Continuing education test #145 * based on Long-Term Living October 2009.

How to use this self-study program

* Take the Pre-Test before you begin to read this issue of Long-Term Living.

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

* If your score is 70% or above, ACHCA will send you a letter of completion. If your score is less than 70%, you may retake the rest.

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

* Tests will be graded and state boards notified within four (4) 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 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.

* The test must be received within 1 year of its publication date to be processed for CEU credit.

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Pre-Test

1. A pressure ulcer is:

a. a localized injury to the skin and/or underlying tissue usually over a bony prominence

b. an intestinal lesion caused by lateral recumbency 

c. always located on the lower extremities

d. caused from an unbalanced diet

2. The number one concern mentioned by owners of senior transport vehicles is:

a. comfort

b. versatility

c. safety

d. cost

Post-Test

1. So far, the Quality Indicator Survey (Peck, Kramer: "QIS: An Update") has involved how many states?

a. 6

b. 16

c. 25

d. 50

2. Kramer thinks QIS is a fair survey process because, among other things:

a. surveyors don't come in with preconceived ideas

b. the administrator knows when the visit will occur

c. all components of the survey are equally weighted

d. because it is Centers for Medicare & Medicaid-sponsored

3. Ninety-five percent of the recovered Recovery Audit Contractor funds to date are the result of (Klusch: Preparation Critical for Recovery Audit Contractor Program):

a. not filing Minimum Data Set (MDS) forms electronically

b. redundancy of CMS's forms

c. the billing file and the MDS file not matching or errors in the submission process

d. contractors' vigilance

4. Before an audit will be authorized, CMS will require that all RACs show:

a. at least two violations at a facility

b. "good cause"

c. at least $25,000 in alleged overpayments

d. compliance with the stipulations of the automated review

5. In Hrehocik: "Safety Is Focus," Keith Whetter says the impetus for Transporation Innovation LLC's new SLV line came from:

a. a focus group

b. interviewing long-term care residents

c. industry studies and discussions with manufacturers

d. four years of in-house design meetings

6. One of the newer innovations in long-term care vehicles that improves safety and staff compliance are:

a. roll bars in the ceiling of the vehicle

b. self-tensioning wheelchair tie-downs

c. anti-lock brakes

d. seat belts hanging from the vehicle's ceiling

7. The Mellman Group Survey (Gatty: "Attorneys General Recommend Five-Star Overhaul") shows:

a. Most Americans strongly oppose Medicare cuts to help fund healthcare reform.

b. The Five-Star Quality Racing System is well accepted and helpful to the public at large.

c. More categories are needed in the Five-Star Quality Rating Sys tem.

d. Medicare is already underfunded.

8. The contingent that has urged the Five-Star Quality Rating System be suspended until it is revised, according to Gatty, is:

a. a group of eight state healthcare associations

b. Centers for Medicare & Medicaid Services

c. 31 state attorneys general

d. a grassroots citizens group called Fairness for Nursing Homes

9. In Savastano: "Bed Exchange Data System," the stated mission of the program is:

a. to bridge gaps in the processes that affect access to care

b. to decrease the number of open beds in long-term care facilities 

c. to allow prospective residents to stay in a facility they are considering moving to for one week

d. cost savings

10. According to Conley ("Pressure Ulcer Evaluation: Best Practice for Clinicians"), wounds should be evaluated:

a. on admission, weekly, and with any signs of deterioration

b. daily

c. when a resident complains

d. it depends on the severity of the wound

POST-TEST EVALUATON

On a scale of 1 to 5 please rank the following statements:

The content in this issue is appropriate to long-term care:

1. strongly

2. disagree

3 neutral

4. agree

5. strongly agree

The articles in this issue increased my knowledge of current long-term care practices:

1. strongly

2. disagree

3. neutral

4. agree

5. strongly agree

The articles in this issue were easy to understand:

1. strongly

2. disagree

3. neutral

4. agree

5. strongly agree

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

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