1. On which of the following methods does the Patient Centered Pharmacy Care Collaborative focus to improve transitions of care?
A. Bedside delivery
B. Improved hospital-to-clinic transitions
C. Ward-to-ward medication reconciliation
D. Teach-back method
2. Which is the best first step in starting a transition of care program at a health system?
A. Start with a pharmacy pilot to show what pharmacy can do to provide great medication reconciliation
B. Assemble a group of engaged physicians and teach them how to conduct a thorough medication reconciliation
C. Send out hospital-wide emails to tell providers to complete good transitions for their patients
D. Gain administrator buy-in for a transition of care or medication reconciliation program
3. What is one of the downsides to billing the new transitional care management codes?
A. They provide less reimbursement than the traditional E/M codes
B. Coders need to attend specialized trainings to bill these codes
C. Patients incur large copayments if providers bill these codes
D. Only one individual may report TCM services once per patient within 30 days of discharge
4. Which of the following is a requirement for the TCM codes to be billed?
A. Telehealth services cannot substitute in-person encounters
B. Only a physician can see patients when these codes are used
C. Patients must fit a high-risk or moderate-risk category
D. Multiple providers must be involved
5. Based on the MARQUIS tools, all of the following are tips to obtain the best possible medication history EXCEPT
A. Use medication bottles
B. Read the medication list to patient to verify accuracy
C. Verify information with a secondary source
D. Ask open-ended questions
6. In 2006, 1 in 4 Medicare beneficiaries were readmitted within 30 days when discharged from
A. Hospital to home
B. Hospital to hospice
C. Hospital to home with home health
D. Hospital to skilled-nursing facility
7. All of the following are examples of models of transitions of care EXCEPT
A. BOOST
B. RED
C. HSAG
D. INTERACT
8. The Joint Commission identified which of the following breakdowns as contributing to ineffective transitions of care?
A. Lack of accountability
B. Medication reconciliation by interdisciplinary teams
C. Proactively contacting the next provider of care to exchange health information about mutual patients
D. Providing clear discharge instructions to patient/caregivers
9. Engagement during transitional planning can be beneficial for patients with which of the following risk factors for readmission?
A. High income
B. Mental health issues and psychosocial matters
C. Extensive family involvement and support
D. Good access to transportation
10. Which agency provides a guide for how to calculate return on investment that can be used to determine the potential cost savings by implementing a transitions of care program?
A. TJC
B. AHRQ
C. NPSG
D. UCDMC
Evaluation Questions
11. To what extent did the program meet objective #1?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
12. To what extent did the program meet objective #2?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
13. To what extent did the program meet objective #3?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
14. To what extent did the program meet objective #4?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
15. Rate the effectiveness of how well the program related to your educational needs:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
16. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
17. Rate the quality of the faculty:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
18. Rate the effectiveness and the overall usefulness of the material presented:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
19. Rate the appropriateness of the examination for this activity:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
20. Rate the effectiveness of how well the activity related to your practice needs:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
21. Rate the effectiveness of how well the activity will help you improve patient care:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
22. Will the information presented cause you to change your practice?
A. Yes
B. No
23. Are you committed to making these changes?
A. Yes
B. No
24. As a result of this activity, did you learn something new?
A. Yes
B. No
25. What is your practice setting or area of practice?
A. Community Pharmacy/Independent
B. Community Pharmacy/Chain
C. Hospital/Health Systems
D. Administrative/Pharmacy Director
E. Critical Care Pharmacy
F. Long-term Care
G. Managed Care/PBM
H. Oncology
I. Specialty Pharmacy
J. Industry/Manufacturing
26. How many years have you been in practice?
A. <5
B. 5 – 10
C. 11 – 20
D. >20
