CPMSM EXAM NEWEST ACTUAL EXAM
2024-2025 250 QUESTIONS AND
DETAILED CORRECT ANSWERS |
VERIFIED
Which body has the obligation to the community to assure
that only appropriately educated, trained and currently
competent practitioners are granted medical staff
membership and clinical privileges? Correct Answer
Governing body
When credentialing and privileging practitioners it is
appropriate to Correct Answer Follow a routine process for
each applicant
Medical liability insurance should be held in what limits?
Correct Answer As specified by the medical staff and
board of directors
Which of the following would be an appropriate question to
ask an applicant applying for privileges? Correct Answer
Do you have any medical conditions, treated or untreated,
that would negatively affect your ability to provide the
services to perform the privileges you are requesting?
The governing body delegates the responsibility of
credentialing, recredentialing, and privileging to Correct
Answer the medical staff
,Who should have access to medical staff meeting minutes
Correct Answer Personnel as documented in a records
access policy and procedure
In addition to conclusions, recommendations made, and
actions taken, which of the following should always be
documented in meeting minutes? Correct Answer Follow-
up actions
Active, Associate, Courtesy, Honorary, Consulting are
examples of: Correct Answer Membership Categories or
Privileges
Changes in medical staff bylaws are not final until formally
approved by the Correct Answer Governing body
What is the only hospital medical staff committee required
by TJC standards? Correct Answer MEC
The Healthcare Quality Improvement Act: Correct Answer
Provides qualified immunity from antitrust liability arising
out of peer review activities that are conducted in good
faith.
If you have a question regarding whether or not
information regarding a practitioner should be released to
a third party, which of the following would be the best
person to ask? Correct Answer Organization's attorney
,Prior to releasing information to a third party regarding a
practitioner, the organization should acquire Correct
Answer A signed consent and release form
You are working at an AAAHC accredited facility and you
want to introduce the concept of utilizing a CVO. If the
CVO is not accredited by a nationally recognized
organization you must: Correct Answer Perform an
assessment of the capability and quality of the CVO's
work.
What are the three major sources of authority in the
traditional structure of the hospital organization? Correct
Answer CEO, Governing Body and Medical Staff
How does the governing body of a hospital set the
organization policy that supports quality patient care?
Correct Answer By developing the mission, vision, policies
and bylaws that govern the hospital's operations
Governing boards may be generally classed into which
two types? Correct Answer Philanthropic or Corporate
Which of the following is a major responsibility of the
CEO? Correct Answer Keeping the medical staff informed
about the hospital's plans, organizational changes, board
policies, and decisions affecting providers and their
patients.
To whom is the medical staff organization accountable for
the quality of the professional services provided by
, individuals with clinical privileges? Correct Answer
Governing body
Which term describes a physician employed or contracted
by the hospital as a top-level management employee to
act as a liaison between the medical staff and hospital
administration? Correct Answer Medical Director
Which of the following are included in the functions of the
medical staff? Correct Answer Providing and evaluating
patient care
Which of the following describes a committee that is
assembled or appointed to perform a specific task or duty,
works independently and reports back to a larger
committee and typically disbands after the assigned task
or duty is performed or completed? Correct Answer Ad
hoc Committee
When developing bylaws language for a committee,
consideration should be given to which of the following?
Correct Answer Composition, duties and frequency of
meetings
The credentials committee needs guidance regarding
which physicians will be allowed to perform a new
procedure in the hospital. It has recommended that a
committee be appointed to evaluate this issue and report
back to the credentials committee. What kind of committee
would be appointed? Correct Answer Ad hoc Committee
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