Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Pharmacy Practice Management Final Exam 2023, Exams of Nursing

Information on various aspects of pharmacy practice management, including clinical pharmacy services, pharmacist interventions, pharmacy and therapeutics committee, and medication adherence. It also covers topics such as investigational pharmacy services, physician dispensary, and infusion authorization policy. the qualifications required for clinical pharmacists and pharmacy technicians, and the benefits of motivational interviewing. It also explains the differences between the biomedical/traditional interviewing approach and the sociobehavioral/motivational interviewing approach.

Typology: Exams

2022/2023

Available from 11/15/2023

Wayne-
Wayne- 🇺🇸

5

(2)

350 documents

1 / 29

Toggle sidebar

Related documents


Partial preview of the text

Download Pharmacy Practice Management Final Exam 2023 and more Exams Nursing in PDF only on Docsity! Pharmacy Practice Management Final Exam 2023 rated A Ambulatory Care Clinical Pharmacy Services - correct answer ✅is composed of 3 Ambulatory Care Clinical Pharmacists and 3 Clinical Pharmacy Technicians. 4 major focuses of this team include: 1. providing comprehensive medication management services, 2. educating providers through the Pharmacy and Therapeutics Committee, 3. developing best practices algorithms to ensure groupwide adherence to evidence based and clinical guidelines based medicine, and 4. managing performance on the population health pharmacy related measures. Pharmacist Consult Service - correct answer ✅Consists of: Benzodiazepine and Opioid Stewardship - Tapers - Positive influence on prescribing rates Drug Information Polypharmacy and TCM (transitions of care) Medication Reconciliation Smoking Cessation Collaborative Practice Agreements (DM & HTN) Collaborative Practice Agreements - correct answer ✅Direct Pharmacist reimbursement by health plans, CMS is limited - patient must be seen by Pharmacist only for 99211. Pharmacists not recognized as providers yet - National Pharmacy Groups (ASHP, APhA, ACCP, etc.) lobbying Pharmacist Interventions - correct answer ✅Evaluation, Treatment, Monitoring, Education, and Documentation Evaluation - correct answer ✅Comprehensive Medication Management (CMM) via patient interview & chart review Treatment - correct answer ✅D/C meds, adjust doses of meds, order refills Monitoring - correct answer ✅order lab tests necessary to assess safety and efficacy of meds Pharmacy Practice Management Final Exam 2023 rated A Education - correct answer ✅provide comprehensive disease state and medication adherence education Documentation - correct answer ✅every encounter in EHR Pharmacy Technician Interventions - correct answer ✅Medication adherence which comprises of pharmacy outreach to review medications, indications/benefits of therapy, assess adherence, and provide counseling on ways (e.g. Consolidating administration times, pill box, alarm reminders, medication synchronization, 30-day to 90-day supply conversions) to support and improve adherence. Pharmacy and Therapeutics Committee - correct answer ✅is a subcommittee of the Clinical Governance Board. Consists of physician representatives from all diverse specialties and programs. It is chaired by a member of the Clinical Governance Board who is an endocrinologist and the Vice President of Pharmacy Services. Topics of interest include: Recent FDA Approvals Pharmacy Updates Generic Approvals Biosimilar Reviews COVID-19 Updates Off-label Medication Reviews National Guideline Updates Diabetes Medications: Cardiovascular Impact Deprescribing Recommendations on limited scope prescribing and co-management Best Practice Algorithms - correct answer ✅Guide care to improve patient outcomes, increase patient safety, streamline methods of care, lower cost, increase efficiency. Developed by a multidisciplinary committee including a Physician Champion and a Clinical Pharmacist Expert. Guidelines developed include: ADHD - (adult & pediatric) Pharmacy Practice Management Final Exam 2023 rated A employee safety and protecting the environment. Anyone and any institution that handles HD products (this includes research drug products) is affected by this chapter Investigational Pharmacy Services - correct answer ✅supports all medication-related aspects of clinical drug-related research under supervision of the principal investigator. They aim to ensure safe and efficient handling of investigational medication, including compliance with all applicable federal and state regulations. They are involved in active protocols, those