ACCP
AAOS
Health Grades
Differences between AAOS/ACCP
Quality Organizations
100
What does ACCP stand for?
American College of Chest PhysiciansWhat
100
In the AAOS guidelines, What is the target INR for Coumadin?
< or = 2
100
What is Health Grades?
An Healthcare organization that does quality ratings
100
What is the agent reccomended in the AAOS that is in direct contrast to ACCP guidelines?
Aspirin
100
What are CMS "never events"?
If a patient develops a VTE following surgery and they were not put on an anticoagulant therapy- hospital will not get reimbursed for the complication.
200
What is the ACCP Reccomendation for Aspirin for VTE prophylaxis following hip/knee Replacement ?
We recommend against the use of aspirin alone as thromboprophylaxis against VTE for any patient group (Grade 1A).
200
What is the brand name for synthetic Pantesaccharide?
Arixtra
200
In the Sixth Annual Patient Safety Study, how many Medicare hospitalizations were anyalzed for patient safety?
38 million
200
The reccomendations in the ACCP encompass _______ prophylaxis, while the AAOS reccomendations only encompass________ prevention?
VTE (DVT & PE) PE
200
SCIP's ultimate goal is to reduce the incidence of sugical complications by______% by the year 2010
25%
300
What is The Target INR for Coumadin in ACCP guidelines? INR Range?
2.5, 2-3
300
What is the AAOS reccomened dosing schedule for Aspirin?
325 mg BID for 6 weeks
300
Over what time frame did the study take place?
2005-2007
300
What is What is the difference in terms of length of therapy for LMWH in the AAOS versus ACCP
10-35 days in the ACCP 7-12 days in the AAOS
300
CMS expects to save $ _____ over the next 5 years by denying payment for never events.
$190 million
400
What is the Dosing Schedule for Fondaparinaux for VTE Prophylaxis following Hip/Knee Replacement?
2.5 mg, 6-24 hours after Surgery
400
In the AAOS guidelines, What are the intra-operative reccomendations to prevent PE?
Mechanical Compression and Regional Anesthesia
400
Post Operative PE or DVT patient safety events among Medicare Beneficiaries (2005-2007), accounted for how many deaths?
12,000
400
What is the difference between AAOS and ACCP, in the length of time that Warfarin should be continued ?
AAOS- 2-6 weeks ACCP- 10- 35 days.
400
What is an "Acute Care Episode"?
The ACE demonstration 3 year pilot program will test the effects of Medicare Part A and B payment episodes fo care as an alternative approach to payment fo rhealth care sevice delivery. Incentives will be offered to Medicare providers who demonstrate measurable clinical quality and efficiency.
500
How many hours before or After Surgery, should a LMWH be initiated for VTE Prophylaxis following hip/knee replacement?
Usual high risk dose 12 hours before surgery or 12-24 hours after surgery
500
In the AAOS guidelines, when should a LMWH be initiate and for how long should it be continued?
12-24 hours after Surgery for 7-12 days
500
The 15 medical errors cost federal Medicare program_____dollars?
6.9 Billion
500
When were the most recent versions of the ACCP and AAOS guidelines published?
May 2007- AAOS June 2008- ACCP
500
Describe the hospital checklist for VTE quality improvement?
Page 11 of Quality brochure
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