CSC Regulatory Frameworks & Compliance 5

Question 1

Under the CMS Hospital Readmissions Reduction Program (HRRP), which cardiac condition is included as a tracked readmission measure?

Accepted Answer

Acute Myocardial Infarction (AMI)

Answer

CMS tracks 30-day risk-standardized readmission rates for Acute Myocardial Infarction, Heart Failure, and CABG surgery under the HRRP, with financial penalties for excess readmissions.

Question 2

A pharmaceutical representative provides a cardiologist with a research grant funded directly by the drug manufacturer. Under AHA conflict-of-interest guidelines for clinical guideline writing, this cardiologist should:

Accepted Answer

Disclose and be recused from voting on recommendations related to that manufacturer's products

Answer

AHA and ACC COI policies require disclosure of relevant relationships and recusal from voting on specific recommendations related to the funding company's products.

Question 3

The FDA's Breakthrough Device Designation, as applied to a novel cardiac monitoring wearable, is intended to:

Accepted Answer

Expedite the development and review process for serious conditions

Answer

Breakthrough Device Designation expedites development, assessment, and review while maintaining the FDA's standard for safety and effectiveness evidence.

Question 4

Under CMS's Conditions of Participation for Surgical Services, a hospital performing cardiac catheterization must ensure that a qualified physician is available to perform which function?

Accepted Answer

Emergency surgical backup for complications

Answer

CMS and ACC/SCAI standards require that cardiac catheterization programs have arrangements for emergency surgical backup to manage life-threatening complications such as perforation or dissection.

Question 5

A hospital's cardiac surgery program is being evaluated under The Joint Commission's National Patient Safety Goals. Which NPSG is most directly applicable to preventing wrong-site cardiac surgery?

Accepted Answer

NPSG 01.01.01: Patient Identification

Answer

NPSG 01.01.01 requires use of at least two patient identifiers, which is the foundation of preventing wrong-patient and wrong-site procedures including cardiac surgery.

CSC - Cardiac Subspecialty Certification Exam Practice Test

CSC - Cardiac Subspecialty Certification Exam Practice Test

CSC Regulatory Frameworks & Compliance 5