that have closed enrollment, planned protocols that will begin enrolling, and potential protocols. Physician Dispensary - correct answer ✅Purpose is to support patient care and allow for oncology patients to obtain their supportive or treatment medications immediately following their infusion or office visit without having to leave the building. Infusion Authorization Policy - correct answer ✅Includes: Clinical Specialty Pharmacy review to include step therapy guideline checkpoint and partnering with physicians to reduce unwarranted prescribing variation Comprehensive chart review (internal benefit over Specialty Pharmacy which does not have EMR access) Benefit coverage review with attention to prescription benefit (patient own med) over medical benefit (buy and bill) Goals: Right drug, right dose, right time, right setting, right cost, right outcomes Improve physician and patient experience Groupwide Medication Management - correct answer ✅oversees the formularies for Urgent Care Centers, Ambulatory Surgery Centers, Interventional Radiology Suite and the Radiology/Oncology department. Formularies for each site have been developed to include minimum par levels and lower cost therapeutic alternatives; Tall Man Lettering on Look-Alike, Sound-Alike medications to minimize medication errors and have added red high alert medication flags in all medication rooms; mitigate adverse outcomes due to shortages by maintaining sufficient supply when feasible and recommend alternatives when necessary. Clinical Pharmacy Services - correct answer ✅Consists of 1 clinical pharmacy tech to support medication adherence and 1 ambulatory care clinical pharmacist Pharmacy Practice Management Final Exam 2023 rated A Oncology and Infusion Pharmacy Services - correct answer ✅Includes 4 oncology pharmacists (2 full time, 2 per diem) and 2 infusion technicians Clinical Pharmacist Qualifications - correct answer ✅Includes: Pharm D Degree (6-year program) State Board of Pharmacy license Post-Graduate Training Board of Pharmacy Specialties Certification BCACP (Ambulatory Care Pharmacy) BCPS (Pharmacotherapy) Post-Graduate Training - correct answer ✅Graduates of Pharm D programs may choose to pursue additional training (1 to 2 years) through residencies or fellowships Clinical Pharmacy Tech Qualifications - correct answer ✅Includes: College Degree (BA, BS) State Board of Pharmacy registration 5+ years of experience in retail pharmacy Pharmacy Technician Certification Board (PTCB) Support Clinical Pharmacy team workflow & provide direct patient care through medication adherence patient outreach, vendor relationship policy management, vMA med rec training, data collection, and CMM chart review & patient interviews prior to efficiently maximize Clinical Pharmacist time spent with patients Motivational Interviewing - correct answer ✅is a collaborative conversation style for strengthening a person's own motivation and commitment to change. MI Technique - correct answer ✅Create a supportive and nonjudgmental atmosphere; Help patients feel comfortable openly discussing their adherence to their care plan, medicine use, and/or changes in lifestyle; Guide patients so they—not you, the HCP—say why and how they might change; Increase the amount of change talk to facilitate better outcomes Pharmacy Practice Management Final Exam 2023 rated A Change Talk - correct answer ✅Guide patients so they—not you, the HCP—say why and how they might change MI Benefits - correct answer ✅↑adherence, ↓risk of hospitalization, ↑patient satisfaction and autonomy, ↑engagement in disease-management programs. Helps meet self-management support criteria for patient-centered medical home certification Poor Medication Adherence - correct answer ✅can lead to a worsening of disease and avoidable health risks, especially in chronic illnesses. <50% of patients on chronic therapies remain adherent within the first year of treatment Biomedical/Traditional Interviewing Approach - correct answer ✅HCP-Centered, Information is provided, HCP solves problem, HCP directs, focuses on compliance, argumentative/judgmental, persuade/manipulate, ambivalence seen as a problem, confrontational style, HCP expects respect. Utilizes direct questions, declarative statements, and directive advice Sociobehavioral/MI Approach - correct answer ✅Patient-centered, information is exchanged, patients searches for solution, HCP negotiates, focuses on adherence, inviting/nonjudgmental, understand/accept, ambivalence seen as normal, negotiating style, HCP earns respect. Utilizes open- ended questions, positive affirmations, and reflective listening