Knowledge of the CPD Environment (19%) Flashcards

1
Q

What is the difference between the AMA and the ACP (Americam College of Physicians)?

A

The AMA’s reach extends broadly across specialties, whereas the ACP specifically focuses on internal medicine and its subspecialties

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2
Q

What organization publishes the DSM?

A

American Phsyciatric Association

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3
Q

What’s the difference between the Am. Psychological Assoc and the Am. Psychiatric Assoc.?

A

the APsychologicalA focuses on psychology as a whole, whereas the APsychiatricA specifically represents psychiatrists and their work in diagnosing and treating mental disorders

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4
Q

What is the role of the Federation of State Medical Boards (FSMB)?

A

Assisting state medical boards in their mandate of licensing, disciplining, and regulating physicians and other health care professionals

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5
Q

What is the purpose of Healthcare Effectiveness Data and Information Set (HEDIS) ?

A

is a widely used set of performance measures in the managed care industry. It was developed and is maintained by the National Committee for Quality Assurance (NCQA). HEDIS allows consumers to compare health plan performance to other plans and to national or regional benchmarks.

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6
Q

What is the purpose of the National Academy of Medicine?

A

As a private, non-profit, mission is to advance science, inform policy, and catalyze action to achieve human health, equity, and well-being.

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7
Q

What is the new name of the Institute of Medicine?

A

The National Academy of Medicine

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8
Q

What is the role of the National Board of Medical Examiners?

A

Its primary mission is to protect the health of the public through state-of-the-art assessment of health professionals. While the NBME’s core focus is on assessing physicians, its mission extends across the entire spectrum of health professionals, including education, training, and practice. Here are some key aspects of the NBME’s role:

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9
Q

What is the USMLE?

A

United States Medical Licensing Examination, Three step test series that medical graduates take to practice medicine in the US. focused on basic science, clinical knowledge, and application to patient care.

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10
Q

what is the purpose of the NCQA?

A

NCQA uses measurement, transparency, and accountability to highlight top performers and drive improvement. Initially, it focused on measuring and accrediting health plans. However, since 2008, its mission has expanded to include measuring the quality of medical providers and practices.

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11
Q

what is the purpose of the Pharmaceutical Research and Manufacturers of America?

A

is a trade group representing companies in the pharmaceutical industry in the United States.

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12
Q

What is a Quality Improvement Organization?

A

A Quality Improvement Organization (QIO) is a group of health quality experts, clinicians, and consumers organized to improve the care delivered to people with Medicare. By law, the QIO Program focuses on:
Improving quality of care for beneficiaries.
Protecting the integrity of the Medicare Trust Fund by ensuring reasonable and necessary services.
Expeditiously addressing individual complaints, including beneficiary complaints and violations of the Emergency Medical Treatment and Labor Act (EMTALA).

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13
Q

Credential for Allopathic physician

A

MD

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14
Q

credential for osteopathic physician

A

DO

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15
Q

Test for MDs to proceed to residency

A

USMLE administers by

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16
Q

Test for DOs to proceed to residency

A

COMLEX

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17
Q

Who accredits residency and advanced training programs?

A

ACGME

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18
Q

Who accredits MD schools?

A

Liaison committee on medical education (committee of AAMC)

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19
Q

Who accredits DO schools?

A

COCA Commission on osteopathic college accreditation

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20
Q

What physician certification is required for hospital practice privileges?

A

Board certification

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21
Q

How many main specialties are in the ASMBS

A

24

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22
Q

What are the two undergraduate degrees for nursing?

A

BSN and ASN associate of science in nursing

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23
Q

What is the degree required for advanced practice nurses?

A

MSN

24
Q

What test must nurses take to get a license?

A

National council licensure exam

25
Q

What are the two organizations that certify APRNs?

A

ANCC and AANPCB American academy of nursing practicioners certification board

26
Q

What organization accreditation APRN and RN optional residency programs.

A

ANCC

27
Q

What two licensing exams are required for pharmacists?

A

N American licensure pharmacy exam (NALPEX) and the multistate jurisprudence exam (MPJE)

28
Q

What two pathways can pharmacists use to obtain supervised practice hours?

A

Internship or residency

29
Q

What organization certifies pharmacy specialists?

