AND DETAILED HEALTHCARE ADMINISTRATION
BREAKDOWN FULL REVIEW
◉ Medical Director Responsibilities. Answer: A) Implementation of
resident care policies
B) Coordination of medical care in the facility
Responsible for resident care policies including admissions,
transfers, and discharges, infection control use of restraints,
physician privileges
-Policies related to accidents and incidents, ancillary services
-Med. Dir. is a coordination role- responsible for ensuring that the
facility provides appropriate care as required
-MD must evaluate and identify reports that have inadequate
medical care
-MD approves healthcare partners ( x-ray, diagnostic services and so
on)
◉ Incident. Answer: any unexpected negative occurrence
◉ Accident. Answer: Unexpected occurrence that has possibly might
have negative consequences for the person involved
,◉ Emergency. Answer: an event requiring immediate action for the
safety or well-being of persons involved
◉ The ultimate responsibility for obtaining and reporting
laboratory, radiology, and other diagnostic services is assigned to the
______.. Answer: Nursing Facility
◉ Responsibility for determining whether the nurse's aide training
and competency evaluation requirements are met in a facility falls to
the ___.. Answer: State survey agency
◉ Under federal guidelines, a candidate for nurse's aide registration
has chances to take the evaluation up to.... Answer: At least 3
chances
◉ Ensuring that nurses's aides are able to demonstrate competency
in skills and techniques necessary to care for residents' needs is the
responsibility of ____.. Answer: The Facility
◉ Under Final Rules, routine and emergency dental services are ____
Federal Requirements. Answer: Mandated
◉ For Comprehensive Assessments, the facility. Answer: will
conduct, initially and periodically a comprehensive, accurate,
,standardized, and reproducible assessment of each resident's
functional capacity
◉ Frequency of Assessments. Answer: 14 days after admission
excluding readmission in which no significant change exists
◉ Frequency of Assessments: Promptly After a Significant Change in
Physical or Mental Condition. Answer: If there is a significant change
w/in 14 days, there should be a new assessment
◉ Significant Change. Answer: major decline or improvement in
resident's status that will not normally resolve itself w/o further
intervention
◉ Maintain all assessment completed for the last. Answer: 15
months
◉ Encoding Data
W/in 7 days the resident's assessment, the Facility will encode the
following info for each resident in the facility:. Answer: A) Admission
assessment
B) Annual Assessment updates
C) Sig change in status assessments
D) Quarterly review assessments
, E) A subset of items upon a resident's transfer, reentry, discharge or
death
F) Background (face-sheet) info if there is no admission assessment
◉ Transmitting data.
W/in 7 days the facility completes a resident's assessment, the
facility will. Answer: be capable of transmitting to the state info for
each resident contained in the MDS in a format that conforms to
standard record layouts and data dictionaries
◉ The facility will electronically transmit, at least monthly, encoded,
accurate, and complete MDS data to the state for all assessment
conducted during the previous month , including the following:.
Answer: -Admission assessment
-Annual assessment
-Sig change in status assessment
-Sig correction of prior full assessment
-Sig correction of prior quarterly assessment
-Quarterly review
-A subset of items upon a resident's transfer, reentry, discharge, or
death
-Background (face sheet) info for an initial transmission of MDS data
on a resident who does not have an admission assessment