AAAHC Flashcards

1
Q

Applicant must attest to history or loss of license and felony convictions if any?

A

AAAHC

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1
Q

Applicant must attest to lack of present illegal drug use?

A

AAAHC

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2
Q

Applicant must attest to current malpractice insurance coverage?

A

AAAHC

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3
Q

According to AAAHC, for initial appointments in addition to licensure and education, what verification is required?

A

experience & hospital affiliation

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4
Q

Who on initial appointment review work history for continuity and relevance?

A

AAAHC

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5
Q

AAAHC requires re-credentialing every 3 years except for?

A

when state regulations require less time

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6
Q

AAAHC requires PSV of the following elements upon initial application

A

experience reviewed including gaps, peer evaluation, liability insurance, NPDB, education, training experience, current state license, DEA

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7
Q

AAAHC standards require PSV of a # of elements on initial application

A

Name them: 1) Education 2) Training 3) Experience 4) Current state license 5) DEA 6) NPDB 7) Peer references 8) Experienced review 9) current malpractice insurance

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8
Q

Who allows credentialing information from another healthcare organization such as a hospital or group practice to be accepted for credentialing?

A

AAAHC

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9
Q

Who gets credentialed? Ambulatory Care Facility

A

AAAHC requires that the governing body defines criteria for the initial appointment and reappointment of physicians and dentists. They do not specify which providers need to be credentialed.

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10
Q

AAAHC organization requires information upon application regarding

A

information concerning complaints or adverse actions by a professional society, licensure board, licensure disciplinary actions, refusal of professional liability coverage, criminal convictions other than minor traffic violations, Medicare/Medicaid sanctions, current physical/mental health, and chemical dependency problems.

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11
Q

Medicare certified ASC’s

A

who requires the ASCs to have either a written transfer agreement with a hospital or to ensure that all physicians performing surgery in the ASC have admitting privileges at a nearby hospital?

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12
Q

When must ASCs verify admitting privileges?

A

when they are Medicare certified

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13
Q

When does the AAAHC require verification of board certification?

A

at initial application and ongoing basis

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14
Q

Nondiscrimination according to AAAHC

A

not addressed

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15
Q

Medicare/Medicaid sanctions exclusions requirement by AAAHC

A

disclosed and evaluated on initial and reapplication

16
Q

Competence is determined by AAAHC how?

A

on initial application; obtained from peers

17
Q

Board Certification: AAAHC 2015 Accreditation Handbook for AHC

A

Verify on application, reappointment, expiration and on an
ongoing basis.

18
Q

Complaints - AAAHC 2015 Accreditation Handbook for AHC 2

A

risk management process includes an ongoing review of patient complaints and grievances that includes defined response times, as required by law and regulation.

19
Q

Compliance with law - AAAHC 2015 Accreditation handbook for AHC

A

Standards require compliance with all applicable federal, state and local laws.

20
Q

Continuing Medical Education: AAAHC 2015 Accreditation Handbook for AHC

A

Not addressed for medical staff members.

21
Q

CVOs/Delegation: AAAHC 2015 Accreditation Handbook for AHC

A

CVO is allowed. The organization must perform an assessment of the capability and quality of the CVO’s work. Accreditation of the CVO by a nationally recognized organization can meet this requirement.

22
Q

Criminal Background Checks AAAHC 2015 Accreditation Handbook for AHC

A

Background checks not specifically addressed.

23
Q

Current Competence: AAAHC 2015 Accreditation Handbook for AHC

A

On formal application for initial medical or dental staff privileges, the applicant must provide documentation of current competency in performing the requested procedures. Documentation of current competence is obtained from peers.

24
Designated Equivalent Sources: AAAHC 2015 Accreditation Handbook for AHC
AAAHC refers to "secondary sources" Secondary source verification is documented verification of a credential through obtaining a verification report from an entity listed below as acceptable on the basis of that entity having performed the primary source verification. Resources for verification of credentials listed on the AAHC web site are: -American Medical Association Physician Master Profile -Federation of Chiropractic Licensing Boards - American Association of Dental Examiners - Drug Enforcement Agency (DEA) - Association of American Medical Colleges - American Association of Colleges of Nursing -American Academy of Physician Assistants - American Association of Colleges of Podiatric Medicine - Accreditation Council for Graduate Medical Education - Federation of State Medical Boards - American Osteopathic Association - American Association of Nurse Anesthetists - American Board of Medical Specialties - American Dental Association (Specialty Boards Recognized by ADA) - American Podiatric Medical Association (Specialty boards recognized by the AMPA) - American Osteopathic Information Association - American Nurses Credentialing Center - American College of Nurse Midwives - Educational Commission for Foreign Medical Graduates - National Commission on Certification of Physician Assistants Information from another health care organization, such as a hospital group practice that has carried out primary source or acceptable secondary source verification, can be used provided the organization supplies directly, without transmission or involvement by the applicant or other third party, original documents or photo copies of the verification reports it has relied upon. Information received from a CVO is acceptable as long as it meets the CVO requirements.
25
Disaster or Emergency Management Plan Privileges AAAHC 2015 Accreditation Handbook for AHC
When hospitalization is needed due to emergencies, the organization may have a policy for credentialing and privileging physicians and dentists who have admitting and privileges at a nearby hospital.
26
Drug Enforcement Agency Certificate (DEA) or State Controlled Dangerous Substances Certificate AAAHC 2015 Accreditation Handbook for AHC
Evaluated on initial appointment, reappointment, expiration and monitored continually.
27
Education: AAAHC 2015 Accreditation Handbook for AHC
Education is verified with primary source on initial appointment.
28
Felony Convictions: AAAHC 2015 Accreditation Handbook for AHC
The applicant must provide information regarding criminal convictions other than minor traffic violations.