Mixed Deck — All CHA Topics Flashcards
100 cards from real CHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 20 Mixed Deck — All CHA Topics flashcards as text
What quality assurance measure supports professional standards and ethics?
Answer: Regular self-assessment, peer review, and adherence to established standards
Ongoing quality assurance through self-assessment, peer review, and standards adherence ensures continuous improvement.
Under the Fair Labor Standards Act (FLSA), which hospice employees are typically exempt from overtime pay requirements?
Answer: Employees in bona fide executive, administrative, or professional roles meeting salary thresholds
FLSA exempts certain executive, administrative, and professional employees who meet specific salary and duties tests from the overtime pay requirement.
Which law requires hospice employers to screen staff against the OIG List of Excluded Individuals and Entities (LEIE) prior to hire?
Answer: Social Security Act exclusion provisions
The Social Security Act prohibits hospices from employing or contracting with individuals on the OIG LEIE, as payments for their services cannot be reimbursed by Medicare or Medicaid.
Under OSHA regulations, hospice employers must provide which type of training at no cost to employees who face potential occupational exposure to bloodborne pathogens?
Answer: Bloodborne Pathogens Standard training per 29 CFR 1910.1030
OSHA's Bloodborne Pathogens Standard requires employers to provide annual training to employees with occupational exposure to blood or other potentially infectious materials.
What quality assurance measure supports industry best practices?
Answer: Regular self-assessment, peer review, and adherence to established standards
Ongoing quality assurance through self-assessment, peer review, and standards adherence ensures continuous improvement.
The Stark Law (Physician Self-Referral Law) prohibits physicians from referring Medicare patients to a hospice in which the physician has a financial relationship unless:
Answer: A specific statutory or regulatory exception applies
The Stark Law bans self-referrals to entities with which the physician has a financial relationship unless a statutory or regulatory exception applies.
Which Medicare hospice election period allows unlimited recertification as long as the patient continues to meet eligibility criteria?
Answer: Subsequent 60-day benefit periods
After the initial and second 90-day periods, patients may receive hospice in subsequent 60-day benefit periods with physician recertification, with no cap on the number of periods.
What is the purpose of a 'run chart' in hospice quality management?
Answer: To track a single performance measure over time to identify trends or patterns
A run chart displays a performance measure over time, enabling quality teams to detect trends, shifts, or cycles that signal opportunities for improvement or deterioration.
What is one benefit of interdisciplinary team collaboration?
Answer: Promotes comprehensive patient care
Interdisciplinary team collaboration ensures that all aspects of a patient's well-being—physical, emotional, social, and spiritual—are addressed in a coordinated manner. This integrated approach leads to a more comprehensive and effective care plan, enhancing the overall quality of care for the patient and their family.
Under HIPAA, a hospice's Notice of Privacy Practices (NPP) must be provided to patients at which point?
Answer: At the first service delivery encounter
HIPAA's Privacy Rule requires covered entities, including hospices, to provide patients with a Notice of Privacy Practices no later than the date of first service delivery.
How should industry best practices knowledge be maintained and updated?
Answer: Through continuous professional development, current literature review, and professional networking
Professional competence requires ongoing development through education, literature review, and engagement with the professional community.
What is the role of the hospice administrator?
Answer: Oversee operations and compliance
A hospice administrator holds a comprehensive leadership role, responsible for the overall management and strategic direction of the hospice organization. This includes ensuring efficient daily operations, financial stability, staff oversight, and strict adherence to all regulatory and compliance standards. Their leadership is crucial for delivering high-quality care while meeting legal and ethical obligations.
What is the primary purpose of a hospice compliance program as outlined in OIG guidance?
Answer: Prevent, detect, and correct fraud, waste, and abuse
A compliance program is designed to prevent, detect, and correct violations of laws, regulations, and internal policies, including fraud and abuse.
Which regulation governs Medicare hospice payments?
Answer: CMS Hospice Conditions of Participation
The Centers for Medicare & Medicaid Services (CMS) Hospice Conditions of Participation (CoPs) are a comprehensive set of federal regulations that hospices must meet to be certified for Medicare participation and receive payments. These CoPs establish stringent standards for quality of care, patient rights, interdisciplinary team services, and administrative operations. Adherence to these conditions is mandatory for all Medicare-certified hospices to operate legally and receive reimbursement.
How can hospice administrators ensure financial accountability?
Answer: Conduct internal audits and maintain transparency
Hospice administrators ensure financial accountability by implementing robust internal controls, conducting regular internal audits, and maintaining transparency in all financial dealings. Internal audits help identify and correct discrepancies, while transparency in reporting fosters trust among stakeholders and ensures adherence to budgetary guidelines. These practices are essential for responsible stewardship of resources and maintaining public confidence in the organization.
How should core concepts and principles knowledge be maintained and updated?
Answer: Through continuous professional development, current literature review, and professional networking
Professional competence requires ongoing development through education, literature review, and engagement with the professional community.
Why is medication management essential in hospice care?
Answer: To control symptoms safely
Medication management in hospice care is essential for safely and effectively controlling pain and other distressing symptoms, such as nausea or shortness of breath. The primary goal is to enhance the patient's comfort and quality of life, not to cure the illness, through appropriate pharmacological interventions.
Which data source is most appropriate for identifying trends in hospice patient symptom management outcomes?
Answer: Patient clinical assessments documented in the medical record
Clinical assessment data from patient medical records provides direct evidence of symptom burden, treatment response, and care outcomes over time.
Which method is used in quality improvement to distinguish between 'common cause' variation and 'special cause' variation in a process?
Answer: Statistical Process Control (SPC)
Statistical Process Control (SPC) uses control charts to differentiate between normal variation inherent to a process (common cause) and unusual variation that signals an assignable problem (special cause).
What quality assurance measure supports applied methods and techniques?
Answer: Regular self-assessment, peer review, and adherence to established standards
Ongoing quality assurance through self-assessment, peer review, and standards adherence ensures continuous improvement.