Continuing education test #104 * based on nursing homes January 2006.

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 numbers 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.

* Tests must be submitted within one year of the publication date.

* Not all states accept self-study programs for credit. Check with your state to confirm restrictions.

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PRE-TEST

1. In August 2005, long-term care leaders met to begin creating an electronic health record at a summit sponsored by:

a. ACHCA

b. NIC

c. AHIMA

d. NCOA

2. Education programs on the importance of facility cleanliness should include:

a. staff

b. staff, residents, and families

c. staff and families

d. staff and residents

POST-TEST

1. In embracing the electronic health record, what is a reasonable first step for a facility to take, according to Mon and Dougherty ("Moving to the Next Generation of IT")?

a. Evaluate its current operational costs.

b. Work independent of other facilities and vendors.

c. Think of the facility's interests first and avoid local hospitals' influence.

d. Disregard current technologies already in place.

2. Which of the following issues, according to Mon and Dougherty, presents the least problem in adopting and implementing the EHR?:

a. organizational mind-set

b. financial sustainability

c. technical challenges

d. organizational willingness to change

3. PeterDrucker, according to Bolton ("IT as the Key to Survival"), is considered broadly to have "invented":

a. long-term care

b. management

c. IT

d. Medicaid

4. According to Gross ("Cleanliness Is Next to Deficiency-Free"), "forgotten" areas that might not be cleaned by environmental staff could be:

a. tabletops

b. commode flushers

c. floors

d. windowsills

5. Which of the following statements best describes talent planning, as described by Beam ("Hiring and Keeping the Best People")?

a. It is a program.

b. It is a magic bullet for staffing solutions.

c. It takes less than a year to create.

d. It is a mind-set.

6. The heart of a successful talent plan:

a. creates new leaders at all levels.

b. discourages "followership."

c. discourages storytelling.

d. assists a large group of influencers to lead.

7. Meek ("When the Weather Outside Is Frightful, It's Rodent Season") notes that rodents and their fleas may transmit all of the following diseases except:

a. murine typhus

b. salmonellosis

c. poliomyelitis

d. rat-bite fever

8. According to Stoil (View on Washington), the Deficit Reduction Act of 2005 accomplishes all of the following except:

a. It encourages individuals to purchase long-term care insurance.

b. It reduces long-term care providers' dependence on Medicaid reimbursement.

c. It allows up to $500,000 of personal assets to be excluded from Medicaid eligibility calculations.

d. It expands the ability of state governments to partner with the private sector.

9. Willging ("Litigation Is Everyone's Problem") indicates that long-term care organizations are being increasingly attacked on legal grounds with the involvement of all of the following organizations except:

a. FBI

b. CIA

c. state governments

d. OIG

10. When certain criteria are met, notes Willging, violation of a statute, rule, or regulation may result in:

a. a finding of actual harm

b. a presumption of actual harm

c. a finding of negligence

d. a presumption of negligence

11. Which of the following is not a risk-management step recommended by Williams (Liability Landscape)?

a. Routinely evaluate residents who request permission to smoke.

b. Store smoking materials outside resident rooms, allowing residents limited access to them.

c. Document the smoking policy and discuss it with residents and family members.

d. Provide staff supervision for all smokers.

12. According to Miller et al ("Negative Pressure Wound Therapy: An Option for Hard-to-Heal Wounds"), which of the following is not a common application for NPWT?

a. stage 1 pressure ulcers

b. acute wounds

c. surgical dehiscence

d. neuropathic ulcers

POST-TEST EVALUATION

The articles on information technology were:

____ very eye-opening

____ of some interest

____ of no interest

The suggestion on how to keep facilities clean was:

____ very helpful

____ somewhat helpful

____ of no help

The article on negative pressure wound therapy was:

____ very useful

____ mildly informative

____ of no interest

In understanding the material covered in this issue of Nursing Homes/Long Term Care Management, the ACHCA testing process was:

____ very helpful

____ somewhat helpful

____ not much help

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PRE-TEST ANSWERS
 1.  c.
 2.  b.

POST-TEST
(Circle the most appropriate answer)

 1.  a  b  c  d
 2.  a  b  c  d
 3.  a  b  c  d
 4.  a  b  c  d
 5.  a  b  c  d
 6.  a  b  c  d
 7.  a  b  c  d
 8.  a  b  c  d
 9.  a  b  c  d
10.  a  b  c  d
11.  a  b  c  d
12.  a  b  c  d