QUESTIONS AND ANSWERS
3 main obligations under EMTALA
- ANSWER-Any individual who comes and requests exam or treatment of a medical
condition must receive a medical screening exam to determine whether an emergency
medical condition exists.
If an emergency medical condition exits, treatment must be provided until it is resolved
or stabilized
Hospitals with specialized capabilities are obligated to accept transfers from hospitals
who lack the capability to treat unstable emergency medical conditions.
7 elements
- ANSWER-Policies & Procedures
Oversight Responsibilities/Assignments
Oversight Responsibilities/Due Care
Education and Training
Monitoring and Auditing
Enforcement and Discipline
Response and Prevention
,A structured way to address problems after they occur
- ANSWER-RCA
A structured way to identify and address potential problems, or failures and their
resulting effects on the system or process before an adverse event occurs.
- ANSWER-FMEA
Accidents waiting to happen
- ANSWER-Latent errors
After implementing CPOE, what do hospitals almost always see a decline in?
- ANSWER-Medication errors
AKS
- ANSWER-Anti-Kickback Statute
Are physician services covered by the Stark Law?
- ANSWER-No - DHS only
Baseline Audit
- ANSWER-Preliminary assessment that establishes a reference point.
Case Mix Index
- ANSWER-A relative value assigned to a diagnosis related group of patients in a
medical care environment
Clinical Laboratory Services
Physical Therapy Services
Occupational Therapy Services
, Outpatient speech-language pathology services
Radiology services
Radiation therapy services and supplies
DME and supplies
Parenteral and enteral nutrients, equipment and supplies
Prosthetics
Orthotics
Prosthetic devices and supplies
Home health services
Outpatient prescription drugs
Inpatient and outpatient hospital services
- ANSWER-Examples of designated health services (DHS)
Clinical Outcomes
- ANSWER-Changes to moribity/mortality rates as a result of healthcare intervention
Compliance procedures such as education for employees need to include policies
focusing on the topics to be covered, the materials that are included, and the
presentation formats to be used. Which out of the below listing is not accurately
defined?
- ANSWER-1. Computer based learning sessions are professionally provided, easily
designed for the specific education needs of a particular facility and provide easy
scheduling for employees.
2. Written self study is generally utilized for specialized training sessions with
professional prepared materials and give the employees scheduling flexibility and high
reproducibility.
3. Educational training sessions using case studies are the most effective formats that
are used in compliance education, but is the most difficult to prepare.