CMD Long-Term Care & Post-Acute Care Management 3

Question 1

What distinguishes a Long-Term Acute Care Hospital (LTACH) from a traditional skilled nursing facility?

Accepted Answer

LTACHs treat medically complex patients requiring acute-level care for an average stay of 25+ days

Answer

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.

Question 2

Which of the following best describes the role of the interdisciplinary team (IDT) in a long-term care facility?

Accepted Answer

The IDT collaborates across disciplines to develop and implement individualized resident care plans

Answer

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.

Question 3

Under federal nursing home regulations, which practice regarding physical restraints is required?

Accepted Answer

Restraints may only be used when medically necessary and with the resident's or representative's informed consent

Answer

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.

Question 4

What is the primary goal of transitional care management (TCM) in the post-acute care setting?

Accepted Answer

To reduce preventable hospital readmissions through coordinated care during care transitions

Answer

Transitional care management focuses on coordinating care during the vulnerable period following hospital discharge to reduce preventable readmissions and ensure continuity of care.

Question 5

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?

Accepted Answer

Percentage of high-risk residents with pressure ulcers/injuries

Answer

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.

(CMD) Certified Medical Director Practice Test

(CMD) Certified Medical Director Practice Test

CMD Long-Term Care & Post-Acute Care Management 3