Clinical Privileging Flashcards
7 cards from real CPCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Privileging flashcards as text
A hospital wants to grant temporary privileges to a locum tenens physician immediately. Which condition MUST be met before temporary privileges can be granted?
Answer: Verification of licensure, relevant training or experience, and a query of the NPDB must be completed
Before granting temporary privileges, Joint Commission and CMS standards require at minimum verification of current licensure, relevant training/experience, and an NPDB query.
Which body has final authority to approve or deny clinical privileges at a hospital?
Answer: The governing board
While department chairs and credentials committees make recommendations, the governing board holds ultimate legal authority for credentialing and privileging decisions.
Under Joint Commission standards, Ongoing Professional Practice Evaluation (OPPE) data must be reviewed at what minimum frequency?
Answer: At least every 12 months
The Joint Commission requires that OPPE data be reviewed at least every 12 months, though more frequent review is permitted and often practiced.
A podiatrist applies for ankle surgery privileges at a facility that has historically only considered foot procedures within podiatry scope. What process should guide the privileging decision?
Answer: Review of applicable state law, specialty-specific training, and the facility's defined criteria
Privileging decisions for emerging or scope-of-practice questions must be guided by state law, documented training and competency, and the facility's established criteria.
What is the maximum period for which temporary privileges may be granted under standard hospital policy aligned with Joint Commission standards?
Answer: 90 days, with the possibility of one renewal
Joint Commission standards allow temporary privileges for a period not to exceed 120 days total, often implemented as an initial 90-day grant with one 30-day renewal.
A physician in good standing at Hospital A applies to Hospital B using the same health system's centralized credentialing. Which privileging model does this describe?
Answer: System-wide or enterprise privileging
Enterprise or system-wide privileging allows health systems to share credentialing information and apply uniform privilege criteria across multiple facilities.
Which six general competencies defined by ACGME/ABMS are commonly used as the framework for evaluating provider performance in OPPE?
Answer: Patient Care, Medical Knowledge, Practice-Based Learning, Interpersonal Skills, Professionalism, Systems-Based Practice
The six ACGME/ABMS core competencies—Patient Care, Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, and Systems-Based Practice—form the standard OPPE framework.