100 points

100 points

100 points

100 points

100 points

100 points

200 points

200 points

200 points

200 points

200 points

200 points

300 points

300 points

300 points

300 points

300 points

300 points

400 points

400 points

400 points

400 points

400 points

400 points

500 points

500 points

500 points

500 points

500 points

500 points

QUESTION – 100 PointsQUESTION – 100 Points

This is a medical record document This is a medical record document that must be completed by a that must be completed by a physician, an oral/maxillofacial physician, an oral/maxillofacial surgeon, or qualified LIP in surgeon, or qualified LIP in accordance with State law and accordance with State law and hospital standards?hospital standards?

ANSWERANSWER

H & P H & P

(Medical History & Physical (Medical History & Physical Examination)Examination)

QUESTION – 300 PointsQUESTION – 300 Points

Who acts on behalf of the Who acts on behalf of the organized medical staff between organized medical staff between

medical staff meetings?medical staff meetings?

ANSWERANSWER

The Medical Executive CommitteeThe Medical Executive Committee

QUESTION – 400 PointsQUESTION – 400 Points

Who oversees the quality of Who oversees the quality of [patient] care, treatment, and [patient] care, treatment, and services provided by practitioners services provided by practitioners privileged through the medical privileged through the medical staff process?staff process?

ANSWERANSWER

The Organized Medical StaffThe Organized Medical Staff

QUESTION – 500 PointsQUESTION – 500 Points

Who manages and coordinates the Who manages and coordinates the patient’s care, treatment and patient’s care, treatment and services?services?

ANSWERANSWER

LIP with appropriate privilegesLIP with appropriate privileges

QUESTION – 200 PointsQUESTION – 200 Points

This is a process to fulfill an This is a process to fulfill an important patient care need and important patient care need and when a new applicant with a when a new applicant with a complete application raises no complete application raises no concerns awaiting approval of the concerns awaiting approval of the MEC & the BOD?MEC & the BOD?

ANSWERANSWER

Temporary PrivilegesTemporary Privileges

QUESTION, 300 PointsQUESTION, 300 Points

This process is consistently This process is consistently implemented for all initially implemented for all initially requested privileges with criteria requested privileges with criteria & requirements defined by the & requirements defined by the organized medical staff?organized medical staff?

ANSWERANSWER

Focused Professional Practice Focused Professional Practice EvaluationEvaluation

(FPPE)(FPPE)

QUESTION – 400 PointsQUESTION – 400 Points

What is March 30?What is March 30?

ANSWERANSWER

Doctors’ DayDoctors’ Day

QUESTION – 500 PointsQUESTION – 500 Points

This is a clearly defined process This is a clearly defined process that facilitates the evaluation of that facilitates the evaluation of each practitioner’s professional each practitioner’s professional practice?practice?

ANSWERANSWER

Ongoing Professional Practice Ongoing Professional Practice EvaluationEvaluation

(OPPE)(OPPE)

QUESTION – 100 PointsQUESTION – 100 Points

A formal process for defining and A formal process for defining and addressing unacceptable addressing unacceptable behavior for all healthcare behavior for all healthcare professionals?professionals?

ANSWERANSWER

Code of Conduct Code of Conduct

(LD.03.01.01)(LD.03.01.01)

QUESTION – 200 PointsQUESTION – 200 Points

What are three types of FPPE What are three types of FPPE proctoring?proctoring?

ANSWERANSWER

1.1. ProspectiveProspective

2.2. ConcurrentConcurrent

3.3. RetrospectiveRetrospective

QUESTION – 300 PointsQUESTION – 300 Points

This data is collected on all This data is collected on all practitioners with privileges with practitioners with privileges with privileges to decide to continue, privileges to decide to continue, limit or revoke privileges?limit or revoke privileges?

ANSWERANSWER

Ongoing Professional Practice Ongoing Professional Practice Evaluation Evaluation

(OPPE)(OPPE)

QUESTION – 400 PointsQUESTION – 400 Points

This helps us locate standards and This helps us locate standards and EPs that have been moved to EPs that have been moved to other chapters?other chapters?

ANSWERANSWER

The TJC History Tracking ReportThe TJC History Tracking Report

QUESTION – 500 PointsQUESTION – 500 Points

This standard has been This standard has been renumbered & addresses the renumbered & addresses the credentialing & privileging of PAs credentialing & privileging of PAs and ARNPs?and ARNPs?

ANSWERANSWER

HR. 1.20HR. 1.20

(NOW hr.01.02.05, EPs 10-14)(NOW hr.01.02.05, EPs 10-14)

QUESTION – 100 PointsQUESTION – 100 Points

This is the process historically This is the process historically called “peer review”?called “peer review”?

ANSWERANSWER

Focused Professional Practice Focused Professional Practice Evaluation (FPPE)Evaluation (FPPE)

QUESTION – 200 PointsQUESTION – 200 Points

What are?What are?

1.1. Interpersonal & Communication Interpersonal & Communication SkillsSkills

2.2. Medical KnowledgeMedical Knowledge

3.3. Patient CarePatient Care

4.4. ProfessionalismProfessionalism

5.5. Practice-Based PracticePractice-Based Practice

6.6. Systems-Based PracticeSystems-Based Practice

ANSWERANSWER

The six JC Core CompetencesThe six JC Core Competences

QUESTION – 300 PointsQUESTION – 300 Points

These are mechanisms addressing These are mechanisms addressing adverse decisions regarding adverse decisions regarding reappointment, denial, reduction, reappointment, denial, reduction, suspension, or revocation of suspension, or revocation of privileges related to quality of privileges related to quality of care & treatment issues?care & treatment issues?

ANSWERANSWER

The Fair Hearing & Appeal ProcessThe Fair Hearing & Appeal Process

QUESTION – 400 PointsQUESTION – 400 Points

This group is responsible for This group is responsible for determining competency?determining competency?

ANSWERANSWER

The medical staff (delegated The medical staff (delegated responsibility through the BOD)responsibility through the BOD)

QUESTION – 100 PointsQUESTION – 100 Points

This process is also used when This process is also used when questions arise related to questions arise related to competency of practitioners competency of practitioners granted privileges?granted privileges?

ANSWERANSWER

Focused Professional Practice Focused Professional Practice EvaluationEvaluation

(FPPE)(FPPE)