Elicit-Provide-Elicit Technique - correct answer ✅An approach the clinician uses to ask, listen and inform that encourages patients to talk about and hear their intrinsic motivation for change Four Processes of MI - correct answer ✅Engaging, Focusing, Evoking, and Planning Engaging - correct answer ✅Establishing a working relationship and helpful connection. Provide an open- ended question - "Tell me about the things that seem to trigger an asthma attack." Affirm the patient - "I'm glad that you came to the clinic today." Reflect - "It sounds like there are some barriers in your life that are preventing you from quitting." Pharmacy Practice Management Final Exam 2023 rated A Small Group market - correct answer ✅Group health insurance plans purchased by businesses with 50 or fewer full-time employees. Typically purchased off-exchange directly from the insurer. In order to be considered ACA compliant health coverage: insurers cannot use a group's medical history to set premiums, older employees' premiums cannot be more than 3x those for younger employees, must fit into 1 of 4 four metal levels, and must cover the ACA's essential health benefits Large Group Market - correct answer ✅Employer with more employees than the state's definition of small group. Arises from the ACA's "shared responsibility" provisions (a.k.a. "employer mandate") Generally, require that "applicable large employers" (generally those with 50 or more full-time employees) offer insurance to full-time employees that meets the ACA's specifications or pay a fine. Businesses with fewer than 50 workers are exempt. Must offer coverage to at least 95 percent of full- time employees or pay a fine Not required to offer essential health benefits Self-Insured/Self-Funded Plans - correct answer ✅A health plan where the employer assumes the financial risk for providing health care benefits to its employees. I.e., employers pay for each out-of-pocket claim as they are incurred instead of paying a fixed premium to an insurance company (fully-insured). Employer typically sets up a trust fund to earmark money to pay claims. Allows employers to customize plan to fit their needs; Not subject to state law; only subject to federal law (ERISA) Avoids state health insurer premium tax. It is either handled in-house or contracts w/ third-party administrator Essential Health Benefits - correct answer ✅Under the ACA all individual and small group plans must cover these; No annual or lifetime caps. There are 10 of these: Hospitalization Ambulatory services Emergency services Maternity and newborn care Pharmacy Practice Management Final Exam 2023 rated A Mental health and substance abuse treatment Prescription drugs Lab tests Chronic disease management, "well" services, and preventative services recommended by the USPSTF, HRSA, and CDC's ACIP Pediatric dental and vision care Rehabilitative and habilitative services Medicare - correct answer ✅Federally funded program; coverage for individuals who are 65 or older, certain younger people with disabilities, people with end-stage renal disease Part A (Hospital); Part B (Medical); Part D (Prescription Drug). By Federal law, these are required to include at least two drugs from each class of drug category on their formulary. Generally, most plans cover far more than two in each category Medicare Advantage - correct answer ✅Plan offered by carrier that contracts with Medicare to provide Part A and B benefits; most also offer prescription drug coverage Medicaid/NJFamilyCare - correct answer ✅Administered by the states according to federal requirements. Coverage for low-income adults, children, pregnant women, elderly adults and people with disabilities; Medicaid is administered by states, according to federal requirements. Jointly funded by states and federal government. By law, these programs offering prescription drug coverage must cover all drugs approved by the FDA. However, most states use a "preferred drug list" (PDL). Children's Health Insurance Program (CHIP) - correct answer ✅Coverage for uninsured children in families with incomes that are modest but too high to qualify for Medicaid Preferred Drug List - correct answer ✅Tool used to control drug spend and ensure medical necessity. States take different approaches to developing these based on federal and state law. Generally, designates drugs as "preferred" or "non-preferred" based on safety, efficacy, and cost- effectiveness. Non-preferred medications require prior authorization Pharmacy Practice Management Final Exam 2023 rated A Civil Monetary Penalties Law (CMPL) - correct answer ✅Authorizes HHS to impose civil