HIT 254 Unit 6 Study Guide

1. Any individual permitted by law to provide healthcare services without direction or supervision, within the scope of the individual's license as conferred by state regulatory agencies and consistent with individually granted clinical privileges is referred to as _____.  Licensed independent practitioner 2. Which of the following would be considered an indirect caregiver?  Housekeeper 3. The type of data captured on a physician profile summary is mandated by the state board of health.  False (It is NOT!) 4. This tool provides significant data about a physician's performance to the credentials committee to make decisions about reappointment to the medical staff.  Physician profile summary 5. Explain the steps in the initial credentialing process for the organized medical staff.  Educational background, verify DEA registration number, licenses, credentials. 6. How often does the reappraisal and reappointment process generally occur?  Every 2 years 7. New staff members are required to receive an overview of the organization as well as the details about their specific job responsibilities. This process is called?  Orientation 8. Which of the following is an example of a certification rather than a license?  RHIA 9. Inadequate orientation and training are the root causes of 63% of all sentinel events.  True 10. Monitoring incidents of patient's falls can be used to measure effectiveness of hospital staff. This type of indicator would be considered a(n) _____.  Clinical measure 11. Which of the following is a tool that provides significant data about a physician's performance to the credentials committee to make decisions about reappointment to the medical staff?  Physician profile summary 12. A local hospital conducts performance appraisals annually for each employee. This organization uses PI teams to perform their quality improvement investigations. The organization would like to incorporate this work into the performance appraisal process, what should their approach be?  The appraisal process should include a definition of performance expectations and goals and a periodic assessment of performance for team as well as individual. 13. Describe ways in which healthcare organizations are able to retain employees, which helps to maintain a competent workforce?  First off, I believe that pay is the best way to keep employees as well as respect employees ideas and let them voice their opinions and have a say in how they feel about certain things or issues. I feel like giving great competitive 401K plans is also a great way to keep employees happy. Growing the PTO bank is also a great

incentive to keep employees with giving more vacation hours when years of service grow. 14. Individuals that hold certifications and licensure must maintain the license or certification through ongoing training and continuing education. To ensure compliance, organizations must verify that their employees complete the required training and education to maintain their license or certification. Why should this verification process be important to healthcare organizations?  Maintaining licenses and certifications and going through CE will ensure that the health care workers are staying within their scope of practice as well as maintaining compliance which is very important. Things change all the time in the health care role and the employees need to be educated on these changes. This verifies that employees have been properly trained in their scope of practice. 15. Discuss how key leadership functions are demonstrated through human resource management.  Human resource management is important if the manager is confident in how they present themselves and really gets involved with the hospital and the employees. If a manager really cares about the job at hand, then people will notice and be more likely to follow in that role. I believe a good human resource professional should also stick up for the employees and hospital and stand with the employees to make sure the right decisions are made. 16. When a recommendation for continuing privileges is not made, or a restriction in privileges is requested, the physician must be provided means by which their application and supporting materials will be reviewed by an inpatient panel to ensure objective assessment. This procedure is called _____.  Due process 17. During the initial appointment and reappointment process of independent practitioners, healthcare organizations must obtain, verify, and assess the qualifications of the practitioner. List three qualifications that must be verified.  State licenses, postgraduate studies, residency, fellowship training, specialty board status, other healthcare affiliations 18.T he act of granting approval for a healthcare organization to provide services to a specific group of beneficiaries is called:  Certification 19. Which of the following includes the management of toxic materials and wastes through the identification of chemicals and materials that need special handling and disposal.  Hazardous materials and waste management plan 20. OSHA requires healthcare organizations to conduct an annual hazard vulnerability analysis (HVA) to identify potential hazards, threats, and adverse events and