Clinical Leadership & Patient Care Flashcards
7 cards from real CMD practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Leadership & Patient Care flashcards as text
A medical director notices that a physician assistant consistently orders unnecessary diagnostic tests. What is the most appropriate first step?
Answer: Schedule a one-on-one educational meeting to review evidence-based ordering practices
An educational conversation is the appropriate initial step to address practice patterns before escalating to disciplinary action.
Under the Patient Self-Determination Act, which of the following is a facility's required obligation?
Answer: Provide written information about patients' rights to make healthcare decisions and formulate advance directives
The PSDA mandates that facilities inform patients in writing of their rights to make healthcare decisions, including the right to create advance directives.
Which quality improvement model uses Plan-Do-Study-Act cycles for iterative change?
Answer: Model for Improvement (IHI)
The Institute for Healthcare Improvement's Model for Improvement uses PDSA cycles to test and implement changes incrementally.
A resident with dementia refuses a recommended medication. The patient has been deemed to lack decision-making capacity. Who provides surrogate consent?
Answer: The legally designated healthcare proxy or next of kin per state law
When a patient lacks decision-making capacity, the legally designated proxy or next of kin per applicable state law must provide informed consent.
In a long-term care facility, which metric is most directly tied to CMS Five-Star Quality Rating?
Answer: Minimum Data Set (MDS) quality measures
CMS uses MDS-derived quality measures as a core component of the Five-Star Quality Rating System for nursing homes.
A medical director is asked to chair a facility's Pharmacy and Therapeutics Committee. Which function falls within this committee's scope?
Answer: Reviewing antibiotic stewardship protocols and formulary management
The P&T Committee is responsible for formulary management, medication use policies, and antimicrobial stewardship in the facility.
Which approach best describes 'just culture' in a healthcare setting?
Answer: Holding individuals accountable while recognizing that system factors contribute to errors
Just culture balances individual accountability with recognition that system design and conditions contribute to adverse events.