Instructions:
* Read the article. The test for this CE activity can only be taken online at http://www.nursingcenter.com/ce/PCM. Tests can no longer be mailed or faxed.
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* There is only one correct answer for each question. A passing score for this test is 13 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
* For questions, contact Lippincott Williams & Wilkins: 1-800-787-8985.
Continuing Education Information for Certified Case Managers:
This Continuing Education (CE) activity is provided by Lippincott Williams & Wilkins and has been preapproved by the Commission for Case Manager Certification (CCMC) for 2.0 clock hours. This CE is approved for meeting the requirements for certification renewal.
Registration Deadline: October 31, 2017
Continuing Education Information for Certified Professionals in Healthcare Quality (CPHQ):
This continuing education (CE) activity is provided by Lippincott Williams & Wilkins and has been approved by the National Association for Healthcare Quality (NAHQ) for 2.5 CE Hours. CPHQ CE Hours are based on a 60-minute hour. This CE is approved for meeting requirements for certification renewal.
This CPHQ CE activity expires on October 31, 2017.
Continuing Education Information for Nurses:
Lippincott Williams & Wilkins, publisher of Professional Case Management journal, will award 2.5 contact hours for this continuing nursing education activity.
LWW is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749. LWW is also an approved provider by the District of Columbia, Georgia, and Florida CE Broker #50-1223.
Your certificate is valid in all states.
The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.
Registration Deadline for Nurses: December 31, 2018
Disclosure Statement:
The authors and planners have disclosed that they have no financial relationship related to this article.
Payment and Discounts:
* The registration fee for this test is $24.95
CE TEST QUESTIONS
GENERAL PURPOSE STATEMENT: To provide information about the impact of the Transitional Care Program (TCP) of the McGuire Veterans Administration Medical Center (VAMC).
LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you will be able to:
1. Identify problems associated with care transitions that provided impetus for this study.
2. Describe the methodology used in this study.
3. List outcomes of this study.
1. Prior to implementation of the TCP, approximately what percentage of patients were readmitted or had emergency department (ED) visits post-VAMC discharge?
a. 2%
b. 20%
c. 32%
2. The TCP focuses on which type of patients?
a. geriatric with chronic disease
b. traumatically injured and physically disabled
c. patients with posttraumatic stress disorder
3. What is the main mechanism for identifying patients for the TCP?
a. interview
b. chart review
c. random selection
4. Which is included in the initial criteria for admission into the TCP?
a. more than two ED visits in the past 3 months
b. Care Assessment Need score greater than 80
c. primary care provider referral
5. The percentage decrease in hospital admissions for patients in the TCP was
a. 34%.
b. 67%.
c. 82%.
6. What was the percentage decrease in ED visits for patients in the TCP?
a. 12%
b. 47%
c. 61%
7. What was the approximate savings for the VAMC due to the TCP?
a. $265,000
b. $950,000
c. $3,800,000
8. The RN case managers noted that the TCP resulted in
a. no change in patient compliance.
b. an increase in caregiver burden.
c. an increase in patient satisfaction.
9. Prior to the TCP, approximately what percentage of Medicare fee-for-service recipients were readmitted to a hospital within 30 days?
a. 10%
b. 20%
c. 30%
10. Which of the following transitions tends to carry the most risk?
a. hospital to another care setting
b. one rehabilitation facility to another
c. skilled nursing facility to home
11. Research has shown that failed transitions are often due to all except
a. incomplete transfer of information.
b. lack of a single-point person to ensure continuity.
c. lack of patient/family self-care initiative.
12. A chief goal of the TCP is to
a. promote long-term relationships between the patient and the health care provider.
b. provide mental health services.
c. facilitate self-management.
13. The World Health Organization states that a primary reason for readmissions has to do with
a. medication adherence.
b. procedural complications.
c. lack of community supports.
14. The Care Assessment Need tool is used to
a. predict services needed postdischarge.
b. identify high risk for admission.
c. forecast primary care use.
15. Veterans living outside a 50-mile radius are
a. excluded from the study.
b. transported to the clinic.
c. offered telephone call follow-up.
16. How often does the RN case manager make home visits?
a. three times a week
b. once a week
c. once every 2 weeks
17. On discharge from the hospital, Veterans receive all except
a. an accurate discharge medication chart.
b. transportation vouchers.
c. a self-monitoring tool.
18. As a result of initial problems identified during the TCP, which change was initiated?
a. increased frequency of RN visits
b. telephone contacts converted to personal visits
c. addition of a licensed clinical social worker position
PCM1116A
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