MSLS #1

1.

1 point

Can the Board delegate final decision making on credentialing decisions to the Medical Executive Committee.

True

False

2.

1 point

Is it appropriate for the CEO to make the leadership appointments for Drs. A, B, C, D, and E.

Yes

No

Maybe at the beginning, but then the medical staff should hold elections consistent with the process in the Medical Staff Bylaws.

3.

1 point

A hospital cannot be held responsible for the care provided by a physician in the Hospital.

True

False

4.

1 point

The Board of Directors of a Hospital can amend its code of regulations to overrule provisions in the Medical Staff Bylaws without seeking input from the Medical Staff (before or after).

The answer depends upon what entity accredits the Hospital.

This may be true, but is probably not the best way to manage the Hospital.

Both 1 and 2.

Neither 1 nor 2.

5.

1 point

CMS leaves it up to the discretion of the Board of Directors as to whether to delegate to the Medical Staff oversight for quality of care in the Hospital.

False

True

6.

1 point

A Medical Staff member is a private practitioner and has no duty to act in the best interests of the Hospital.

True

False

7.

1 point

All Medical Staffs must have Medical Staff Bylaws.

True, and if recommended by the Medical Staff, must be approved by the Board.

True, and they only need to be adopted by the Medical Staff.

True, and a private accrediting entity has the ability to set different standards with respect to how the documents must be adopted and what must be in the documents.

8.

1 point

A patient may bring a negligent credentialing claim against a Hospital in the following situations:

Only if the practitioner is employed by the hospital.

Only if the patient is harmed by a practitioner while being cared for in the hospital.

Both

Neither

9.

1 point

The Health Care Quality Improvement Act of 1986 does the following for participants in any professional review action:

Bars a practitioner from being able to bring a lawsuit against another practitioner.

Provides immunity from damages to practitioners that participate in professional review actions unless the practitioner acts in bad faith.

Does not provide protection for claims of civil rights violations

Does not provide protection if a practitioner acts on the basis of false information regardless of whether the practitioner knew the information was false.

10.

1 point

A Medical Staff is not required to have Medical Staff Departments but must have a Peer Review Committee.

There is no requirement to have either.

Medical Staff departments are required, but peer review committees are not.

Neither is required, but the Medical Staff must have a process to assess the quality of care provided by practitioners with clinical privileges.

11.

0 points

Please select the type of continuing education credit you are seeking.

CME

NAMSS