Healthcare Administration & Management 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 Healthcare Administration & Management flashcards as text
Which of the following best describes the role of the medical director in a nursing facility's Quality Assessment and Assurance (QAA) committee?
Answer: Chair or actively participate in identifying, evaluating, and correcting quality deficiencies
Federal regulations require the medical director to actively participate in the QAA committee, which is charged with identifying and correcting quality deficiencies.
A health system is evaluating its population health program. Which measure best captures success in managing a diabetic patient population?
Answer: Percentage of diabetic patients with HbA1c < 8%
HbA1c control rates are a validated clinical outcome measure reflecting effective long-term glucose management in diabetic populations.
Under which circumstances may a physician be reported to the National Practitioner Data Bank (NPDB)?
Answer: When a malpractice payment is made on behalf of the physician or adverse licensure action is taken
NPDB requires mandatory reporting of medical malpractice payments and adverse licensure, clinical privilege, or professional society membership actions.
A medical director is developing a readmission reduction strategy. Which patient population should be prioritized based on CMS Hospital Readmissions Reduction Program (HRRP) penalty structure?
Answer: Adult patients with heart failure, pneumonia, COPD, AMI, CABG, and hip/knee arthroplasty
HRRP applies financial penalties specifically for excess readmissions in six condition/procedure categories: HF, pneumonia, COPD, AMI, CABG, and hip/knee arthroplasty.
Which federal law requires healthcare facilities to inform patients about their rights to execute advance directives upon admission?
Answer: Patient Self-Determination Act (PSDA)
The PSDA of 1990 mandates that Medicare- and Medicaid-participating facilities inform patients of their right to make advance healthcare directives at the time of admission.
A medical director is asked to lead a root cause analysis (RCA) after a patient fall with serious injury. Which characteristic is most critical for a high-quality RCA?
Answer: Analyze system and process failures rather than individual blame
Effective RCAs identify system-level failures and contributing processes rather than assigning individual blame, enabling sustainable corrective actions.
Which financial statement most directly tells a medical director whether the organization can meet its short-term obligations to pay staff and suppliers?
Answer: Balance sheet's current ratio (current assets ÷ current liabilities)
The current ratio derived from the balance sheet measures liquidity by comparing current assets to current liabilities, indicating ability to meet short-term financial obligations.