Standardized Plan
Pharmacy
Practices
Behavioral Health
Miscellaneous
100
A transitional care patient is followed at 72hrs, 7, 14 and 30 days. What date do those contacts begin from?
What is Hospital discharge date
100
Which patients should have a medication reconciliation?
What is All patients managed at Heavy or Medium status
100
How often do you visit a priority practice (Blue) if you have 3 of them?
What is 1 time per week.
100
What type of questions should be used during MI?
What is Open Ended Questions
100
Do you get credit for a task you documented on a patient if you are not listed as the PCM?
What is Yes
200
What is the minimum number of contacts with a patient during the transitional care period?
What is 4
200
How many prescriptions per month does a patient need to have filled before they are required to be locked into one pharmacy?
What is 11 or more
200
Who in the Network staff do you contact when you need assistance with a practice?
What is Kelly Garison, Heather Rothrock, or Teresa Harbour
200
What does the acronym OARS stand for?
What is Open ended questions, Affirmation, Reflective Listening, Summarize
200
Who can see a matrix you create before you publish it?
What is only you
300
you call a patient and leave a message, what type of task is that? Completed, Pending or Attempted
What is Attempted
300
Name one medication that is considered to be high-risk in the elderly.
What is Demerol, Coumadin, Morphine, benzodiazepines (valium), digoxin, NSAIDs, muscle relaxers
300
What is the most important thing that you establish with your practices?
What is Rapport
300
When building rapport what are the three most important elements in face to face communication?
What is 1. Words, 2. Tone of Voice, 3. Body Language
300
What do you do with an old goal by a previous case manager that is no longer working with pt?
What is Defer it and do a new goal for patient that is appropriate at present.
400
Name three things that a patient being moved to heavy status must have?
What is Updated CHA, Goal, Med Rec, Pending Task set
400
Name at least two OTC medicines that Medicaid will cover with a prescription.
What is OTC Prilosec, Nicotine patches, Claritin OTC, Zyrtec OTC.
400
Who is you DMA contact person to assist practices with questions you can’t answer?
What is Tiffany Ferguson-Cline
400
List the 5 stages of change?
What is Pre-contemplative, Contemplative, Preparation, Action stage, Maintenance
400
What is the acronym for writing a goal and what does each letter stand for?
What is SMART. S-Specific, M-Measurable, A-Attainable,R-Realistic,T-Time Specific
500
List two of four things you should do after each contact with a patient.
What is Put in the task note, Update Status, Set new task if not being deferred, Update goal if needed, Update CHA if appropriate
500
If a psychiatrist writes a prescription for an antipsychotic agent (Zyprexa, Risperdal, Abilify) for an adult, it must be for an FDA approved indication in order for it to be approved. The physician can indicate that it is for an approved indication so that the pharmacy can fill it by doing what?
What is Writing “Meets PA Criteria” on the face of the prescription.
500
For Physician related issues, whom should you contact at the network?
Who is Jane Foy, MD
500
What does the acronym FRAME stand for?
What is Feedback – give results of assessments and tests, Responsibility – Pt’s autonomy and need to choose for self, Advice – based on substantiated knowledge (evidenced based), Menu – options for self management, E- Efficacy – strategies for making change, supports and what used and worked in past for success
500
What is the name of the website where you can go to look to see if a drug is on Medicaid’s formulary?
What is www.ncmedicaidpbm.com
M
e
n
u