SMQT Test | 135 Questions Solved 100%
Correct | Verified Answers
What drugs are review for unnecessary medications?
Insulin, anticoagulant, antipsychotics with dementia
When finalizing the sample, what do you do if other residents are marked FI for the complaint
allegation care area?
sample 3 residents for the care area.
What residents are system selected?
any offsite selected with at least one care area marked FI, any resident a surveyor marked as
include in sample, any identified abuse concern from IP or history of abuse citation or allegation
since last survey.
What areas are reviewed for non-interviewable residents ?
Pressure ulcers, dialysis, infections, nutrition, falls in last 120 days, ADL decline, low risk B&B,
unplanned hospitalization, elopement, change of condition in last 120 days.
All residents are reviewed for which areas?
Advanced directives, confirm specific information based on RI/RO, other concerns .
What act established Medicare and Medicaid
Social Security Act of 1965 signed by Johnson established Medicare for aged over 65 and
Medicaid health insurance for low income.
What was created in 1977 to combine Medicare and Medicaid?
Health Care Financing Administration (HCFA), the predecessor of CMS
Who does Medicaid provide services for?
low income, needy elders, blind, disabled getting SSI, certain infants and low income pregnant
women.
What is Title XVIII(18)?
Regulations for Medicare. Covers hospital, post hospital, home health services and hospice.
What is Titile XIX(19)?
,Regulations for Medicaid for families with children, aged, blind or disabled with low income.
What is the Impact Act of 2014?
Impoving Medicare Post-Acute Care Transitions-effective 11/19/19. Includes Discharge
Planning rule, Burden reduction and Emergency Preparedness.
What is the survey process based on?
Person centered care, resident centered outcomes, QOC and QOL.
What are the 8 principles of Documentation?
1. Entity Compliance or Noncompliance
2. Using plain language.
3. Components of a Deficiency statement
4. Relevance of Onsite correction of findings
5. Interpretive guidelines
6. Citation of State or local code violations
7. Cross-referencing
8. Condition of Participation Deficiencies
What are the components of a deficiency statement?
1. regulatory reference
2. deficient practice statement
3.relevance facts and findings
What are CMS core values?
1.Public service
2.Integrity
3.Accountablity
4.Excellance
5.Respect
, capable regardless of circumstances or resources available to support an individual, innate
ability
What is iatrogenesis?
a problem that is caused by a treatment
When should you export the survey shell from ACO?
Export the shell as close to the survey as possible but no more than 5 business days before.
When should you contact the RAI coordinator?
If the number of residents is unreasonable after exporting the survey shell
Which residents are included in the survey shell?
1. Offsite selected who make up 70% of the sample
2. Residents with at least 1 MDS in the last 120 days
3. Residents for closed record review
What is the CASPER report?
Certification and Survey Provider Enhanced Reporting
What items are required upon entrance
1. Census excluding bed holds
2. Matrix for new admits in the last 30 days
3. Alphabetized list of resdients
4. List of resident who smoke
When screening residents, what other concerns should you pay attention to?
resident behavior, staff-resident interactions, resident grooming and cleanliness, strong urinary
odors, evidence of abuse or neglect
How many compliant/FRI residents are in the initial pool?
5 residents
What types of residents must you include in the initial pool?
1. who smokes
2 dialysis
3.Hopsice
4. Ventilator
5. TBP
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