CPMSM Study Guide (TJC) - CMH77 Questions and Correct Solutions 2025

Where must accreditors submit their standards for approval? - Answer -CMS When is deemed status given? - Answer -After approval by CMS What are requirements set by forces outside the organization? - Answer -External criteria What factors are defined by the hospital's medical staff and governing body or the MCO's board? - Answer -Internal criteria Name possible internal criteria? - Answer -Board certification, an office within close proximity of facility, alternate coverage, need for a particular specialty, application fees, minimum amounts for malpractice insurance Is it an internal or external decision to allow practitioners to practice independently within the hospital? - Answer -Internal According to TJC standards, can medical staff membership and privileges be based solely upon certification, fellowship, or membership in a specialty body? - Answer -No What is the basis for criteria related to membership and privileging? - Answer -Quality of healthcare, treatment, and services Does TJC's interpretation of privileges mean the duties and prerogatives of each category or the clinical privileges to provide patient care, treatment, and services related to each category? - Answer -Duties and prerogatives of each category