A

board of pharmacy specialties

30
Q

T/F the ACCME accredits both providers and state level accreditors

A

True

31
Q

What organization has the largest specialty-specific CME enterprise?

A

AAFP

32
Q

T/F. The AAFP accredits CME providers.

A

False. They only accredit member activities thru individual activity applications.

33
Q

What 3 organizations accredit nursing CE providers ?

A

ANCC, state nursing licensure boards, American Association of Nurse Practitioners

34
Q

Which type of professions as represented by their accrediting bodies are in IPCE?

A

doctors, nurses, optometrists, social workers, physchologists, pharmacists, APRNs, physicians’ assistants, psychiatrists and counselors

35
Q

which organization certifies PAs?

A

NCCPA National Commission on Certification of Physician’s Assistants

36
Q

Name the three major physician credit systems…

A

AMCC (AMA PRA Cat 1), AOA, AAFP

37
Q

Which types of nursing credit are generally accepted by state nursing boards?

A

ANCC, state-level accredited CNE providers, and AANP (American Association of Nurse Practitioners)

38
Q

Which two physician associations have their own credit system?

A

AAFP, and ACOG

39
Q

How many credit hours must advanced certified nurses or advanced practice nurses earn every 5 years?

A

75

40
Q

List the two steps of hospital privileging?

A
  1. Credentialing (do you have the degrees?) 2. Privileging, defining their scope of practice
41
Q

What type of education must physician’s participate in to maintain hospital privileging?

A

CME (and lost of time MOC/Board recertification)

42
Q

Must APRN’s be privileged to practice at a hospital?

A

Depends. If they can practice independently in their state. YES. If not, no.

43
Q

Name some organizations that accredit hospitals.

A

The Joint Commission, DNV Healthcare and the HFAP (healthcare facilities accreditation program)

44
Q

What happens if a hospital loses accreditation?

A

Medicare won’t pay them.

45
Q

What organization is the single largest source of funding for physician graduate medical education (GME)?

A

Medicare

46
Q

List the functions of Medicare Parts A, B, C, D

A

A = covers hospital costs
B = covers physician costs
C = Medicare Advantage (combines A+B)
D = covers Rxs

47
Q

Name two important implications of Stark Law.

A
  1. Doctors can’t refer patients to labs that they own. 2. Hospital-based CME must focus on patient health (not referral pathways)
48
Q

Which player is responsible for reporting financial data to Open Payments?

A

Industry

49
Q

Open Payments covers payments to physicians and what other entity?

A

Teaching Hospitals

50
Q

What does AMA CEJA do? (Council on Ethics and Judicial Affairs)

A

provide guidance on gifts TO physicians FROM industry

51
Q

What’s the difference between AHRQ and NCQA?

A

The AHRQ is a government agency under HHS. It does research and policy.

NCQA is a 501c3 which measures and accredits healthcare plans.

52
Q

What are the main points of CMSS’s Code for Interactions with Companies?

A

Key leaders and their relationships with industry. Sponsor/exhibit and CME income and that relationship with industry. And clinical guidelines, and the relationship with industry.

53
Q

Who certifies hospitals, doctors offices, ASCs, nursing homes and more

A

JCAHO (Joint Commission) acronym comes from Joint Commission on Accreditation of Hospitals

54
Q

What is one of the primary contributions of Agency for Healthcare Research and Quality?

A

CAHPS (Consumer Assessment of Healthcare Providers and Systems) surveys, which gather information on consumers’ experiences with health plans and providers.

55
Q

What is one of the key contributions of NCQA (National Committee for Quality Assurance)?

A

HEDIS (Healthcare Effectiveness Data and Information Set), a set of performance measures in the managed care industry.
Over 90% of health plans (HMOs, POS plans, and PPOs) use HEDIS to measure their performance.

56
Q

difference between patient and people centered care?

A

Whereas patient-centered care is commonly understood as focusing on the individual seeking care — the patient — people-centered care encompasses these clinical encounters and also includes attention to the health of people in their communities and their crucial role in shaping health policy and health services.

57
Q

What is managed care?

A

Managed care refers to a system of health care in the United States that aims to reduce costs while improving the quality of health care services.