Risk Assessment & Mitigation 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 Risk Assessment & Mitigation flashcards as text
Which risk mitigation strategy is MOST effective for preventing aspiration pneumonia in residents with dysphagia?
Answer: Implementing speech-language pathologist-recommended diet texture modifications and positioning protocols
SLP-recommended texture modifications and upright positioning during and after meals are evidence-based interventions that directly reduce aspiration risk in dysphagic residents.
Under the CMS Mega-Rule (Phase 3) requirements, facilities are required to employ an Infection Preventionist (IP) who meets specific qualifications. What percentage of their time must the IP dedicate to infection prevention and control?
Answer: 50%
CMS requires the Infection Preventionist to work at least part-time at the facility, dedicating a minimum of 50% of their time to infection prevention and control activities.
A Medical Director is evaluating antibiotic stewardship as a risk mitigation strategy. Which outcome measure BEST indicates a successful stewardship program?
Answer: Decreased rates of Clostridioides difficile infection and multidrug-resistant organism prevalence
Reductions in C. difficile infection rates and MDRO prevalence are the most clinically meaningful indicators of an effective antibiotic stewardship program.
A new resident is admitted following a hip fracture repair. Which interdisciplinary risk assessment should be completed within the first 48 hours to guide care planning?
Answer: MDS Section J assessment including fall history, pain, and delirium screening
MDS Section J captures pain, fall history, and delirium risk factors that are critical for safe care planning in post-fracture residents and is required within the admission assessment window.
When implementing a restraint reduction program, which alternative intervention should be tried FIRST before any physical restraint is considered?
Answer: Environmental modifications, repositioning aids, and increased staff supervision
Non-pharmacological and environmental approaches must be attempted and documented before any physical restraint, as CMS requires the least restrictive alternative first.
A Medical Director reviews the facility's grievance logs and notices repeated complaints about pain management. Under a risk-based quality improvement model, what is the MOST appropriate next action?
Answer: Conduct a root cause analysis and initiate a Performance Improvement Project (PIP) targeting pain assessment and management
Repeated grievance patterns are a signal event requiring root cause analysis and a structured PIP under the QAPI framework to identify and address systemic pain management deficiencies.
In the context of CMD risk assessment, which concept describes the process of identifying hazards, evaluating their probability and severity, and prioritizing corrective actions?
Answer: Risk matrix analysis
A risk matrix analysis plots the probability and severity of identified hazards to prioritize which risks require the most urgent corrective actions.