money penalties and/or exclude from Medicare and Medicaid programs physicians who commit various forms of fraud and abuse involving Medicare and Medicaid False Claims Act (FCA) - correct answer ✅Protects the government from being overcharged or sold shoddy goods or services. It is illegal to submit claims for payment to Medicare or Medicaid that you know or should know are false or fraudulent. Penalties: Filing false claims can result in fines of up to 3x the programs' loss plus $11,000 per claim filed Anti-Kickback Statute (AKS) - correct answer ✅Criminal law; prohibits the knowing and willful payment of "remuneration" to induce or reward patient referrals or the generation of business involving any item or service payable by federal health care programs (e.g., drugs, supplies, or health care services for Medicare or Medicaid patients). Rationale: These can lead to overutilization, increased program costs, corruption of medical decision making, patient steering, and unfair competition. Penalties: Fines, jail terms, and exclusion from participation in the federal health care programs. Also, under the CMPL, individuals who pay or accept kickbacks also face penalties of up to $50,000 per kickback plus three times the amount of the remuneration Physician Self-Referral Law (Stark Law) - correct answer ✅Prohibits providers from referring patients to receive "designated health services" payable by Medicare or Medicaid from entities with which the provider or an immediate family member has a financial relationship, unless an exception applies. Strict liability statute. Financial relationships include both ownership/investment interests and compensation arrangements. Penalties: Fines as well as exclusion from participation in the federal health care programs Exclusion Statute - correct answer ✅OIG (office of inspector general) is legally required to exclude from participation in all federal health care programs individuals and entities convicted of the following types of criminal offenses: Medicare or Medicaid fraud, as well as any other offenses related to the delivery of items or services under Medicare or Medicaid; patient abuse or neglect; felony convictions for other health-care-related fraud, theft, or other financial misconduct; and felony convictions for unlawful manufacture, distribution, prescription, or dispensing of controlled substances. Pharmacy Practice Management Final Exam 2023 rated A Flexible Spending Account - correct answer ✅Employers set up for active employees. Contribute up to a certain amount in pre-tax dollars. IRS publishes a list of qualified medical expenses. Generally, cannot roll over a balance at end of year Health Savings Account - correct answer ✅Coupled with a high deductible health plan Triple tax advantaged Individually owned; balance is retained at end of year Medicare Medical Savings Account - correct answer ✅Uncommon Coupled with high deductible health plan Cannot individually contribute Medicare deposits monies directly The Consolidated Appropriations Act - correct answer ✅$1.4 Trillion spending package; includes $900 billion COVID-19 relief package. $69 billion for COVID-19 treatment and vaccines. Funding for unemployment insurance, cash payments to individuals, small businesses, schools, rental assistance, nutrition, agriculture, and childcare, among others. Increased Medicare Physician reimbursement rates for 2021 The American Rescue Plan Act of 2021 - correct answer ✅$1.9 trillion stimulus bill Key health-related highlights: COVID-19 Testing and Vaccines: Appropriates more than $50 billion for coronavirus testing, surveillance and related mitigation and containment measures along with $14 billion for vaccine distribution ACA Tax Credits: Significantly enhances tax credit generosity for 2021-2022 COBRA: Provides 100% subsidy for COBRA premiums from April through September 2021 Medicaid: Provides 5% FMAP increase for states that newly expand their Medicaid programs and gives states the option to expand postpartum coverage to 12 months Pharmacy Practice Management Final Exam 2023 rated A Medicare Advantage Organizations Testing Guidance - correct answer ✅CMS requires provider order for any subsequent test after the first test; no questions asked for all FDA approved tests NJ DOH Standing Order & DCA guidance - correct answer ✅permits pharmacists to order molecular tests CMS Interim Final Rule - correct answer ✅permits pharmacists to order all COVID-19 lab tests New Jersey Bill (S2436/A4012) - correct answer ✅makes permanent the authorization for pharmacists to order, perform, and be reimbursed for all COVID-19 lab tests