Accident Prevention and Safety
If a participant elopes the following policy and procedure should be utilized:
1) Search perimeter of facility and inside of center 2) Notify program director of elopement 3) After 30 minutes, call police and notify family
PACE must provide all medically necessary medications regardless of whether they are covered under _____.
Part D or not
What is the acronym used in non medical emergencies?
R escue
A larm
C ontain
E xtinguish or vacuate
A ___________ is a statement, either ___________or ______________expressing dissatisfaction with service delivery or the quality of care furnished.
Grievance, Written, or Oral
What is QAPI? Is it still in effect?
Quality Assurance and Performance Improvement
No. Ended December 31, 2021
All chemicals used at the Edenbridge PACE Center will be properly ______________ and _______________ ________________.
Labeled and stored in locked cabinets
If PACE participants enroll in another prescription drug plan (PDP) or Medicare Advantage Plan (MA-PD), the participant will automatically be disenrolled from PACE.
True
______________ is the equipment located in the clinic that helps keeps staff safe during an emergency.
Personal Protective Equipment or PPE
Only the Executive Director and Social Worker can assist the PACE participant with their grievance.
False
In development of the QI program, we should use _______ to identify areas of ___________ and must take actions that result in improvements in its performance in all types of care
Data and poor performance
Material Safety Data Sheets (MSDS) are required by CMS.
False. Required by OSHA.
PACE organizations are subject to Part D regulatory requirements under _________.
42 CFR Part 423
A PACE best practice is to have the home health nurse be in charge of all emergencies in the building.
False
EBP has ______days to resolve a grievance from the day of receipt.
30 Days
At a minimum, Edenbridge PACE’s QI plan must:
Identify areas in which to improve or maintain the delivery of services and patient care;
Develop and implement plans of action to improve or maintain quality of care; and
Document and disseminate the results of the QI activities to Edenbridge PACE’s staff and contractors
Each year, one in three adults age ____ and older fall, but ________________________________.
Age 65. Less than half talk to their health care provider about it.
If the IDT team authorize a specific drug, ___________.
PACE will pay for it.
These particular documents must remain at the front desk and be easily accessible and must accompany the participant in the event of an emergency.
Advanced Directive, DNR, DC MOST Form and/or the Face Sheet
Step one of the Appeals Workflow is ______________.
Denial of SDR
Identify 4 of the 9 Level One Reporting Requirements that are required to be reported via the ____________ ________________ ________________ __________.
1. Routine immunizations, 2. Grievances and Appeals, 3. Enrollments 4. Disenrollments, 5. Prospective Enrollees, 6. Readmissions, 7. Emergency (unscheduled) care, 8. Unusual Incidents and 9. Death
HPMS or Health Plan Management System
Older adults help prevent falls by exercising regularly, having their doctor review their medications, having their eyes checked regularly and ________________.
Reducing hazards in their home to prevent falls
PACE participants may enroll in the PACE prescription program 1) Quarterly 2) Every six months 3) At any point in the year.
At any point in the year
Medical emergencies can occur in various locations including but not limited to where?
The center, the home, in transit on the van or to and from a medical appointment
What are the 6 steps in the Grievance Workflow?
1. Filing of a Grievance 2. Documentation of Grievance 3. Acknowledgement, Notification and Initial Investigation of Grievance 4. Resolution of Grievances 5. Expedited Review 6. Grievance Review Options
Level 2 Reportable Incidents include the following:
Deaths related to suicide or homicide
Falls resulting in death or in injury requiring hospitalization of five days or more plus additional information
Infectious disease outbreak (3 more cases or respective state standard)
Pressure ulcer acquired while enrolled in the Edenbridge PACE program;
Traumatic injuries which result in death or hospitalization of five days or if injury is determined within 48 hours to result in permanent loss of function