QM Basics
What does “QM” stand for?
A. QAPI Monster
B. Quality Measure
C. Quality Medicare
B. Quality Measure
What is considered a “short stay” resident?
A. 100 days or less in the facility.
B. 30 days or less in the facility.
C. 90 days or less in the facility.
A. 100 days or less in the facility.
What is considered a “long stay” resident?
A. A resident who has lived in the facility for more than 100 days.
B. A resident who has been in the facility for less than 30 days.
C. A resident who visits the facility for outpatient services but does not reside there.
A. A resident who has lived in the facility for more than 100 days.
Why must CNA charting match MDS coding?
A. To reduce the amount of documentation required
B. To comply with federal regulations and ensure data accuracy
C. The MDS pulls data directly from CNA documentation
C. The MDS pulls data directly from CNA documentation
What does QAPI stand for?
A) Quantitative Analysis and Process Inspection
B) Quality Assurance and Performance Improvement
C) Quick Action for Patient Improvement
B. Quality Assurance and Performance Improvement
What tool gathers data for Quality Measures?
A. Routine Data Quality Assessment (RDQA) tool
B. Data Profiling
C. The MDS (Minimum Data Set)
C. The MDS (Minimum Data Set)
How do Short Stay Measures support QAPI?
A. By increasing the number of staff hired for short-term care.
B. By identifying opportunities to improve transitional care and reduce readmissions.
C. By tracking the number of residents moved between neighborhoods.
B. By identifying opportunities to improve transitional care and reduce readmissions.
Name one long-stay measure related to mood.
A. Documenting sleep patterns when a resident reports sleep disturbances.
B. Depression symptoms or use of antidepressants.
C. Recording the resident’s weight weekly.
B. Depression symptoms or use of antidepressants.
Which of the following is a best practice for maintaining documentation accuracy?
A. Fill out documentation in advance based on the care plan
B. Document in real-time and review entries for completeness
C. Remember verbal reports from staff and update charts later
B. Document in real-time and review entries for completeness
Which of the following is a core component of a QAPI program?
A) Implementing new marketing strategies
B) Purchasing equipment
C) Governance and Leadership
C) Governance and Leadership
How often are Quality Measures updated on Care Compare?
A. Quarterly
B. Monthly
C. Semi Annually
A. Quarterly
Which of the following is NOT typically a Short Stay Measure?
A) Readmission Rate
B) Average Length of Stay
C) Medication Error Rate
B) Average Length of Stay
Long Stay Measures primarily aim to improve which of the following?
A. The number of staff training sessions completed.
B. Residents’ quality of life and health outcomes.
C. Staff turnover rates.
B. Residents’ quality of life and health outcomes.
What should be documented if a resident refuses care?
A. The refusal, the reason if known, and staff actions taken
B. That the resident refused care with a brief note indicating non-compliance
C. The staff should document that they attempted to persuade the resident but avoid recording the refusal to prevent conflict
A. The refusal, the reason if known, and staff actions taken
What’s one common QM-related survey citation?
A. OSHA Safety Climate Survey
B. Inaccurate or inconsistent MDS data
C. Employee Satisfaction Index
B. Inaccurate or inconsistent MDS data
What three domains make up the CMS 5-Star Rating?
A. Coordination of care, history and medical decision making
B. Yelp reviews, resident satisfaction surveys and census
C. Survey, Staffing, and Quality Measures
C. Survey, Staffing, and Quality Measures
What impacts the “New or Worsened Pressure Ulcer”
A. Accurate skin assessments and daily CNA documentation.
B. The resident’s level of physical activity.
C. The resident’s diet.
A. Accurate skin assessments and daily CNA documentation.
How do Long Stay Measures contribute to QAPI?
A) By reducing the number of required staff certifications.
B) By increasing staff hours for recreational activities.
C) By identifying trends in resident health that need intervention.
C) By identifying trends in resident health that need intervention.
What happens if care is provided but not charted?
A. The care is presumed to have been delivered based on the care plan, even if not documented at the time
B. It appears the care wasn’t done, hurting QM scores
C. The provider’s verbal report during shift change is sufficient to substitute for formal documentation, ensuring legal protection
B. It appears the care wasn’t done, hurting QM scores
Why is data collection important in QAPI?
A. To increase paperwork and administrative tasks.
B. To identify areas needing improvement and to measure effectiveness of interventions.
C. To randomly gather information without specific goals.
B. To identify areas needing improvement and to measure effectiveness of interventions.
What’s the goal of the Quality Measure system?
A. To reflect the quality of care and outcomes for residents
B. To rate nursing homes from best to worst
C. To establish the initial or baseline level of performance
A. To reflect the quality of care and outcomes for residents
Which process improvement is supported by Short Stay Measures data?
A. Reducing staff breaks.
B. Increasing the number of resident outings regardless of outcomes.
C. Enhancing discharge procedures and follow-up care.
C. Enhancing discharge procedures and follow-up care.
Which of the following is a focus of the Long Stay Measures category in QAPI?
A. Recording the number of new admissions to the facility each month.
B. Documenting the frequency of programs offered to residents
C. Monitoring residents' pain levels and management effectiveness.
C. Monitoring residents' pain levels and management effectiveness.
Why is the look-back period important?
A. The look-back period is only necessary for audit purposes and has no impact on current resident care.
B. The look-back period is a flexible guideline that can be skipped if records seem accurate and complete.
C. Only what’s documented in the look-back window counts
C. Only what’s documented in the look-back window counts
Which tool is commonly used in QAPI to analyze data and identify root causes?
A) SWOT analysis
B) Pareto chart
C) Fishbone diagram
B) Pareto chart