Column A
According to TJC, how long are temporary privileges valid?
120 days
How long is a CAQH valid?
90 days
Active, Courtesy, Associate, Honorary are examples of what?
Membership categories
Another term for residents and interns is?
House staff
CVO stands for what?
Credentials Verification Organization
Who makes the final decision regarding an application?
Board of Directors/Governing Body
NCQA considers the highest level of training to be?
Residency
Per DNV, how long is an appointment valid?
3 years
Example of credentials that must be tracked on an ongoing basis?
licensure
At UH, how far back do we go for verification of training for a AOA/ACGME training program?
Beginning of Internship/Residency
According to NCQA standards, is a copy of the DEA certificate acceptable as verification?
Yes
What is the first step for a LIAP to obtain a OH state licensure?
Board certification
At UH, how long is a peer reference evaluation good for?
one year
What is the frequency for a DNV on-site survey?
One year
What does NCQA stand for?
National Committee for Quality Assurance
According to DNV standards, temporary privileges may be granted by:
The CEO/President on the recommendation of the medical staff president or authorized designee
In order for a provider to practice medicine in any state in the United States, he/she must possess?
Current state licensure
Who can be a peer reference for a AHP/LIAP?
Someone of equivalent training or above that has current knowledge of clinical competence
For the majority of hospitals at UH, what is the timeframe for physicians to obtain board certification?
5 years from completion of training
What are medical staff members entitled to if they are denied clinical privileges/membership by the Governing Body?
Fair Hearing Process
What is the name of the entity that was established through the Health Care Quality Improvement Act of 1986 to restrict the ability of incompetent physicians, dentists, and other health care practitioners to move from state to state without disclosure or discovery of previous medical malpractice payment and adverse action history?
The National Practitioner Data Bank
What is an alternative to the ECFMG to practice medicine in the United States?
Fifth Pathway
What is the only medical staff committee that is required by CMS?
Medical Executive Committee
At UH, who confirms if outside Fluoroscopy training is acceptable?
UH physicist
What is contained in the Code of Federal Regulations and is intended to protect patient health and safety and to ensure quality of care for hospitalized patients?
The Medicare Conditions of Participation (aka CMS)