CMD Professional Standards & Competencies 2

Question 1

Under AMDA guidelines, how frequently must the Medical Director conduct a formal review of the facility's quality assessment and assurance (QAA) committee activities?

Accepted Answer

Quarterly

Answer

CMS regulations require QAA committees, of which the Medical Director is a required member, to meet at least quarterly to review and address quality deficiencies.

Question 2

A Medical Director discovers that a physician on staff is consistently failing to complete H&P examinations within 72 hours of admission. The MOST appropriate initial step is to:

Accepted Answer

Counsel the physician and document the discussion

Answer

The Medical Director's supervisory role requires addressing performance issues through direct counseling and documentation before escalating to formal disciplinary action.

Question 3

Which federal regulation specifically outlines the Medical Director's role and responsibilities in a Medicare/Medicaid-certified skilled nursing facility?

Accepted Answer

42 CFR Part 483.75

Answer

42 CFR Part 483.75 (now reorganized under 483.70) governs administration requirements for SNFs, including the Medical Director's required responsibilities.

Question 4

When developing clinical practice guidelines for a long-term care facility, the Medical Director should PRIMARILY base recommendations on:

Accepted Answer

Expert consensus and evidence-based literature

Answer

Clinical practice guidelines must be grounded in peer-reviewed, evidence-based literature and expert consensus to ensure patient safety and quality care.

Question 5

A competency-based framework for Medical Directors in post-acute and long-term care (PALTC) settings should include assessment in all of the following domains EXCEPT:

Accepted Answer

Personal financial management

Answer

Personal financial management is not a defined competency domain for Medical Directors; the core domains focus on clinical leadership, regulatory compliance, QI, and systems management.

(CMD) Certified Medical Director Practice Test

(CMD) Certified Medical Director Practice Test

CMD Professional Standards & Competencies 2