COLORADO NHA EVALUATION TEST QUESTIONS
AND ANSWERS SET A+
✔✔What are the types of occurrences that need to be reported within 24 hours -
✔✔Death of patient/resident that is required to be reported to the coroner (unexplained
cause or under suspicious circumstance)
Injury - brain/spinal cord, life threatening complication of anesthia or life threatening
complication from a transfusion errors/reaction
Patient/Resident cannot be found following search of facility grounds and surrounding
area
Physical/sexual/verbal abuse
misappropriation of property
drugs intended for use by patients are diverted to use by other persons
malfunction or intentional or accidental misuse of patient/resident care equipment that
occurs during treatment/diagnosis and that adversely affects or would have affect
patient/resident.
✔✔What policy must the facility have regarding death of a resident - ✔✔deaths
reportable to local county coroner (consistent with coroners policy)
✔✔What policy must the facility have regarding occurrences - ✔✔Requiring employees
to report occurences
✔✔What must be included in the occurrence reporting - ✔✔1. summary of findings -
whether violation of licensing standard was noted or whether deficiency notice was
issued.
whether health care entity acted appropriately
,if investigation wasn't conducted on site how was it conducted
2. summary report - shall not identify patient, resident or health care professional
✔✔While the patient is in the facility and upon discharge how long does the facility have
to allow them to inspect their record - ✔✔within 24 hours of request for inpatient
within 10 days after discharge
✔✔Is there a charge for inspecting the records - ✔✔no
✔✔what must the patient do when inspecting the records - ✔✔sign and date request
sign and date record upon inspection
✔✔what are the charges for a patient/resident (or personal rep) to get copies of their
records - ✔✔$14.00 for the first 10 pages
.50 pages 11-40
.33 every additional page
✔✔what are the charges for a representative (other than a personal rep) with the
patients written authorization, to get copes of the patients/resident records - ✔✔$16.50
for the first 10 pages
.75 pages 11-40
.50 every additional page
✔✔What are the charges to get copies of microfilm? - ✔✔$1.50 per page
✔✔Is there a charge for copies of a health care record to another healthcare provider -
✔✔no
✔✔How must change/corrections be done to a health record - ✔✔must note in record
date, time, nature, reason, correction, deletion or modification, his/her name and name
of witness to change, correction, deletion or modification
✔✔When is the influenza season - ✔✔Nov 1 - March 31
✔✔What are the Department targets for getting employees vaccinated for 2012, 2013,
and 2014 - ✔✔12/31/2012 - 60% vaccinated
12/31/2014 - 75% vaccinated
12/31/2014 - 90% vaccinated
✔✔What must the facility due regarding employees who do not get vaccinated -
✔✔have a defined procedure to prevent spread of influenza from it's unvaccinated
workers
, ✔✔How long should the facility maintain supporting documents regarding vaccinations
of its employees - ✔✔3 years
✔✔When should the report to the Department stating the qualifying % of its employees
vaccinated by 12/31 be submitted - ✔✔March 31st
✔✔What should the policy for hospitals, ambulatory surgical centers, and long term
care facilities include regarding the influenza vaccination? - ✔✔proof of immunization
med exemption signed by Dr., PA
Advice from a Practical Nurse or nurse midwife that vaccine for that individual is medical
contraindicated
Ensuring that each health care worker who does not have proof of immunization wears
a mask during flu season when in direct contact with patients and in common areas
✔✔What should the written policy for the influenza vaccine address - ✔✔ensure each
employee is offered an opportunity to receive the vaccine
maintain record of each employee's annual immunization, declination or exemption form
Ensure all employees are provided info regarding:
benefits and risks
availability
importance of adhering to standard precautions
✔✔What is the facility required to do during the influenza vaccine period - ✔✔track and
report vaccination rate for employees thru 12/31
submit report to department by 3/31
✔✔what is an icf - ✔✔intermediate care facility - for individuals with developmental
disabiities
✔✔What is a revisit - ✔✔follow up survey conducted after deficiencies have been cited.
✔✔Tiered Inspection - ✔✔On-site relicensure survey that has a reduced scope and
reviews fewer items for compliance with applicable state regulations than afull re-
licensure survey.`
✔✔What must an individual have to operate a governmental facility - ✔✔certificate of
compliance
✔✔What is a person guilty of if they are operating a health care facility without a
provisional, conditional or regular license from the Department? - ✔✔misdemeanor and
upon conviction shall be punished by a fine of not less than $50 and not more than
$500. Each day of operation shall be consiered a seperate offense.
