Continuing Medical Education

Question 1

TJC The Joint Commission
Continuing Medical Education

Answer 1

Physicians and other licensed practitioners privileged through the medical staff process must participate in CE. Participation must be documented and considered in decisions about reappointment, renewal, or revision of individual clinical privileges

Documentation of attendance can be done in several different ways, including but not limited to:
*obtaining copies of program certificates
*obtaining a copy of the information submitted with a license renewal application when CMEs are required by the state
obtaining an attestation statement from the licensed practitioner which attest to the attendance at the CME programs that relate to their area of practice, with the stipulation that proof of attendance and program content will be submitted upon request

Question 2

NCQA
Continuing Medical Education

Answer 2

Not specifically addressed

Question 3

ACHC
Continuing Medical Education

Answer 3

Components of practitioner qualifications and demonstrated competencies include maintenance of continuing education.
Evidence of continuing educational activities every two years may be requested

Question 4

DNV
Continuing Medical Education

Answer 4

MS.9
All individuals with delineated clinical privileges shall participate in continuing education that is as required for state licensure renewal, maintenance or registration or certification, and the organization in order to be eligible for clinical privileges.

SR.1
The organization shall have a process to validate that continuing education and/or training required by the organization is met prior to the granting or renewal of those affected clinical privileges

SR.1a
Documentation shall be made available and considered in decisions for appointment, reappointment, and clinical privileges
SR.1b
Action on an individual’s application for appointment or initial or subsequent clinical privileges is withheld until the information is available and verified

Question 5

URAC
Continuing Medical Education

Answer 5

Not specifically addressed

Question 6

AAAHC
Continuing Medical Education

Answer 6

Not addressed for medical staff members

Question 7

Medicare Hospital COPS
Continuing Medical Education

Answer 7

Not specifically addressed