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
A skilled nursing facility is developing a pandemic preparedness plan. Which element is MOST critical for the Medical Director to include in the risk mitigation component?
Answer: Cohorting protocols, PPE stockpile thresholds, and staff illness surveillance triggers
Effective pandemic risk mitigation requires cohorting strategies, defined PPE thresholds, and staff surveillance systems to detect and contain transmission early.
Under the concept of 'just culture' in patient safety, how should a Medical Director respond when a nurse self-reports a near-miss medication error?
Answer: Encourage transparent reporting, conduct system analysis, and protect the reporter from punitive action
Just culture principles prioritize transparent reporting and systemic analysis over individual punishment, recognizing that most errors stem from system failures rather than individual negligence.
A Medical Director identifies that a facility has a high rate of unplanned hospitalizations. Which data-driven metric would BEST help identify residents at highest risk for rehospitalization?
Answer: INTERACT (Interventions to Reduce Acute Care Transfers) Early Warning Tool scores
The INTERACT Early Warning Tool uses clinical triggers to identify residents showing subtle signs of decline, enabling earlier intervention to prevent unnecessary hospitalizations.
Which of the following BEST describes the purpose of a Corrective Action Plan (CAP) submitted to CMS following a citation?
Answer: To document specific interventions, responsible parties, and timelines for achieving and maintaining compliance
A CAP submitted to CMS outlines concrete corrective steps, assigns accountability, and sets timelines to achieve sustained compliance with cited deficiencies.
A Medical Director at a long-term care facility wants to reduce the risk of delirium in post-surgical residents. Which multicomponent intervention program has the strongest evidence base?
Answer: The Hospital Elder Life Program (HELP) or equivalent non-pharmacological delirium prevention protocols
The Hospital Elder Life Program (HELP) uses non-pharmacological interventions—including reorientation, mobility, sleep hygiene, and nutrition—and has the strongest evidence for delirium prevention in older adults.
When assessing the risk of a quality deficiency becoming a repeat citation during state survey, which factor MOST increases that risk?
Answer: Absence of documented staff education, monitoring systems, and sustainability measures in the prior CAP
Repeat citations most commonly result from CAPs that lacked durable staff education, ongoing monitoring, and systemic safeguards to sustain compliance after the initial correction.
A Medical Director is leading an interdisciplinary team to reduce the risk of sepsis-related mortality among nursing home residents. Which early identification strategy is MOST effective?
Answer: Training staff to recognize and respond to early sepsis warning signs using validated clinical triggers such as qSOFA
Training staff to recognize early sepsis warning signs using tools like qSOFA enables timely clinical escalation and intervention before sepsis progresses to septic shock.