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
A long-term care medical director is concerned about polypharmacy in residents with dementia. Which tool is most widely used to screen for potentially inappropriate medications in older adults?
Answer: Beers Criteria
The AGS Beers Criteria identifies medications that are potentially inappropriate for older adults and are commonly used in medication review for elderly patients.
A medical director is negotiating a value-based contract that includes a shared savings component. To protect the facility financially, which provision is most important to include?
Answer: A minimum savings threshold ('corridor') below which no shared savings are distributed
A savings corridor establishes a minimum threshold that must be exceeded before shared savings are triggered, protecting the organization from bearing administrative costs for negligible gains.
Under CMS Conditions of Participation, which infection control practice is considered the single most important measure to prevent healthcare-associated infections?
Answer: Hand hygiene compliance
Hand hygiene is universally recognized as the most effective single measure for preventing transmission of healthcare-associated pathogens.
A medical director is reviewing a proposal to adopt a new electronic health record (EHR) system. Which factor should take highest priority in the clinical assessment?
Answer: Interoperability with other systems and clinical workflow impact on providers
Interoperability enables safe information exchange across care settings, while workflow impact directly affects clinical efficiency and provider adoption.
Which approach is most consistent with a High Reliability Organization (HRO) framework when a near-miss event is identified?
Answer: Treat the near-miss as a valuable signal and analyze it with the same rigor as an adverse event
HROs treat near-misses as critical learning opportunities, analyzing them rigorously to prevent future harm before an adverse event occurs.
A medical director at a nursing facility wants to reduce the use of physical restraints. According to CMS F604 regulations, restraint use requires:
Answer: A physician order based on medical necessity, resident/family consent, and regular reassessment with a goal of elimination
CMS F604 requires that restraints be used only on physician order for medical necessity, with informed consent, least-restrictive alternatives tried, and regular reassessment for discontinuation.
A hospital's Pharmacy and Therapeutics (P&T) Committee is reviewing a formulary addition request for a high-cost biologic agent. Which consideration should carry the most weight in the medical director's evaluation?
Answer: Clinical evidence of efficacy and safety relative to existing formulary alternatives and cost-effectiveness
Formulary decisions should be evidence-based, weighing clinical outcomes, safety profile, and cost-effectiveness against existing therapeutic alternatives.