CMD Advanced Professional Practice 3

Question 1

A surveyor cites a facility for a deficiency related to unnecessary medication use. Under which F-tag category does this most likely fall?

Accepted Answer

F757 – Unnecessary Medications

Answer

F757 specifically addresses the requirement that residents receive only necessary medications at the appropriate dose, duration, and for valid clinical indications.

Question 2

In the context of CMD responsibilities, what does the term 'clinical oversight' PRIMARILY encompass?

Accepted Answer

Setting and monitoring adherence to facility-wide clinical policies and standards of practice

Answer

Clinical oversight means the medical director establishes standards, monitors adherence through data, and ensures the facility's clinical care systems function appropriately.

Question 3

A facility is experiencing repeated C. difficile outbreaks. Which action by the CMD would MOST directly address the root cause?

Accepted Answer

Lead a root cause analysis examining antibiotic prescribing patterns and contact precaution adherence

Answer

Root cause analysis targeting antibiotic stewardship and infection control precautions addresses the primary modifiable drivers of C. difficile transmission in LTC.

Question 4

Under CMS regulations, how frequently must the medical director or designee review the care of each resident?

Accepted Answer

As defined by facility policy based on the resident's clinical condition and needs

Answer

CMS does not mandate a specific visit frequency; instead, the standard is that physician visits occur based on the resident's medical needs as defined in the care plan.

Question 5

A CMD is asked to chair the Quality Assurance and Performance Improvement (QAPI) committee. What is the PRIMARY goal of this committee?

Accepted Answer

Systematically identifying, analyzing, and improving care processes and outcomes

Answer

QAPI's primary mission is proactive, data-driven identification of quality gaps and implementation of sustainable improvements in care delivery.

(CMD) Certified Medical Director Practice Test

(CMD) Certified Medical Director Practice Test

CMD Advanced Professional Practice 3