Credentialing is required for which two categories of medical personnel?

A: Healthcare provider
B: Front office staff
C: Clinical support staff
D: Janitorial staff

A & C

If a healthcare practitioner has no history of adverse action, their documentation files are retained for how many years after they leave the DoD?

A: 1 year
B: 5 years
C: 10 years
D: Indefinitely

C

True or False: Convictions under the Uniform Code of Military Justice are reportable to the National Practitioner Protection Data Bank.

T

Which Clinical Review Function is responsible for recommending and reviewing the drug formulary?

A: Blood and blood components review

B: Pharmacy and therapeutics monitoring

C: Surgical case review

D: Medication (drug use)

B

Which Medical Staff Committee is responsible for establishing a mechanism to review credentials and grant clinical privileges?

A: Provider Health Ad Hoc Committee

B: Risk Management and Patient Safety Committee

C: Credentials Committee

D: Executive Committee of the Medical Staff

not A

In the last month, the nursing staff, neonatologists, and quality director have been concerned about obstetrician-gynecologist Dr. Haynes' competence in performing C-sections and vaginal deliveries (specifically, there have been high complication rates and an excessive use of instrumentation). As CO of the healthcare organization , you conducted a formal investigation, found the allegations to be true, and suspended Dr. Haynes' OB privileges (but not his GYN privileges) pending the results of a hearing panel. After the appeal, Dr. Haynes' clinical privileges were changed to require that he practice OB care "under supervision". Of the below, which level of supervision would be most appropriate?

A: Verbal
B: Physically present
C: Available "in house"
D: Indirect

B

Which committee or review function evaluates clinical pertinence?

A: Credentials Committee

B: Medical record review

C: Discharge planning

D: Quality Assurance or Patient Safety Committee

B

Which review function is responsible for evaluating criteria for and adequacy of caring for patients whose diagnosis, problems, or psychosomatic circumstances require discharge planning?

A: Medication (drug use)

B: Utilization management and clinical practice patterns

C: Pharmacy and therapeutics monitoring

D: Medical record review

B

What is the process whereby a healthcare provider is granted permission to independently provide specified medical or dental care?

A: Credentialing
B: Privileging
C: Delineating
D: Appointing

B

What committee or structure reviews reports from medical staff committees and medical departments?

A: Hospital Executive Committee

B: Risk Management Committee

C: Executive Committee of the Medical Staff

D: Quality Assurance Committee

b

Which special type of privilege is defined as clinical privileges that are given to practitioners assigned to a healthcare organization for a short period of time?

A: Courtesy privileges
B: Temporary privileges
C: Disaster privileges
D: Consultant privileges

not B

Where is the documentation maintained for the credentials for healthcare providers in the Department of Defense?

A: Individual Professional File

B: Military Personnel File

C: Individual Credentials File

D: None of the above

C

Dr. Haynes has been assigned to your healthcare organization (MHS Community Hospital) as an obstetrician-gynecologist. In the last month, the nursing staff, neonatologists, and quality director have been concerned about Dr. Haynes' competence in performing C-sections and vaginal deliveries (specifically, high rates of complications and an excessive use of instrumentation; high rates of C-sections compared with the national average). Given these concerns, what action would be most appropriate?

A: Revocation of privileges
B: Abeyance of privileges
C: Reduction of privileges
D: Suspension of privileges

B

You have conducted a formal investigation that included a number of clinical reviews of medical records, surgical cases, etc. You found that what was described about Dr. Haynes was in fact true. You make the initial decision to summarily suspend Dr. Haynes's privileges to conduct any type of OB care. However, he retains privileges to see GYN patients. Given that you have suspended part of his privileges, what action is now most appropriate?

A: Formally report this action to your higher headquarters per DoD 6025.13

B: Provide written notification to Dr. Haynes of his right to appeal

C: Notify National Practitioner Data Bank (NPDB) of the reduction of privileges

D: Set up a hearing panel

not B

Which of the following is an example of privileges under indirect supervision?

A: Supervision that consists of a retrospective review of selected records, where the criteria of review relates to quality of care, quality of documentation, and authorized scope of practice

B: Supervision whereby the supervisor is present physically through all or a portion of care

C: Supervision where the supervisor is contacted by phone or informal consultation before implementing or changing a regimen of care

D: Supervision where the supervisor is involved in the decision-making process with the patient

A

How many days after the hearing panel is the peer review report due?

A: 14 days
B: 15 days
C: 10 days
D: 28 days

A

Which Medical Staff Committee oversees the policies and procedures for collecting data on and dealing with sentinel events and other adverse events (e.g., falls, needle sticks, medical errors, etc.)?

A: Executive Committee of the Medical Staff

B: Provider Health Ad Hoc Committee

C: Risk Management and Patient Safety Committee

D: Credentials Committee

C