Adult-Gerontology Primary Care Nurse Practitioner Exam Quality Control & Assurance 4

Question 1

A 78-year-old patient reports that she received duplicate prescriptions for warfarin from two different providers in your practice. This represents which type of quality and safety event?

Accepted Answer

Adverse drug event

Answer

An adverse drug event (ADE) occurs when a patient is harmed or at risk of harm due to medication use, including duplicate prescriptions that create overdose risk.

Question 2

A primary care clinic wants to improve colorectal cancer screening rates using quality improvement methodology. After defining the aim, which step comes next in the Model for Improvement?

Accepted Answer

Establish measures to determine if change leads to improvement

Answer

After defining the aim, the Model for Improvement requires identifying measures that will tell you whether your changes are leading to improvement before testing changes.

Question 3

An AGPCNP is reviewing population-level data and notices that bone density screening rates for women aged 65+ dropped from 72% to 58% after adding a new EHR module. This unintended consequence should be tracked as which type of QI measure?

Accepted Answer

Balancing measure

Answer

Balancing measures track unintended consequences of quality improvement changes — improvements in one area that cause problems in another.

Question 4

A geriatric clinic applies Lean methodology to reduce patient wait times. Which concept central to Lean focuses on eliminating steps that add no value from the patient's perspective?

Accepted Answer

Waste elimination (Muda)

Answer

Lean's concept of Muda (waste) involves identifying and eliminating non-value-added steps in a process from the perspective of the customer or patient.

Question 5

Under Medicare's Quality Payment Program, an AGPCNP's practice qualifies as a small practice. What accommodation does CMS provide for small practices under MIPS?

Accepted Answer

Additional bonus points added to the final MIPS score

Answer

CMS provides small practices (15 or fewer clinicians) with a 6-point addition to their final MIPS score to help offset reporting burdens.

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Quality Control & Assurance 4