CMD Regulatory Compliance & Quality Improvement 2

Question 1

Under CMS Conditions of Participation, which of the following best describes the Medical Director's primary responsibility regarding quality assessment and performance improvement (QAPI)?

Accepted Answer

Ensuring the facility maintains an ongoing, comprehensive QAPI program

Answer

CMS CoPs require the Medical Director to ensure the facility maintains a comprehensive, data-driven QAPI program addressing all care domains.

Question 2

A long-term care facility receives a deficiency citation for F-tag F758 (unnecessary antipsychotic medications). As Medical Director, what is the most appropriate first step?

Accepted Answer

Conduct a root cause analysis and develop a corrective action plan

Answer

A root cause analysis followed by a corrective action plan is the evidence-based first step in responding to a regulatory deficiency citation.

Question 3

Which federal regulation specifically governs the frequency of Medical Director visits to skilled nursing facilities?

Accepted Answer

There is no federally mandated minimum visit frequency

Answer

Federal regulations do not specify a minimum visit frequency; the Medical Director must visit as often as necessary to fulfill their responsibilities.

Question 4

The PDSA (Plan-Do-Study-Act) cycle is used in quality improvement primarily to:

Accepted Answer

Test changes on a small scale before broad implementation

Answer

PDSA cycles allow facilities to test small-scale interventions, study results, and refine approaches before facility-wide rollout.

Question 5

Under HIPAA, a Medical Director reviewing aggregate quality data to identify trends in falls rates:

Accepted Answer

Is performing a permitted use under the healthcare operations provision

Answer

HIPAA permits use of protected health information for healthcare operations, including quality assessment and improvement activities.

(CMD) Certified Medical Director Practice Test

(CMD) Certified Medical Director Practice Test

CMD Regulatory Compliance & Quality Improvement 2