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Conditions of Participation
Q.1
Name
*
First Name
Last Name
Q.2
email
*
Email
Q.3
Which of the following is NOT a reason for discharge?
Patient death
For Cause - unsafe behavior example - with documented attempt at remediation.
A patient develops a new wound not present upon admission that requires visits three times a week plus expensive wound care.
MD and agency confer and agree that goals have been met.
Q.4
It is clear to you that your patient is unable to read based upon the OASIS question relating to vision. What must happen regarding the patient bill of rights?
A written copy must be given to a friend or family member.
The admitting clinician reads Patient Rights information in a language understood by the patient and documents accordingly.
Treat the patient will respect that the Patient Rights mandates but avoid making a patient feel uncomfortable due to his or her illiteracy.
Notify the Clinical Manager and arrange for a visit from an MSW.
Q.5
Upon admission, information must be given to the patient regarding which of the following agencies if they exist in your service area.
Agency on Aging
Quality Improvement Organization
Center for Independent Living
Protection and Advocacy Agency,
Aging and Disability Resource Center
All of the above
Q.6
The care plan should never be left in the patient's home because unfamiliarity may cause undue stress for the patient.
true
false
Q.7
When are the newly revised CoP's for home health effective?
Jan 2017
July 2017
October 2017
as of now, the date is undetermined
Q.8
Which of the following is most likely a patient goal?
Pt will walk 50 feet with assist device and verbal cues within 6 weeks.
Patient to 'feel good' when grandchildren visit.
Patient's A1C to be between 7.5 and 8.5 at end of episode.
Patient to suffer no accidents or injuries related to falls this episode.
Q.9
All of the following apply to the agency administrator except:
Must be available during all operating hours
Must be appointed by and report to the Governing Body in writing
Ensure that clinical manager is available during operating hours
Assign duties to an alternative when an absence of 30 days or more is anticipated. May be clinical Manager.
Q.10
Written Instructions are given to a patient at the beginning of each episode and include all of the following except:
Visit schedule
Med list with names, dosages and any meds to be administered by agency
Any treatments including those administered by agency or persons acting on behalf of agency including therapy.
Primary Nurse's direct line
Any other pertinent instructions specific to the patient’s care needs
Name and contact information of the agency clinical manager
Q.11
Which of the following is most likely to result in a survey deficiency.
A patient who had a goal to achieve an A1C between 7.0 and 8.0 but lab at the end of episode revealed an A1C of 9.0.
A patient who had a blood sugar out of range of the patient parameters and the nurse documented that the patient was seeing MD within the next week.
A home health aide discovers a new wound and calls the Clinical Manager instead of the MD.
A patient admitted to the hospital for complications of CHF even though the nurse documented appropriate med teaching.
Q.12
A contract therapist is refusing to participate in the agency's Quality Assurance Program. What do you do next?
Ask another therapist to sit in on the meetings.
Verify appropriate revisions have been made to therapy contracts and explain to the therapist that participation in QA is not optional.
Fire the therapist.
Reason that this therapist would not add anything of value to the QA process and move on.
Q.13
According to the Condition of Participation regarding Quality Assurance, which of the following is true?
Meetings must be held monthly
QA results are shared during the annual PAC meeting
Results must be tracked over time
The agency must have at least 7 projects
Q.14
Quality Assurance activities should give priority to:
HHCAPS
Patient Care
Documentation
Home Health Compare
Q.15
Your Clinical Manager asks for suggestions to comply with the Infection Control Standard in the Conditions of Participation. How would earn your brownie points?
Suggest ways to identify potential infections using objective data such as temperature and use of antibiotics.
Suggest that infection surveillance be limited to central lines and Foley Catheters.
Use hand sanitizer and announce you have prevented an infection.
Suggest a phone survey to determine if patients were infection free at discharge.
Q.16
A home health aide may work for 30 days prior to completion of competency testing.
true
false
Q.17
When can a nurse supervise physical therapists?
When an agency is very small and has only one therapist.
The agency uses a contract therapy company and prefers does not trust the competency and supervision reports fro another company.
Never
When the nurse is caring for a patient of the therapist and the patient is not meeting goals.
Q.18
You've been asked to do a supervisory visit at a patient's home because after today it will be late. What do you need to comply?
Aide's last competency exam
Notes from the patient's last MD visit
Familiarity with the patient, the plan of care and the patient written instructions.
The names of all clinicians involved in the care of the patient.
Q.19
If a deficiency is noted during a supervisory visit, what must happen next?
A present supervisory visit must be made by skilled professional
The aide must be reeducated
The aide's HR file must be updated with the deficiency
The aide is brought in from the field until a complete competency assessment is undertaken.
Q.20
Upon discharge, a summary must be sent to the referring physician, the patient/caregiver, the patients responsible party and community physician or nurse practitioner within five days.
true
false
Q.21
A patient requests a copy of his clinical record. How long does the agency have to comply with the patient request?
4 days
7 days
30 days
60 days
Q.22
The agency you work for hired a management company to allow the owners to focus on other business they own. The management company has instructed you to write notes for visits you missed. You know that if you do so, all of the following apply except:
You will be committing fraud and will be subject to charges and may lose your license.
The owner's who engaged into a contract with the management company may be held liable for fraud.
Most management contracts have a large escrow account to pay back fraud and absolve the owner from blame.
The patient may suffer harm if this is a routine practice.
Q.23
The clinical manager uncomfortable sharing her name and contact information with patients. You know:
It is never appropriate to share that sort of information with patients.
The clinical manager contact information must be given to all patients
Field nurses and therapists should carefully evaluate why this information is being requested.
Refuse to give the name of any nurse working for the agency until you obtain their permission. This may be done via phone from the patient residence.
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