ch6 Flashcards
A discreet, retrospective evaluation of physicians’ performance to see whether accepted standards of care were met and to suggest quality improvements if they were not followed is conducted by _____________.
the peer review committee
A significant aspect of the Health Care Quality Improvement Act is that it
creates a national data bank on peer review activities.
Which of the following is a form of the accountable care organization (ACO)?
~Medicare Shared Savings Program
~ Pioneer Model
~Advance Payment Model
All of these are correct.
Of the following legal issues, which is the most likely to be of concern with respect to the peer review process?
Confidentiality of peer review records
A member of the board of directors has fiduciary duties. Which of the following is not a fiduciary duty?
Insufficient investment of capital in the corporation
Which of the following is generally not considered an element of due process in a case involving possible termination of a physician’s medical staff privileges?
The right to a written transcript of any hearing
Medical staff organization functions include all of the following except:
Providing clinical input for treatment of a patient
Providing clinical input for treatment of a patient
a set of bylaws approved by the governing board
__________ is the process whereby the specific scope and content of clinical services are authorized for a healthcare practitioner by a healthcare organization on the basis of evaluation of the individual’s credentials and performance.
Credentialing
___ is a process for establishing the qualifications and competence of medical staff applicants through review of their training, licensure, and practice history.
Credentialing
Which of the following are considered state actors?
~County-owned hospital
~ Private corporation that operates state-owned facility under contract
~Government-owned corporations
All of these are correct.
__________ is the legal principle that the government cannot discriminate on the basis of characteristics such as race, religion, gender, national origin, or socioeconomic status.
Equal protection of the laws
The peer review process should include all of the following except:
Right to counsel
A Congressional finding of the need to restrict the ability of incompetent physicians move from state to state resulted in the passage of _________
Health Care Quality Improvement Act
The general principle that employees are not entitled to substantive or procedural due process and can be terminated without hearing, without prior notice, and without cause is ______.
Employment at will
