Regulatory Compliance & Quality Improvement 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 Regulatory Compliance & Quality Improvement flashcards as text
The Five-Star Quality Rating System published on Nursing Home Care Compare includes which three domains?
Answer: Health inspections, staffing, and quality measures
CMS's Five-Star system rates facilities on health inspection results, staffing levels, and clinical quality measures.
Under OBRA 87, which of the following is a core Medical Director responsibility?
Answer: Implementation and coordination of resident care policies
OBRA 87 designates the Medical Director as responsible for implementation and coordination of resident care policies and the overall medical care program.
A 'never event' in a long-term care setting most accurately refers to:
Answer: A serious, largely preventable patient safety incident that should never occur
Never events are serious, largely preventable patient safety incidents whose occurrence signals fundamental systems failures.
When a Medical Director identifies a pattern of substandard physician performance in a facility, the most appropriate action under peer review principles is to:
Answer: Initiate a confidential peer review process through the facility's medical staff structure
Peer review through the medical staff structure provides due process protections and a structured method for addressing performance concerns.
MDS (Minimum Data Set) 3.0 quality measures are important to a Medical Director because they:
Answer: Provide standardized clinical outcome data used for quality monitoring and public reporting
MDS 3.0 quality measures generate standardized, federally reported clinical outcomes used by facilities, surveyors, and consumers.
The concept of 'safe harbor' in quality improvement programs primarily protects:
Answer: Information generated in peer review or QI processes from discovery in litigation
Safe harbor provisions in most states protect peer review and quality improvement deliberations from being used as evidence in civil lawsuits.
A facility's antibiotic stewardship program should primarily aim to reduce which risk?
Answer: Antimicrobial resistance and Clostridioides difficile infections
Antibiotic stewardship programs target antimicrobial resistance and C. difficile infections, which are major patient safety threats in long-term care.