disbands after the assigned task or duty is performed or completed?
- A.
Standing committee
- B.
Ad hoc committee
- C.
Task force
- D.
Continuous quality improvement team
- 25.When developing bylaws language for a committee, consideration should be given to which of the following?
- A.
The mission statement of the hospital
- B.
Medical staff restructuring
- C.
Room set up and audiovisual requirements
- D.
Composition, duties, and frequency of meetings
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