AND ANSWERS SET A+
✔✔What are the types of occurrences that need to be reported within 24 hours -
✔✔Death of patient/resident that is required to be reported to the coroner (unexplained
cause or under suspicious circumstance)
Injury - brain/spinal cord, life threatening complication of anesthia or life threatening
complication from a transfusion errors/reaction
Patient/Resident cannot be found following search of facility grounds and surrounding
area
Physical/sexual/verbal abuse
misappropriation of property
drugs intended for use by patients are diverted to use by other persons
malfunction or intentional or accidental misuse of patient/resident care equipment that
occurs during treatment/diagnosis and that adversely affects or would have affect
patient/resident.
✔✔What policy must the facility have regarding death of a resident - ✔✔deaths
reportable to local county coroner (consistent with coroners policy)
✔✔What policy must the facility have regarding occurrences - ✔✔Requiring employees
to report occurences
✔✔What must be included in the occurrence reporting - ✔✔1. summary of findings -
whether violation of licensing standard was noted or whether deficiency notice was
issued.
whether health care entity acted appropriately
,if investigation wasn't conducted on site how was it conducted
2. summary report - shall not identify patient, resident or health care professional
✔✔While the patient is in the facility and upon discharge how long does the facility have
to allow them to inspect their record - ✔✔within 24 hours of request for inpatient
within 10 days after discharge
✔✔Is there a charge for inspecting the records - ✔✔no
✔✔what must the patient do when inspecting the records - ✔✔sign and date request
sign and date record upon inspection
✔✔what are the charges for a patient/resident (or personal rep) to get copies of their
records - ✔✔$14.00 for the first 10 pages
.50 pages 11-40
.33 every additional page
✔✔what are the charges for a representative (other than a personal rep) with the
patients written authorization, to get copes of the patients/resident records - ✔✔$16.50
for the first 10 pages
.75 pages 11-40
.50 every additional page
✔✔What are the charges to get copies of microfilm? - ✔✔$1.50 per page
✔✔Is there a charge for copies of a health care record to another healthcare provider -
✔✔no
✔✔How must change/corrections be done to a health record - ✔✔must note in record
date, time, nature, reason, correction, deletion or modification, his/her name and name
of witness to change, correction, deletion or modification
✔✔When is the influenza season - ✔✔Nov 1 - March 31
✔✔What are the Department targets for getting employees vaccinated for 2012, 2013,
and 2014 - ✔✔12/31/2012 - 60% vaccinated
12/31/2014 - 75% vaccinated
12/31/2014 - 90% vaccinated
✔✔What must the facility due regarding employees who do not get vaccinated -
✔✔have a defined procedure to prevent spread of influenza from it's unvaccinated
workers
, ✔✔How long should the facility maintain supporting documents regarding vaccinations
of its employees - ✔✔3 years
✔✔When should the report to the Department stating the qualifying % of its employees
vaccinated by 12/31 be submitted - ✔✔March 31st
✔✔What should the policy for hospitals, ambulatory surgical centers, and long term
care facilities include regarding the influenza vaccination? - ✔✔proof of immunization
med exemption signed by Dr., PA
Advice from a Practical Nurse or nurse midwife that vaccine for that individual is medical
contraindicated
Ensuring that each health care worker who does not have proof of immunization wears
a mask during flu season when in direct contact with patients and in common areas
✔✔What should the written policy for the influenza vaccine address - ✔✔ensure each
employee is offered an opportunity to receive the vaccine
maintain record of each employee's annual immunization, declination or exemption form
Ensure all employees are provided info regarding:
benefits and risks
availability
importance of adhering to standard precautions
✔✔What is the facility required to do during the influenza vaccine period - ✔✔track and
report vaccination rate for employees thru 12/31
submit report to department by 3/31
✔✔what is an icf - ✔✔intermediate care facility - for individuals with developmental
disabiities
✔✔What is a revisit - ✔✔follow up survey conducted after deficiencies have been cited.
✔✔Tiered Inspection - ✔✔On-site relicensure survey that has a reduced scope and
reviews fewer items for compliance with applicable state regulations than afull re-
licensure survey.`
✔✔What must an individual have to operate a governmental facility - ✔✔certificate of
compliance
✔✔What is a person guilty of if they are operating a health care facility without a
provisional, conditional or regular license from the Department? - ✔✔misdemeanor and
upon conviction shall be punished by a fine of not less than $50 and not more than
$500. Each day of operation shall be consiered a seperate offense.
