MTM Transitions of Care & Care Coordination 2

Question 1

Which communication channel is MOST effective for transmitting a medication reconciliation summary to a primary care physician after a patient is discharged from a skilled nursing facility?

Accepted Answer

A written, structured medication list faxed or sent via secure EHR message

Answer

Verbal telephone report only, documented in the pharmacist's notes

Answer

Instructing the patient to relay the information verbally at their next appointment

Answer

Posting the summary on a public patient portal without provider notification

Question 2

An MTM pharmacist identifies that a patient's discharge instructions list metformin 1000 mg twice daily, but hospital records show the dose was reduced to 500 mg twice daily due to acute kidney injury. This is an example of:

Accepted Answer

A medication reconciliation discrepancy — unintentional dose change

Answer

A commission error

Answer

A therapeutic substitution

Answer

A formulary exception

Question 3

Which of the following BEST describes the pharmacist's role in an interdisciplinary care transitions team?

Accepted Answer

Providing medication expertise, identifying drug therapy problems, and communicating with the care team to ensure safe handoffs

Answer

Solely dispensing medications and verifying insurance at discharge

Answer

Acting as the primary case manager responsible for all social determinants of health

Answer

Replacing the attending physician's discharge counseling responsibilities

Question 4

A patient with chronic kidney disease is discharged on NSAIDs prescribed by the hospitalist. The MTM pharmacist identifies this as a drug therapy problem. The MOST appropriate next step is to:

Accepted Answer

Contact the prescriber with a recommendation to use an alternative analgesic appropriate for renal function

Answer

Immediately discontinue the NSAID without consulting the prescriber

Answer

Allow the patient to continue the NSAID since the hospitalist prescribed it

Answer

Wait until the patient's GFR drops below 15 mL/min before intervening

Question 5

Under Medicare Part D MTM programs, which care transition scenario MOST directly triggers an enhanced eligibility for a Comprehensive Medication Review (CMR)?

Accepted Answer

A patient recently hospitalized and newly diagnosed with a qualifying chronic condition

Answer

A patient who has been stable on the same medications for 3 years

Answer

A patient who switched insurance plans but has no new medications

Answer

A patient who refilled all prescriptions on time last quarter

Question 6

Which of the following is a validated measure used to assess care transition quality in MTM programs?

Accepted Answer

The Care Transitions Measure (CTM-3)

Answer

The Morisky Medication Adherence Scale (MMAS)

Answer

The Beers Criteria for Potentially Inappropriate Medications

Answer

The Modified Mini-Mental State Examination (3MS)

Question 7

A patient is transferred from an acute care hospital to a long-term care facility. The nursing home's medication administration record lists a different antihypertensive than the discharge summary. The pharmacist's action should be to:

Accepted Answer

Clarify the discrepancy with the prescriber before administering either medication

Answer

Use the nursing home's existing medication without investigation since they are both antihypertensives

Answer

Administer both medications to avoid missed doses

Answer

Defer to the nursing home formulary without notifying the physician