Credentialing
Only Medical Staff Committee
required by TJC
What is the Medical Executive Committee?
This body has the ultimate authority for granting privileges in a hospital setting
What is the Board or Governing Body?
This accrediting body allows FSMB for verification of actions against licensure
What is The Joint Commission (TJC)?
This theory replaced the Charitable Immunity Doctrine
What is Respondeat Superior “Let the Master Answer”?
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What are Eggs?
Per AAAHC, this is to be monitored on an ongoing basis
What is Licensure?
Specialty performing an ERCP
What is Gastroenterology (GI)?
This accrediting body does not require peer references at reappointment
What is DNV?
Entity established thru the Health Care Quality Improvement Act of 1986
What is the National Practitioner Data Bank (NPDB)?
Chef that facilitates an intense cooking competition in “Hell’s Kitchen”
Who is Chef Gordan Ramsey?
Name the 4 times TJC requires PSV of licensure
What is Initial, Reappointment, Revision, Expiration?
During a disaster, privileges may be granted to licensed practitioners when this has been activated
What is the Emergency Operations Plan (EOP)?
This accrediting body requires criminal background checks
What is ACHC?
This eliminated the practice of patient dumping and refusal to treat
What is the Emergency Medical Treatment and Active Labor Act (EMTALA)?
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What is Pizza?
URAC requires attestations to be signed/dated no more than what time prior to Cred Comm review
What is 180 Days?
Privileges granted for a specific period of time while waiting for hospital board approval
What are Temporary Privileges?
This accrediting body requires applicant identity
What is the The Joint Commission (TJC)?
This law prohibits physicians from referring patients where they may hold a financial relationship
What is Stark Law?
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What is India?
Per NCQA, credential decisions much be communicated within this period of time
What is 60 calendar days?
This is provided when medical staff privileges are revoked
What is Due Process?
Practitioners are afforded these rights under this accrediting body
Law enacted to encourage good faith professional review activities
What is the Health Care Quality Improvement Act of 1986 (HCQIA)?
Travels across America looking for “Diners, Drive-ins and Dives”
Who is Guy Fieri?