Continuing education test #93 based on nursing homes January 2005

Nursing Homes, Jan, 2005

How to use this self-study program

* Take the Pre-Test before you begin to read this issue of Nursing Homes/Long Term Care Management. Online CE tests for this and previous issues are available at www.achca.org/study/courses.asp?c=7.

* After reading the articles, complete the Test and Evaluation Section.

* If your score is 70% or above, we will send you a certificate of completion and notify the state(s) that you indicate. If your score is less than 70%, you may retake the test.

* Please include your license number for each state (NHA licenses only).

* Tests will be graded and state boards notified within three (3) weeks of receipt.

* According to the ACHCA Code of Ethics, "Preservation of the highest standards of integrity and ethical principles is vital to the successful discharge of the professional responsibilities of all long-term care administrators." You are expected to complete this program according to these guidelines.

* Each Post-Test is approved for 2 CE Credits for nursing home administrators and 2.4 Contact Hours for nurses.

* Not all states accept self-study programs for credit. Check with your state to confirm restrictions. If you feel that you have benefited from this program, please encourage your state to change its policy.

[GRAPHIC OMITTED]

PRE-TEST

1. A good healthcare information system should do all of the following except:

a. improve employee relations

b. improve HIPAA/security compliance

c. improve quality of care

d. improve service delivery

2. With which of the following statements about fax-based transmission of physicians' orders would institutional pharmacists agree?

a. Faxed orders are reliable.

b. They guarantee accuracy.

c. They are a trigger point for error.

d. Their PHI is secure.

POST-TEST

1. Moen ("Is It Time for New Information Technology?") would agree that the project leader of an information technology upgrade should do all of the following except:

a. oversee creation of a Process Performance analysis

b. follow up on modifications or other details during installation

c. make the final decision on purchasing a new software solution

d. ensure the availability of continuing software support

2. Which of the following is among the benefits of a Process Performance Diagram, as indicated by Moen?

a. It highlights manual processes capable of being automated.

b. It outlines what each key player should be doing at each step.

c. It provides detailed information on clinical care processes.

d. all of the above

3. Which of the following is not a benefit of e-prescribing, as indicated by the panelists in "Vendors Sound Off on E-Prescribing"?

a. reduces medication errors

b. automatic checks for negative drug interactions

c. improves workflow efficiency

d. does not require prior authorization to be on file

4. A ten-year timeline has been proposed for the universal deployment of electronic medical records (EMRs), with the electronic organization of institutional pharmacies to be accomplished in:

a. six years

b. five years

c. three years

d. two years

5. Randy T. Abrahams of Bridge Healthcare Finance, as quoted by Hutlock ("Financing the Project"), lists which of the following as a factor common to successful facilities across industry segments?

a. operational efficiency

b. clean and modern facilities

c. skilled management team

d. all of the above

6. John Cobb of GE Healthcare Financial Services, also quoted by Hutlock, characterizes "stale" buildings as having all of the following traits except:

a. outdated computer systems

b. worn furniture and fixtures

c. listless and disengaged residents

d. unfriendly staff

7. To design an efficient and pleasant bathing area, Calkins ("Designing Bathing Rooms That Comfort") suggests all of the following improvements except:

a. Do not laminate posters and prints.

b. Put lights on rheostats.

c. Put art on the ceiling.

d. Do not store equipment in the bathing area.

8. With which of the following statements on bathroom design would Calkins agree?

a. Prominently display signage on equipment operation for caregiver convenience.

b. Do not place extra heat sources in the bathing area.

c. Don't let someone walk in the room during a resident's bath.

d. Tile and solid-surface floors and walls absorb sound.

9. According to Stoil (View on Washington), the Elder Fall Prevention Act incorporated all of the following proposals except:

a. public education on fall prevention

b. cost analysis of falls on Medicare/Medicaid

c. distribution of ambulatory aids to at-risk elders

d. federal research funds to design approaches to prevent and treat falls

10. In looking at quality of care in America's nursing homes, Willging ("It's Time to Take the Politics Out of Nursing Home Quality") examines the attitudes expressed by all of the following groups except:

a. government

b. consumers

c. providers

d. the press

11. With which statement on nursing home quality would Willging disagree?

a. Providers must accept that there is a problem.