HHS Authorization to Order & Administer COVID-19 Vaccines - correct answer ✅Issued under the Public Readiness and Emergency Preparedness Act (PREP Act). State-licensed pharmacists can order and administer vaccines. Registered pharmacy interns under pharmacist supervision can administer vaccines. Applicable to patients aged 3 or older. Preempts conflicting state law HHS Authorization to Order & Administer Childhood Vaccines - correct answer ✅Issued under the PREP Act Effective only during Emergency Declaration. Increase access to childhood vaccines and decrease the risk of vaccine-preventable disease outbreaks as children return to school. State-licensed pharmacists can order and administer ACIP recommended vaccines to individuals ages 3 to 18. Registered pharmacy interns under pharmacist supervision can administer vaccines Executive Order 103 - correct answer ✅Declares a public health emergency; all State agencies, and specifically the Departments of Banking and Insurance, Health, Human Services, Education, and the Civil Service Commission are authorized to take appropriate steps to address the public health hazard of COVID-19, including increasing access and eliminating barriers to medical care, protecting the health and well-being of students, and protecting the health and well-being of State, county, and municipal employees while ensuring the continuous delivery of State, county, and municipal services. Public health emergency - correct answer ✅Bioterrorism, accidental release of biological agents, appearance of a novel or previously controlled or eradicated biological agent, natural disaster, chemical attack, accidental release of toxic chemicals, nuclear attack, or nuclear accident. Pharmacy Practice Management Final Exam 2023 rated A NJ Health Powers Act - correct answer ✅Empowers Governor and Commissioner of Health to coordinate all matters of the public health response including: Direct "health care facilities" (includes pharmacies) Direct "health care providers" (includes pharmacists) Medications, vaccine, and medical supply rationing Direct health care providers to conduct investigations; may specifically direct a pharmacist to report on: Unusual increase in number or type of prescriptions to treat certain conditions; Unusual increase in number of prescriptions for antibiotics; and Any prescription identified by the commissioner that treats a disease that is relatively uncommon or may be associated with terrorism. Also empowers governor to Implement a New Jersey Vaccine Education and Prioritization Plan to protect against a vaccine shortage which would provide: Procedures for the assessment of available vaccine Statewide; Procedures for the distribution and administration of vaccines that shall apply to physicians, nurses, health care facilities, pharmacies and others that dispense vaccines; and Procedures for mobilizing public and private health resources to assist in vaccine distribution and administration; and reallocating available supplies Implement a Emergency Health Care Provider Registry of personnel who voluntarily consent to provide health care, public health services and support logistics during a public health emergency. Department of Banking and Insurance Bulletin: Individual, Small and Large Group Markets - correct answer ✅Advises carriers to waive all cost sharing for ER, urgent care, and office visits for screening and testing for COVID-19, Advises carriers to: ensure provider networks are adequately prepared to handle a potential increase in need; make timely utilization management determinations; develop robust telehealth programs; cover costs of vaccine once available; expand access to prescription drugs to provide coverage for drugs to treat COVID-19 at a preferred level of cost sharing Department of Human Services Directive for NJFamilyCare (Medicaid and CHIP) - correct answer ✅Directs State's Medicaid and CHIP program, to cover testing, visits for testing, and testing-related services without cost-share. Coverage for 90-day supplies of maintenance medications, encourage providers to use telehealth for routine visits when available Pharmacy Practice Management Final Exam 2023 rated A Temporarily reactivate the licenses of recently retired health care professionals. Grant temporary licenses to doctors licensed in foreign countries. Temporarily permits nurse practitioners and physician assistants to perform services outside of their ordinary scope of practice. Grants broad civil immunity to health care professionals and facilities providing services in support of New Jersey's COVID-19 response efforts who are acting in good