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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?
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ANSWERANSWER
H & P H & P
(Medical History & Physical (Medical History & Physical Examination)Examination)
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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?
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ANSWERANSWER
The Medical Executive CommitteeThe Medical Executive Committee
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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?
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ANSWERANSWER
The Organized Medical StaffThe Organized Medical Staff
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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?
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ANSWERANSWER
LIP with appropriate privilegesLIP with appropriate privileges
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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?
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ANSWERANSWER
Temporary PrivilegesTemporary Privileges
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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?
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ANSWERANSWER
Focused Professional Practice Focused Professional Practice EvaluationEvaluation
(FPPE)(FPPE)
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QUESTION – 400 PointsQUESTION – 400 Points
What is March 30?What is March 30?
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ANSWERANSWER
Doctors’ DayDoctors’ Day
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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?
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ANSWERANSWER
Ongoing Professional Practice Ongoing Professional Practice EvaluationEvaluation
(OPPE)(OPPE)
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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?
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ANSWERANSWER
Code of Conduct Code of Conduct
(LD.03.01.01)(LD.03.01.01)
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QUESTION – 200 PointsQUESTION – 200 Points
What are three types of FPPE What are three types of FPPE proctoring?proctoring?
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ANSWERANSWER
1.1. ProspectiveProspective
2.2. ConcurrentConcurrent
3.3. RetrospectiveRetrospective
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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?
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ANSWERANSWER
Ongoing Professional Practice Ongoing Professional Practice Evaluation Evaluation
(OPPE)(OPPE)
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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?
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ANSWERANSWER
The TJC History Tracking ReportThe TJC History Tracking Report
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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?
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ANSWERANSWER
HR. 1.20HR. 1.20
(NOW hr.01.02.05, EPs 10-14)(NOW hr.01.02.05, EPs 10-14)
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QUESTION – 100 PointsQUESTION – 100 Points
This is the process historically This is the process historically called “peer review”?called “peer review”?
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ANSWERANSWER
Focused Professional Practice Focused Professional Practice Evaluation (FPPE)Evaluation (FPPE)
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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
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ANSWERANSWER
The six JC Core CompetencesThe six JC Core Competences
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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?
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ANSWERANSWER
The Fair Hearing & Appeal ProcessThe Fair Hearing & Appeal Process
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QUESTION – 400 PointsQUESTION – 400 Points
This group is responsible for This group is responsible for determining competency?determining competency?
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ANSWERANSWER
The medical staff (delegated The medical staff (delegated responsibility through the BOD)responsibility through the BOD)
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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?
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ANSWERANSWER
Focused Professional Practice Focused Professional Practice EvaluationEvaluation
(FPPE)(FPPE)