Long-Term Care & Post-Acute Care 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 Long-Term Care & Post-Acute Care Management flashcards as text
What distinguishes a Long-Term Acute Care Hospital (LTACH) from a traditional skilled nursing facility?
Answer: LTACHs treat medically complex patients requiring acute-level care for an average stay of 25+ days
LTACHs are certified as acute care hospitals specializing in medically complex patients with average lengths of stay of 25 or more days, providing ICU-level care such as ventilator weaning.
Which of the following best describes the role of the interdisciplinary team (IDT) in a long-term care facility?
Answer: The IDT collaborates across disciplines to develop and implement individualized resident care plans
The IDT in long-term care brings together clinicians, therapy staff, social workers, dietitians, and other disciplines to collaboratively develop and monitor individualized resident care plans.
Under federal nursing home regulations, which practice regarding physical restraints is required?
Answer: Restraints may only be used when medically necessary and with the resident's or representative's informed consent
OBRA 87 mandates that physical restraints be used only when medically necessary, with less-restrictive alternatives tried first and with informed consent from the resident or legal representative.
What is the primary goal of transitional care management (TCM) in the post-acute care setting?
Answer: To reduce preventable hospital readmissions through coordinated care during care transitions
Transitional care management focuses on coordinating care during the vulnerable period following hospital discharge to reduce preventable readmissions and ensure continuity of care.
Which quality measure is most commonly tracked in long-term care facilities to monitor resident safety and is a core component of the CMS Five-Star rating?
Answer: Percentage of high-risk residents with pressure ulcers/injuries
Pressure injury prevalence in high-risk residents is a key quality measure monitored by CMS and factored into the Five-Star Quality Rating System as an indicator of care quality.
A medical director reviews a trend showing increased urinary tract infection (UTI) rates in a skilled nursing facility. Which intervention is most aligned with antimicrobial stewardship principles?
Answer: Implement culture-directed antibiotic therapy and reduce empiric broad-spectrum antibiotic use
Antimicrobial stewardship programs promote culture-directed, targeted antibiotic therapy and discourage empiric broad-spectrum use to reduce resistance, C. difficile rates, and adverse effects.
Which federal requirement mandates that long-term care facilities have a written infection prevention and control program (IPCP) with a designated Infection Preventionist (IP)?
Answer: CMS Requirements of Participation (RoP) revised in November 2016
The November 2016 CMS Requirements of Participation for nursing facilities mandated a formal IPCP and a designated Infection Preventionist trained in infection control, phased in through 2019.