TJC
TJC
TJC
TJC
TJC
100
When preparing for a committee meeting, who would the MSP MOST likely need with to coordinate the agenda and meeting packet?
Committee Chairperson
100
The Medical Staff is actively involved in measuring, assessing and improving which of the following?
Patient Safety Data
100
Which of the following BEST determines which procedures should be performed by which specialty?
ACGME
100
The definition of slander is:
Defamation of character that is orally expressed
100
T/F The Joint Commission does not have a specific requirement regarding board certification.
True
200
For the tort of negligence to be claimed, there must be:
Injury
200
Privileged motions include which of the following?
1. Adjourn 2. Recess 3. Question of privilege
200
Per The Joint Commission standards, when must licensure be verified?
At initial granting and renewal of privileges and at expiration of the license
200
The federal Constitution went into effect in what year and currently includes how many amendments?
1789, 27
200
What federal department maintains a database of individuals and entities excluded from federal programs, including Medicare and Medicaid?
OIG
300
The Joint Commission hospital standards require that clinical privileges are hospital specific and
Based on the individual's demonstrated current competence and the procedures the hospital can support.
300
What body approves clinical privileges?
Governing Body
300
According to the Joint Commission standards, initial appointments to the medical staff are made for a period of:
Not to exceed two years
300
According to the Joint Commission standards, temporary privileges may be granted by:
The CEO on the recommendation of the medical staff president or authorized designee
300
According to the Joint Commission Standards, what items must be verified with a primary source?
Licensure, training, experience, and competence
400
According to the Joint Commission standards, which of following is considered a designated equivalent source for verification of board certification?
The American Board of Medical Specialties
400
Which of the following organizations have been recognized by The Joint Commission and NCQA to provide primary source verification of medical school graduation and residency training for U.S. graduates?
American Medical Association Masterfile
400
According to The Joint Commission standards, medical staff bylaws should define:
The structure of the medical staff.
400
According to The Joint Commission hospital standards, professional criteria for the granting of clinical privileges must include at least:
Relevant training or experience, ability to perform privileges requested, current licensure, and competence
400
The Joint Commission hospital standards require medical staff bylaws to include
A mechanism for selection and removal of officers.
500
According to The Joint Commission hospital standards, which of the following is a required component of the reappointment process?
Documentation of the applicant's health status
500
According to The Joint Commission, a nurse practitioner functioning Independently and providing a medical level of care must:
Be granted delineated clinical privileges.
500
According to the Joint Commission, which of the following Is an acceptable source for verification for medical education of an international graduate?
Education Commission for Foreign Medical Graduates
500
According to The Joint Commission hospital standards, which of the following is an element of a self-governing medical staff?
The medical staff determines the mechanism for establishing and enforcing criteria for assigning oversight responsibilities to practitioners with independent privileges.
500
According to TJC, which of the following dictates the qualifications and criteria for appointment to the medical staff?
Medical Staff Bylaws
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