faith Tri-agency OTC COVID-19 Testing Coverage Requirements - correct answer ✅Requires commercial plans cover 8 OTC COVID-19 tests per 30-day period (or per calendar month) during the COVID-19 public health emergency (PHE) Test-to-Treat Initiative - correct answer ✅White House launched one-stop shop website for vaccines, tests, treatments, masks and the latest COVID-19 information SUBTITLE F: Over-the-Counter Drugs Part I: OTC Drug Review - correct answer ✅Sec. 3851 - 3856. These sections align with the Over-the- Counter Monograph Safety, Innovation, and Reform Act of 2019, which passed the Senate in 2019. This subtitle is a major reform to the OTC drug industry. It creates a user fee for OTC drug makers to provide staff and resources to the FDA for oversight of this market. SUBTITLE F: Over-the-Counter Drugs Part II: User Fees - correct answer ✅Sec. 3861- 3862. Fees relating to OTC drugs (see above) the Over-the-Counter Monograph Safety, Innovation, and Reform Act of 2019 - correct answer ✅Bipartisan bill to improve the safety of OTC medications. First significant update to federal oversight of OTC products since 1972. Streamlines the OTC system AND establishes Industry funding Consolidated Appropriations ACT: Subtitle C - Sec 324 - correct answer ✅The "MODERN Act;" Grants FDA authority to address outdated labeling of certain generic drugs. Also provides FDA with the authority to order labeling changes Pharmacy Practice Management Final Exam 2023 rated A Consolidated Appropriations ACT: Subtitle C - Sec 325 Biological product patent transparency - correct answer ✅Addresses the disclosure of patent and exclusivity Information for biologics. Aims to increase transparency of licensure, patent, and exclusivity information for biologics by requiring information to be publicly available and updated every 30 days The Ensuring Innovation Act - correct answer ✅Codified existing FDA practice to award NCE exclusivity based on a drug's "active moiety" rather than its "active ingredient." Attempts to prevent pharmaceutical companies from extending exclusivity by making minor chemical composition changes. Clarifies the statutory grounds for existing FDA practice concerning exclusivity and keeps in place a regulatory approach that makes it more difficult for pharmaceutical companies to obtain NCE exclusivity periods The Advancing Education on Biosimilars Act - correct answer ✅Aims to increase competition and lower drug prices by increasing patient and provider education on biologics and biosimilars. Requires FDA to establish public website with educational materials (including infographics, CE programs, and webinars for prescribers and the public) on biosimilars and biologics, including information on interchangeability, and the process for reporting adverse events. Received bipartisan support in hopes that further education of prescribers and patients will increase confidence in safety and efficacy of biosimilars and lead to increased prescribing and corresponding reduction in drug costs Skinny Labeling/Follow-On Products - correct answer ✅Drug manufacturers seeking approval for some but not all the FDA approved indications for which the branded drug has been approved. Issuer Price Transparency Rule - correct answer ✅Make available a self-service internet tool so consumers can obtain a personalized estimate of their cost-sharing liability for an item or service provided by a specific provider before they receive care. Publicly disclose negotiated in-network rates and out-of-network allowed amounts for all covered items and services in machine readable files Medicaid Program - correct answer ✅Authorized under Title XIX of the Social Security Act in 1965 Administered by the Centers for Medicare and Medicaid Services (CMS) under the U.S. Department of Health and Human Services (HHS) Pharmacy Practice Management Final Exam 2023 rated A Medicaid-joint federal and state cost sharing program Medicaid's Structure - correct answer ✅Federal government provides payments to individual states, based upon a state's per capita income. The Federal allocation or Federal Medical Assistance Percentage (FMAP). Within broad national guidelines which the Federal government provides, each of the States establishes its own eligibility standards, benefit packages and payment rates Medicaid Eligibility - correct answer ✅varies by State; provides benefits to reflect the needs of the population is serves. Medicaid Program Services - correct answer ✅Inpatient/Outpatient hospital services Rural health clinics Lab services Transportation services X-ray services Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) for