Process
Forms
Privileges
Players
Wild Card
100

Thorough process of review to verify complete history of provider to obtain membership on medical staff.

What is initial appointment?

100
Form used between reappointments to make changes to department, privileges or status.

What is change of status?

100

Level of sedation that may be granted to APP.

What is moderate sedation?

100
Provider that can as that a file be pulled from electronic vote for in-depth, in person review.

Who are any of the providers signing off on a file?

100

Rules and regulations that govern medical staff and provide framework of self-governance.

What are bylaws?

200

Process that happens every 2 years to review privileges, competency and medical staff membership.

What is reappointment?

200

Form used to document training and competency as related to special privileges requested.

What is Special Privilege Documentation Form

200

Privilege permission to execute special privilege procedure on spectrum of supervision available to supervision required.

What is PROCTORED special privilege?
200

Department responsible for managing medical staff membership and related compliance issues.

Who is Medical Staff Services?

200

Maximum amount of time any signer should take to review and sign file.

What is 2 business days?

300

Process that happens at one year anniversary of hire date to review privileges, competency and medical staff membership.

What is provisional appointment?

300

Documented peer reviews of clinical competency, professionalism and character completed at reappointment.

What are 360 reviews?

300

Privileged permission to execute special privilege procedure with no oversight or supervision required.

What is INDEPENDENT special privilege?

300

Provider that can read through all documents in reappointment or new hire dossiers.

Who is any signing provider?

300

Non-permanent state license that will allow to complete process for approval of medical staff and approving committees but will not allow provider to bill.

What is temporary practice permit?

400

Provider that initials each and every line of privileges requested?

Who is the APP Supervisor?

400

Form approved and files with Washington State Department of Health that designates supervising physician for physician assistant.

What is delegation agreement?

400

Used to have this privilege in my prior role but I no longer perform this privilege in my current position.

What is a privilege you should get rid of at reappointment?

400

Physician within same department/specialty as PA responsible to state of Washington for oversight of that PA.

Who is a supervising physician?

400

The person that can remove blue, initial here flags.

Who is the provider initialing each and every line of privileges requested?

500

Qualifying issue predetermined by Credentialing and Professional Standard Committee that sets additional reviewers into action, may or may not include monitoring plan.

What is a red flag?

500

Performance plan approved by credentialing committee with 30, 60, 90, 180 day check ins to manage and monitor performance.

What is a monitoring plan?

500

Approval of sedation chair, PALS or other certification, pass SCH sedation test, approval of sedation privileges.

What is required for sedation privileges at SCH?

500

Provider designated as substitute to review and sign files in absence of APP supervisor or APP chief.

Who is the signing delegate?

500

Failing to answer question "Do you have an active military assignment?"

What is the most common error on reappointment paperwork?

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