individuals under age 21 Family planning services Federally Qualified Health Center Services (FQHCs) Medicaid Optional Services - correct answer ✅Podiatrists services Optometrists services Dental care Physical therapy Occupational therapy Hospice care Respiratory care Prescribed drugs and many more Pharmacy Practice Management Final Exam 2023 rated A Preventive and wellness services Ambulatory patient services Rehabilitative services and devices Pediatric Services Hospitalization Greater - correct answer ✅Children w/ Medicaid/CHIP have ____________ access to care than uninsured children and comparable access to children w/ employer-sponsored insurance Transitions of Care (TOC) - correct answer ✅refers to the movement of patients between locations Healthcare Providers or different levels of care within same facility. Narrow subset of the broader concept of Transitional Care TOC activities - correct answer ✅Medication reconciliation, med education, med access, setting goals of care, etc Hospital Pharmacy Services - correct answer ✅Personalize therapies Admission medication reconciliation Discharge medication reconciliation Review and address labs Provide discharge education Prevent avoidable admissions and readmissions Community Pharmacy Services - correct answer ✅Educate on administration and device techniques Fill and deliver medications Prior authorization Convenience packaging Ensure access to medications Vaccinations Pharmacy Practice Management Final Exam 2023 rated A Primary Care Office Services - correct answer ✅Review and update medication list Review and address labs Personalize medication therapies Disease, medication, and lifestyle modification education Specialty / Disease State Management Clinics - correct answer ✅Address health-condition issues Adjust medication regimens and doses Disease, medication, lifestyle modification education Educate on administration and device techniques Medication Reconciliation - correct answer ✅The process of identifying the most accurate list of all medications that the patient is taking, including name, dosage, frequency, and route, by comparing the medical record to an external list of medications obtained from a patient, hospital or other provider 70% - correct answer ✅What Percent of Patients have at least 1 Medication Discrepancy between Hospital and Discharge 1/3 - correct answer ✅What ratio of discrepancies can cause patient harm? Leap Frog - correct answer ✅collects and transparently reports hospital performance, empowering purchasers to find the highest-value care and giving consumers the information, they need to make informed decisions. Pharmacist - correct answer ✅Who must perform an independent Best Possible Medication History w/in 24 hours of admission? The MARQUIS Study - correct answer ✅5 US hospitals Each site implemented one or more of 11 best practices to improve medication reconciliation Pharmacy Practice Management Final Exam 2023 rated A Intervention was associated with a reduction in the number of potentially harmful discrepancies over time Medication Reconciliation Process - correct answer ✅Admission to Transfer to Discharge Admission - correct answer ✅Take BPMH, write admission med orders based on pre-admission medication list, compare PAML w/ admission orders and ID and correct unintentional discepancies BPMH Eligible Healthcare Providers - correct answer ✅Medical assistant, licensed nurse, RN, pharm tech, pharm student, pharm resident, pharmacist, non-physician provider, physician Two - correct answer ✅How many sources of info are needed for a BPMH? Probing Questions - correct answer ✅start w/ open-ended, ask about scheduled medications, ask about prn medications, fill in gaps, assess purpose of each medication, ask about meds for specific conditions. Ask about medications that are easy to forget and non-prescription products. LeapFrog Data Collection - correct answer ✅ Customer Experience (CX) - correct answer ✅is the series of experiences that a customer goes through when interacting or engaging with a particular brand. These experiences ultimately determine a customer's degree of satisfaction and loyalty as well as their perception of the brand. The sum of all experiences our member has over the course of his or her relationship with us. And we call it member experience. Three Core Elements of CX - correct answer ✅Effectiveness, Ease, and Emotion Okay - correct answer ✅How does health insurance rank in Customer Experience?
Docsity logo



Copyright © 2024 Ladybird Srl - Via Leonardo da Vinci 16, 10126, Torino, Italy - VAT 10816460017 - All rights reserved